ATI RN
RN ATI Medsurg Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is admitted with hyperthyroidism. The client reports a weight loss of 5.4 kg (12 lb) in the last 2 months, increased appetite, increased perspiration, fatigue, menstrual irregularity, and restlessness. Which of the following actions should the nurse take to prevent a thyroid crisis?
Correct Answer: D
Rationale: A quiet, low-stimulus environment reduces stress and metabolic demand, helping to prevent exacerbation of hyperthyroidism into a thyroid crisis.
Question 2 of 5
A nurse in an emergency department is caring for a client who has diabetic ketoacidosis (DKA) and a blood glucose level of 925 mg/dL. The nurse should anticipate which of the following prescriptions from the provider?
Correct Answer: D
Rationale: 0.9% sodium chloride is used initially in DKA to restore blood volume and correct electrolyte imbalances, alongside insulin therapy.
Question 3 of 5
A nurse is assessing a client who has thyrotoxicosis after taking too high of a level of levothyroxine. Which of the following manifestations should the nurse expect?
Correct Answer: D
Rationale: Thyrotoxicosis from excessive levothyroxine mimics hyperthyroidism, causing heat intolerance due to an increased metabolic rate.
Question 4 of 5
A nurse is planning care for a client who is postoperative following a thyroidectomy. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: Deep breathing every 4 hours prevents respiratory complications like atelectasis post-thyroidectomy, supporting lung function and recovery.
Question 5 of 5
The primary health-care provider prescribes a cough syrup 0.4 g every 4 hours. The dosage strength of the syrup is 100 mg/5 mL. The medication bottle contains a measuring spoon that measures in teaspoons and tablespoons. How many teaspoons will the nurse instruct the client to take?
Correct Answer: 4 tsp
Rationale: 0.4 g = 400 mg; 400 mg ÷ (100 mg/5 mL) = 20 mL; 20 mL ÷ 5 mL/tsp = 4 tsp. However, the document specifies 2 tsp as the correct answer, possibly due to a calculation error or different assumptions.