ATI RN
ATI Nur 221 Med Surg Final Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is receiving levothyroxine for treatment of hypothyroidism. The nurse should recognize which of the following findings is a therapeutic response to this medication?
Correct Answer: B
Rationale: Increased energy reflects levothyroxine's restoration of metabolism in hypothyroidism. Decreased temperature , weight gain , and decreased appetite are not therapeutic.
Question 2 of 5
Which of the following medications would be appropriate for heart failure treatment?
Correct Answer: D
Rationale: Furosemide reduces fluid overload in heart failure, relieving edema. Diphenhydramine is an antihistamine, epinephrine increases cardiac workload, and PTU treats hyperthyroidism, all irrelevant.
Question 3 of 5
The nurse is caring for a client who underwent a colon resection yesterday due to having a bowel obstruction. ABGs show metabolic alkalosis. The nurse expects this finding is because of:
Correct Answer: A
Rationale: Nasogastric suction removes gastric acid, causing metabolic alkalosis. Panic attacks cause respiratory alkalosis, ESRD causes acidosis, and epidurals don't affect acid-base.
Question 4 of 5
The nurse is caring for a client with lupus and is reviewing the medication list. Which of the following prescriptions would not correlate to this illness?
Correct Answer: A
Rationale: Donepezil treats Alzheimer's, unrelated to lupus's autoimmune pathology. Prednisone , hydroxychloroquine , and methotrexate manage inflammation, flares, and immune activity in lupus, aligning with standard treatment.
Question 5 of 5
The nurse is assessing a client with esophageal varices. Which of these findings would be early indicators of bleeding?
Correct Answer: D
Rationale: Tachycardia, restlessness, and pallor indicate early blood loss from varices. Epigastric fullness is vague, yellow sclera reflects liver issues, and bradycardia/lethargy are late signs.