ATI RN
ATI Nsg 234 Med Surg Exam Neurologyendocrine And Sensory Questions
Extract:
Question 1 of 5
A nurse is assessing a client with Cushing's syndrome. The nurse is aware that an exogenous cause of Cushing's syndrome is which of the following?
Correct Answer: B
Rationale: Long-term use of glucocorticoids is a well-known exogenous cause of Cushing's syndrome, as it leads to excess cortisol in the body.
Extract:
Nurses' Notes
Client appears lethargic and reports fatigue, a decrease in appetite, and a 20 lb weight gain over a 6-month period. Client reports hair loss and numbness and tingling in fingers.
Neck midline no visible abnormalities
Skin is pale, cool, and dry.
Client reports constipation. Abdomen is distended. Bowel sounds are hypoactive. Complains of inability to tolerate cold.
Vital Signs
Temperature 35.9° C (96.6° F)
Blood pressure 102 /60 mm Hg Heart rate 58/ min
Respiratory rate 14/min
Oxygen saturation 92% on room air
Diagnostic Results
0800:
Cortisol (serum) 16 mcg/dL (5 to 23 mcg/dL)
Serum T3 60 ng/dL (70 ng/dL to 205 ng/dL)
Serum T4 (total) 3 mcg/dL (5 mcg/dL to 12 mcg/dL)
Question 2 of 5
A nurse in the emergency department is caring for a female client brought to the ER by family for fatigue. Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
Correct Answer: Hypothyroidism, Request a prescription for Thyroid hormone replacement, Administer supplemental oxygen, Bowel function, Oxygen saturation
Rationale: The client exhibits signs consistent with hypothyroidism, including fatigue, weight gain, decreased appetite, hair loss, constipation, and intolerance to cold. The laboratory results show low serum T3 and T4 levels, confirming this diagnosis. Requesting a prescription for thyroid hormone replacement and administering supplemental oxygen address the condition, while monitoring bowel function and oxygen saturation assesses progress.
Extract:
Question 3 of 5
A nurse is providing education regarding the adrenal cortex production of mineralocorticoids. The nurse should include that mineralocorticoids influence which of the following?
Correct Answer: B
Rationale: Mineralocorticoids, such as aldosterone, play a crucial role in regulating fluid and electrolyte balance by promoting sodium retention and potassium excretion in the kidneys.
Question 4 of 5
A nurse is screening clients for adrenal insufficiency. The nurse recognizes that which client is at greatest risk for adrenal insufficiency?
Correct Answer: C
Rationale: Prolonged daily steroid use, especially in an older adult, poses the greatest risk for adrenal insufficiency due to suppression of the hypothalamic-pituitary-adrenal (HP
A) axis.
Question 5 of 5
A client is admitted for treatment of the Syndrome of Inappropriate Antidiuretic Hormone (SIADH). The nurse should initiate which of the following interventions?
Correct Answer: A
Rationale: In SIADH, excess ADH causes water retention and hyponatremia; fluid restriction helps to prevent further dilution of sodium and manage fluid balance.