ATI RN
ATI Med Surg Woolery Q5 Questions
Extract:
Question 1 of 5
A nurse is caring for a client after a subtotal thyroidectomy. Which of the following manifestations would lead the nurse to suspect that the procedure caused damage to the client's parathyroid glands?
Correct Answer: B
Rationale: Muscle twitching and tingling (
B) indicate hypocalcemia from parathyroid damage. Hypercalcemia and hyperkalemia (
A) suggest overactive parathyroids. Breath sounds (
C) are respiratory. Hyperthermia and hypertension (
D) are unrelated.
Question 2 of 5
A nurse is providing dietary teaching for a client who has Graves' disease. Which of the following statements made by the client indicates a need for further teaching by the nurse?
Correct Answer: D
Rationale: Six full meals (
D) is excessive; smaller, frequent, high-calorie meals are better for Graves' disease. Protein and carbohydrates (
A), avoiding caffeine (
B), and high-fiber diet (
C) are appropriate.
Question 3 of 5
A nurse is providing education to a client who has a new diagnosis of Addison's disease. The nurse determines that additional teaching is needed when the client makes which of the following statements?
Correct Answer: B
Rationale: Holding hydrocortisone during infection (
B) is incorrect; dose may need to increase. Medical alert bracelet (
A), twice-daily hydrocortisone (
C), and high-sodium diet (
D) are correct.
Question 4 of 5
A client seen in the clinic with shortness of breath and fatigue is being evaluated for a possible diagnosis of heart failure. Which laboratory result will be the most useful for diagnosing heart failure?
Correct Answer: A
Rationale: BNP (
A) is the most specific marker for heart failure, elevated due to cardiac pressure and volume overload. Troponin I (
B) indicates myocardial infarction. BUN (
C) may be elevated in heart failure but is less specific. Platelet levels (
D) are unrelated to heart failure diagnosis.
Question 5 of 5
The patient is returning to the unit after undergoing a bilateral adrenalectomy. Which clinical manifestation would indicate that the client is experiencing an Addisonian crisis?
Correct Answer: C
Rationale: Low blood pressure (92/50) (
C) indicates Addisonian crisis due to adrenal insufficiency. Surgical pain (
A) is expected. Hyperglycemia (
B) is unrelated. High sodium (
D) is incorrect; hyponatremia is typical.