ATI RN
RN ATI Medsurg Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has chronic hypothyroidism. For which of the following conditions should the nurse monitor?
Correct Answer: C
Rationale: Lethargy is a hallmark symptom of hypothyroidism due to slowed metabolism from insufficient thyroid hormone production.
Question 2 of 5
A nurse is caring for a client who is 1 day postoperative following a thyroidectomy and reports severe muscle spasms of the lower extremities. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Severe muscle spasms post-thyroidectomy may indicate hypocalcemia due to potential parathyroid gland damage during surgery. Verifying calcium levels is the priority to confirm and address this condition.
Question 3 of 5
A nurse is reviewing guidelines to prevent DKA during periods of illness with a client who has type 1 diabetes mellitus. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: Checking for ketones when blood glucose exceeds 240 mg/dL helps detect early DKA during illness, allowing timely intervention.
Question 4 of 5
At 8 a.m. the nurse is reviewing patient assignments and notes one of the patients has a current blood glucose of 264. Breakfast is routinely served at 8:30. The following orders are noted in the chart. What action should the nurse take? Accucheck before meals and at bedtime with sliding scale insulin aspart SQ: Glucose 0-150 Administer 0 units; 151-200 Administer 2 units; 201-250 Administer 4 units: 251-300 Administer 6 units: 301-350 Administer 8 units; 351- 400 Administer 10 units; >400 Notify physician.
Correct Answer: B
Rationale: Blood glucose of 264 falls in the 251-300 range, requiring 6 units of insulin aspart per the sliding scale.
Question 5 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.