ATI RN
ATI Med Surg Woolery Q5 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has developed Cushing syndrome due to long-term corticosteroid therapy to treat multiple sclerosis. The nurse understands that Cushing syndrome puts the client at increased risk for which complication?
Correct Answer: D
Rationale: Cushing syndrome increases osteoporosis risk, leading to bone fractures (
D) due to excess cortisol affecting bone density. Ataxic dysarthria (
A) is neurological, not related. Hypotension (
B) is unlikely as Cushing syndrome causes hypertension. Hyperkalemia (
C) is incorrect; Cushing syndrome causes hypokalemia.
Question 2 of 5
At the beginning of the shift, a nurse receives report on the following four patients.Which patient should the nurse place priority on assessing first?
Correct Answer: B
Rationale: Confusion in a patient with Addison's disease (
B) suggests a possible adrenal crisis, a life-threatening condition requiring immediate assessment. Cushing syndrome with gynecomastia (
A) is less urgent. Graves' disease with exophthalmos (
C) is significant but not immediately life-threatening. Hypothyroidism with a request for a warm blanket (
D) indicates a stable symptom of feeling cold, which is less critical.
Question 3 of 5
A client is experiencing tachycardia and tremors. Lab values show elevated Free T4 and low thyroid stimulating hormone (TSH). Which diagnostic study will help the practitioner differentiate Graves' disease from other forms of hyperthyroidism?
Correct Answer: B
Rationale: RAIU test (
B) differentiates Graves' disease (high uptake) from other hyperthyroidism causes. Levothyroxine test (
A) is irrelevant. ACTH test (
C) assesses adrenal function. Thyroidectomy (
D) is a treatment, not a diagnostic test.
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
A nurse is caring for a female client who has a diagnosis of Cushing syndrome. The client is embarrassed that she is experiencing hirsutism and severe acne. The nurse understands that these manifestations are caused by which of the following?
Correct Answer: B
Rationale: Hirsutism and acne in Cushing syndrome are caused by excess adrenal androgens (
B). Mineralocorticoids (
A) affect fluid balance. Thyroid hormone (
C) is unrelated. Glucocorticoids (
D) cause other symptoms, not these.