ATI RN
ATI Med Surg Npro 2000 Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has end-stage kidney disease (ESKD) and reports having shortness of breath and swelling in his lower extremities. Upon assessment, the nurse notes the client has crackles in his lungs and an elevated blood pressure. The nurse should suspect which of the following based on the client's manifestations?
Correct Answer: A
Rationale: Hypervolemia in ESKD causes fluid overload, leading to pulmonary edema, extremity swelling, and hypertension.
Question 2 of 5
A nurse is providing teaching to a client who has a new diagnosis of Parkinson's disease. On which of the following medications should the nurse prepare to instruct the client?
Correct Answer: A
Rationale: Levodopa/carbidopa is the primary treatment for Parkinson's, increasing dopamine to control movement symptoms.
Question 3 of 5
A nurse is providing teaching to a client who has a new prescription for tamoxifen to treat breast cancer. The nurse should include that which of the following is an adverse effect of this medication?
Correct Answer: B
Rationale: Hot flashes are a common adverse effect of tamoxifen due to its antiestrogen effects on temperature regulation.
Question 4 of 5
A nurse in a clinic is reviewing the laboratory values of a client who has primary hypothyroidism. The nurse should anticipate an elevation of which of the following laboratory values?
Correct Answer: A
Rationale: Elevated TSH is the hallmark of primary hypothyroidism as the pituitary compensates for low thyroid hormone production.
Question 5 of 5
A nurse provides care to an older hospitalized client who is newly admitted for advanced liver failure. The client states, 'I've told my doctor to let me die if my heart stops beating or if I quit breathing. I do not want to be revived.' To best ensure the client's request is honored, which of the following should the nurse do?
Correct Answer: B
Rationale: Checking for a DNR order ensures the client's wishes are legally documented and followed by the healthcare team.