ATI RN
RN ATI Medsurg Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is 1 day postoperative following a transsphenoidal hypophysectomy. While assessing the client, the nurse notes a large area of clear drainage seeping from the nasal packing. Which of the following should be the nurse's initial action?
Correct Answer: B
Rationale: Clear nasal drainage post-hypophysectomy may indicate a CSF leak; checking for glucose helps confirm this, as CSF contains glucose.
Question 2 of 5
When preparing to provide morning medications, the nurse would give levothyroxine (Synthroid) ordered daily in which of the following ways?
Correct Answer: B
Rationale: Levothyroxine requires an empty stomach for optimal absorption, taken in the morning with other medications if no interactions exist.
Question 3 of 5
A nurse is preparing to administer furosemide 40 mg IV. Available is furosemide 10 mg/1 mL. How many ml should the nurse administer per dose?
Correct Answer: 4 mL
Rationale: 40 mg ÷ 10 mg/mL = 4 mL, the correct volume to administer.
Question 4 of 5
A nurse is caring for an adolescent client who has a long history of diabetes mellitus and is being admitted to the emergency department confused, flushed, and with an acetone odor on the breath. Diabetic ketoacidosis is suspected. The nurse should anticipate using which of the following types of insulin to treat this client?
Correct Answer: D
Rationale: Regular insulin is fast-acting and administered intravenously in DKA to rapidly lower blood glucose and correct metabolic imbalances, unlike slower-acting insulins.
Question 5 of 5
A client is being discharged after having a thyroidectomy. Which discharge instructions are appropriate for this client? Select all that apply.
Correct Answer: A,B,C,E
Rationale: Thyroid replacement, monitoring symptoms, recognizing dehydration, and reporting hypoglycemia are key post-thyroidectomy instructions; dexamethasone is not standard.