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 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 2 of 5
The nurse is assessing an older patient with type 2 diabetes mellitus. What age-related endocrine change should the nurse expect in this patient?
Correct Answer: C
Rationale: Aging reduces insulin sensitivity, contributing to insulin resistance in type 2 diabetes.
Question 3 of 5
A nurse is reviewing the laboratory results for four clients. The nurse should recognize which of the following clients has a manifestation of hypoparathyroidism?
Correct Answer: B
Rationale: Elevated phosphate levels result from low parathyroid hormone in hypoparathyroidism, which reduces phosphate excretion.
Question 4 of 5
A staff nurse is teaching a client who has Addison's disease about the disease process. The client asks the nurse what causes Addison's disease. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Addison's disease results from insufficient aldosterone and cortisol production by the adrenal glands.
Question 5 of 5
A nurse is assessing a client who is admitted with hyperthyroidism. The client reports a weight loss of 5.4 kg (12 lb) in the last 2 months, increased appetite, increased perspiration, fatigue, menstrual irregularity, and restlessness. Which of the following actions should the nurse take to prevent a thyroid crisis?
Correct Answer: D
Rationale: A quiet, low-stimulus environment reduces stress and metabolic demand, helping to prevent exacerbation of hyperthyroidism into a thyroid crisis.