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 subtotal thyroidectomy. The client reports a tingling sensation in the hands, the soles of the feet, and around the lips. For which of the following findings should the nurse assess the client?
Correct Answer: A
Rationale: Tingling sensations suggest hypocalcemia, common post-thyroidectomy; Chvostek's sign (facial twitching on tapping) confirms this.
Question 2 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 3 of 5
A nurse in an emergency department is caring for a client who has diabetic ketoacidosis (DKA) and a blood glucose level of 925 mg/dL. The nurse should anticipate which of the following prescriptions from the provider?
Correct Answer: D
Rationale: 0.9% sodium chloride is used initially in DKA to restore blood volume and correct electrolyte imbalances, alongside insulin therapy.
Question 4 of 5
A nurse is providing teaching to a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should recognize that the client understands the teaching when he identifies which of the following as manifestations of hypoglycemia? (Select all that apply.)
Correct Answer: A,B,D
Rationale: Hypoglycemia causes tachycardia, clammy skin, and blurred vision due to low glucose affecting the nervous system; polydipsia and polyuria are hyperglycemia symptoms.
Question 5 of 5
A nurse is assessing a client who has hypothyroidism. The nurse should expect which of the following findings?
Correct Answer: D
Rationale: Hypothyroidism slows metabolism, leading to weight gain as a common symptom.