ATI RN
RN ATI Medsurg Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is 8 hr postoperative following a subtotal thyroidectomy. In which of the following positions should the nurse keep the client?
Correct Answer: B
Rationale: Semi-Fowler's with a neutral neck position reduces swelling and strain on the surgical site post-thyroidectomy.
Question 2 of 5
The primary health-care provider prescribes a cough syrup 0.4 g every 4 hours. The dosage strength of the syrup is 100 mg/5 mL. The medication bottle contains a measuring spoon that measures in teaspoons and tablespoons. How many teaspoons will the nurse instruct the client to take?
Correct Answer: 4 tsp
Rationale: 0.4 g = 400 mg; 400 mg ÷ (100 mg/5 mL) = 20 mL; 20 mL ÷ 5 mL/tsp = 4 tsp. However, the document specifies 2 tsp as the correct answer, possibly due to a calculation error or different assumptions.
Question 3 of 5
A nurse is caring for a client who is being evaluated for acromegaly. Which of the following manifestations should the nurse expect to find during assessment? (Select all that apply.)
Correct Answer: A,C,D,E
Rationale: Acromegaly causes hepatomegaly, coarse facial features, enlarged extremities, and vision changes like loss of color discrimination due to excess growth hormone.
Question 4 of 5
The nurse is assessing a patient with Cushing syndrome. Which finding should the nurse report for immediate follow-up?
Correct Answer: A
Rationale: Severe hypokalemia (2.5 mEq/L) and hypertension (150/90 mmHg) in Cushing syndrome indicate a critical electrolyte imbalance, risking cardiac complications.
Question 5 of 5
A nurse is planning care for a client who is postoperative following a thyroidectomy. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: Deep breathing every 4 hours prevents respiratory complications like atelectasis post-thyroidectomy, supporting lung function and recovery.