ATI RN
ATI Nsg 234 Med Surg Exam Neurologyendocrine And Sensory Questions
Extract:
Question 1 of 5
A nurse is caring for a client with hyperparathyroidism and hypercalcemia. The nurse should expect to administer which of the following priority treatments? SELECT ALL THAT APPLY.
Correct Answer: A,C,D
Rationale: Calcium binders, fluids up to 3000 ml/day, and Furosemide are priority treatments to lower calcium levels by reducing absorption, diluting serum calcium, and promoting excretion, respectively.
Question 2 of 5
A nurse is reviewing the medical record of a client who has been prescribed levothyroxine for several months. Which of the following findings indicates a therapeutic response to the medication?
Correct Answer: C
Rationale: Decreased thyroid-stimulating hormone (TSH) levels indicate that the body is responding well to levothyroxine, as TSH production decreases when thyroid hormone levels are adequate.
Question 3 of 5
The nurse is caring for a client who has undergone a cataract extraction and during the early postoperative period is complaining of nausea and severe eye pain over the operative site. What should be the initial nursing action?
Correct Answer: B
Rationale: Administering prescribed pain medication and antiemetic is essential to address the client's severe pain and nausea, which are priority concerns in the postoperative period.
Question 4 of 5
A nurse is caring for a client in an induced coma for increased intracranial pressure (ICP). What should the nurse assess next to determine this client's cerebral function?
Correct Answer: B
Rationale: Assessing pupillary size and reaction provides critical information on brainstem function and can indicate changes in ICP. Changes in pupil size and reaction can signify worsening cerebral function or brain herniation.
Question 5 of 5
A nurse in the emergency department is monitoring a client who has a cervical spinal cord injury from a fall. The nurse should monitor the client for which of the following complications? Select all that apply.
Correct Answer: A,B,D
Rationale: Hypertension, weakened gag reflex, and bradycardia are complications associated with cervical spinal cord injuries due to autonomic dysreflexia, cranial nerve involvement, and impaired sympathetic function, respectively.