ATI RN
ATI Med Surg Woolery Q5 Questions
Extract:
Question 1 of 5
A nurse is caring for a female client who has a diagnosis of Cushing syndrome. The client is embarrassed that she is experiencing hirsutism and severe acne. The nurse understands that these manifestations are caused by which of the following?
Correct Answer: B
Rationale: Hirsutism and acne in Cushing syndrome are caused by excess adrenal androgens (
B). Mineralocorticoids (
A) affect fluid balance. Thyroid hormone (
C) is unrelated. Glucocorticoids (
D) cause other symptoms, not these.
Question 2 of 5
A 28-year-old female client who is in the first trimester of pregnancy is diagnosed with hyperthyroidism. Which of the following would be the preferred treatment for this client?
Correct Answer: D
Rationale: PTU (
D) is preferred for hyperthyroidism in the first trimester, safe for the fetus. Radioactive iodine (
A) is contraindicated in pregnancy. Levothyroxine (
B) treats hypothyroidism. Ketoconazole (
C) is not used for hyperthyroidism.
Question 3 of 5
A client with a history of hypothyroidism has accidentally been taking double her prescribed dose of levothyroxine. Which assessment findings would the nurse expect due to an excess of this medication?
Correct Answer: B
Rationale: Excess levothyroxine causes hyperthyroid symptoms like nervousness and tachycardia (
B). Weight gain and lethargy (
A) indicate hypothyroidism. Facial puffiness and constipation (
C) are hypothyroid symptoms. Hypotension and cold intolerance (
D) are associated with hypothyroidism, not excess levothyroxine.
Question 4 of 5
A client who takes daily hormone replacement therapy for Addison's disease is scheduled for an outpatient surgical procedure. Which of the following instructions should the nurse include when providing discharge education to the client?
Correct Answer: C
Rationale: Surgery is a stressor requiring increased corticosteroid doses (
C) in Addison's disease to prevent adrenal crisis. Limiting sodium (
A) is inappropriate as Addison's patients need sodium. Fluid restriction (
B) is unnecessary. Avoiding hydrocortisone (
D) risks adrenal crisis.
Question 5 of 5
A client in a primary care provider's office has a new diagnosis of hypothyroidism. The nurse understands that the client should be screened for which of the following conditions common in people who have hypothyroidism?
Correct Answer: B
Rationale: Hypothyroidism reduces metabolism, increasing cholesterol and triglycerides, necessitating hyperlipidemia screening (
B). Hyperthermia (
A) is incorrect; hypothermia is more likely. Agitation (
C) and insomnia (
D) are associated with hyperthyroidism.