ATI RN
RN ATI Medsurg Questions
Extract:
Question 1 of 5
A nurse is caring for an adolescent client who has a long history of diabetes mellitus and is being admitted to the emergency department confused, flushed, and with an acetone odor on the breath. Diabetic ketoacidosis is suspected. The nurse should anticipate using which of the following types of insulin to treat this client?
Correct Answer: D
Rationale: Regular insulin is fast-acting and administered intravenously in DKA to rapidly lower blood glucose and correct metabolic imbalances, unlike slower-acting insulins.
Question 2 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.
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
Propylthiouracil (PTU) is prescribed for a client with Graves' disease. The nurse should teach the client to immediately report which of the following?
Correct Answer: A
Rationale: PTU can cause agranulocytosis, a serious reduction in white blood cells, presenting as a sore throat, which requires immediate reporting.
Question 5 of 5
When preparing to provide morning medications, the nurse would give levothyroxine (Synthroid) ordered daily in which of the following ways?
Correct Answer: B
Rationale: Levothyroxine is best absorbed on an empty stomach in the morning, at least 30 minutes before food or other medications.