ATI RN
ATI Nursing 1202 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who has cirrhosis of the liver. Which of the following actions should the nurse include in the plan? (Select all that apply.)
Correct Answer: B,C,E
Rationale: Administering furosemide, measuring abdominal girth, and implementing a low-sodium diet help manage fluid retention and ascites in cirrhosis.
Question 2 of 5
A nurse is caring for a client who has a suspected diagnosis of myasthenia gravis. The provider prescribes a Tensilon test. Which of the following findings indicates a positive test?
Correct Answer: D
Rationale: Muscle contractions becoming progressively stronger after administration of Tensilon indicates a positive test for myasthenia gravis.
Question 3 of 5
A nurse is caring for a client who is 1 day postoperative following a thyroidectomy and reports severe muscle spasms of the lower extremities. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Verifying the most recent calcium level is essential, as spasms may indicate hypocalcemia due to potential parathyroid damage.
Question 4 of 5
A nurse is assessing a client who has thyrotoxicosis after taking too high of a level of levothyroxine. Which of the following manifestations should the nurse expect?
Correct Answer: D
Rationale: Heat intolerance is a common symptom due to increased metabolism.
Question 5 of 5
A nurse is caring for a client who is 1 day postoperative following a thyroidectomy and reports severe muscle spasms of the lower extremities. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Verifying the most recent calcium level is essential, as spasms may indicate hypocalcemia due to potential parathyroid damage.