ATI RN
ATI Med Surg Woolery Q5 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer total parental nutrition (TPN) 1800 mL to infuse over 24 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 75
Rationale:
To calculate the infusion rate, divide total volume (1800 mL) by infusion time (24 hr): 1800 / 24 = 75 mL/hr.
Question 2 of 5
A nurse is providing dietary teaching for a client who has Graves' disease. Which of the following statements made by the client indicates a need for further teaching by the nurse?
Correct Answer: D
Rationale: Six full meals (
D) is excessive; smaller, frequent, high-calorie meals are better for Graves' disease. Protein and carbohydrates (
A), avoiding caffeine (
B), and high-fiber diet (
C) are appropriate.
Question 3 of 5
A client who has hypothyroidism will be undergoing surgery for a total knee replacement. When planning care for this client, the nurse understands which of the following to be true for people who have hypothyroidism?
Correct Answer: D
Rationale: Hypothyroidism reduces metabolism, increasing opioid sensitivity, requiring lower doses (
D). Hyperthermia (
A) is incorrect; hypothermia is more likely. Levothyroxine (
B) shouldn't be held without guidance. Tachycardia (
C) is associated with hyperthyroidism.
Question 4 of 5
Which pharmacologic therapy does the nurse anticipate administering to a client who is experiencing acute thyrotoxicosis?
Correct Answer: C
Rationale: Ketoconazole (
C) inhibits thyroid hormone production, used in acute thyrotoxicosis. Acetaminophen (
A) treats fever, not thyrotoxicosis. Furosemide (
B) is a diuretic. Levothyroxine (
D) treats hypothyroidism.
Question 5 of 5
A client seen in the clinic with shortness of breath and fatigue is being evaluated for a possible diagnosis of heart failure. Which laboratory result will be the most useful for diagnosing heart failure?
Correct Answer: A
Rationale: BNP (
A) is the most specific marker for heart failure, elevated due to cardiac pressure and volume overload. Troponin I (
B) indicates myocardial infarction. BUN (
C) may be elevated in heart failure but is less specific. Platelet levels (
D) are unrelated to heart failure diagnosis.