ATI RN
ATI Med Surg Woolery Q5 Questions
Extract:
Question 1 of 5
A nurse is providing education to a client who has Graves' disease and who will be returning home after receiving their first dose of radioactive iodine therapy. Which of the following information should the nurse include?
Correct Answer: B
Rationale: Radioactive iodine therapy emits radiation, requiring avoidance of pregnant women and children for 7 days (
B). Repeat therapy (
A) depends on response, not a fixed schedule. Corticosteroids (
C) aren't needed. The therapy reduces thyroid hormone (
D), not increases it.
Question 2 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 3 of 5
A nurse is caring for a client who has a diagnosis of Cushing syndrome. After performing magnetic resonance imaging (MRI), the underlying cause of the condition is found to be an ectopic ACTH-secreting tumor on the liver. Which of the following lab results would the nurse anticipate with this condition?
Correct Answer: A
Rationale: Ectopic ACTH-secreting tumors cause elevated ACTH and cortisol (
A). Elevated ACTH with low cortisol (
B) is unlikely. Low ACTH with high cortisol (
C) suggests adrenal issues. Low ACTH and cortisol (
D) is inconsistent with Cushing syndrome.
Question 4 of 5
A nurse is admitting a client who is experiencing an Addisonian crisis. Which of the following should the nurse anticipate an order for?
Correct Answer: A
Rationale: Addisonian crisis requires immediate IV hydrocortisone (
A) to replace deficient glucocorticoids. Ketoconazole and insulin (
B) are unrelated. Lactated Ringer's (
C) supports hydration but isn't primary. Furosemide (
D) is a diuretic, inappropriate for crisis.
Question 5 of 5
A nurse is caring for a client who has hypokalemia, hyperglycemia, and hypertension. A diagnosis of Cushing syndrome is suspected.Which of the following tests would the nurse anticipate the health care provider will order to help confirm the diagnosis of Cushing syndrome?
Correct Answer: B
Rationale: The 24-hour cortisol urine study (
B) measures cortisol levels to confirm Cushing syndrome, characterized by excess cortisol. Radioactive iodine uptake (
A) is for thyroid disorders. ACTH stimulation test (
C) assesses adrenal insufficiency, not Cushing syndrome. Edrophonium test (
D) diagnoses myasthenia gravis, unrelated to Cushing syndrome.