ATI RN
ATI Nur 221 Med Surg Final Exam Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a client who has a new diagnosis of hypothyroidism. On which of the following medications should the nurse prepare to instruct the client?
Correct Answer: C
Rationale: Levothyroxine replaces deficient thyroid hormone in hypothyroidism, normalizing metabolism. Radioactive iodine treats hyperthyroidism, sumatriptan is for migraines, and levofloxacin is an antibiotic, all irrelevant.
Question 2 of 5
The nurse is caring for a 32-year-old woman who has an enlarged thyroid, bulging eyes, and elevated T3 and T4 levels and states she has not had a menstrual cycle in 6 months. She also states she has tremors and keeps losing weight without trying. Which of the following medications would the nurse anticipate being ordered?
Correct Answer: C
Rationale: Potassium iodide inhibits thyroid hormone release, treating hyperthyroidism's symptoms (goiter, exophthalmos, weight loss). Hydroxychloroquine is for lupus, levothyroxine worsens hyperthyroidism, and methotrexate is for autoimmunity.
Question 3 of 5
A nurse is caring for a client who has just developed a pulmonary embolism. Which of the following medications should the nurse anticipate administering?
Correct Answer: B
Rationale: Heparin prevents clot growth in pulmonary embolism, stabilizing it. Dexamethasone reduces inflammation, atropine treats bradycardia, and furosemide manages fluid, not clots.
Question 4 of 5
Which of the following hormones is secreted by the thyroid gland?
Correct Answer: D
Rationale: Calcitonin, from thyroid, lowers calcium. Renin is from kidneys, BNP from heart, and erythropoietin from kidneys, not thyroid.
Question 5 of 5
The nurse is educating a client on hyperparathyroidism. Which of the following statements would require further teaching?
Correct Answer: D
Rationale: Fluid restriction (1,000 mL) worsens hypercalcemia; increased fluids dilute calcium. Fiber , furosemide , and parathyroidectomy are correct.