ATI RN
ATI Nsg 234 Med Surg Exam Neurologyendocrine And Sensory Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a client with Meniere's disease. The nurse recognizes that which of the following instructions should be given to the client regarding vertigo?
Correct Answer: B
Rationale: Instructing the client to get up slowly while turning their entire body helps to reduce vertigo symptoms by minimizing head movement, which can trigger or worsen dizziness in Meniere's disease.
Extract:
Nurses' Notes
Client appears lethargic and reports fatigue, a decrease in appetite, and a 20 lb weight gain over a 6-month period. Client reports hair loss and numbness and tingling in fingers.
Neck midline no visible abnormalities
Skin is pale, cool, and dry.
Client reports constipation. Abdomen is distended. Bowel sounds are hypoactive. Complains of inability to tolerate cold.
Vital Signs
Temperature 35.9° C (96.6° F)
Blood pressure 102 /60 mm Hg Heart rate 58/ min
Respiratory rate 14/min
Oxygen saturation 92% on room air
Diagnostic Results
0800:
Cortisol (serum) 16 mcg/dL (5 to 23 mcg/dL)
Serum T3 60 ng/dL (70 ng/dL to 205 ng/dL)
Serum T4 (total) 3 mcg/dL (5 mcg/dL to 12 mcg/dL)
Question 2 of 5
A nurse in the emergency department is caring for a female client brought to the ER by family for fatigue. Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
Correct Answer: Hypothyroidism, Request a prescription for Thyroid hormone replacement, Administer supplemental oxygen, Bowel function, Oxygen saturation
Rationale: The client exhibits signs consistent with hypothyroidism, including fatigue, weight gain, decreased appetite, hair loss, constipation, and intolerance to cold. The laboratory results show low serum T3 and T4 levels, confirming this diagnosis. Requesting a prescription for thyroid hormone replacement and administering supplemental oxygen address the condition, while monitoring bowel function and oxygen saturation assesses progress.
Extract:
Question 3 of 5
A nurse is caring for a client who has increased intracranial pressure (ICP) following a closed-head injury. Which of the following positioning techniques should the nurse implement?
Correct Answer: C
Rationale: Log rolling helps maintain spinal alignment and minimizes abrupt head movement, which is essential in managing ICP.
Question 4 of 5
A nurse is preparing information about eye health for a community health fair. Which of the following information related to risk factors for cataracts should the nurse include? SELECT ALL THAT APPLY.
Correct Answer: A,B,C,E
Rationale: Hypertension, family history, obesity, and increasing age are all risk factors for cataracts due to their effects on vascular health, genetic predisposition, metabolic changes, and natural aging processes. Wearing sunglasses is a preventive measure, not a risk factor.
Question 5 of 5
The nurse is caring for a client diagnosed with Cushing's Syndrome. Which of the following actions should be the nurse's highest priority?
Correct Answer: A
Rationale: Clients with Cushing's Syndrome often experience muscle weakness, osteoporosis, and a risk of fractures due to excess cortisol. Implementing fall precautions is the highest priority to prevent injury.