ATI RN
ATI RN Adult Medical Surgical 2023 Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has hypothyroidism. Which of the following information should the nurse include in the teaching? (Select all that apply)
Correct Answer: B,C,E
Rationale: B. Hypothyroidism slows metabolism, leading to weight gain due to reduced calorie burning. C. Regular TSH and T4 tests monitor levothyroxine effectiveness, guiding dose adjustments. E. A high-fiber diet prevents constipation, a common complication from slowed gastrointestinal motility. A. Treatment is lifelong, not temporary, making this misleading. D. Increased perspiration is a hyperthyroidism symptom, not hypothyroidism.
Question 2 of 5
A nurse is planning care for a client who has a new diagnosis of acute pancreatitis. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: D
Rationale: Maintaining NPO status rests the pancreas and reduces stimulation in acute pancreatitis.
Extract:
History and Physical
1000:
Client reports after eating breakfast this morning at 0630 that they began feeling tightness in chest that radiates to left arm.
History:
Hyperlipidemia, hypertension, type 2 diabetes mellitus. Non-smoker. Denies use of alcohol or recreational drug use.
Question 3 of 5
A nurse is admitting a client who reports tightness in their chest that radiates to left arm. Select the findings below that would indicate that the client has a potential problem
| Options | Anticipated | Nonessential | Contraindicated |
|---|---|---|---|
| Client reports tightness in chest that radiates to left arm. | |||
| States pain as 7 on a scale of 0 to 10. | |||
| Started to feel nauseous after breakfast. | |||
| Client is diaphoretic and short of breath. | |||
| Heart rate is irregular and tachycardic. | |||
| Lungs clear to auscultation in all lobes. | |||
| Skin is cool to touch. |
Correct Answer: A,B,C,D,E,G
Rationale: These findings suggest an acute cardiac event requiring immediate attention.
Extract:
Question 4 of 5
A nurse is caring for a client who has pulmonary edema and a new prescription for furosemide 40 mg IV twice daily. Which of the following client findings indicates the prescription is appropriate?
Correct Answer: C
Rationale: Bilateral coarse crackles are hallmark signs of pulmonary edema, caused by fluid leaking into alveoli from increased left heart pressure. Furosemide, a loop diuretic, reduces this fluid by enhancing renal excretion, relieving lung congestion. This finding directly correlates with the drug's purpose—removing excess fluid to improve oxygenation and reduce respiratory distress. A. Blood pressure of 100/70 mm Hg may suggest fluid overload but is not specific. B. Vesicular sounds indicate healthy lungs, not requiring diuretics. D. Low potassium is a side effect, not an indication.
Question 5 of 5
A nurse is caring for a client who has end-stage liver disease and is being placed on a transplant list. Which of the following statements by the client is the priority for the nurse to report to the provider?
Correct Answer: C
Rationale: Poor medication adherence risks post-transplant graft failure from non-compliance with immunosuppressants, a life-threatening issue. A. Family diabetes history is less urgent. B. Resolved childhood asthma is low priority. D. Lack of family support is secondary to adherence.