ATI RN
ATI Med Surg Exam 3 Questions
Extract:
Question 1 of 5
A nurse reinforces instructions to a client with hypothyroidism about the dosage, method of administration, and side effects of levothyroxine sodium. Which statement by the client indicates an understanding of the nurse's instructions?
Correct Answer: C
Rationale: Calling the healthcare provider for a fast heart rate indicates understanding, as it may signal an overdose. Reducing the dose without consulting is incorrect. Diarrhea, insomnia, and sweating are overdose symptoms. Levothyroxine should be taken in the morning, not evening.
Question 2 of 5
A nurse is caring for a client who is 12 hours postoperative following a transurethral resection of the prostate (TURP) and has a 3-way urinary catheter with continuous irrigation. The nurse notes there have not been any urinary output in the last hour. Which of the following actions should the nurse perform first?
Correct Answer: D
Rationale: Determining tubing patency first addresses potential obstructions. Antispasmodics, notifying the provider, or offering fluids do not resolve the immediate issue.
Question 3 of 5
A nurse is assisting with the care of a client who is 1 day postoperative following a thyroidectomy and reports severe muscle spasms of the lower extremities. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Determining calcium level addresses hypocalcemia, a thyroidectomy complication causing muscle spasms. Monitoring pulses, saline, or potassium do not address the issue.
Question 4 of 5
The nurse is teaching a group of student nurses on the care of a client with Parkinson's disease. Which statement, if made by a student, indicates understanding of the topic?
Correct Answer: D
Rationale: Parkinson's is caused by dopamine depletion and acetylcholine excess, affecting movement control. Low acetylcholine suggests myasthenia gravis. Myelin sheath deterioration suggests multiple sclerosis. Excess dopamine is incorrect.
Question 5 of 5
A client's stool is clay in color. What additional information should the nurse obtain from this client? Select all that apply.
Correct Answer: A,C,E
Rationale: History of alcohol abuse, RUQ pain radiating to the shoulder, and bleeding ulcer may cause clay-colored stool due to liver damage, gallstone obstruction, or gastrointestinal bleeding. Fatty food intolerance suggests gallbladder issues but not directly linked. McBurney's point pain suggests appendicitis.