ATI RN
ATI Med Surg Exam 3 Questions
Extract:
Question 1 of 5
A nurse reviewing the laboratory of a client who had a total thyroidectomy discovers that his calcium level is 7 mg/dL. Which of the following client findings should the nurse expect?
Correct Answer: D
Rationale: Muscle tetany is expected with low calcium (hypocalcemia) post-thyroidectomy due to nerve and muscle hyperexcitability. Hypertension, diaphoresis, and increased thirst suggest other conditions like renal disease or diabetes.
Question 2 of 5
The nurse is completing a health assessment of a client suspected of hyperthyroidism. Which of the following clinical manifestations should the nurse expect?
Correct Answer: C
Rationale: Tachycardia is common in hyperthyroidism due to increased heart rate from elevated thyroid hormone. Cold skin and weight gain suggest hypothyroidism. Anorexia may indicate other conditions like depression.
Question 3 of 5
A client is transported to the recovery area of the ambulatory care unit after cataract surgery. In which position does the nurse place the client?
Correct Answer: D
Rationale: Semi Fowler's position reduces intraocular pressure and promotes healing post-cataract surgery. Side lying, supine, or prone positions may increase pressure or swelling.
Question 4 of 5
A nurse is monitoring a client who is receiving chemotherapy and has a platelet count of 20,000 mm3. Which of the following findings should the nurse identify as the priority?
Correct Answer: C
Rationale: Bleeding is the priority due to low platelets, risking hemorrhage. Fatigue, anorexia, and fever are less urgent but require attention.
Question 5 of 5
A nurse is monitoring a client for findings related to diabetes insipidus following a craniotomy. Which of the following findings should indicate a manifestation of this condition to the nurse?
Correct Answer: D
Rationale: Increased urine output is a common finding in diabetes insipidus, as the lack of antidiuretic hormone (ADH) causes the kidneys to excrete large amounts of diluted urine. Hypertension may indicate increased intracranial pressure or other complications. Fluid retention may indicate syndrome of inappropriate antidiuretic hormone secretion (SIADH) or heart failure. Elevated blood glucose may indicate diabetes mellitus or hyperglycemia.