ATI RN
ATI Med Surg Woolery Q5 Questions
Extract:
Question 1 of 5
At the beginning of the shift, a nurse receives report on the following four patients.Which patient should the nurse place priority on assessing first?
Correct Answer: B
Rationale: Confusion in a patient with Addison's disease (
B) suggests a possible adrenal crisis, a life-threatening condition requiring immediate assessment. Cushing syndrome with gynecomastia (
A) is less urgent. Graves' disease with exophthalmos (
C) is significant but not immediately life-threatening. Hypothyroidism with a request for a warm blanket (
D) indicates a stable symptom of feeling cold, which is less critical.
Question 2 of 5
A client with a history of hypothyroidism has accidentally been taking double her prescribed dose of levothyroxine. Which assessment findings would the nurse expect due to an excess of this medication?
Correct Answer: B
Rationale: Excess levothyroxine causes hyperthyroid symptoms like nervousness and tachycardia (
B). Weight gain and lethargy (
A) indicate hypothyroidism. Facial puffiness and constipation (
C) are hypothyroid symptoms. Hypotension and cold intolerance (
D) are associated with hypothyroidism, not excess levothyroxine.
Question 3 of 5
A client seen in the clinic with shortness of breath and fatigue is being evaluated for a possible diagnosis of heart failure. Which laboratory result will be the most useful for diagnosing heart failure?
Correct Answer: A
Rationale: BNP (
A) is the most specific marker for heart failure, elevated due to cardiac pressure and volume overload. Troponin I (
B) indicates myocardial infarction. BUN (
C) may be elevated in heart failure but is less specific. Platelet levels (
D) are unrelated to heart failure diagnosis.
Question 4 of 5
A nurse is caring for a client who has hypokalemia, hyperglycemia, and hypertension. A diagnosis of Cushing syndrome is suspected.Which of the following tests would the nurse anticipate the health care provider will order to help confirm the diagnosis of Cushing syndrome?
Correct Answer: B
Rationale: The 24-hour cortisol urine study (
B) measures cortisol levels to confirm Cushing syndrome, characterized by excess cortisol. Radioactive iodine uptake (
A) is for thyroid disorders. ACTH stimulation test (
C) assesses adrenal insufficiency, not Cushing syndrome. Edrophonium test (
D) diagnoses myasthenia gravis, unrelated to Cushing syndrome.
Question 5 of 5
A nurse is caring for a client who has developed Cushing syndrome due to long-term corticosteroid therapy to treat multiple sclerosis. The nurse understands that Cushing syndrome puts the client at increased risk for which complication?
Correct Answer: D
Rationale: Cushing syndrome increases osteoporosis risk, leading to bone fractures (
D) due to excess cortisol affecting bone density. Ataxic dysarthria (
A) is neurological, not related. Hypotension (
B) is unlikely as Cushing syndrome causes hypertension. Hyperkalemia (
C) is incorrect; Cushing syndrome causes hypokalemia.