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ATI Nur 221 Med Surg Final Exam Questions

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Question 1 of 5

The clinic nurse is reviewing the client's symptoms which include hair loss, feeling tired, always being very cold, and having constipation. Which of the following complications may arise if the patient does not receive treatment?

Correct Answer: A

Rationale: Untreated hypothyroidism progresses to myxedema, causing fatigue, cold intolerance, and constipation. Hypocalcemia is parathyroid-related, pericarditis is late, and thyroid crisis is hyperthyroid.

Question 2 of 5

A nurse is preparing to administer levothyroxine 100 mcg PO daily. Available is levothyroxine 50 mcg tablets. How many tablets should the nurse administer daily? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer: B

Rationale: 2 tablets (50 mcg each) equal 100 mcg, the prescribed dose. 1 tablet underdoses, 3 or 4 tablets overdose, risking hyperthyroidism.

Question 3 of 5

What is the priority of care for a child who was recently diagnosed with celiac disease?

Correct Answer: A

Rationale: A gluten-free diet ensures nutrient absorption for growth, the priority in pediatric celiac disease. Crisis prevention and adjustment are secondary, and respiratory issues are irrelevant.

Question 4 of 5

The nurse is assessing a client with esophageal varices. Which of these findings would be early indicators of bleeding?

Correct Answer: D

Rationale: Tachycardia, restlessness, and pallor indicate early blood loss from varices. Epigastric fullness is vague, yellow sclera reflects liver issues, and bradycardia/lethargy are late signs.

Question 5 of 5

The nurse is caring for a 32-year-old woman who has an enlarged thyroid, bulging eyes, and elevated T3 and T4 levels and states she has not had a menstrual cycle in 6 months. She also states she has tremors and keeps losing weight without trying. Which of the following medications would the nurse anticipate being ordered?

Correct Answer: C

Rationale: Potassium iodide inhibits thyroid hormone release, treating hyperthyroidism's symptoms (goiter, exophthalmos, weight loss). Hydroxychloroquine is for lupus, levothyroxine worsens hyperthyroidism, and methotrexate is for autoimmunity.

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