ATI RN
ATI Nsg 234 Med Surg Exam Neurologyendocrine And Sensory Questions
Extract:
History
A client presented to the hospital with primary hyperthyroidism. The client underwent thyroidectomy and is 1 day post op.
Question 1 of 5
The nurse is assessing the client post-op and notes client is complaining of tingling of the finger-tips and assesses for . The nurse is aware if positive the client likely has related to during surgery
Correct Answer: A,B,C
Rationale: The nurse is assessing for Chvostek sign, which indicates hypocalcemia, likely due to disruption or removal of the parathyroid glands during thyroid surgery.
Extract:
Question 2 of 5
A nurse is caring for a client with hyperparathyroidism and hypercalcemia. The nurse should expect to administer which of the following priority treatments? SELECT ALL THAT APPLY.
Correct Answer: A,C,D
Rationale: Calcium binders, fluids up to 3000 ml/day, and Furosemide are priority treatments to lower calcium levels by reducing absorption, diluting serum calcium, and promoting excretion, respectively.
Question 3 of 5
A nurse is assessing a client with autonomic dysreflexia. The nurse correlates which clinical manifestations to autonomic dysreflexia in a client with a spinal cord injury?
Correct Answer: A
Rationale: Hypertension with bradycardia is characteristic of autonomic dysreflexia due to the exaggerated sympathetic response causing increased blood pressure while the body compensates with bradycardia.
Question 4 of 5
A nurse is caring for a client who is experiencing Cushing's Triad following a depressed skull fracture. In addition to administering appropriate medications, which of the following nursing interventions should the nurse prioritize for this client?
Correct Answer: D
Rationale: Monitoring ICP is crucial in this situation, as Cushing's Triad indicates a potential increase in ICP, and timely interventions can prevent further complications.
Question 5 of 5
The nurse is caring for a client who has undergone a cataract extraction and during the early postoperative period is complaining of nausea and severe eye pain over the operative site. What should be the initial nursing action?
Correct Answer: B
Rationale: Administering prescribed pain medication and antiemetic is essential to address the client's severe pain and nausea, which are priority concerns in the postoperative period.