ATI RN
ATI Nur 221 Med Surg Final Exam Questions
Extract:
Question 1 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.
Question 2 of 5
Which class of medications are given to liquefy secretions and make them easier to expel?
Correct Answer: A
Rationale: Mucolytics thin mucus, aiding expectoration. Glucocorticoids reduce inflammation, calcium channel blockers treat hypertension, and bronchodilators open airways, not affecting mucus viscosity.
Question 3 of 5
A nurse is providing discharge teaching to a client who has peripheral arterial disease (PAD). Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: Warm environments improve blood flow in PAD. Leg elevation worsens arterial flow, heating pads risk burns, and antiembolic stockings compress arteries.
Question 4 of 5
The nurse is caring for a client with left-sided heart failure. Which of the following symptoms correlate to this diagnosis? (Select all that apply)
Correct Answer: A,B
Rationale: Tachypnea and cough result from pulmonary edema in left-sided heart failure. Jugular vein distention and ascites indicate right-sided failure, and confusion is a late, non-specific sign.
Question 5 of 5
Which of the following hormones is secreted by the thyroid gland?
Correct Answer: D
Rationale: Calcitonin, from thyroid, lowers calcium. Renin is from kidneys, BNP from heart, and erythropoietin from kidneys, not thyroid.