ATI RN
ATI Nsg 234 Med Surg Exam Neurologyendocrine And Sensory Questions
Extract:
Question 1 of 5
The nurse is caring for a client diagnosed with Cushing's Syndrome. Which of the following actions should be the nurse's highest priority?
Correct Answer: A
Rationale: Clients with Cushing's Syndrome often experience muscle weakness, osteoporosis, and a risk of fractures due to excess cortisol. Implementing fall precautions is the highest priority to prevent injury.
Extract:
History
A client presented to the hospital with primary hyperthyroidism. The client underwent thyroidectomy and is 1 day post op.
Question 2 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 3 of 5
A nurse is caring for a client 4 hours following surgical repair of a penetrating brain injury. Which of the following assessments should be the nurse's priority?
Correct Answer: C
Rationale: A neurological assessment is the priority to identify any changes in the client's condition that may indicate complications such as increased intracranial pressure, which can occur after brain surgery.
Question 4 of 5
A nurse is caring for a client who is postoperative following a subtotal thyroidectomy. The nurse assesses for the presence of Chvostek's sign to indicate which of the following electrolyte imbalances?
Correct Answer: A
Rationale: Chvostek's sign, a facial muscle spasm upon tapping, is a clinical indicator of hypocalcemia, often caused by accidental removal or damage to the parathyroid glands during thyroid surgery.
Question 5 of 5
A nurse is planning care for a client who has a T4 spinal cord injury and is at risk for acquiring urinary tract infections. Which of the following actions should the nurse include in the client's plan of care?
Correct Answer: A
Rationale: Encouraging fluid intake at and between meals helps to dilute urine and can reduce the risk of urinary tract infections (UTIs) by promoting regular urination.