ATI RN
ATI Nur 221 Med Surg Final Exam Questions
Extract:
Question 1 of 5
The nurse is educating a client on foods to avoid when taking iodine supplements in a client with Graves' disease. Which of the following would be included in this teaching plan? (Select all that apply)
Correct Answer: A,B,C
Rationale: Goitrogens in Brussel sprouts , cabbage , and broccoli inhibit thyroid hormone production, aiding Graves' management. Fish is iodine-rich, worsening hyperthyroidism, and peaches are neutral.
Question 2 of 5
During thyroid surgery, the client's parathyroid glands have been damaged. Which condition does the nurse expect the client to develop?
Correct Answer: D
Rationale: Parathyroid damage reduces PTH, causing hypocalcemia and tetany. Thyroid cancer , goiter , and Graves' are thyroid-related, not parathyroid.
Question 3 of 5
Which of the following treatments for lupus would aid in fighting infections and boosting the client's platelet and red blood cell counts?
Correct Answer: A
Rationale: Gamma globulins (IVIG) provide antibodies and stabilize platelet/RBC counts in lupus. Prednisone , methotrexate , and hydroxychloroquine suppress immunity or control symptoms, not boosting counts.
Question 4 of 5
The nurse is educating a newly diagnosed client about treatment for hyperthyroidism. Which of the following statements would require further teaching?
Correct Answer: A
Rationale: Levothyroxine worsens hyperthyroidism; antithyroid drugs are needed. Avoiding goitrogens , methimazole , and iodine are correct for hyperthyroidism.
Question 5 of 5
Your labs are potassium 6.4, sodium 138, and serum calcium level of 9. Which order from the healthcare provider would the nurse anticipate?
Correct Answer: C
Rationale: Kayexalate binds potassium in the gut, facilitating its excretion, effectively lowering serum levels (6.4 mEq/L) in hyperkalemia. Fluid restriction may worsen potassium concentration, neomycin is irrelevant, and sodium chloride with furosemide is less direct than Kayexalate for rapid correction.