ATI RN
ATI Nur 221 Med Surg Final Exam Questions
Extract:
Question 1 of 5
The nurse is educating a client on hyperparathyroidism. Which of the following statements would require further teaching?
Correct Answer: D
Rationale: Fluid restriction (1,000 mL) worsens hypercalcemia; increased fluids dilute calcium. Fiber , furosemide , and parathyroidectomy are correct.
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
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.
Question 4 of 5
The healthcare provider has ordered captopril for the client diagnosed with congestive heart failure. Which discharge instruction should the nurse include?
Correct Answer: A
Rationale: Captopril lowers blood pressure, risking orthostatic hypotension; teaching posture changes prevents falls. Food reduces absorption , cough suppressants are inappropriate, and high-potassium foods risk hyperkalemia.
Question 5 of 5
Which electrolyte will be high in a client with hypoparathyroidism?
Correct Answer: A
Rationale: Hypoparathyroidism reduces PTH, raising phosphorus by decreasing excretion. Calcium drops, magnesium and potassium are unaffected.