ATI RN
ATI Nur 221 Med Surg Final Exam Questions
Extract:
Question 1 of 5
The nurse is receiving hand-off report. Which of the following clients would the nurse assess first?
Correct Answer: C
Rationale: Decreased breath sounds and crackles in pancreatitis signal pleural effusion or ARDS, a life-threatening priority. Low NG drainage , respiratory distress in ascites , and low BP in varices are less immediately critical.
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
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 4 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 5 of 5
The nurse is caring for a client with a diagnosis of emphysema of five years. Which of the following findings should the nurse expect to see during the morning assessment? (Select all that apply)
Correct Answer: A,D,E
Rationale: Barrel chest , dyspnea , and clubbed fingers are emphysema findings from air trapping, hypoxia, and alveolar loss. Edema is late, and productive cough is for bronchitis.