ATI RN
RN ATI Medsurg Questions
Extract:
Question 1 of 5
The nurse is reviewing a teaching tool created for insulin therapy. Which statement on the tool should be corrected? Select all that apply.
Correct Answer: B,C
Rationale: Insulin detemir is long-acting, not meal-timed, and insulin glargine is not typically used for gestational diabetes, which favors short-acting insulins.
Question 2 of 5
A nurse is reviewing the laboratory results for four clients. The nurse should recognize which of the following clients has a manifestation of hypoparathyroidism?
Correct Answer: B
Rationale: Elevated phosphate levels result from low parathyroid hormone in hypoparathyroidism, which reduces phosphate excretion.
Question 3 of 5
A nurse is caring for a client who is being evaluated for acromegaly. Which of the following manifestations should the nurse expect to find during assessment? (Select all that apply.)
Correct Answer: A,C,D,E
Rationale: Acromegaly causes hepatomegaly, coarse facial features, enlarged extremities, and vision changes like loss of color discrimination due to excess growth hormone.
Question 4 of 5
A nurse is caring for a client who is 1 day postoperative following a thyroidectomy and reports severe muscle spasms of the lower extremities. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Severe muscle spasms post-thyroidectomy may indicate hypocalcemia due to potential parathyroid gland damage during surgery. Verifying calcium levels is the priority to confirm and address this condition.
Question 5 of 5
A client is being discharged after having a thyroidectomy. Which discharge instructions are appropriate for this client? Select all that apply.
Correct Answer: A,B,C,E
Rationale: Thyroid replacement, monitoring symptoms, recognizing dehydration, and reporting hypoglycemia are key post-thyroidectomy instructions; dexamethasone is not standard.