ATI RN
RN ATI Medsurg Questions
Extract:
Question 1 of 5
When preparing to provide morning medications, the nurse would give levothyroxine (Synthroid) ordered daily in which of the following ways?
Correct Answer: B
Rationale: Levothyroxine requires an empty stomach for optimal absorption, taken in the morning with other medications if no interactions exist.
Question 2 of 5
The client with type 1 diabetes mellitus is prescribed to take NPH (Humulin N) insulin at 5 PM each day. The client should be instructed that the greatest risk of hypoglycemia will occur about what time?
Correct Answer: A
Rationale: NPH insulin peaks 4-12 hours after administration (5 PM), making 1 AM the time of greatest hypoglycemia risk.
Question 3 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 4 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 5 of 5
A nurse is caring for a client who has chronic hypothyroidism. For which of the following conditions should the nurse monitor?
Correct Answer: C
Rationale: Lethargy is a hallmark symptom of hypothyroidism due to slowed metabolism from insufficient thyroid hormone production.