ATI RN
ATI Med Surg Exam 3 Questions
Extract:
Question 1 of 5
Which of the following clinical manifestations should a nurse expect from a client with hyperthyroidism? SELECT ALL THAT APPLY
Correct Answer: A,B,C
Rationale: Heat intolerance, diarrhea, and weight loss are common findings in hyperthyroidism due to increased metabolic rate, gastrointestinal motility, and calorie burning. Weight gain may indicate hypothyroidism or Cushing's syndrome. Bradycardia may indicate heart block or beta-blocker use.
Question 2 of 5
A nurse is reinforcing teaching with a client who has cholecystitis about required dietary modifications. Which of the following food choices should the nurse inform the client to include in his diet?
Correct Answer: D
Rationale: Roast turkey, low in fat and high in protein, is suitable for cholecystitis to prevent gallbladder attacks. Ice cream, blueberry muffins, and macaroni and cheese are high in fat and may trigger symptoms.
Question 3 of 5
The nurse is caring for a client after a total thyroidectomy. The nurse's priority should be to:
Correct Answer: B
Rationale: Maintaining the client in a Fowler's position, with head neutral supported by pillows, helps reduce swelling and edema, prevent airway obstruction, and promote venous drainage. Coughing with neck flexed may increase bleeding risk. Supine position with sandbags may impair breathing and circulation. Turning head side to side may disrupt sutures or increase infection risk.
Question 4 of 5
A nurse is contributing to a teaching plan about the prevention of hepatitis A. The nurse should include which of the following activities can spread hepatitis A?
Correct Answer: C
Rationale: Eating uncooked foods can spread hepatitis A via fecal-contaminated food or water. Sharing razors or tattoos may transmit hepatitis B or C. Unprotected sexual activity is less common for hepatitis A transmission.
Question 5 of 5
A client was admitted in the hospital with peptic ulcer disease tells the nurse about having black tarry stools. Which of the following is the most appropriate nursing action?
Correct Answer: B
Rationale: Notifying the provider addresses potential bleeding ulcer requiring immediate evaluation. Increasing fluids, iron foods, or documenting do not address the urgency.