ATI RN
ATI Nur 221 Med Surg Final Exam Questions
Extract:
Question 1 of 5
Which of the following hormones is secreted by the thyroid gland?
Correct Answer: D
Rationale: Calcitonin, from thyroid, lowers calcium. Renin is from kidneys, BNP from heart, and erythropoietin from kidneys, not thyroid.
Question 2 of 5
A client who had a cerebrovascular accident is assessed by a speech therapist after choking and having difficulty swallowing. Which of the following would be appropriate for the nurse to recommend?
Correct Answer: D
Rationale: Mashed potatoes, soft and thick, reduce aspiration risk in post-CVA dysphagia. Steak , iced tea , and grapes increase choking or aspiration hazards.
Question 3 of 5
The nurse is providing education to a client who is newly diagnosed with lupus. Which of the following statements would require further teaching?
Correct Answer: A
Rationale: Sun exposure triggers lupus rashes, so it increases, not decreases, risk. Ibuprofen , fever as a flare sign , and rest are correct.
Question 4 of 5
The nurse is caring for a client with hyperparathyroidism. Which of the following orders from the healthcare provider can be expected to reduce the client's overproduction of calcium? (Select all that apply)
Correct Answer: B,C,D
Rationale: A low calcium diet reduces intake, high fiber binds calcium, lowering absorption. Parathyroidectomy removes overactive glands, stopping excess PTH-driven calcium release. Furosemide increases renal calcium excretion. Calcium carbonate worsens hypercalcemia, and fluid restriction concentrates calcium, counterproductive.
Question 5 of 5
Which of the following is a priority nursing intervention for a client admitted with an ischemic stroke?
Correct Answer: D
Rationale: Raising the head 30 degrees optimizes cerebral perfusion in ischemic stroke. Semi-Fowler's aids breathing, Trendelenburg risks pressure, and flat worsens ischemia.