ATI RN
ATI Nur 221 Med Surg Final Exam Questions
Extract:
Question 1 of 5
Which of the following manifestations may indicate that a client has systemic lupus erythematosus (SLE)? (Select all that apply)
Correct Answer: A,B,D
Rationale: Butterfly rash , pleural effusions , and pericarditis are SLE manifestations from immune inflammation. Ammonia levels relate to liver failure, and varices to cirrhosis, not SLE.
Question 2 of 5
Which electrolyte will be high in a client with hypoparathyroidism?
Correct Answer: A
Rationale: Hypoparathyroidism reduces PTH, raising phosphorus by decreasing excretion. Calcium drops, magnesium and potassium are unaffected.
Question 3 of 5
A nurse is providing teaching to a client who has a new diagnosis of hypothyroidism. On which of the following medications should the nurse prepare to instruct the client?
Correct Answer: C
Rationale: Levothyroxine replaces deficient thyroid hormone in hypothyroidism, normalizing metabolism. Radioactive iodine treats hyperthyroidism, sumatriptan is for migraines, and levofloxacin is an antibiotic, all irrelevant.
Question 4 of 5
Which of the following medications are going to dilate the coronary arteries and redirect blood flow so that ischemic tissue is oxygenated?
Correct Answer: D
Rationale: Nitroglycerin dilates coronary arteries, increasing blood flow to ischemic myocardium. Salmeterol is a bronchodilator, aspirin prevents clotting, and digoxin enhances contractility, none dilating coronary vessels.
Question 5 of 5
A nurse is assessing a client who has hypothyroidism. The nurse should expect which of the following findings?
Correct Answer: A
Rationale: Hypothyroidism slows metabolism, causing weight gain from fat accumulation and fluid retention. Diaphoresis , exophthalmos , and palpitations are hyperthyroid symptoms, not hypothyroidism.