ATI RN
ATI Med Surg Woolery Q5 Questions
Extract:
Question 1 of 5
Which pharmacologic therapy does the nurse anticipate administering to a client who is experiencing acute thyrotoxicosis?
Correct Answer: C
Rationale: Ketoconazole (
C) inhibits thyroid hormone production, used in acute thyrotoxicosis. Acetaminophen (
A) treats fever, not thyrotoxicosis. Furosemide (
B) is a diuretic. Levothyroxine (
D) treats hypothyroidism.
Question 2 of 5
A client complaining of weight gain and acne undergoes laboratory testing, which reveals elevated cortisol levels and hyperglycemia. The client has no prior medical history, and does not take any medications. After further testing and imaging to determine the cause of the elevated cortisol levels, the client is diagnosed with Cushing disease caused by a pituitary adenoma. Which of the following statements should the nurse include when teaching the client about this diagnosis?
Correct Answer: B
Rationale: Cushing disease from a pituitary adenoma requires surgical removal of the pituitary tumor, not adrenal glands (
B). Tapering corticosteroids (
A) is irrelevant as the client isn't taking them. Hydrocortisone (
C) is for Addison's disease. Glucose checks (
D) are secondary to addressing the tumor.
Extract:
Nurses Notes
0900:
Client is a 78-year-old female who was brought to the hospital via ambulance. The client's neighbor called 911 after checking on the client and finding the client confused and complaining of weakness. The neighbor states that the client has had "a thyroid problem" for years, and that the client mentioned recently that she hadn't picked up her medications due to an inability afford them. The client is lethargic, oriented to person and year, but uncertain of place and situation. S1 & S2 heard on auscultation of heart. Lungs clear in all lobes. Breathing is slow and shallow. Initial lab results show low Free T4 and elevated TSH. Provider notified, awaiting orders.
Vital Signs
0900:
Temperature: 35.6° C (96.1° F)
Heart rate: 49/min
Respiratory rate: 10/min
Blood pressure: 102/53 mm Hg
Oxygen saturation: 94% on room air
Question 3 of 5
Select the 3 interventions that the nurse should anticipate for this client.
Correct Answer: B,C,G
Rationale: The client's symptoms and lab results (low Free T4, elevated TSH) indicate hypothyroidism. PTU (
A) is for hyperthyroidism, not hypothyroidism. Warm blankets (
B) address hypothermia (35.6°
C). Cardiac monitoring (
C) is needed due to bradycardia (heart rate 49/min). A high-calorie diet (
D) is for hyperthyroidism, not hypothyroidism. Propranolol (E) manages hyperthyroid symptoms like tachycardia, not applicable here. Acetaminophen (F) is for fever, not hypothermia. Levothyroxine (G) treats hypothyroidism by replacing thyroid hormone.
Extract:
Question 4 of 5
A nurse is providing dietary teaching for a client who has Graves' disease. Which of the following statements made by the client indicates a need for further teaching by the nurse?
Correct Answer: D
Rationale: Six full meals (
D) is excessive; smaller, frequent, high-calorie meals are better for Graves' disease. Protein and carbohydrates (
A), avoiding caffeine (
B), and high-fiber diet (
C) are appropriate.
Question 5 of 5
A nurse is caring for a client who has developed Cushing syndrome due to long-term corticosteroid therapy to treat multiple sclerosis. The nurse understands that Cushing syndrome puts the client at increased risk for which complication?
Correct Answer: D
Rationale: Cushing syndrome increases osteoporosis risk, leading to bone fractures (
D) due to excess cortisol affecting bone density. Ataxic dysarthria (
A) is neurological, not related. Hypotension (
B) is unlikely as Cushing syndrome causes hypertension. Hyperkalemia (
C) is incorrect; Cushing syndrome causes hypokalemia.