ATI PN ADULT MEDICAL SURGICAL
EXAM QUESTIONS AND ANSWERS UPDATED
(2024/2025) (VERIFIED ANSWERS)
A nurse is collecting data from a client who has hyperthyroidism and is
taking propylthiouracil. Which of the following statements by the client
indicates the medication is effective?
a) "I no longer feel nervous."
b) "I no longer take a stool softener."
c) "I have less oily skin."
d) "I continue to lose weight." - ANS ✓A. "I no longer feel nervous."
Rationale:
Propylthiouracil is a medication used to treat hyperthyroidism, Graves'
disease, or toxic goiter (enlarged thyroid). It works by inhibiting the
synthesis of thyroid hormones and thus is effective in the treatment of
hyperthyroidism.
The following statements by the client indicate the effectiveness of
propylthiouracil:
"I no longer feel nervous" - This statement is a good indicator that the
medication is effective. Hyperthyroidism can cause nervousness, anxiety,
and irritability. Therefore, if the client no longer feels nervous, it could be
due to the medication's effectiveness.
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"I no longer take a stool softener" - This statement is not an indicator of
propylthiouracil's effectiveness. Stool softeners are used to relieve
constipation, which is not a symptom of hyperthyroidism or a side effect of
propylthiouracil.
"I have less oily skin" - This statement is not an indicator of
propylthiouracil's effectiveness. Oily skin is not a symptom of
hyperthyroidism or a side effect of propylthiouracil.
"I continue to lose weight" - This statement is not necessarily an indicator
of propylthiouracil's effectiveness. Weight loss can be a symptom of
hyperthyroidism, but it can also be a side effect of propylthiouracil.
Therefore, this statement alone cannot confirm the medication's
effectiveness.
TEST
A nurse is planning care for a client who is receiving radiation therapy to
treat throat cancer and reports a change in the taste of food. Which of the
following interventions should the nurse include in the plan of care?
a) Offer artificial saliva frequently.
b) Add honey to sweeten fruit smoothies.
c) Heat food before serving.
d) Provide three large meals daily. - ANS ✓C. Heat food before serving.
Rationale:
Radiation therapy can inhibit the salivary glands and taste buds. This is
why the patient is experiencing a change in taste.
Option B it can help food taste better, but it is likely that taste is still
impaired as taste buds are affected in radiation therapy.
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Option D can cause nausea and vomiting especially in patients undergoing
radiation therapy.
TEST
A nurse working the night shift is caring for an older adult client who has
dementia and is at risk for falls. Which of the following actions should the
nurse take?
a) Raise all four side rails while the client is in bed.
b) Apply a motion sensor mat to the client's bed.
c) Leave the television on in the client's room.
d) Move the overbed table away from the bed. - ANS ✓B. Apply a motion
sensor mat to the client's bed.
Rationale:
The nurse should apply a motion sensor mat to the client's bed. This will
alert the nurse if the client tries to get out of bed and will help prevent falls.
Option A raising all four side rails while the client is in bed is not
recommended because it can be considered a restraint and can lead to
injury or death.
Option C leaving the television on in the client's room is not recommended
because it can be overstimulating and can interfere with sleep.
Option D moving the overbed table away from the bed is not recommended
because it can increase the risk of falls.
TEST
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A nurse is reinforcing teaching with a client about increasing her intake of
fiber. Which of the following foods should the nurse encourage the client to
eat?
a) Cheese
b) Pears
c) Yogurt
d) Eggs - ANS ✓B. Pears
Rationale:
Only pear has fiber out of 4 choices.
TEST
A nurse is reviewing the medical record of a client who reports his urine is
red-orange. The nurse should identify which of the following medications
can cause this adverse effect?
a) Isoniazid
b) Metoprolol
c) Furosemide
d) Rifampin - ANS ✓D. Rifampin
Rationale:
associated with Red Man syndrome (bodily fluids like urine appear red-
orange in color)
A nurse is collecting data from a client who is taking metoprolol. Which of
the following findings should the nurse expect?
ATI PN
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