• ATI RN Adult
Medical Surgical 09/07/2026
Exam
ATI RN Adult Medical Surgical 2026 4 Actual
Proctored Exam Featuring All Complete NGN
100 Screenshot Questions and Answers for
Level 3 Pass RN ATI Exam
After treatment with radioactive iodine (RAI) in the form of sodium iodide 131I, the nurse teaches the client to:
1. Monitor for signs and symptoms of hyperthyroidism.
2. Rest for 1 week to prevent complications of the medication.
3. Take thyroxine replacement for the remainder of the client's life.
4. Assess for hypertension and tachycardia resulting from altered thyroid activity. –
P 1
, • ATI RN Adult
Medical Surgical 09/07/2026
Exam
Correct Answer :3. Take thyroxine replacement for the remainder of the client's life.
The client needs to be educated about the need for lifelong thyroid hormone replacement. Permanent
hypothyroidism is the major complication of RAI 131I treatment. Lifelong medical follow-up and thyroid
replacement are warranted. The client needs to
monitor for signs and symptoms of hypothyroidism, not hyperthyroidism. Resting for 1 week is not necessary.
Hypertension and tachycardia are signs of hyperthyroidism, not hypothyroidism.
CN: Pharmacological and parenteral therapies; CL: Synthesize
A client with a large goiter is scheduled for a subtotal thyroidectomy to treat thyrotoxicosis. Saturated solution
of potassium iodide (SSKI) is prescribed preoperatively for the client. The expected outcome of using this drug is
that it helps:
1. Slow progression of exophthalmos.
2. Reduce the vascularity of the thyroid gland.
3. Decrease the body's ability to store thyroxine.
4. Increase the body's ability to excrete thyroxine. –
Correct Answer :2. Reduce the vascularity of the thyroid gland.
SSKI is frequently administered before a thyroidectomy because it helps decrease the vascularity of the thyroid
gland. A highly vascular thyroid gland is very friable, a condition that presents a hazard during surgery.
Preparation of the client for surgery includes depleting the gland of thyroid hormone and decreasing vascularity.
SSKI does not decrease the progression of exophthalmos, and it does not decrease the body's ability to store
thyroxine or increase the body's ability to excrete thyroxine.
CN: Pharmacological and parenteral therapies; CL: Apply
P 2
, • ATI RN Adult
Medical Surgical 09/07/2026
Exam
The nurse is administering a saturated solution of potassium iodide (SSKI). The nurse should:
1. Pour the solution over ice chips.
2. Mix the solution with an antacid.
3. Dilute the solution with water, milk, or fruit juice and have the client drink it with a straw.
4. Disguise the solution in a pureed fruit or vegetable. –
Correct Answer :3. Dilute the solution with water, milk, or fruit juice and have the client drink it with a straw.
SSKI should be diluted well in milk, water, juice, or a carbonated beverage before administration to help disguise
the strong, bitter taste. Also, this drug is irritating
to mucosa if taken undiluted. The client should sip the diluted preparation through a drinking straw to help
prevent staining of the teeth. Pouring the solution over ice chips will not sufficiently dilute the SSKI or cover the
taste. Antacids are not used to dilute or cover the taste of SSKI. Mixing in a puree would put the SSKI in contact
with the teeth.
CN: Pharmacological and parenteral therapies; CL: Apply
Following a subtotal thyroidectomy, the nurse asks the client to speak
immediately upon regaining consciousness. The nurse does this to monitor for signs of which of the following?
1. Internal hemorrhage.
2. Decreasing level of consciousness.
3. Laryngeal nerve damage.
4. Upper airway obstruction. - Correct Answer :3. Laryngeal nerve damage.
Laryngeal nerve damage is a potential complication of thyroid surgery because of the proximity of the thyroid
gland to the recurrent laryngeal nerve. Asking the
P 3
, • ATI RN Adult
Medical Surgical 09/07/2026
Exam
client to speak helps assess for signs of laryngeal nerve damage. Persistent or worsening hoarseness and weak
voice are signs of laryngeal nerve damage and should
be reported to the physician immediately. Internal hemorrhage is detected by changes in vital signs. The client's
level of consciousness can be partially assessed by asking her to speak, but that is not the primary reason for
doing so in this situation. Upper airway obstruction is detected by color and respiratory rate and pattern.
CN: Reduction of risk potential; CL: Analyze
A client who has undergone a subtotal thyroidectomy is subject to
complications in the first 48 hours after surgery. The nurse should obtain and keep at the bedside equipment to:
1. Begin total parenteral nutrition.
2. Start a cutdown infusion.
3. Administer tube feedings.
4. Perform a tracheotomy. –
Correct Answer :4. Perform a tracheotomy
One day following a subtotal thyroidectomy, a client begins to have tingling in the fingers and toes. The nurse
should first:
1. Encourage the client to flex and extend the fingers and toes.
2. Notify the physician.
3. Assess the client for thrombophlebitis.
4. Ask the client to speak. - Correct Answer :2. Notify the physician
The nurse is completing a health assessment of a 42-year-old female with suspected Graves' Disease. The nurse
should assess this client for:
P 4
Medical Surgical 09/07/2026
Exam
ATI RN Adult Medical Surgical 2026 4 Actual
Proctored Exam Featuring All Complete NGN
100 Screenshot Questions and Answers for
Level 3 Pass RN ATI Exam
After treatment with radioactive iodine (RAI) in the form of sodium iodide 131I, the nurse teaches the client to:
1. Monitor for signs and symptoms of hyperthyroidism.
2. Rest for 1 week to prevent complications of the medication.
3. Take thyroxine replacement for the remainder of the client's life.
4. Assess for hypertension and tachycardia resulting from altered thyroid activity. –
P 1
, • ATI RN Adult
Medical Surgical 09/07/2026
Exam
Correct Answer :3. Take thyroxine replacement for the remainder of the client's life.
The client needs to be educated about the need for lifelong thyroid hormone replacement. Permanent
hypothyroidism is the major complication of RAI 131I treatment. Lifelong medical follow-up and thyroid
replacement are warranted. The client needs to
monitor for signs and symptoms of hypothyroidism, not hyperthyroidism. Resting for 1 week is not necessary.
Hypertension and tachycardia are signs of hyperthyroidism, not hypothyroidism.
CN: Pharmacological and parenteral therapies; CL: Synthesize
A client with a large goiter is scheduled for a subtotal thyroidectomy to treat thyrotoxicosis. Saturated solution
of potassium iodide (SSKI) is prescribed preoperatively for the client. The expected outcome of using this drug is
that it helps:
1. Slow progression of exophthalmos.
2. Reduce the vascularity of the thyroid gland.
3. Decrease the body's ability to store thyroxine.
4. Increase the body's ability to excrete thyroxine. –
Correct Answer :2. Reduce the vascularity of the thyroid gland.
SSKI is frequently administered before a thyroidectomy because it helps decrease the vascularity of the thyroid
gland. A highly vascular thyroid gland is very friable, a condition that presents a hazard during surgery.
Preparation of the client for surgery includes depleting the gland of thyroid hormone and decreasing vascularity.
SSKI does not decrease the progression of exophthalmos, and it does not decrease the body's ability to store
thyroxine or increase the body's ability to excrete thyroxine.
CN: Pharmacological and parenteral therapies; CL: Apply
P 2
, • ATI RN Adult
Medical Surgical 09/07/2026
Exam
The nurse is administering a saturated solution of potassium iodide (SSKI). The nurse should:
1. Pour the solution over ice chips.
2. Mix the solution with an antacid.
3. Dilute the solution with water, milk, or fruit juice and have the client drink it with a straw.
4. Disguise the solution in a pureed fruit or vegetable. –
Correct Answer :3. Dilute the solution with water, milk, or fruit juice and have the client drink it with a straw.
SSKI should be diluted well in milk, water, juice, or a carbonated beverage before administration to help disguise
the strong, bitter taste. Also, this drug is irritating
to mucosa if taken undiluted. The client should sip the diluted preparation through a drinking straw to help
prevent staining of the teeth. Pouring the solution over ice chips will not sufficiently dilute the SSKI or cover the
taste. Antacids are not used to dilute or cover the taste of SSKI. Mixing in a puree would put the SSKI in contact
with the teeth.
CN: Pharmacological and parenteral therapies; CL: Apply
Following a subtotal thyroidectomy, the nurse asks the client to speak
immediately upon regaining consciousness. The nurse does this to monitor for signs of which of the following?
1. Internal hemorrhage.
2. Decreasing level of consciousness.
3. Laryngeal nerve damage.
4. Upper airway obstruction. - Correct Answer :3. Laryngeal nerve damage.
Laryngeal nerve damage is a potential complication of thyroid surgery because of the proximity of the thyroid
gland to the recurrent laryngeal nerve. Asking the
P 3
, • ATI RN Adult
Medical Surgical 09/07/2026
Exam
client to speak helps assess for signs of laryngeal nerve damage. Persistent or worsening hoarseness and weak
voice are signs of laryngeal nerve damage and should
be reported to the physician immediately. Internal hemorrhage is detected by changes in vital signs. The client's
level of consciousness can be partially assessed by asking her to speak, but that is not the primary reason for
doing so in this situation. Upper airway obstruction is detected by color and respiratory rate and pattern.
CN: Reduction of risk potential; CL: Analyze
A client who has undergone a subtotal thyroidectomy is subject to
complications in the first 48 hours after surgery. The nurse should obtain and keep at the bedside equipment to:
1. Begin total parenteral nutrition.
2. Start a cutdown infusion.
3. Administer tube feedings.
4. Perform a tracheotomy. –
Correct Answer :4. Perform a tracheotomy
One day following a subtotal thyroidectomy, a client begins to have tingling in the fingers and toes. The nurse
should first:
1. Encourage the client to flex and extend the fingers and toes.
2. Notify the physician.
3. Assess the client for thrombophlebitis.
4. Ask the client to speak. - Correct Answer :2. Notify the physician
The nurse is completing a health assessment of a 42-year-old female with suspected Graves' Disease. The nurse
should assess this client for:
P 4
