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ATI CARE OF PATIENTS WITH PROBLEMS OF
THE THYROID AND PARATHYROID GLANDS
EXAM NEWEST 2024-2025 ACTUAL EXAM
COMPLETE ALL 150 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
A nurse plans care for a client with hyperparathyroidism. Which
intervention does the nurse include in this client's plan of care?
a. Use a lift sheet to assist the client with position changes in
bed.
b. Ask the client to ambulate in the hallway twice a day.
c. Provide the client with a soft-bristled toothbrush for oral care.
d. Instruct the assistive personnel to strain the patient's urine for
stones. - CORRECT ANSWER-ANS: A
Rationale; Hyperparathyroidism causes increased resorption of
calcium from the bones, increasing the risk for pathologic
fractures. Using a lift sheet when moving or positioning the
client, instead of pulling on the client, reduces the risk of bone
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injury. Hyperparathyroidism can cause kidney stones, but not
every client will need to have urine strained. The priority is
preventing injury. Ambulating in the hall and using a soft
toothbrush are not specific interventions for this patient.
While assessing a client with Graves disease, the nurse notes
that the client's temperature has risen 1° F (1° C). What does the
nurse do first?
a. Turn the lights down and shut the patient's door.
b. Call for an immediate electrocardiogram (ECG).
c. Calculate the client's apical-radial pulse deficit.
d. Administer a dose of acetaminophen. - CORRECT
ANSWER-ANS: A
Rationale; A temperature increase of 1° F (5/9° C) may indicate
the development of thyroid storm, and the primary health care
provider or RRT needs to be notified. But before notifying the
provider, the nurse should first take measures to reduce
environmental stimuli that increase the risk of cardiac
complications. The nurse can then call for an ECG. The apical-
radial pulse deficit would not be necessary, and acetaminophen
is not needed because the temperature increase is due to thyroid
activity.
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The nurse is caring for a client who has possible
hypothyroidism. What possible risk factors can cause this health
problem? (Select all that apply.)
a. Lithium drug therapy
b. Thyroid cancer
c. Autoimmune thyroid disease
d. Iodine deficiency
e. Laryngitis
f. Pituitary tumors - CORRECT ANSWER-ANS: A, B, C, D, F
Rationale; All of these factors place a client at risk for
hypothyroidism except for laryngitis which is an inflammation
of the larynx.
A nurse is caring for a client with elevated triiodothyronine and
thyroxine, and normal thyroid-stimulating hormone levels. What
actions does the nurse take? (Select all that apply.)
a. Administer levothyroxine.
b. Administer propranolol.
c. Monitor the apical pulse.
d. Assess for Trousseau sign.
e. Initiate telemetry monitoring. - CORRECT ANSWER-ANS:
C, E
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Rationale; The client's laboratory findings suggest that the client
is experiencing hyperthyroidism. The increased metabolic rate
can cause an increase in the client's heart rate, and the client
should be monitored for the development of dysrhythmias.
Placing the client on a telemetry monitor might also be a
precaution. Levothyroxine is given for hypothyroidism.
Propranolol is a beta
blocker often used to lower sympathetic nervous system activity
in hyperthyroidism. Trousseau sign is a test for hypocalcemia.
A nurse teaches a client with hyperthyroidism. Which dietary
modifications should the nurse include in this client's health
teaching? (Select all that apply.)
a. Increased carbohydrates
b. Decreased fats
c. Increased calorie intake
d. Supplemental vitamins
e. Increased proteins - CORRECT ANSWER-ANS: A,C,E
Rationale; The client is hypermetabolic and has an increased
need for carbohydrates, calories, and proteins. Proteins are
especially important because the client is at risk for a negative
nitrogen balance. There is no need to decrease fat intake or take
supplemental vitamins.
ATI CARE OF PATIENTS WITH PROBLEMS OF
THE THYROID AND PARATHYROID GLANDS
EXAM NEWEST 2024-2025 ACTUAL EXAM
COMPLETE ALL 150 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
A nurse plans care for a client with hyperparathyroidism. Which
intervention does the nurse include in this client's plan of care?
a. Use a lift sheet to assist the client with position changes in
bed.
b. Ask the client to ambulate in the hallway twice a day.
c. Provide the client with a soft-bristled toothbrush for oral care.
d. Instruct the assistive personnel to strain the patient's urine for
stones. - CORRECT ANSWER-ANS: A
Rationale; Hyperparathyroidism causes increased resorption of
calcium from the bones, increasing the risk for pathologic
fractures. Using a lift sheet when moving or positioning the
client, instead of pulling on the client, reduces the risk of bone
,2|Page
injury. Hyperparathyroidism can cause kidney stones, but not
every client will need to have urine strained. The priority is
preventing injury. Ambulating in the hall and using a soft
toothbrush are not specific interventions for this patient.
While assessing a client with Graves disease, the nurse notes
that the client's temperature has risen 1° F (1° C). What does the
nurse do first?
a. Turn the lights down and shut the patient's door.
b. Call for an immediate electrocardiogram (ECG).
c. Calculate the client's apical-radial pulse deficit.
d. Administer a dose of acetaminophen. - CORRECT
ANSWER-ANS: A
Rationale; A temperature increase of 1° F (5/9° C) may indicate
the development of thyroid storm, and the primary health care
provider or RRT needs to be notified. But before notifying the
provider, the nurse should first take measures to reduce
environmental stimuli that increase the risk of cardiac
complications. The nurse can then call for an ECG. The apical-
radial pulse deficit would not be necessary, and acetaminophen
is not needed because the temperature increase is due to thyroid
activity.
,3|Page
The nurse is caring for a client who has possible
hypothyroidism. What possible risk factors can cause this health
problem? (Select all that apply.)
a. Lithium drug therapy
b. Thyroid cancer
c. Autoimmune thyroid disease
d. Iodine deficiency
e. Laryngitis
f. Pituitary tumors - CORRECT ANSWER-ANS: A, B, C, D, F
Rationale; All of these factors place a client at risk for
hypothyroidism except for laryngitis which is an inflammation
of the larynx.
A nurse is caring for a client with elevated triiodothyronine and
thyroxine, and normal thyroid-stimulating hormone levels. What
actions does the nurse take? (Select all that apply.)
a. Administer levothyroxine.
b. Administer propranolol.
c. Monitor the apical pulse.
d. Assess for Trousseau sign.
e. Initiate telemetry monitoring. - CORRECT ANSWER-ANS:
C, E
, 4|Page
Rationale; The client's laboratory findings suggest that the client
is experiencing hyperthyroidism. The increased metabolic rate
can cause an increase in the client's heart rate, and the client
should be monitored for the development of dysrhythmias.
Placing the client on a telemetry monitor might also be a
precaution. Levothyroxine is given for hypothyroidism.
Propranolol is a beta
blocker often used to lower sympathetic nervous system activity
in hyperthyroidism. Trousseau sign is a test for hypocalcemia.
A nurse teaches a client with hyperthyroidism. Which dietary
modifications should the nurse include in this client's health
teaching? (Select all that apply.)
a. Increased carbohydrates
b. Decreased fats
c. Increased calorie intake
d. Supplemental vitamins
e. Increased proteins - CORRECT ANSWER-ANS: A,C,E
Rationale; The client is hypermetabolic and has an increased
need for carbohydrates, calories, and proteins. Proteins are
especially important because the client is at risk for a negative
nitrogen balance. There is no need to decrease fat intake or take
supplemental vitamins.
