CARE OF PATIENTS WITH PROBLEMS OF THE THYROID
AND PARATHYROID GLANDS ATI EXAM QUESTIONS
WITH COMPLETE SOLUTIONS GUARANTEED PASS
2025/2026
The nurse manager for the medical-surgical unit is making staff
assignments. Which client will be most appropriate to assign to a newly
graduated RN who has completed a 6-week unit orientation?
a) Client with chronic hypothyroidism and dementia who takes
levothyroxine (Synthroid) daily
b) Client with follicular thyroid cancer who has vocal hoarseness and
difficulty swallowing
c) Client with Graves' disease who is experiencing increasing anxiety
and
diaphoresis
d) Client with
hyperparathyroidism who - ANSWER ->CORRECT ANSWER has just
arrived on the unit after a parathyroidectomy : b
The client with chronic hypothyroidism and dementia is the most stable
of the clients described and would be most appropriate to assign to an
inexperienced RN. A client with vocal hoarseness and difficulty
swallowing is at higher risk for complications and requires close
observation by a more experienced nurse. Increasing anxiety and
diaphoresis in a client with Graves' disease can be an indication of
,impending thyroid storm, which is an emergency; this is not a situation
to be managed by a newly graduated RN. A client who has just arrived
on the unit after a parathyroidectomy requires close observation for
bleeding and airway compromise and requires assessment by an
experienced nurse.
An RN and LPN/LVN are caring for a group of clients on the
medicalsurgical unit. Which client will be the best to assign to the
LPN/LVN?
a) Client with Graves' disease who needs discharge teaching after a total
thyroidectomy
b) Client with hyperparathyroidism who is just being admitted for a
parathyroidectomy
c) Client with infiltrative ophthalmopathy who needs administration of
high-dose prednisone
(Deltasone)
d) Newly diagnosed client with
hypothyroidism who needs education - ANSWER ->CORRECT
about the use of thyroid supplements ANSWER: c
Medication administration for the client with infiltrative
ophthalmopathy is within the scope of practice of the LPN/LVN.
Discharge teaching is a complex task that cannot be delegated to the
LPN/LVN. A client being admitted for a parathyroidectomy needs
preoperative teaching, which must be provided by the RN. A client who
has a new diagnosis will have questions about the disease and
,prescribed medications; teaching is a complex task that is appropriate
for the RN.
An older client with an elevated serum calcium level is receiving IV
furosemide (Lasix) and an infusion of normal saline at 150 mL/hr.
Which nursing action can the RN delegate to unlicensed assistive
personnel (UAP)?
a) Ask the client about any numbness or tingling.
b) Check for bone deformities in the client's back.
c) Measure the client's intake and output
hourly. - ANSWER ->CORRECT
d) Monitor the client for shortness of breath. ANSWER: c
Measuring intake and output is a commonly delegated nursing action
that is within the UAP scope of practice. Numbness and tingling is part
of the client assessment that needs to be completed by a licensed
nurse. Bony deformities can be due to pathologic fractures; physical
assessment is a complex task that cannot be delegated. An older client
receiving an IV at 150 mL/hr is at risk for congestive heart failure;
careful monitoring for shortness of breath is the responsibility of the
RN.
Which action does the postanesthesia care unit (PACU) nurse perform
first when caring for a client who has just arrived after a total
thyroidectomy?
a) Assess the wound dressing for bleeding.
, b) Give morphine sulfate 4 to 8 mg IV for pain.
c) Monitor oxygen saturation using pulse
oximetry. - ANSWER ->CORRECT
d) Support the head and neck with sandbags. ANSWER: c
Airway assessment and management is always the first priority with
every client. This is especially important for a client who has had
surgery that involves potential bleeding and edema near the trachea.
Assessing the wound dressing for bleeding is a high priority, although
this is not the first priority. Pain control and supporting the head and
neck with sandbags are important priorities, but can be addressed after
airway assessment.
The RN has just received change-of-shift report on the medical-surgical
unit. Which client will need to be assessed first?
a) Client with Hashimoto's thyroiditis and a large goiter
b) Client with hypothyroidism and an apical pulse of 51 beats/min
c) Client with parathyroid adenoma and flank pain due to a kidney stone
d) Client who had a parathyroidectomy yesterday and has muscle
twitching - CORRECT
ANSWER>>CORRECT ANSWER: d
A client who is 1 day postoperative for parathyroidectomy and has
muscle twitching is showing signs of hypocalcemia and is at risk for
seizures. Rapid assessment and intervention are needed. Clients with
Hashimoto's thyroiditis are usually stable; this client does not need to
be assessed first. Although an apical pulse of 51 is considered
AND PARATHYROID GLANDS ATI EXAM QUESTIONS
WITH COMPLETE SOLUTIONS GUARANTEED PASS
2025/2026
The nurse manager for the medical-surgical unit is making staff
assignments. Which client will be most appropriate to assign to a newly
graduated RN who has completed a 6-week unit orientation?
a) Client with chronic hypothyroidism and dementia who takes
levothyroxine (Synthroid) daily
b) Client with follicular thyroid cancer who has vocal hoarseness and
difficulty swallowing
c) Client with Graves' disease who is experiencing increasing anxiety
and
diaphoresis
d) Client with
hyperparathyroidism who - ANSWER ->CORRECT ANSWER has just
arrived on the unit after a parathyroidectomy : b
The client with chronic hypothyroidism and dementia is the most stable
of the clients described and would be most appropriate to assign to an
inexperienced RN. A client with vocal hoarseness and difficulty
swallowing is at higher risk for complications and requires close
observation by a more experienced nurse. Increasing anxiety and
diaphoresis in a client with Graves' disease can be an indication of
,impending thyroid storm, which is an emergency; this is not a situation
to be managed by a newly graduated RN. A client who has just arrived
on the unit after a parathyroidectomy requires close observation for
bleeding and airway compromise and requires assessment by an
experienced nurse.
An RN and LPN/LVN are caring for a group of clients on the
medicalsurgical unit. Which client will be the best to assign to the
LPN/LVN?
a) Client with Graves' disease who needs discharge teaching after a total
thyroidectomy
b) Client with hyperparathyroidism who is just being admitted for a
parathyroidectomy
c) Client with infiltrative ophthalmopathy who needs administration of
high-dose prednisone
(Deltasone)
d) Newly diagnosed client with
hypothyroidism who needs education - ANSWER ->CORRECT
about the use of thyroid supplements ANSWER: c
Medication administration for the client with infiltrative
ophthalmopathy is within the scope of practice of the LPN/LVN.
Discharge teaching is a complex task that cannot be delegated to the
LPN/LVN. A client being admitted for a parathyroidectomy needs
preoperative teaching, which must be provided by the RN. A client who
has a new diagnosis will have questions about the disease and
,prescribed medications; teaching is a complex task that is appropriate
for the RN.
An older client with an elevated serum calcium level is receiving IV
furosemide (Lasix) and an infusion of normal saline at 150 mL/hr.
Which nursing action can the RN delegate to unlicensed assistive
personnel (UAP)?
a) Ask the client about any numbness or tingling.
b) Check for bone deformities in the client's back.
c) Measure the client's intake and output
hourly. - ANSWER ->CORRECT
d) Monitor the client for shortness of breath. ANSWER: c
Measuring intake and output is a commonly delegated nursing action
that is within the UAP scope of practice. Numbness and tingling is part
of the client assessment that needs to be completed by a licensed
nurse. Bony deformities can be due to pathologic fractures; physical
assessment is a complex task that cannot be delegated. An older client
receiving an IV at 150 mL/hr is at risk for congestive heart failure;
careful monitoring for shortness of breath is the responsibility of the
RN.
Which action does the postanesthesia care unit (PACU) nurse perform
first when caring for a client who has just arrived after a total
thyroidectomy?
a) Assess the wound dressing for bleeding.
, b) Give morphine sulfate 4 to 8 mg IV for pain.
c) Monitor oxygen saturation using pulse
oximetry. - ANSWER ->CORRECT
d) Support the head and neck with sandbags. ANSWER: c
Airway assessment and management is always the first priority with
every client. This is especially important for a client who has had
surgery that involves potential bleeding and edema near the trachea.
Assessing the wound dressing for bleeding is a high priority, although
this is not the first priority. Pain control and supporting the head and
neck with sandbags are important priorities, but can be addressed after
airway assessment.
The RN has just received change-of-shift report on the medical-surgical
unit. Which client will need to be assessed first?
a) Client with Hashimoto's thyroiditis and a large goiter
b) Client with hypothyroidism and an apical pulse of 51 beats/min
c) Client with parathyroid adenoma and flank pain due to a kidney stone
d) Client who had a parathyroidectomy yesterday and has muscle
twitching - CORRECT
ANSWER>>CORRECT ANSWER: d
A client who is 1 day postoperative for parathyroidectomy and has
muscle twitching is showing signs of hypocalcemia and is at risk for
seizures. Rapid assessment and intervention are needed. Clients with
Hashimoto's thyroiditis are usually stable; this client does not need to
be assessed first. Although an apical pulse of 51 is considered
