ATI RN
ATI Capstone Week 10 Exam Questions
Question 1 of 5
A nurse is caring for a client who is postoperative following a left corneal transplant. The nurse observes purulent drainage from the affected eye. Which of the following actions is the nurse’s priority?
Correct Answer: C
Rationale: The correct answer is C: Notify the surgeon. When purulent drainage is observed postoperatively following a corneal transplant, it indicates a potential infection. The nurse's priority is to notify the surgeon immediately to address the infection promptly to prevent further complications. Applying a non-pressure patch (choice
A) or cleaning the eye (choice
B) may not address the underlying infection. Instilling an antibiotic solution (choice
D) without consulting the surgeon may not be appropriate as the surgeon may need to assess the situation first.
Question 2 of 5
A nurse is caring for a client following cataract surgery. Which of the following comments from the client should the nurse report to the client’s provider?
Correct Answer: D
Rationale: The correct answer is D because the client complaining of severe pain post cataract surgery could indicate a potential complication or inadequate pain management. Reporting this to the provider promptly is crucial to ensure proper assessment and intervention. Option A is incorrect as it shows the client is following post-op instructions. Option B is common after cataract surgery and can be managed easily. Option C is a common concern post-surgery, and the nurse can address it by ensuring a safe environment.
Question 3 of 5
A nurse is instructing the caregiver of a child who has bacterial conjunctivitis and a new prescription for an ophthalmic ointment. Which of the following instructions should the nurse provide?
Correct Answer: A
Rationale:
Correct
Answer: A
Rationale: Applying the ointment in a thin line into the conjunctival sac ensures proper distribution and maximum absorption. This method prevents contamination and minimizes wastage. It also allows the medication to stay in contact with the affected area for a longer period, enhancing its therapeutic effect.
Summary of Incorrect
Choices:
B: Asking the child to look down is unnecessary and not relevant to the application of ointment into the conjunctival sac.
C: Using a sterile glove and applicator may be recommended in certain situations, but it is not essential for applying ophthalmic ointment in this case.
D: Wiping from the outer to the inner canthus when wiping away secretions is unrelated to the correct application of ophthalmic ointment for bacterial conjunctivitis.
Question 4 of 5
A nurse is talking with a client who is scheduled for surgery to repair retinal detachment. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Restrict head movement. This instruction is crucial post-retinal detachment surgery to prevent any sudden movements that could potentially disrupt the surgical site and worsen the detachment. Cool compresses (
A) are not recommended as they could increase intraocular pressure. Eye drops to constrict pupils (
B) are not typically prescribed post-surgery for retinal detachment. Keeping both eyes patched (
D) is not necessary as it can obstruct vision in the unaffected eye.
Question 5 of 5
A client receiving infliximab through intravenous infusion is reporting difficulty swallowing. Which immediate action would the nurse take?
Correct Answer: A
Rationale: The correct immediate action for the nurse to take in this scenario is to shut off the intravenous infusion (Answer
A). Difficulty swallowing can be a sign of a severe adverse reaction such as anaphylaxis, which can be life-threatening. By stopping the infusion, the nurse can prevent further administration of the medication and assess the client's condition. This action prioritizes client safety and prevents potential complications.
Notifying the primary health care provider (Answer
B) could cause a delay in the intervention, putting the client at risk. Having the client take deep breaths and try to relax (Answer
C) is not appropriate as it does not address the potential serious complication. Obtaining a prescription for oral diphenhydramine (Answer
D) is not the immediate action needed to address the client's difficulty swallowing.