ATI RN
ATI Capstone Week 10 Exam Questions
Question 1 of 5
While working in the emergency department, the unit secretary says, “We just got a call that someone with a severe peanut allergy accidentally ate peanuts and is on the way.” Which emergency equipment would the nurse gather to prepare for the client’s arrival? (Select all that apply.)
Correct Answer: A,B
Rationale: The correct answer is A,B.
A: Intubation equipment and oxygen are essential for managing anaphylaxis, as severe allergic reactions can lead to airway compromise and respiratory distress.
B: Epinephrine is the first-line treatment for anaphylaxis to reverse the allergic reaction and stabilize blood pressure.
Incorrect choices:
C: Blood administration equipment is not necessary for managing a severe peanut allergy reaction.
D: Foley catheter is unrelated to the immediate management of anaphylaxis.
Question 2 of 5
A nurse at an ophthalmology clinic is providing teaching to a client who has open-angle glaucoma and a new prescription for timolol eye drops. Which of the following instructions should the nurse provide?
Correct Answer: B
Rationale: The correct answer is B. Timolol eye drops are used to lower intraocular pressure in open-angle glaucoma. The client should use this medication on a regular schedule as prescribed to manage the condition long-term. Timolol is not a short-term medication, so choice A is incorrect.
Choice C is incorrect because glaucoma is a chronic condition that requires ongoing management.
Choice D is incorrect because eye pain is not an indication for using timolol.
Question 3 of 5
A nurse is caring for a client who has progressive presbycusis. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Speak directly to the client in a normal, clear voice. This is the most appropriate action as it ensures effective communication without being patronizing or disrespectful. Speaking directly and clearly helps the client understand the information being conveyed. Speaking loudly (
A) may distort sound and not necessarily improve comprehension. Using sign language (
B) assumes the client knows sign language, which may not be the case. Speaking slowly (
C) can be perceived as condescending and may not necessarily improve understanding.
Question 4 of 5
A nurse is caring for a client who has a new diagnosis of systemic lupus erythematosus (SLE) and asks where this disease originates within the body. The nurse should tell the client that SLE originates in which of the following locations in the body?
Correct Answer: A
Rationale:
Correct
Answer: A - Connective tissue
Rationale: Systemic lupus erythematosus (SLE) is an autoimmune disease where the immune system attacks healthy tissue. Connective tissue is the primary target in SLE. This tissue includes joints, skin, and organs. In SLE, immune complexes deposit in connective tissue, leading to inflammation and damage. The other choices are incorrect because SLE primarily affects the connective tissue rather than the peripheral vascular system, lymphatic system, or skeletal tissue.
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.