ATI RN
ATI Nurs 2000 Fundamentals Questions
Question 1 of 5
The patient with glaucoma is usually started on the lowest dose of medication. Which of the following is the preferred initial ophthalmic medication?
Correct Answer: B
Rationale: Carbonic anhydrase inhibitors are not typically the first line of treatment for glaucoma. They work by decreasing the production of eye fluid but they are usually used when other treatments have not been successful. Prostaglandin analogs such as latanoprost and travoprost are often the first line of treatment for glaucoma. They work by increasing the outflow of eye fluid to lower pressure in the eye. Alpha-agonists are not typically the first line of treatment for glaucoma. They work by both decreasing the production of eye fluid and increasing its outflow but they are usually used when other treatments have not been successful. Beta-blockers like timolol are sometimes used as initial treatment for glaucoma but they are not typically the preferred initial medication. They work by reducing the production of eye fluid.
Question 2 of 5
A nurse is admitting a client diagnosed with herpes simplex virus encephalitis. Which medication would the nurse anticipate the healthcare provider to order for treatment?
Correct Answer: A
Rationale: Herpes simplex virus encephalitis is a severe condition that requires immediate treatment. The most common medication used for this condition is acyclovir which is administered intravenously. Acyclovir works by inhibiting the replication of the virus thereby reducing the severity and duration of the infection. Cyclosporine is an immunosuppressive medication that is often used to prevent organ rejection after transplantation. It is not typically used in the treatment of viral infections such as herpes simplex virus encephalitis. Without specific information about 'Medication C' it's difficult to provide a rationale. However it's important to note that the treatment of herpes simplex virus encephalitis typically involves antiviral medications with acyclovir being the most commonly used. Similar to
Choice C without specific information about 'Medication D' providing a rationale is challenging. As mentioned the standard treatment for herpes simplex virus encephalitis is acyclovir. Note: The document lists 'Ampicillin' as the correct answer but the explanation describes acyclovir indicating a likely error. Ampicillin is an antibiotic ineffective against viral infections like herpes simplex virus encephalitis. The correct medication should be acyclovir.
Question 3 of 5
While assessing the breath sounds of a client with Parkinson's disease a nurse hears adventitious sounds. How should the client's nutritional needs be met?
Correct Answer: A
Rationale: For a client with Parkinson's disease who has difficulty swallowing or chewing due to muscle rigidity semi-solid food with thick liquids can be easier to swallow and reduce the risk of choking. Minced foods and fluid restriction may not provide the necessary nutrients and hydration for a client with Parkinson's disease. A low-residue diet which is low in fiber may not be appropriate for a client with Parkinson's disease as constipation is a common symptom of the disease and fiber can help alleviate this.
Total parenteral nutrition (TPN) is a method of feeding that bypasses the gastrointestinal tract. It is typically reserved for clients who cannot or should not get their nutrition through eating.
Question 4 of 5
A nurse is teaching a patient about reducing the risk for falls. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: Installing handrails in the bathroom is a recommended strategy for reducing the risk of falls. Handrails provide support and stability particularly in slippery environments like the bathroom. Using a standard height toilet seat is not necessarily a recommended strategy for reducing the risk of falls. A toilet seat at an appropriate height for the individual would be more beneficial. Wearing backless shoes is not a recommended strategy for reducing the risk of falls. Shoes with good support and non-slip soles are typically recommended. Covering extension cords with a throw rug is not a recommended strategy for reducing the risk of falls. This could potentially create a tripping hazard.
Question 5 of 5
A nurse is preparing to move a patient with left-sided weakness from a seated position in bed to a chair. What actions should the nurse take?
Correct Answer: A
Rationale: Locking the wheels on the patient's bed is a safety measure that should be taken to prevent the bed from moving during the transfer. Positioning the chair at a 90-degree angle to the bed could make the transfer more difficult. It's usually recommended to position the chair parallel to the bed. Elevating the patient's bed isn't typically necessary for a transfer and could potentially make the transfer more difficult. Placing the chair on the patient's left side the side of the patient's weakness could make the transfer more difficult. It's usually recommended to lead with the patient's stronger side.