A client calls to report redness to the sclera, itching of the eyes, and increased lacrimation for several hours. What should you direct the caller to do first?

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ATI Medical Surgical Proctored Exam Questions

Question 1 of 9

A client calls to report redness to the sclera, itching of the eyes, and increased lacrimation for several hours. What should you direct the caller to do first?

Correct Answer: C

Rationale: Removing contact lenses is the first step to prevent further irritation and allow proper assessment of the eye condition.

Question 2 of 9

What priority nursing action should you take?

Correct Answer: C

Rationale: Breathing into a paper bag can help rebalance carbon dioxide levels in a patient experiencing hyperventilation.

Question 3 of 9

A client calls to report redness to the sclera, itching of the eyes, and increased lacrimation for several hours. What should you direct the caller to do first?

Correct Answer: C

Rationale: Removing contact lenses is the first step to prevent further irritation and allow proper assessment of the eye condition.

Question 4 of 9

When assessing the patient, you notice that there is contraction of his facial muscle after tapping the facial nerve anterior to his ear. This is a sign of

Correct Answer: D

Rationale: Facial twitching upon tapping the facial nerve is a sign of hypocalcemia.

Question 5 of 9

Consider the differences between primary and secondary prevention. Fill in the blanks.

Correct Answer: B

Rationale: Secondary prevention focuses on early detection and intervention to halt disease progression, while primary prevention aims to prevent disease onset through healthy behaviors like diet, exercise, and immunizations.

Question 6 of 9

Felicia's family is concerned because Felicia states that she is hearing voices. This is a sign of

Correct Answer: B

Rationale: Auditory hallucinations are a hallmark symptom of schizophrenia.

Question 7 of 9

During a shower three days ago, Jeremy Robb, 19, discovered a firm lump in his left testis. He went to the student health center at his university, was referred to a local physician and was admitted to the hospital for a left orchiectomy and lymph node resection. Risk factors for cancer of the testes include:

Correct Answer: B

Rationale: Smoking has been linked to cancer of the lungs, bladder, and pancreas, but has not been linked directly to cancer of the testes. Males who had undescended testicle(s) have been found to have a higher incidence of cancer of the testes later. It is theorized that the internal heat the testes are exposed to while in the abdomen causes the damage to the testes. Multiple sex partners is a risk for genital warts, AIDS, and sexually transmitted diseases, but has not been shown to be a risk for cancer of the testes. Genital trauma more likely causes bladder and ureteral damage.

Question 8 of 9

For a patient on the chemotherapeutic drug vincristine (Oncovin), which of the following side effects should be reported to the physician?

Correct Answer: C

Rationale: Paresthesia is a serious neurotoxic side effect of vincristine and requires immediate medical attention.

Question 9 of 9

A student learns about modifiable risk factors for coronary artery disease. Which factors does this include? (Select one that does not apply)

Correct Answer: A

Rationale: The correct answer is A: Age. Age is a non-modifiable risk factor for coronary artery disease, meaning it cannot be changed or controlled. Hypertension, obesity, and smoking are modifiable risk factors as they can be managed through lifestyle changes or medical interventions. By controlling blood pressure, maintaining a healthy weight, and quitting smoking, individuals can reduce their risk of developing coronary artery disease. Age, however, is a natural process that cannot be altered. Therefore, focusing on managing modifiable risk factors is crucial in preventing coronary artery disease.

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