ATI RN
ATI Capstone Week 10 Exam Questions
Extract:
Question 1 of 5
A client arrives at the health care clinic and tells the nurse that she was just bitten by a tick and would like to be tested for Lyme disease. Which nursing action is appropriate?
Correct Answer: C
Rationale: The correct answer is C: Refer the client for a blood test immediately. This is appropriate because Lyme disease is diagnosed through blood tests, specifically the enzyme-linked immunosorbent assay (ELIS
A) and Western blot tests. By referring the client for a blood test immediately, the nurse can accurately assess for the presence of Lyme disease. Options A and B are incorrect as testing the tick itself is not necessary for diagnosing Lyme disease. Option D is unnecessary as the size and color of the tick do not impact the diagnosis or treatment of Lyme disease.
Question 2 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 3 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 4 of 5
A nurse is providing care to a child who has an allergy to eggs. The nurse should clarify a prescription for which of the following immunizations?
Correct Answer: D
Rationale: The correct answer is D: Influenza, live attenuated (LAIV). Children with an egg allergy should not receive the LAIV vaccine as it is produced in eggs and may trigger an allergic reaction. The other options (A, B,
C) are not contraindicated in children with egg allergies. IPV, HepB, and Hib vaccines do not contain egg proteins and are safe for children with egg allergies.
Therefore, the nurse should clarify the prescription for Influenza LAIV to ensure the child receives a safe alternative vaccine.
Question 5 of 5
A client arrives at the health care clinic and tells the nurse that she was just bitten by a tick and would like to be tested for Lyme disease. Which nursing action is appropriate?
Correct Answer: C
Rationale: The correct answer is C: Refer the client for a blood test immediately. This is appropriate because Lyme disease is diagnosed through blood tests, specifically the enzyme-linked immunosorbent assay (ELIS
A) and Western blot tests. By referring the client for a blood test immediately, the nurse can accurately assess for the presence of Lyme disease. Options A and B are incorrect as testing the tick itself is not necessary for diagnosing Lyme disease. Option D is unnecessary as the size and color of the tick do not impact the diagnosis or treatment of Lyme disease.