ATI RN
ATI Capstone Week 10 Exam Questions
Extract:
Question 1 of 5
A client calls the health care clinic and asks the nurse to describe the first signs of Lyme disease. The nurse informs the client to watch for which signs/symptoms of stage I Lyme disease?
Correct Answer: C
Rationale: The correct answer is C: Rash symptoms. In stage I Lyme disease, a characteristic symptom is a circular rash called erythema migrans. This rash typically appears at the site of the tick bite and expands over time. It is important for the client to watch for this specific rash as it is a hallmark sign of early Lyme disease. Headaches and blurred vision (choice
A) are not typically associated with early Lyme disease. Tremors and weakness (choice
B) are more commonly seen in later stages of the disease. Painful joints (choice
D) may occur in later stages as well but are not specific to stage I Lyme disease.
Question 2 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 3 of 5
Which instructions would the nurse provide to the client about the prevention and early detection of Lyme disease? (Select all that apply.)
Correct Answer: B,D,F
Rationale: The correct instructions for Lyme disease prevention are B, D, and F.
B: Avoiding heavily wooded areas reduces exposure to ticks carrying Lyme disease.
D: Wearing long-sleeved tops and pants with closed shoes minimizes skin contact with ticks.
F: Bathing after exposure and inspecting the body for ticks helps in early detection.
Avoiding insect repellent (
A) is incorrect as it is recommended for tick prevention. Dark clothing (
C) does not affect tick exposure. Immediate blood testing for a tick bite (E) is unnecessary.
Question 4 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 5 of 5
A nurse is providing education for a client with glaucoma. Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D. The nurse should include in the teaching that without treatment, glaucoma can cause blindness because it is crucial for the client to understand the potential consequences of untreated glaucoma. Glaucoma is a group of eye conditions that can damage the optic nerve and lead to vision loss or blindness if left untreated. By emphasizing this point, the nurse can stress the importance of compliance with treatment to prevent irreversible vision impairment.
The other choices are incorrect:
A: Use of eye drops will improve vision over time - This is incorrect as while eye drops can help manage the condition and prevent further damage, they do not cure glaucoma or improve vision.
B: Double vision is a common symptom of glaucoma - Double vision is not a common symptom of glaucoma. Symptoms typically include gradual loss of peripheral vision.
C: Glaucoma is caused by inadequate production of fluid within the eye - Glaucoma is actually caused by increased pressure in the eye due to fluid