ATI RN
ATI Capstone Week 10 Exam Questions
Extract:
Question 1 of 5
A home health nurse is assessing an older adult client in the home who has decreased vision due to a history of glaucoma. Which of the following findings should the nurse identify as a safety risk?
Correct Answer: B
Rationale: The correct answer is B: Scatter rugs are present in the kitchen. Scatter rugs can pose a safety risk to an older adult with decreased vision as they can easily trip over them. The uneven surface and lack of secure attachment make them a hazard. Electrical cords along the walls (
A) can be easily avoided if noticed. Handrails in the bathroom (
C) provide support and enhance safety. Using a microwave for cooking (
D) is a safe and convenient method for individuals with visual impairments.
Question 2 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 3 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 4 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 5 of 5
A nurse is caring for a client who has bilateral eye patches in place following an injury. When the client’s food tray arrives, which of the following interventions should the nurse take to promote independence in eating?
Correct Answer: D
Rationale: The correct answer is D: Describe to the client the location of the food on the tray. By verbally guiding the client on the location of the food items, the nurse promotes independence in eating by enabling the client to locate and feed herself. This approach respects the client's autonomy and empowers her to make choices regarding her meal.
Explanation of other choices:
A: Asking the client if she would prefer a liquid diet does not directly promote independence in eating and may limit the client's options without her consent.
B: Assigning an assistive personnel to feed the client removes the client's autonomy and does not foster independence.
C: Placing the client's hands on the tray without explanation does not empower the client to make informed choices.
E, F, G: No additional choices provided.