ATI RN
ATI Capstone Week 10 Exam Questions
Extract:
Question 1 of 5
A nurse in an emergency department is caring for a client who is suspected to have anaphylaxis following a bee sting. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Administering epinephrine is the first action to counteract anaphylaxis and stabilize the client. Auscultation, consciousness assessment, and hypotension monitoring follow.
Question 2 of 5
A nurse is assessing a client for conductive hearing loss. When using the Rinne test, which of the following results should the nurse identify as an indication that the client has conductive hearing loss of the left ear?
Correct Answer: D
Rationale: Air conduction less than bone conduction in the left ear indicates conductive hearing loss. Normal hearing shows air conduction greater than bone conduction.
Question 3 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: Erythema migrans rash is the hallmark of stage I Lyme disease. Headaches, tremors, and joint pain occur in later stages or other conditions.
Question 4 of 5
A nurse is providing teaching to the parent of a child undergoing tympanostomy tube insertion. Which of the following statements should the nurse include?
Correct Answer: D
Rationale: Tympanostomy tubes typically fall out naturally within 6-12 months. Water exposure risks infection, nightly removal is incorrect, and routine replacement is unnecessary.
Question 5 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: Notifying the surgeon is the priority because purulent drainage may indicate a serious infection or complication requiring immediate medical evaluation. A non-pressure patch, cleaning the eye, or instilling antibiotics are secondary actions pending surgeon’s orders.