ATI RN
ATI Med Surg Exam 9 Questions
Extract:
Question 1 of 5
A nurse in an ophthalmology clinic is interviewing a client who was referred by his primary care provider for suspicion of cataracts. Which of the following findings is consistent with manifestations of cataracts?
Correct Answer: B
Rationale: A decreased ability to perceive colors is a manifestation of cataracts due to lens clouding. Loss of peripheral vision indicates glaucoma, central vision loss indicates macular degeneration, and flashes/floaters suggest retinal detachment.
Question 2 of 5
A nurse at an ophthalmology clinic is providing medication teaching to a client who has open angle glaucoma. Which of the following instructions should the nurse provide?
Correct Answer: D
Rationale: Open angle glaucoma requires lifelong medication to maintain normal intraocular pressure and prevent vision loss.
Question 3 of 5
A client diagnosed with a sty of the eye asks what can be done for treatment. Which of the following options will the nurse provide to the client?
Correct Answer: B
Rationale: Reason: An antifungal cream is not indicated for a sty, which is an infection of the eyelash follicle or sebaceous gland caused by bacteria. Reason: This is the correct answer because warm compresses can help relieve pain and inflammation, and promote drainage of the sty. Reason: Ice and cold compresses are not recommended for a sty, as they can constrict blood vessels and delay healing. Reason: There is no need to test the other eye for vision loss, as a sty does not affect vision unless it is very large or obstructs the pupil.
Question 4 of 5
A nurse is reviewing the medical record of a client who is experiencing delirium. Which of the following in the health record should the nurse identify as a cause of this disorder?
Correct Answer: C
Rationale: Seasonal allergies are not a cause of delirium, but a common condition that affects the respiratory system and causes symptoms such as sneezing, runny nose, itchy eyes, or coughing. History of GERD is not a cause of delirium, but a chronic condition that affects the digestive system and causes symptoms such as heartburn, regurgitation, chest pain, or difficulty swallowing. Benzodiazepines are a cause of delirium, especially in older adults or those with cognitive impairment. Benzodiazepines are a class of drugs that act on the central nervous system and cause sedation, relaxation, and reduced anxiety. However, they can also impair memory, attention, orientation, and judgment, and lead to confusion, agitation, hallucinations, or delusions. Completed antibiotics 10 days ago are not a cause of delirium, but a treatment for bacterial infections. Antibiotics can have side effects such as nausea, diarrhea, rash, or allergic reactions, but they do not cause delirium unless they are toxic or interact with other medications.
Question 5 of 5
The caregiver of an elderly client asks the nurse what can be done about the chronic bilateral inflammation of the eyelid margins that keeps recurring. Which of the following is the information that the nurse will provide?
Correct Answer: C
Rationale: Using baby shampoo on the eyelid margins is effective for cleaning and soothing blepharitis, a chronic eyelid inflammation. Hourly eye drops are excessive and require a prescription, sterile gloves are unnecessary as blepharitis isn’t contagious, and a salt scrub can damage the eye.