ATI RN
ATI Capstone Week 10 Exam Questions
Extract:
Question 1 of 5
A nurse is admitting a client who has a partial hearing loss. Which of the following is the priority action by the nurse?
Correct Answer: B
Rationale: The correct answer is B because determining if the client uses hearing aids is crucial to facilitate effective communication and ensure the client's needs are met. By knowing if the client uses hearing aids, the nurse can adjust communication strategies accordingly. Rephrasing statements (
A) is helpful but not the priority. Speaking directly in front of the client (
C) may not be sufficient for optimal communication. Using hand gestures (
D) may not be effective if the client relies on hearing aids.
Question 2 of 5
What is the purpose of administering diphenhydramine before a blood transfusion?
Correct Answer: D
Rationale: The correct answer is D:
To prevent urticaria. Diphenhydramine is an antihistamine that helps prevent allergic reactions, such as hives (urticaria), during blood transfusions. It does not expand blood volume (
A), enhance clotting factors (
B), or avoid fever and chills (
C) specifically related to blood transfusions. By blocking histamine release, diphenhydramine helps mitigate the risk of allergic reactions, making it the appropriate choice for pre-treatment before a blood transfusion.
Question 3 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 4 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
Question 5 of 5
A nurse is admitting a client who has a partial hearing loss. Which of the following is the priority action by the nurse?
Correct Answer: B
Rationale: The correct answer is B because determining if the client uses hearing aids is crucial to facilitate effective communication and ensure the client's needs are met. By knowing if the client uses hearing aids, the nurse can adjust communication strategies accordingly. Rephrasing statements (
A) is helpful but not the priority. Speaking directly in front of the client (
C) may not be sufficient for optimal communication. Using hand gestures (
D) may not be effective if the client relies on hearing aids.