ATI RN
ATI Capstone Week 10 Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has an acoustic neuroma. Which of the following client manifestations should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Vertigo. Acoustic neuroma is a benign tumor affecting the vestibulocochlear nerve, leading to vertigo due to disruption of balance signals. Dysphagia (
A) pertains to swallowing difficulties, not typically associated with acoustic neuroma. Apraxia (
B) is a motor planning disorder. Diplopia (
D) refers to double vision, not a common symptom of acoustic neuroma. In summary, vertigo is the key manifestation due to the tumor's impact on the vestibular nerve, distinguishing it from the other choices.
Question 2 of 5
A nurse in an ophthalmology clinic is interviewing a client who was referred by his primary care provider for suspicion of cataracts. The nurse should expect the client to report:
Correct Answer: A
Rationale: The correct answer is A: Having a decreased ability to perceive colors. Cataracts are characterized by a clouding of the eye's lens, leading to reduced color perception. This occurs because the lens becomes less transparent, impacting the ability to see colors clearly.
Choices B, C, and D are incorrect as they are more indicative of other eye conditions such as glaucoma (B - loss of peripheral vision), retinal detachment (C - bright flashes of light and floaters), and macular degeneration (D - loss of central vision).
Therefore, based on the symptoms described in the question, the most likely complaint from a client with cataracts would be a decreased ability to perceive colors due to the clouding of the lens.
Question 3 of 5
A nurse is caring for a client who has progressive presbycusis. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Speak directly to the client in a normal, clear voice. This is the most appropriate action as it ensures effective communication without being patronizing or disrespectful. Speaking directly and clearly helps the client understand the information being conveyed. Speaking loudly (
A) may distort sound and not necessarily improve comprehension. Using sign language (
B) assumes the client knows sign language, which may not be the case. Speaking slowly (
C) can be perceived as condescending and may not necessarily improve understanding.
Question 4 of 5
While working in the emergency department, the unit secretary says, “We just got a call that someone with a severe peanut allergy accidentally ate peanuts and is on the way.” Which emergency equipment would the nurse gather to prepare for the client’s arrival? (Select all that apply.)
Correct Answer: A,B
Rationale: The correct answer is A,B.
A: Intubation equipment and oxygen are essential for managing anaphylaxis, as severe allergic reactions can lead to airway compromise and respiratory distress.
B: Epinephrine is the first-line treatment for anaphylaxis to reverse the allergic reaction and stabilize blood pressure.
Incorrect choices:
C: Blood administration equipment is not necessary for managing a severe peanut allergy reaction.
D: Foley catheter is unrelated to the immediate management of anaphylaxis.
Question 5 of 5
A community health nurse is preparing a poster for an educational session for a group of women with whom she will be discussing the risk factors for breast cancer. Which factors increase the risk for breast cancer and should be listed on the poster? (Select all that apply.)
Correct Answer: A,C,D
Rationale: The correct answer choices A, C, and D increase the risk for breast cancer. A family history of breast cancer indicates a genetic predisposition. Exposure to high-dose radiation can damage breast cells, increasing cancer risk. Previous cancers of the breast, uterus, or ovaries may indicate hormonal imbalances or genetic factors.
Choices B, E, F, and G are incorrect because multiparity (having multiple children) is actually associated with a decreased risk of breast cancer. The remaining choices E, F, and G do not have a direct link to increased breast cancer risk.