ATI RN
ATI Capstone Week 10 Exam Questions
Extract:
Question 1 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.
Question 2 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 3 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 4 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 5 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: The correct answer is D: Air conduction is less than bone conduction in the left ear. In conductive hearing loss, there is a problem conducting sound waves through the outer or middle ear. During the Rinne test, the tuning fork is first placed on the mastoid process behind the ear to test bone conduction. If the client has conductive hearing loss in the left ear, bone conduction will be better than air conduction when the tuning fork is placed near the ear canal. This indicates that the sound is better conducted through the bone (mastoid) than through the air (ear canal), confirming conductive hearing loss in the left ear.
Incorrect choices:
A: Sound is lateralizing to the right ear - This is not indicative of conductive hearing loss.
B: Sound is lateralizing to the left ear - Lateralization does not provide information about conductive hearing loss.
C: Air conduction is greater than bone conduction in the left ear - This result