ATI RN
ATI Capstone Week 10 Exam Questions
Extract:
Question 1 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: The correct answer is C: Notify the surgeon. When purulent drainage is observed postoperatively following a corneal transplant, it indicates a potential infection. The nurse's priority is to notify the surgeon immediately to address the infection promptly to prevent further complications. Applying a non-pressure patch (choice
A) or cleaning the eye (choice
B) may not address the underlying infection. Instilling an antibiotic solution (choice
D) without consulting the surgeon may not be appropriate as the surgeon may need to assess the situation first.
Question 2 of 5
A nurse is caring for a client following cataract surgery. Which of the following comments from the client should the nurse report to the client’s provider?
Correct Answer: D
Rationale: The correct answer is D because the client complaining of severe pain post cataract surgery could indicate a potential complication or inadequate pain management. Reporting this to the provider promptly is crucial to ensure proper assessment and intervention. Option A is incorrect as it shows the client is following post-op instructions. Option B is common after cataract surgery and can be managed easily. Option C is a common concern post-surgery, and the nurse can address it by ensuring a safe environment.
Question 3 of 5
A nurse is instructing the caregiver of a child who has bacterial conjunctivitis and a new prescription for an ophthalmic ointment. Which of the following instructions should the nurse provide?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale: Applying the ointment in a thin line into the conjunctival sac ensures proper distribution and maximum absorption. This method prevents contamination and minimizes wastage. It also allows the medication to stay in contact with the affected area for a longer period, enhancing its therapeutic effect.
Summary of Incorrect
Choices:
B: Asking the child to look down is unnecessary and not relevant to the application of ointment into the conjunctival sac.
C: Using a sterile glove and applicator may be recommended in certain situations, but it is not essential for applying ophthalmic ointment in this case.
D: Wiping from the outer to the inner canthus when wiping away secretions is unrelated to the correct application of ophthalmic ointment for bacterial conjunctivitis.
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
Which instructions would the nurse provide to the client about the prevention and early detection of Lyme disease? (Select all that apply.)
Correct Answer: B,D,F
Rationale: The correct instructions for Lyme disease prevention are B, D, and F.
B: Avoiding heavily wooded areas reduces exposure to ticks carrying Lyme disease.
D: Wearing long-sleeved tops and pants with closed shoes minimizes skin contact with ticks.
F: Bathing after exposure and inspecting the body for ticks helps in early detection.
Avoiding insect repellent (
A) is incorrect as it is recommended for tick prevention. Dark clothing (
C) does not affect tick exposure. Immediate blood testing for a tick bite (E) is unnecessary.