ATI RN
ATI Capstone Week 10 Exam Questions
Extract:
Question 1 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 2 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 3 of 5
A nurse in an emergency department is caring for a client who is suspected to have anaphylaxis following a bee sting. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: The correct answer is C: Administer epinephrine. In anaphylaxis, prompt administration of epinephrine is crucial to reverse the severe allergic reaction and prevent further complications. Epinephrine helps to constrict blood vessels, increase heart rate, and open airways, which are essential in managing anaphylaxis. This immediate action takes priority over other interventions as it can be life-saving. Auscultating for wheezing (
A) is important but not as urgent as administering epinephrine. Assessing the client's level of consciousness (
B) can be done after administering epinephrine to stabilize the client. Monitoring for hypotension (
D) is important, but the first priority is to address the airway compromise and circulatory collapse with epinephrine.
Question 4 of 5
A client arrives at the health care clinic and tells the nurse that she was just bitten by a tick and would like to be tested for Lyme disease. Which nursing action is appropriate?
Correct Answer: C
Rationale: The correct answer is C: Refer the client for a blood test immediately. This is appropriate because Lyme disease is diagnosed through blood tests, specifically the enzyme-linked immunosorbent assay (ELIS
A) and Western blot tests. By referring the client for a blood test immediately, the nurse can accurately assess for the presence of Lyme disease. Options A and B are incorrect as testing the tick itself is not necessary for diagnosing Lyme disease. Option D is unnecessary as the size and color of the tick do not impact the diagnosis or treatment of Lyme disease.
Question 5 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.