ATI RN
ATI Capstone Week 10 Exam Questions
Extract:
Question 1 of 5
A nurse is monitoring a client who has experienced anaphylactic shock. Which manifestations are associated with this condition? (Select all that apply.)
Correct Answer: B,C,D,F
Rationale: The correct manifestations associated with anaphylactic shock are chest pain, dyspnea, angioedema, and urticaria. Chest pain can result from decreased oxygen delivery to the heart due to decreased blood flow. Dyspnea is caused by bronchoconstriction and swelling of the airways. Angioedema is the swelling of deeper layers of the skin, often around the eyes or lips. Urticaria is the appearance of hives or raised, red, itchy welts on the skin. Increased awareness and hypertension are not typically associated with anaphylactic shock.
Therefore, choices A and E are incorrect.
Question 2 of 5
A nurse is planning care for a client 1 day postoperative following a detached retinal repair. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Avoid reading and writing. Following a detached retinal repair, the client should avoid activities that strain the eyes, such as reading and writing, to prevent increased intraocular pressure and potential damage to the surgical site. Reading and writing can lead to eye strain and may impede the healing process. It is important to limit activities that require intense visual focus to promote optimal recovery. The other choices are incorrect because: A: Ambulating is generally encouraged postoperatively to prevent complications such as blood clots. B: Keeping the eye patch on during the day is crucial for protection and healing. C: Encouraging coughing and deep-breathing is important for lung expansion and preventing respiratory complications.
Question 3 of 5
A nurse is providing discharge instructions for a client following surgery with insertion of an intraocular lens. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Restrict lifting objects greater than 10 pounds. After intraocular lens surgery, the client should avoid lifting heavy objects to prevent increased intraocular pressure which can lead to complications. Option A is incorrect because vision should improve, not reduce, after the procedure. Option C is incorrect as aspirin can increase the risk of bleeding post-surgery. Option D is incorrect as warm compresses can increase inflammation and discomfort.
Question 4 of 5
A nurse is teaching a client about the seven warning signs of cancer. Which of the following signs should the nurse include as manifestations of cancer? (Select all that apply.)
Correct Answer: A,B,C,D
Rationale: The correct signs of cancer are A, B, C, and D. A nagging cough can indicate lung or throat cancer. A non-healing sore may be a sign of skin cancer. Changes in moles can signal skin cancer. Changes in bowel pattern can be indicative of colorectal cancer. These signs are commonly associated with various types of cancer and should not be ignored.
Choices E, F, and G are incorrect as bloating alone is not a specific warning sign of cancer.
Question 5 of 5
A nurse is caring for a client who has a new diagnosis of systemic lupus erythematosus (SLE) and asks where this disease originates within the body. The nurse should tell the client that SLE originates in which of the following locations in the body?
Correct Answer: A
Rationale:
Correct Answer: A - Connective tissue
Rationale: Systemic lupus erythematosus (SLE) is an autoimmune disease where the immune system attacks healthy tissue. Connective tissue is the primary target in SLE. This tissue includes joints, skin, and organs. In SLE, immune complexes deposit in connective tissue, leading to inflammation and damage. The other choices are incorrect because SLE primarily affects the connective tissue rather than the peripheral vascular system, lymphatic system, or skeletal tissue.