ATI RN
ATI Med Surg Exam 9 Questions
Extract:
Question 1 of 5
A nurse is performing a focused assessment for vision on a client suspected of having vision loss. Which cranial nerve is the nurse assessing when determining if there are visual field or visual acuity deficits?
Correct Answer: B
Rationale: Cranial Nerve II, the optic nerve, is responsible for transmitting visual information from the retina to the brain, affecting visual field and acuity. Cranial Nerve VIII is for hearing and balance, Cranial Nerve I is for smell, and Cranial Nerve VII is for facial expressions and taste, none of which affect vision.
Question 2 of 5
A nurse collects health history from a 65 year old client. Which of the following risk factors in the client's history puts the client at the highest risk for embolic stroke?
Correct Answer: A
Rationale: Atrial fibrillation increases the risk of embolic stroke by causing blood pooling in the heart, leading to clot formation that can travel to the brain and block an artery.
Question 3 of 5
A nurse at an ophthalmology clinic is providing medication teaching to a client who has open angle glaucoma. Which of the following instructions should the nurse provide?
Correct Answer: D
Rationale: Open angle glaucoma requires lifelong medication to maintain normal intraocular pressure and prevent vision loss.
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. Which of the following findings is consistent with manifestations of cataracts?
Correct Answer: B
Rationale: A decreased ability to perceive colors is a manifestation of cataracts due to lens clouding. Loss of peripheral vision indicates glaucoma, central vision loss indicates macular degeneration, and flashes/floaters suggest retinal detachment.
Question 5 of 5
A nurse is caring for a client who is experiencing a seizure. Which of the following actions should the nurse take? (Select all that apply)
Correct Answer: D,E
Rationale: Loosening restrictive clothing improves breathing and circulation, and placing a pillow under the head prevents injury. Placing the client supine risks aspiration, restraints can cause injury, and inserting a bite stick can damage teeth or obstruct the airway.