ATI RN
ATI Capstone Week 10 Exam Questions
Extract:
Question 1 of 5
A nurse is talking with a client who is scheduled for surgery to repair retinal detachment. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Restrict head movement. This instruction is crucial post-retinal detachment surgery to prevent any sudden movements that could potentially disrupt the surgical site and worsen the detachment. Cool compresses (
A) are not recommended as they could increase intraocular pressure. Eye drops to constrict pupils (
B) are not typically prescribed post-surgery for retinal detachment. Keeping both eyes patched (
D) is not necessary as it can obstruct vision in the unaffected eye.
Question 2 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 3 of 5
A client calls the health care clinic and asks the nurse to describe the first signs of Lyme disease. The nurse informs the client to watch for which signs/symptoms of stage I Lyme disease?
Correct Answer: C
Rationale: The correct answer is C: Rash symptoms. In stage I Lyme disease, a characteristic symptom is a circular rash called erythema migrans. This rash typically appears at the site of the tick bite and expands over time. It is important for the client to watch for this specific rash as it is a hallmark sign of early Lyme disease. Headaches and blurred vision (choice
A) are not typically associated with early Lyme disease. Tremors and weakness (choice
B) are more commonly seen in later stages of the disease. Painful joints (choice
D) may occur in later stages as well but are not specific to stage I Lyme disease.
Question 4 of 5
A nurse is reviewing discharge instructions with a client following a right cataract extraction. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Avoid lifting anything heavier than 4.5 kg (10 lb) for 1 week. This instruction is important post-cataract surgery to prevent strain on the eye and promote proper healing. Lifting heavy objects can increase intraocular pressure, potentially causing complications. The other choices are incorrect: A is not relevant to post-cataract surgery care, B is incorrect as sleeping on the abdomen can put pressure on the eye, D is incorrect as bending at the waist can also increase intraocular pressure.
Question 5 of 5
A client diagnosed with bowel cancer has recently received a course of chemotherapy and has now developed stomatitis. The nurse provides instructions to the client regarding the condition and determines the need for further teaching if the client makes which statement?
Correct Answer: C
Rationale: The correct answer is C: "I need to be careful not to spread this to my family." Stomatitis is not contagious and cannot be spread to others.
Therefore, if the client expresses concern about spreading it to their family, it indicates a need for further teaching. The other options are incorrect because: A: Drinking room temperature beverages is recommended to help soothe the mouth. B: Taking analgesics can help manage the pain associated with stomatitis. D: Chemotherapy can indeed affect the immune system, leading to stomatitis as a side effect.