ATI RN
ATI Capstone Week 10 Exam Questions
Extract:
Question 1 of 5
During a routine physical examination, a nurse observes a 1-cm (0.4-in) lesion on a client’s chest. The lesion is raised and flesh-colored with pearly and waxy borders that are well defined. The nurse should recognize that this finding is suggestive of which of the following types of skin cancer?
Correct Answer: D
Rationale: The correct answer is D: Basal cell carcinoma. This type of skin cancer is characterized by raised, flesh-colored lesions with pearly and waxy borders that are well-defined. Basal cell carcinoma is the most common type of skin cancer and typically appears on sun-exposed areas like the chest. Actinic keratosis (choice
A) presents as rough, scaly patches; malignant melanoma (choice
B) usually appears as an irregularly shaped, dark-colored mole; squamous cell carcinoma (choice
C) manifests as red, scaly patches or open sores.
Therefore, based on the specific characteristics described in the question, the most appropriate choice is D.
Question 2 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.
Question 3 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 4 of 5
A nurse is assessing a client who has an acoustic neuroma. Which of the following client manifestations should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Vertigo. Acoustic neuroma is a benign tumor affecting the vestibulocochlear nerve, leading to vertigo due to disruption of balance signals. Dysphagia (
A) pertains to swallowing difficulties, not typically associated with acoustic neuroma. Apraxia (
B) is a motor planning disorder. Diplopia (
D) refers to double vision, not a common symptom of acoustic neuroma. In summary, vertigo is the key manifestation due to the tumor's impact on the vestibular nerve, distinguishing it from the other choices.
Question 5 of 5
The nurse is collecting data to determine the client’s risk factors related to cervical cancer. The nurse determines which information to be significant?
Correct Answer: A
Rationale: The correct answer is A: Multiple sexual partners. This is significant because having multiple sexual partners increases the risk of exposure to human papillomavirus (HPV), a major risk factor for cervical cancer. Option B, multiple pregnancies, is incorrect as it is not directly linked to cervical cancer. Option C, late onset of menarche, does not directly impact cervical cancer risk. Option D, use of a diaphragm, is not a significant risk factor compared to HPV exposure.