ATI RN
ATI RN Capstone Proctored Comprehensive Assessment Exam A Questions
Extract:
Question 1 of 5
In which order should the nurse perform the following steps for administering timolol eye drops? A. Administer the prescribed number of drops, B. Apply gentle pressure to the client's punctum, C. Tilt the client's head backward toward the ceiling, D. Pull the client's lower lid down with the nondominant hand, E. Verify the clarity and color of the eye drops.
Correct Answer: E,C,D,A,B
Rationale: The correct order for administering timolol eye drops is as follows:
E. Verify the clarity and color of the eye drops - This step ensures the correct medication is being used.
C. Tilt the client's head backward toward the ceiling - This position helps the drops enter the eye properly.
D. Pull the client's lower lid down with the nondominant hand - This helps create a pocket for the drops.
A. Administer the prescribed number of drops - The actual administration of the medication.
B. Apply gentle pressure to the client's punctum - This helps prevent systemic absorption of the medication.
The other choices are incorrect because they are not in the correct sequence for administering eye drops effectively.
Question 2 of 5
A nurse observes two assistive personnel (AP) discussing a client's information in the facility cafeteria. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Remind the AP about maintaining client confidentiality. The nurse should address the issue directly with the AP to reinforce the importance of maintaining client confidentiality. This action helps educate the AP on proper conduct and ensures compliance with privacy regulations.
Choices B, C, and D are incorrect because they do not address the immediate issue at hand and may escalate the situation unnecessarily. Notifying the client could breach confidentiality further, involving the ethics committee may be premature, and filing an incident report without addressing the behavior directly may not prevent future violations.
Question 3 of 5
A nurse is teaching a client who is postpartum about caring for their newborn's umbilical cord. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Wash the area around the base of the cord with water. This instruction is essential for maintaining hygiene and preventing infection. Washing the area with water helps keep it clean without introducing potential irritants or pathogens. It is important to avoid using alcohol or other substances that may delay healing or cause irritation.
Choices B, C, and D are incorrect. B: Covering the cord with the upper edge of the diaper can trap moisture, leading to infection. C: Reporting minor bleeding when the cord's stump falls off is normal and expected. D: Applying petroleum jelly can create a moist environment that promotes bacterial growth.
Question 4 of 5
A nurse is performing an eye examination on a client. Which of the following findings should indicate to the nurse that the client might have cataracts?
Correct Answer: A
Rationale:
Correct Answer: A - A bluish-white colored pupil
Rationale: A bluish-white colored pupil can indicate the presence of cataracts, which cause clouding of the lens in the eye, leading to changes in pupil color. This finding is specific to cataracts.
Summary of Incorrect
Choices:
B: Decrease in peripheral vision - More indicative of conditions like glaucoma or retinal detachment.
C: Increased intraocular pressure - Suggestive of glaucoma, not cataracts.
D: Loss of central vision - Related to conditions like macular degeneration, not cataracts.
Question 5 of 5
A nurse is teaching a client about using transdermal scopolamine to treat motion sickness. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Apply the patch prior to traveling. This is because transdermal scopolamine needs time to take effect before exposure to motion sickness triggers. Storing patches in the refrigerator (
A) is unnecessary and may affect the patch's efficacy. Placing the patch on the upper arm (
C) is incorrect as it should be applied behind the ear. Replacing a dislodged patch onto the same location (
D) is wrong because it may have lost its effectiveness.