ATI RN
ATI Med Surg Exam 9 Questions
Extract:
Question 1 of 5
The nurse educator asks the student nurse to explain the most common causes of blindness in the United States. Which of the following options will the student nurse select as one of the top causes of blindness?
Correct Answer: D
Rationale: Diabetic retinopathy, affecting 4.1 million adults, damages retinal blood vessels, causing vision loss, and is a top cause of blindness (
Choice
D). Head trauma can cause vision loss but is not a top cause (
Choice
A). Cardiovascular disease is a risk factor, not a direct cause (
Choice
B). Syphilis is a rare cause of blindness (
Choice
C).
Question 2 of 5
A client diagnosed with Barrett's esophagus asks how he developed this. Which of the following responses by the nurse is most accurate?
Correct Answer: B
Rationale: This is the correct answer because gastroesophageal reflux disorder (GER
D) is the most common risk factor for developing Barrett's esophagus. GERD causes stomach acid to flow back into the esophagus, leading to inflammation and cellular changes over time, resulting in Barrett's esophagus.
Question 3 of 5
A client asks the nurse to explain what metabolic syndrome is. Which of the following will the nurse include in education about risk factors for this syndrome?
Correct Answer: A,B,C,D,E
Rationale: All listed factors—obesity, high blood pressure, high triglycerides, hypercholesterolemia, and hyperglycemia—are risk factors for metabolic syndrome, contributing to insulin resistance and cardiovascular disease.
Question 4 of 5
A nurse at an ophthalmology clinic is providing teaching to a client who has open-angle glaucoma and a new treatment regimen of timolol and pilocarpine eye drops. Which of the following instructions should the nurse provide?
Correct Answer: C
Rationale: Administering medications 5 minutes apart prevents dilution or washout of one medication by another. Contact lenses must be removed, the dropper should not touch the eye, and pressure on the conjunctival sac is correct but not the best instruction here.
Question 5 of 5
A client newly diagnosed with glaucoma has a history of asthma. Which of the following medications newly prescribed by the eye doctor will the nurse question?
Correct Answer: B
Rationale: Reason: Antibiotics are not contraindicated for a client with glaucoma and asthma, as they can treat or prevent infections that may affect the eye or the respiratory system. Reason: This is the correct answer because non-selective beta blockers are contraindicated for a client with glaucoma and asthma, as they can reduce intraocular pressure but also cause bronchoconstriction and exacerbate asthma symptoms. Reason: NSAIDs are not contraindicated for a client with glaucoma and asthma, as they can reduce inflammation and pain that may affect the eye or the respiratory system. Reason: Anticoagulants are not contraindicated for a client with glaucoma and asthma, as they can prevent or treat thromboembolic events that may affect the eye or the respiratory system.