ATI RN
ATI Capstone Week 10 Exam Questions
Extract:
Question 1 of 5
Which instructions would the nurse provide to the client about the prevention and early detection of Lyme disease? (Select all that apply.)
Correct Answer: B,D,F
Rationale: The correct instructions for Lyme disease prevention are B, D, and F.
B: Avoiding heavily wooded areas reduces exposure to ticks carrying Lyme disease.
D: Wearing long-sleeved tops and pants with closed shoes minimizes skin contact with ticks.
F: Bathing after exposure and inspecting the body for ticks helps in early detection.
Avoiding insect repellent (
A) is incorrect as it is recommended for tick prevention. Dark clothing (
C) does not affect tick exposure. Immediate blood testing for a tick bite (E) is unnecessary.
Question 2 of 5
A nurse is caring for a toddler who has otitis media. Which of the following assessment findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Tugging on the affected ear lobe. This is a common sign of otitis media in toddlers, indicating pain or discomfort. Tugging on the ear is often a way for the child to relieve pressure and discomfort caused by the infection. It is important for the nurse to recognize this sign as it can help in the diagnosis and management of otitis media.
A: Erythema and edema of the affected ear may be present but are not specific to otitis media.
B: Pain when manipulating the affected ear lobe is possible but not as indicative as tugging.
D: Clear drainage from the affected ear is more commonly seen in cases of otitis externa, not otitis media.
Question 3 of 5
A nurse is caring for a client who is HIV positive and is one day postoperative following an appendectomy. The nurse should wear a gown as personal protective equipment when taking which of the following actions?
Correct Answer: B
Rationale: The correct answer is B: Completing a dressing change. When performing a dressing change on a postoperative client who is HIV positive, there is a risk of exposure to the client's blood or bodily fluids. Wearing a gown as personal protective equipment helps to protect the nurse from potential contact with infectious materials during the procedure. Administering an IM injection (choice
A) typically does not require a gown unless there is a risk of splashing. Administering an intermittent IV bolus medication (choice
C) may require gloves but not necessarily a gown. Talking to the client at the bedside (choice
D) does not warrant the use of a gown unless there is a specific risk of exposure to bodily fluids during the conversation.
Question 4 of 5
A nurse in an emergency department is caring for a client who is suspected to have anaphylaxis following a bee sting. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: The correct answer is C: Administer epinephrine. In anaphylaxis, prompt administration of epinephrine is crucial to reverse the severe allergic reaction and prevent further complications. Epinephrine helps to constrict blood vessels, increase heart rate, and open airways, which are essential in managing anaphylaxis. This immediate action takes priority over other interventions as it can be life-saving. Auscultating for wheezing (
A) is important but not as urgent as administering epinephrine. Assessing the client's level of consciousness (
B) can be done after administering epinephrine to stabilize the client. Monitoring for hypotension (
D) is important, but the first priority is to address the airway compromise and circulatory collapse with epinephrine.
Question 5 of 5
A nurse is providing care to a child who has an allergy to eggs. The nurse should clarify a prescription for which of the following immunizations?
Correct Answer: D
Rationale: The correct answer is D: Influenza, live attenuated (LAIV). Children with an egg allergy should not receive the LAIV vaccine as it is produced in eggs and may trigger an allergic reaction. The other options (A, B,
C) are not contraindicated in children with egg allergies. IPV, HepB, and Hib vaccines do not contain egg proteins and are safe for children with egg allergies.
Therefore, the nurse should clarify the prescription for Influenza LAIV to ensure the child receives a safe alternative vaccine.