the 65 year old male client who is complaining of blurred vision reports he thinks his glasses need to be cleaned all the time and he denies any type

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. The 65-year-old male client who is complaining of blurred vision reports he thinks his glasses need to be cleaned all the time and he denies any type of eye pain. Which eye disorder should the nurse suspects the clients has?

A. Cataracts
B. Diabetic retinopathy
C. Corneal dystrophy
D. Conjunctivitis

Correct answer: A

Rationale:

2. The following client come to the ophthalmology clinic. Which client needs to be seen first?

A. Client who had recent cataract surgery and has worsening vision
B. Client with an absent red reflex on ophthalmic examination
C. Client with an intraocular pressure of 24 mm Hg
D. Client with a tearing, reddened eye with exudate

Correct answer: A

Rationale: Worsening vision after cataract surgery requires immediate attention to prevent complications.

3. What is the priority nursing diagnosis after surgery to repair a fracture?

A. Disturbed body image
B. Risk for infection
C. Risk for impaired skin integrity
D. Acute pain

Correct answer: B

Rationale: The correct answer is B: Risk for infection. After surgery to repair a fracture, the priority nursing diagnosis is to monitor for the risk of infection to promote proper healing. Infections can significantly delay the healing process and lead to further complications. Choices A, C, and D are not the priority immediately post-surgery. Disturbed body image, risk for impaired skin integrity, and acute pain may be concerns but are not the priority in the immediate post-operative period following fracture repair.

4. A nurse is assessing a client with hallux valgus. What is another term for this assessment finding?

A. Thoracic deformity
B. A bunion
C. A corn
D. Metacarpal involvement

Correct answer: B

Rationale: Hallux valgus is commonly known as a bunion, which is a bony bump that forms on the joint at the base of the big toe. A) Thoracic deformity is unrelated to hallux valgus. C) A corn is a thickened area of skin on the foot, not synonymous with hallux valgus. D) Metacarpal involvement refers to the hand, not the foot where hallux valgus occurs.