ATI RN
ATI Capstone Adult Medical Surgical Assessment 2
1. What should be taught to a patient following cataract surgery?
- A. Avoid NSAIDs
- B. Wear dark glasses when outdoors
- C. Report green or yellow drainage immediately
- D. Itching is normal unless accompanied by pain and nausea
Correct answer: A
Rationale: The correct answer is to avoid NSAIDs after cataract surgery to reduce the risk of bleeding. Choice B, wearing dark glasses when outdoors, is generally recommended after cataract surgery to protect the eyes from bright sunlight, but it is not the most critical instruction. Choice C, reporting green or yellow drainage immediately, is important to monitor for signs of infection, but it is not specific to cataract surgery. Choice D, itching is normal unless accompanied by pain and nausea, is not the most crucial advice post-cataract surgery. Therefore, the key instruction is to avoid NSAIDs to minimize bleeding risk.
2. To provide effective care for the patient diagnosed with schizophrenia, the nurse should frequently assess for which associated condition? Select one that doesn't apply.
- A. Alcohol use disorder
- B. Major depressive disorder
- C. Stomach cancer
- D. Polydipsia
Correct answer: C
Rationale: Schizophrenia is often associated with comorbid conditions such as alcohol use disorder, major depressive disorder, polydipsia, and metabolic syndrome. Stomach cancer is not a common associated condition with schizophrenia and would not be a typical focus of assessment in managing a patient with this mental health disorder.
3. The patient has been in bed for several days and needs to be ambulated. What action should the nurse take first?
- A. Dangle the patient at the bedside.
- B. Encourage isometric exercises.
- C. Suggest a high-calcium diet.
- D. Maintain a narrow base of support.
Correct answer: A
Rationale: The correct answer is A: 'Dangle the patient at the bedside.' When a patient has been in bed for an extended period and needs to be ambulated, it is essential to dangle the patient at the bedside first. Dangling involves helping the patient sit on the edge of the bed with their legs over the side before standing up. This action helps prevent orthostatic hypotension, a sudden drop in blood pressure when moving from lying down to standing up, which can lead to dizziness or fainting. Encouraging isometric exercises (choice B) or suggesting a high-calcium diet (choice C) are not the first actions to take before ambulating a patient. Maintaining a narrow base of support (choice D) is related to assisting with ambulation but is not the initial step that should be taken.
4. Newborns of smoking mothers __________.
- A. are more attentive to sounds
- B. display more muscle tension
- C. less often have colic
- D. are less excitable when visually stimulated Answer: B Page Ref: 84 Skill Level: Understand known or suspected teratogens. Copyright © 2018 Laura E. Berk. All Rights Reserved. 12 Test Bank for Berk, Development Through the Lifespan, 7e Topic: Prenatal Environmental Influences Difficulty Level: Moderate
Correct answer: B
Rationale: Newborns of smoking mothers display more muscle tension. This is because nicotine in cigarettes can lead to increased muscle tension in babies, which can affect their physical development and potentially lead to future health issues. This is one of the negative effects of smoking during pregnancy on the developing fetus.
5. A nurse is teaching a client who has a new prescription for iron supplements. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should take this medication with a glass of milk.
- B. I will take this medication with orange juice.
- C. I should expect my stools to be black and tarry.
- D. I will take this medication before bedtime.
Correct answer: C
Rationale: The correct answer is C. When a client understands the teaching about iron supplements, they should know that black, tarry stools are a normal side effect. This indicates that the medication is being absorbed and working effectively. Choices A and B are incorrect because iron supplements should not be taken with milk or orange juice, as these can interfere with the absorption of iron. Choice D is also incorrect because iron supplements are usually best absorbed on an empty stomach, so taking them before bedtime may not be ideal.
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