ATI RN
Multi Dimensional Care | Final Exam
1. While completing a health history the client reports experiencing blurring of vision in both eyes without associated pain. What condition does the nurse suspect?
- A. Macular degeneration
- B. Cataract
- C. Retinal detachment
- D. Glaucoma
Correct answer: B
Rationale: Cataracts can cause blurring of vision in both eyes without associated pain.
2. The nurse Is teaching the client how to administer eye drops. Which of these actions indicates the need for further client education?
- A. The client sets the cap down in a manner that does not contaminate it.
- B. The client drops the prescribed number of drops into the conjunctival sac
- C. The client washes their hands before instilling the drops
- D. The client ensures that they touch the administration dropper to the eye
Correct answer: D
Rationale: Touching the dropper to the eye contaminates it and can lead to infection.
3. What steps are NOT included in preparing a sterile field?
- A. Do not turn away from the sterile field
- B. Obtain PAPR mask
- C. Prepare the client before setting up the sterile field
- D. Cover the sterile field once it is set up
Correct answer: B
Rationale:
4. A client who is sitting in High-Fowler's position is at risk for what type of injury as the skin layers shift in opposite directions?
- A. Traumatic injury
- B. Pressure injury
- C. Friction injury
- D. Shearing injury
Correct answer: D
Rationale:
5. What soft tissue musculoskeletal injury is excessive stretching of a ligament?
- A. Sprain
- B. Ligament tear
- C. Strain
- D. Tendon rupture
Correct answer: A
Rationale: A sprain is an injury involving excessive stretching of a ligament.
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