the clients pupils are different sizes and have been this way since childhood what is this condition called

ATI RN

Multi Dimensional Care | Final Exam

1. What is the condition called when the client's pupils are different sizes and have been this way since childhood?

A. Exophthalmos
B. Anisocoria
C. Strabismus
D. Scleral edema

Correct answer: B

Rationale: Anisocoria is the correct answer. Anisocoria is the condition of having pupils of different sizes. Exophthalmos refers to abnormal protrusion of the eyeball, not pupil size difference. Strabismus is a condition where the eyes are not properly aligned with each other. Scleral edema is swelling of the sclera, the white part of the eye, and not related to differing pupil sizes.

2. The nurse assesses a deep wound. The area is covered by black and necrotic tissue. What term would the nurse use when documenting this wound?

A. Tunnelling
B. Eschar
C. Blanching
D. Cellulitis

Correct answer: B

Rationale:

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. What should be done immediately after an ankle injury?

A. Immobilize, heat, compress, and elevate the ankle
B. Rest, ice, compress, and lower the ankle
C. Rest, ice, compress, and elevate the ankle
D. Rest, incubate, confine, and lower the ankle

Correct answer: C

Rationale: The correct answer is C: Rest, ice, compress, and elevate the ankle. After an ankle injury, it is essential to follow the RICE method (Rest, Ice, Compression, Elevation) for immediate treatment. Resting the injured ankle helps prevent further damage, applying ice reduces swelling and pain, compression with a bandage provides support and helps control swelling, and elevating the ankle above heart level reduces swelling by allowing fluid to drain away from the injury site. Choices A, B, and D are incorrect because heating, incubating, or confining the ankle can worsen the injury by increasing swelling and inflammation instead of reducing them.