ATI RN
ATI Comprehensive Predictor 2023 Questions
Question 1 of 5
A nurse is providing teaching to a client who has a new prescription for albuterol. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Use this medication 30 min before exercise. Albuterol is a bronchodilator that helps open up the airways, making it easier to breathe. Using it before exercise can help prevent exercise-induced bronchospasm. Taking it once daily at bedtime (
A) is incorrect as albuterol is usually used as needed for quick relief. Rinsing the mouth after using the inhaler (
B) is important to prevent oral thrush from steroid inhalers, not albuterol. Avoiding shaking the inhaler before use (
D) is incorrect, as shaking the inhaler helps mix the medication for proper delivery.
Question 2 of 5
A nurse is caring for a client who has a new diagnosis of type 1 diabetes mellitus. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Increased thirst. In type 1 diabetes mellitus, the body is unable to produce insulin, leading to high blood sugar levels. This results in increased thirst as the body tries to get rid of excess glucose through urination, causing dehydration. Weight gain (
A) is not expected as uncontrolled diabetes often leads to weight loss. Bradycardia (
C) and hypertension (
D) are not typical findings in type 1 diabetes; instead, tachycardia and hypotension may occur due to dehydration.
Question 3 of 5
A nurse is assessing a client who is receiving mechanical ventilation. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: High-pressure alarm sounding. This finding indicates a potential issue with the mechanical ventilation system, such as obstruction or increased resistance in the airway, which can lead to inadequate ventilation and oxygenation. The nurse should report this immediately to prevent respiratory compromise.
Incorrect choices:
A: Endotracheal tube secured at 22 cm at the lips - This is within the acceptable range for tube placement.
C: Oxygen saturation of 95% - This is a normal oxygen saturation level.
D: Respiratory rate of 16/min - This is a normal respiratory rate.
Question 4 of 5
A nurse is providing teaching to a client about the adverse effects of sertraline. Which of the following adverse effects should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Excessive sweating. Sertraline, a selective serotonin reuptake inhibitor (SSRI), commonly causes excessive sweating as an adverse effect. This is due to its effect on serotonin levels in the body. Excessive sweating can be bothersome for some individuals and should be monitored.
A: Increased urinary frequency is not a common adverse effect of sertraline.
B: Dry cough is not typically associated with sertraline use.
C: Metallic taste in mouth is not a common adverse effect of sertraline.
Overall, excessive sweating is the most relevant adverse effect to include in client teaching for sertraline.
Question 5 of 5
A nurse is assessing a client who has a new diagnosis of chronic obstructive pulmonary disease (COPD). Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Barrel chest. In COPD, the chronic inflammation and air trapping in the lungs lead to overinflation and enlargement of the chest, resulting in a barrel-shaped appearance. This occurs due to increased residual volume and decreased expiratory flow rate. Bradypnea (
A) is not typically associated with COPD as patients often have tachypnea. Weight gain (
C) is less likely in COPD due to increased energy expenditure from breathing difficulties. Hypoxemia (
D) is a common complication of COPD but not a specific finding in initial assessment.