ATI RN
ATI Comprehensive Predictor 2023 Exit Exam B Questions
Question 1 of 5
A nurse is providing teaching to a client who has a new prescription for latanoprost eye drops for open-angle glaucoma. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Removing contact lenses before instilling latanoprost eye drops prevents the lenses from absorbing the medication or becoming damaged, ensuring proper administration for open-angle glaucoma.
Choice A is incorrect because latanoprost is typically instilled in the evening, as it is most effective at night to reduce intraocular pressure.
Choice C is incorrect because, while iris darkening is a possible side effect, it is not guaranteed or permanent in all clients and is not the priority instruction.
Choice D is incorrect because applying pressure to the inner corner (nasolacrimal duct) of the eye, not the outer corner, prevents systemic absorption, but this is less critical than ensuring proper administration.
Question 2 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: A
Rationale: A barrel-shaped chest is a common finding in COPD due to chronic hyperinflation of the lungs, causing the chest to appear rounded and the anteroposterior diameter to increase.
Choice B is incorrect because COPD typically causes tachypnea (rapid breathing) as the body compensates for reduced oxygen exchange, not bradypnea.
Choice C is incorrect because, while clubbing of fingers can occur in advanced COPD with chronic hypoxia, it is less common and not a primary finding.
Choice D is incorrect because weight loss, not weight gain, is typical in COPD due to increased metabolic demand and difficulty eating from dyspnea.
Question 3 of 5
A nurse is caring for a client who has a traumatic brain injury and is receiving mechanical ventilation. Which of the following actions should the nurse take to prevent intracranial pressure (ICP) elevation?
Correct Answer: A
Rationale: Maintaining the head of the bed at a 30-degree angle promotes venous drainage from the brain, reducing intracranial pressure in clients with traumatic brain injury.
Choice B is incorrect because suctioning the endotracheal tube every 2 hours is not routine; it should be done only as needed to avoid hypoxia and ICP spikes.
Choice C is incorrect because, while mannitol is used to reduce ICP, its administration is a medical order, not a nursing action, and requires monitoring for side effects.
Choice D is incorrect because hyperventilation is no longer recommended, as it can cause cerebral vasoconstriction, reducing blood flow and worsening brain injury.
Question 4 of 5
A nurse is collecting data from a client who has a history of stroke. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Unilateral arm weakness is typical post-stroke due to hemispheric brain damage. Bilateral weakness, fever, or abdominal pain are not specific.
Question 5 of 5
A nurse is collecting data from a client who has a history of anemia. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Fatigue is expected in anemia due to reduced oxygen-carrying capacity. Fever, hypertension, or weight gain are not typical.