ATI RN
ATI Comprehensive Predictor 2023 Exit Exam B Questions
Question 1 of 5
A nurse is caring for a client who is at 33 weeks of gestation following an amniocentesis. The nurse should monitor the client for which of the following complications?
Correct Answer: C
Rationale: The correct answer is C: Contractions. After amniocentesis at 33 weeks, there is a risk of inducing preterm labor due to the puncture of the amniotic sac. Monitoring for contractions is crucial to identify signs of preterm labor. Epigastric pain (
A) is more indicative of potential preeclampsia, not directly related to amniocentesis. Hypertension (
B) is also more associated with preeclampsia rather than amniocentesis. Vomiting (
D) is not a common complication of amniocentesis.
Question 2 of 5
A nurse is setting up a sterile field to perform wound irrigation for a client. Which of the following actions should the nurse take when pouring the sterile solution?
Correct Answer: C
Rationale:
Correct
Answer: C
Rationale: When pouring the sterile solution, the nurse should remove the cap and place it sterile-side up on a clean surface to prevent contamination. Placing the cap sterile-side up ensures that the inner part of the cap, which will come into contact with the solution, remains sterile. This action helps maintain the sterility of the solution and prevents introducing contaminants into the wound during irrigation.
Summary of other choices:
A: Placing sterile gauze over spilled solution within the sterile field is incorrect because it could introduce non-sterile items into the field, compromising its sterility.
B: Holding the irrigation solution bottle with the label facing away from the palm of the hand is irrelevant to maintaining sterility during pouring.
D: Holding the bottle in the center of the sterile field when pouring the solution does not address the issue of maintaining the sterility of the cap or preventing contamination.
Question 3 of 5
A nurse is providing teaching to a client who has a new prescription for fluoxetine for bulimia nervosa. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Monitor for signs of serotonin syndrome. Serotonin syndrome can occur with fluoxetine, a selective serotonin reuptake inhibitor (SSRI), especially when combined with other serotonergic medications. Symptoms include confusion, agitation, rapid heart rate, high blood pressure, sweating, tremors, and muscle stiffness. Monitoring for these signs is crucial for early detection and intervention.
B: Taking fluoxetine at bedtime is not recommended as it may cause insomnia.
C: Weight loss is more common than weight gain with fluoxetine.
D: Abruptly discontinuing fluoxetine can lead to withdrawal symptoms and should be done under medical supervision.
Question 4 of 5
A nurse is providing teaching to a client who has a new prescription for fluoxetine for OCD. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Monitor for signs of serotonin syndrome. Fluoxetine is a selective serotonin reuptake inhibitor (SSRI) used to treat OCD. Serotonin syndrome is a potentially life-threatening condition caused by excessive serotonin levels. Monitoring for symptoms such as confusion, agitation, muscle rigidity, and high fever is crucial to prevent serious complications.
Choice A is incorrect as fluoxetine is often taken in the morning to reduce the risk of insomnia.
Choice B is incorrect because SSRIs like fluoxetine may take weeks to show significant improvement in symptoms.
Choice C is incorrect because abruptly stopping the medication can lead to withdrawal symptoms and worsening of OCD.
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.