ATI RN
ATI Comprehensive Predictor 2023 Exit Exam B Questions
Extract:
Question 1 of 5
A charge nurse is concerned about a recent increase in facility-acquired catheter infections. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: While scheduling nursing staff training for infection control procedures is important, it should not be the first action taken. Before implementing training, it is crucial to identify the factors contributing to the increased infection rates to ensure that the training addresses the specific issues at hand. Meeting with providers to discuss measures to decrease the infections is a necessary step, but it should not be the first action. Providers need to be informed about the situation, but their input will be more valuable once the precipitating factors have been identified. Revising the current policy for catheter care may be necessary, but it should not be the first action. Policies should be based on evidence-based practices and tailored to address the specific issues identified through the investigation. As a charge nurse concerned about a recent increase in facility-acquired catheter infections, the first step should be to identify possible precipitating factors related to the infections. This involves conducting a thorough investigation to determine the root causes of the increased infection rates. By identifying the underlying factors, the nurse can then develop targeted interventions to address the specific issues and prevent further infections.
Question 2 of 5
A nurse is assessing a client who has chronic obstructive pulmonary disease (COPD) and is receiving albuterol via nebulizer. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: Tremors in the hands are a side effect of albuterol, a beta-2 agonist, due to its stimulatory effects on the nervous system, and should be reported to the provider, as it may require dose adjustment or an alternative medication.
Choice A is wrong because a heart rate of 110/min is within the expected range for albuterol, which can cause tachycardia, and is not immediately concerning unless sustained or accompanied by other symptoms.
Choice B is wrong because a respiratory rate of 20/min is normal (12-20/min) and expected in COPD, especially during treatment.
Choice C is wrong because an oxygen saturation of 95% is within the normal range (95-100%) and indicates adequate oxygenation.
Question 3 of 5
A nurse is caring for a client who has atrial fibrillation and is receiving warfarin. Which of the following laboratory results should the nurse report to the provider?
Correct Answer: A
Rationale: An INR of 4.5 is above the therapeutic range for atrial fibrillation (typically 2.0-3.0) and indicates an increased risk of bleeding, requiring immediate reporting to the provider for potential dose adjustment or vitamin K administration.
Choice B is wrong because a platelet count of 200,000/mm3 is within the normal range (150,000-400,000/mm3) and does not require reporting.
Choice C is wrong because aPTT is not used to monitor warfarin therapy (it monitors heparin); an aPTT of 40 seconds is within normal limits (30-40 seconds) and not concerning.
Choice D is wrong because a hemoglobin of 13 g/dL is within the normal range for males (13-17 g/dL) and females (12-16 g/dL) and does not indicate bleeding or anemia.
Question 4 of 5
A nurse is caring for a client who is postoperative following a thyroidectomy. Which of the following findings should the nurse monitor for as a complication?
Correct Answer: B
Rationale: Hypocalcemia is a potential complication after thyroidectomy due to accidental removal or damage to the parathyroid glands, which regulate calcium; symptoms like tetany or numbness should be monitored.
Choice A is incorrect because tachycardia is not a primary postoperative complication; it may occur with pain or hyperthyroidism but is less specific.
Choice C is incorrect because a fever of 37.5°C is not significant and may be a normal postoperative response, not a complication unless persistent.
Choice D is incorrect because increased appetite is not a typical postoperative complication; hypothyroidism may cause decreased appetite.
Question 5 of 5
A nurse is assessing a client who has a new diagnosis of bipolar disorder. Which of the following findings should the nurse expect during a manic episode?
Correct Answer: B
Rationale: Euphoria and rapid speech are hallmark symptoms of a manic episode in bipolar disorder, reflecting elevated mood and increased psychomotor activity.
Choice A is incorrect because mania typically causes a decreased need for sleep, with clients feeling energized despite little rest.
Choice C is incorrect because weight loss, not weight gain, is more common during mania due to increased activity and reduced appetite.
Choice D is incorrect because difficulty concentrating is more associated with depression or mixed episodes; mania often involves heightened focus, though it may be disorganized.