ATI RN
ATI Comprehensive Predictor 2023 Exit Exam B Questions
Extract:
Question 1 of 5
A nurse is admitting an adolescent who has rubella. Which of the following actions should the nurse take?
Correct Answer: B
Rationale:
Choice A is wrong because aspirin should not be given to children or adolescents with viral infections, as it can cause Reye's syndrome, a rare but potentially fatal condition that affects the liver and brain. This is because rubella is a highly contagious viral infection that can cause serious harm to the developing fetus if the pregnant person gets infected. Rubella can cause congenital rubella syndrome, which can result in hearing and vision loss, heart defects and other serious conditions in newborns.
Choice C is wrong because rubella does not require airborne precautions, which are used for diseases that can spread through very small droplets that can remain in the air for long periods of time, such as tuberculosis or measles. Rubella spreads through direct contact with saliva or mucus of an infected person, or through respiratory droplets from coughing or sneezing.
Therefore, standard and droplet precautions are sufficient to prevent transmission.
Choice D is wrong because Koplik spots are a characteristic sign of measles, not rubella. Koplik spots are small white spots that appear on the inside of the cheeks before the measles rash develops. Rubella causes a pink or red rash that usually starts on the face and moves down the body.
Question 2 of 5
A nurse is collecting data from a client who has a history of bipolar disorder. Which of the following findings should the nurse expect during a manic episode?
Correct Answer: C
Rationale: Rapid speech is typical in a manic episode of bipolar disorder. Hypersomnia, weight gain, and flat affect are more associated with depression.
Question 3 of 5
A nurse is providing teaching to a client who has a new prescription for insulin glargine. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Administering insulin glargine at bedtime aligns with its long-acting profile, providing consistent basal insulin coverage over 24 hours for diabetes management.
Choice A is incorrect because rotating injection sites (e.g., abdomen, thighs) prevents lipodystrophy; using the same site each time is not recommended.
Choice B is incorrect because insulin glargine should not be shaken, as it is a clear solution, and shaking can denature the insulin.
Choice D is incorrect because insulin glargine is clear, not cloudy; cloudy insulin (e.g., NPH) requires mixing.
Question 4 of 5
A nurse is caring for a client who is postoperative following a lumbar laminectomy. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Encouraging the client to log-roll when turning prevents twisting of the spine, maintaining alignment and reducing strain on the surgical site after a lumbar laminectomy.
Choice B is incorrect because a prone position is uncomfortable and not recommended post-laminectomy; a side-lying or semi-Fowler's position is preferred.
Choice C is incorrect because a heating pad is not typically used, as it may increase swelling; cold packs are often applied initially.
Choice D is incorrect because ambulation is usually encouraged on the first postoperative day, not delayed to the second, unless contraindicated.
Question 5 of 5
A nurse is assisting with the care of a client who is postoperative following a thyroidectomy. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: Tingling around the mouth suggests hypocalcemia, a risk post-thyroidectomy, requiring provider notification. Pain, hoarseness, and mild fever are expected.