ATI RN
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ATI Comprehensive Predictor 2023 Exit Exam B Questions
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Question
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1 of 5
A nurse is assessing a child who has bacterial pneumonia. Which of the following manifestations should the nurse expect?
Correct Answer: C
Rationale:
Choice A is wrong because it is not a typical symptom of bacterial pneumonia. Drooling can be caused by other conditions, such as sore throat, dental problems, or neurological disorders.
Choice B is wrong because it is not a symptom of bacterial pneumonia either. Tinnitus is a ringing or buzzing sound in the ears that can be caused by exposure to loud noise, ear infections, or other ear problems. Malaise is a general feeling of discomfort, weakness, or illness that can be a sign of infection. According to the health search result from Focus Medica, bacterial pneumonia is an infection of the air sacs in one or both lungs that causes symptoms such as cough with phlegm, fever, chills, and difficulty breathing. Malaise is one of the symptoms that may follow these signs of infection.
Choice D is wrong because it is not specific to bacterial pneumonia. Rhinorrhea is a runny nose that can be caused by many factors, such as allergies, colds, or sinus infections. Rhinorrhea can sometimes occur with viral pneumonia, but not usually with bacterial pneumonia.
Question 2 of 5
A nurse is providing teaching to a client who has a new prescription for omeprazole for gastroesophageal reflux disease (GERD). Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Taking omeprazole 30 minutes before breakfast optimizes its acid-suppressing effect by aligning with the body's natural acid production cycle, improving GERD symptom control.
Choice B is incorrect because omeprazole may take several days to provide significant relief, not immediate relief.
Choice C is incorrect because, while swallowing the capsule whole is correct for delayed-release formulations, the timing (before meals) is more critical to emphasize for efficacy.
Choice D is incorrect because taking omeprazole with an antacid is not recommended, as it may reduce the drug's effectiveness; antacids are used for immediate relief, not in combination with proton pump inhibitors.
Question 3 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: Monitoring for signs of serotonin syndrome (e.g., agitation, tremors, hyperthermia) is critical with fluoxetine, an SSRI, as it increases serotonin levels, and overdose or drug interactions can cause this life-threatening condition.
Choice A is incorrect because fluoxetine is typically taken in the morning, but this is not the priority instruction compared to safety monitoring.
Choice B is incorrect because fluoxetine takes 4-6 weeks to reduce OCD symptoms, not immediate relief.
Choice C is incorrect because fluoxetine should not be discontinued abruptly, even if compulsions stop, to avoid withdrawal or relapse; it requires provider guidance.
Question 4 of 5
A nurse is providing teaching to the parents of a newborn about car seat safety. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Positioning the car seat at a 45-degree angle is correct to ensure the newborn's airway remains open and to reduce the risk of positional asphyxia, as recommended by car seat safety guidelines.
Choice A is wrong because the car seat should never be placed in the front passenger seat, even with the airbag off, due to the risk of injury from airbag deployment or other crash dynamics; the rear seat is safest.
Choice B is wrong because infants should remain in a rear-facing car seat until at least 2 years of age or until they exceed the car seat's height/weight limits, not forward-facing before 1 year.
Choice D is wrong because for rear-facing car seats, the harness straps should be at or below the infant's shoulders to provide proper support and prevent injury during a crash.
Question 5 of 5
A nurse is providing teaching to a client who has a new prescription for furosemide for heart failure. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Monitoring for muscle weakness, which may indicate hypokalemia, is critical, as furosemide is a loop diuretic that can cause potassium loss, increasing the risk of arrhythmias in heart failure clients.
Choice A is wrong because clients with heart failure should limit sodium intake to reduce fluid retention, not increase it, to prevent exacerbation of heart failure.
Choice B is wrong because taking furosemide at bedtime is not advised; it should be taken in the morning to avoid nocturia and disrupted sleep due to its diuretic effect.
Choice D is wrong because increasing fluid intake is not recommended for heart failure clients, as it can worsen fluid overload; fluid intake should be guided by the provider based on the client's condition.