ATI RN
ATI Comprehensive Predictor 2023 Exit Exam B Questions
Extract:
Question 1 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: The correct answer is A: Barrel-shaped chest. In COPD, the lungs become hyperinflated, causing the chest to appear barrel-shaped. This is due to air trapping in the lungs, resulting in increased anteroposterior diameter. Bradypnea (
B) is slow breathing rate, not commonly associated with COPD. Clubbing of fingers (
C) is a sign of chronic hypoxia, not specific to COPD. Weight gain (
D) is not typically expected in COPD, as patients often experience weight loss due to increased energy expenditure in breathing.
Question 2 of 5
A nurse is providing teaching to a client who has a new prescription for ipratropium for COPD. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Rinse your mouth after using the inhaler. This instruction is important because ipratropium can cause dry mouth and throat irritation, which may lead to oral thrush. Rinsing the mouth after inhaler use helps prevent these side effects. The other choices are incorrect. B is incorrect because ipratropium provides gradual, not immediate, relief of COPD symptoms. C is incorrect because using the inhaler every 2 hours as needed can lead to overuse and potential side effects. D is incorrect because using a spacer can actually improve medication delivery for inhaled medications.
Question 3 of 5
A nurse is caring for a client who is postoperative following a coronary artery bypass graft (CABG). Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C: ST-segment elevation on ECG. This finding could indicate myocardial ischemia or infarction, which is a serious complication post-CABG requiring immediate medical attention. A: Incisional pain rated 4/10 is expected postoperatively and not urgent. B: Temperature of 37.8°C is mild fever, could indicate infection but not as urgent as ST-segment elevation. D: Drainage of 50 mL/hr from chest tubes is within normal limits.
Question 4 of 5
A nurse is assessing a client who has a new prescription for clopidogrel following a myocardial infarction. Which of the following findings should the nurse monitor for as an adverse effect?
Correct Answer: A
Rationale: The correct answer is A: Bruising. Clopidogrel is an antiplatelet medication that can increase the risk of bleeding and bruising. The nurse should monitor the client for signs of easy bruising, bleeding gums, or prolonged bleeding from minor cuts or injuries. Bruising is a common adverse effect due to the drug's mechanism of action in preventing platelet aggregation. Weight gain, tinnitus, and hyperglycemia are not typically associated with clopidogrel use. Weight gain may be seen with other medications like corticosteroids, tinnitus may be a side effect of ototoxic medications, and hyperglycemia may be seen with certain medications like corticosteroids or antipsychotics.
Question 5 of 5
A nurse is providing teaching to a client who has a new prescription for nitroglycerin sublingual for angina. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Expect a mild headache as a side effect. Nitroglycerin commonly causes headaches due to vasodilation. This information is essential for the client to anticipate and manage this potential side effect.
Choice A is incorrect because taking multiple doses without relief can lead to hypotension.
Choice B is incorrect as nitroglycerin should be stored in a cool, dark place to maintain its potency.
Choice C is incorrect as the tablet should be placed under the tongue, not swallowed.