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 alcohol use disorder. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Tremors are a common finding in alcohol use disorder, especially during withdrawal, due to central nervous system hyperexcitability from chronic alcohol suppression.
Choice A is incorrect because hyperglycemia, not hypoglycemia, may occur due to alcohol's effect on liver glycogenolysis.
Choice C is incorrect because hypertension, not hypotension, is more common, especially during withdrawal or chronic use.
Choice D is incorrect because weight loss, not weight gain, is typical due to poor nutrition and increased metabolic demand.
Question 2 of 5
A nurse is caring for a client who is in the second stage of labor. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Encouraging the client to push with each contraction during the second stage of labor (from full cervical dilation to delivery) is appropriate, as it facilitates fetal descent and delivery, aligning with the client's natural urges to push.
Choice B is wrong because positioning the client supine with legs elevated is not recommended; it can compress the inferior vena cava, reduce uterine blood flow, and impede pushing efforts. Upright or lateral positions are preferred.
Choice C is wrong because applying fundal pressure is not a standard practice and can cause maternal or fetal injury, such as uterine rupture or shoulder dystocia.
Choice D is wrong because instructing the client to hold her breath while pushing (Valsalva maneuver) can decrease oxygen to the fetus and increase maternal fatigue; open-glottis pushing (exhaling while pushing) is preferred.
Question 3 of 5
A nurse is caring for a client who has a new prescription for risperidone for schizophrenia. Which of the following findings should the nurse monitor for as an adverse effect?
Correct Answer: A
Rationale: Weight gain is a common adverse effect of risperidone, an atypical antipsychotic, due to its effects on metabolism and appetite, requiring monitoring to manage long-term health risks.
Choice B is incorrect because, while hypotension may occur, it is less frequent than weight gain and more associated with initial dosing.
Choice C is incorrect because bradycardia is not a typical side effect; tachycardia may occur with agitation or overdose.
Choice D is incorrect because hypoglycemia is not associated with risperidone; hyperglycemia may occur due to metabolic changes.
Question 4 of 5
A nurse is reinforcing teaching with a client who has a new prescription for lorazepam. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Avoiding driving is critical with lorazepam due to sedation. Grapefruit juice is unrelated, weight changes are not typical, and stopping abruptly risks withdrawal.
Question 5 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.