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 obsessive-compulsive disorder (OCD). Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Recurrent, intrusive thoughts (obsessions) are a hallmark symptom of OCD, driving compulsive behaviors to alleviate anxiety caused by these thoughts.
Choice B is incorrect because euphoria is not associated with OCD; clients typically experience anxiety or distress.
Choice C is incorrect because OCD often causes insomnia due to anxiety or compulsive behaviors, not an increased need for sleep.
Choice D is incorrect because weight gain is not a primary feature; weight changes may occur secondary to medication or stress.
Question 2 of 5
A nurse is providing teaching to a client who has a new prescription for methylergonovine to treat postpartum hemorrhage. Which of the following conditions should the nurse include as a contraindication for this medication?
Correct Answer: A
Rationale: Methylergonovine is a medication that causes uterine contractions to control postpartum hemorrhage. It is contraindicated in clients with hypertension because it can cause vasoconstriction and elevate blood pressure, increasing the risk of stroke or heart attack.
Choice B is wrong because migraine headaches are not a contraindication for methylergonovine, although the medication may exacerbate headaches in some clients.
Choice C is wrong because asthma is not a contraindication for methylergonovine, as it does not affect the respiratory system directly.
Choice D is wrong because diabetes mellitus is not a contraindication for methylergonovine, as it does not affect blood glucose levels or insulin requirements.
Question 3 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 4 of 5
A nurse is assisting with the care of a client who is postoperative following a craniotomy. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: Clear drainage from the surgical site may indicate a cerebrospinal fluid leak, requiring provider notification. Pain, mild fever, and normal heart rate are expected.
Question 5 of 5
A nurse is caring for a 2-year-old toddler. Which of the following food choices should the nurse recommend to promote independence in eating?
Correct Answer: C
Rationale:
Choice A is wrong because popcorn is a choking hazard for toddlers. It is hard, crunchy, and can get stuck in the airway. The NHS advises not to give whole nuts and peanuts to children under 5 years old.
Choice B is wrong because grapes are also a choking hazard for toddlers. They are round, slippery, and can block the airway. The NHS recommends cutting grapes into quarters before giving them to young children. Banana slices are soft, easy to chew, and can be picked up by the toddler's fingers, which promotes independence in eating. According to the CDC, foods that toddlers should avoid include: Added sugars and no-calorie sweeteners, such as sugar-sweetened and diet drinks, high-salt foods, such as canned foods, processed meats, frozen dinners, fast food, and junk food, unpasteurized juice, milk, yogurt, or cheese, and foods that may cause choking, such as hard or crunchy foods, sticky foods, stringy cheese, and foods that are not cut up into small pieces.
Choice D is wrong because hot dogs are high in salt and can cause choking if not cut up into small pieces. The Extension warns against giving hot dogs to young toddlers.