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 fibromyalgia. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale:
Correct
Answer: A - Widespread musculoskeletal pain is a common symptom of fibromyalgia due to abnormal pain processing in the central nervous system. The pain is typically widespread and affects both sides of the body. Other choices are incorrect because joint swelling (
B) and fever (
C) are not typical of fibromyalgia. Bradycardia (
D) is not a common finding in fibromyalgia.
Question 2 of 5
A nurse is providing teaching to a client who has a new prescription for amitriptyline for fibromyalgia. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Monitor for dry mouth or constipation. Amitriptyline is a tricyclic antidepressant commonly used to manage fibromyalgia. Dry mouth and constipation are common side effects of amitriptyline. Monitoring for these side effects is important as they can impact the client's quality of life and may require intervention. Option A is incorrect because amitriptyline is known to cause sedation, so taking it in the morning may not necessarily avoid sedation. Option C is incorrect because amitriptyline may take time to provide pain relief and immediate relief should not be expected. Option D is incorrect because discontinuing the medication abruptly can lead to withdrawal symptoms and should only be done under the guidance of a healthcare provider.
Question 3 of 5
A nurse is assessing a client who has a new diagnosis of chronic fatigue syndrome. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A. Chronic fatigue syndrome is characterized by persistent fatigue lasting more than 6 months. This fatigue is not relieved by rest and significantly impairs daily functioning.
Choice B (joint swelling) is more indicative of conditions like arthritis.
Choice C (fever) suggests an infectious process, not chronic fatigue syndrome.
Choice D (weight gain) is not a typical feature of chronic fatigue syndrome. In summary, the hallmark of chronic fatigue syndrome is the presence of persistent fatigue for more than 6 months.
Question 4 of 5
A nurse is providing teaching to a client who has a new prescription for modafinil for narcolepsy. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Monitoring for chest pain or palpitations is critical with modafinil, a stimulant used for narcolepsy, as it can cause cardiovascular side effects like tachycardia or hypertension.
Choice A is correct but not the priority; modafinil is typically taken in the morning to promote wakefulness, but safety monitoring is more critical.
Choice C is incorrect because modafinil is more likely to cause weight loss, not weight gain, due to its stimulant effects.
Choice D is incorrect because modafinil can be taken with or without food; a high-fat meal may delay absorption but is not necessary.
Question 5 of 5
A nurse is caring for a client who has a new prescription for topiramate for migraine prevention. Which of the following findings should the nurse monitor for as an adverse effect?
Correct Answer: A
Rationale: Weight loss is a common adverse effect of topiramate, an anticonvulsant used for migraine prevention, due to its appetite-suppressing effects, requiring monitoring to prevent nutritional deficiencies.
Choice B is incorrect because tachycardia is not a typical side effect; topiramate is more likely to cause sedation.
Choice C is incorrect because hypertension is not commonly associated with topiramate; hypotension may occur in some cases.
Choice D is incorrect because dry mouth is not a primary side effect; cognitive slowing or paresthesia are more frequent.