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 generalized anxiety disorder. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Excessive worrying for at least 6 months. This is a key diagnostic criterion for generalized anxiety disorder according to the DSM-5. The client must have excessive worry and anxiety about various events or activities for at least 6 months. Recurrent intrusive memories (
B) are more indicative of post-traumatic stress disorder. Hypersomnia (
C) is more commonly associated with depression, while weight loss (
D) is not a typical finding in generalized anxiety disorder.
Question 2 of 5
A nurse is providing teaching to a client who has a new prescription for buspirone for generalized anxiety disorder. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Monitor for dizziness or drowsiness. This instruction is important because buspirone can cause dizziness and drowsiness as side effects. By monitoring for these effects, the client can take necessary precautions such as avoiding activities that require alertness. Option A is incorrect because buspirone is typically taken regularly, not as needed. Option B is incorrect as buspirone may take several weeks to show full effects. Option D is incorrect as abruptly discontinuing the medication can lead to withdrawal symptoms.
Question 3 of 5
A nurse is caring for a client who has a new prescription for duloxetine for depression. Which of the following findings should the nurse monitor for as an adverse effect?
Correct Answer: D
Rationale: The correct answer is D: Dry mouth. Duloxetine is an antidepressant that is known to cause dry mouth as an adverse effect due to its anticholinergic properties. The nurse should monitor for this side effect as it can lead to oral health issues and discomfort for the client. Weight loss (
A) is not a common side effect of duloxetine and is more often associated with other antidepressants. Hypotension (
B) and tachycardia (
C) are less likely to be caused by duloxetine and are not commonly reported adverse effects.
Therefore, the nurse should not primarily monitor for these findings.
Question 4 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: The correct answer is A: Recurrent, intrusive thoughts. In OCD, individuals experience persistent, unwanted, intrusive thoughts (obsessions) that cause anxiety or distress. These thoughts lead to repetitive behaviors or mental acts (compulsions) performed to reduce anxiety. B, euphoria, is not typically associated with OCD, but rather with conditions like bipolar disorder. C, increased need for sleep, and D, weight gain, are not specific to OCD but may occur as a result of other factors.
Therefore, the most relevant finding in a client with OCD is the presence of recurrent intrusive thoughts.
Question 5 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: The correct answer is D: Monitor for signs of serotonin syndrome. Fluoxetine is a selective serotonin reuptake inhibitor (SSRI) used to treat OCD. Serotonin syndrome is a potentially life-threatening condition caused by excessive serotonin levels. Monitoring for symptoms such as confusion, agitation, muscle rigidity, and high fever is crucial to prevent serious complications.
Choice A is incorrect as fluoxetine is often taken in the morning to reduce the risk of insomnia.
Choice B is incorrect because SSRIs like fluoxetine may take weeks to show significant improvement in symptoms.
Choice C is incorrect because abruptly stopping the medication can lead to withdrawal symptoms and worsening of OCD.