ATI RN
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ATI Comprehensive Predictor 2023 Exit Exam B Questions
Extract:
Question
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1 of 5
A nurse is assessing a client who has a new diagnosis of post-traumatic stress disorder (PTSD). Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Flashbacks of the traumatic event are a hallmark symptom of PTSD, where clients vividly re-experience the trauma, leading to significant distress.
Choice B is incorrect because euphoria is not associated with PTSD; clients typically experience anxiety, depression, or hypervigilance.
Choice C is incorrect because PTSD often causes insomnia or nightmares, not an increased need for sleep.
Choice D is incorrect because weight gain is not a primary feature; weight changes may occur secondary to depression or medication side effects.
Question 2 of 5
A nurse is collecting data from a client who has a history of migraines. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Nausea is common in migraines, often accompanying headache. Leg pain, chest tightness, or fever are not typical.
Question 3 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: A barrel-shaped chest is a common finding in COPD due to chronic hyperinflation of the lungs, causing the chest to appear rounded and the anteroposterior diameter to increase.
Choice B is incorrect because COPD typically causes tachypnea (rapid breathing) as the body compensates for reduced oxygen exchange, not bradypnea.
Choice C is incorrect because, while clubbing of fingers can occur in advanced COPD with chronic hypoxia, it is less common and not a primary finding.
Choice D is incorrect because weight loss, not weight gain, is typical in COPD due to increased metabolic demand and difficulty eating from dyspnea.
Question 4 of 5
A nurse is collecting data from a client who has a history of heart failure. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Orthopnea is expected in heart failure due to fluid overload. Tachycardia, weight gain, and productive cough are more common.
Question 5 of 5
A home health nurse is caring for a child who has Lyme disease. Which of the following is an appropriate action for the nurse to take?
Correct Answer: A
Rationale: The nurse should ensure the state health department has been notified of the child's Lyme disease, as it is a reportable disease in most states. Reporting helps to monitor the incidence and prevalence of Lyme disease and to implement prevention and control measures.
Choice B is wrong because antitoxin is not used to treat Lyme disease. Antitoxin is a substance that neutralizes the effects of a toxin, such as botulism or tetanus. Lyme disease is caused by a bacterium called Borrelia burgdorferi, which can be treated with antibiotics.
Choice C is wrong because Lyme disease is not transmitted by sharing personal belongings. Lyme disease is spread to humans by the bite of infected ticks that carry the bacterium. The risk of getting Lyme disease can be reduced by avoiding tick-infested areas, wearing protective clothing, using insect repellent, and removing ticks promptly.
Choice D is wrong because skin necrosis is not a common complication of Lyme disease. Skin necrosis is the death of skin tissue due to lack of blood supply or infection. Lyme disease can cause a characteristic skin rash called erythema migrans, which is usually circular or oval and expands over time. Other possible signs and symptoms of Lyme disease include fever, headache, fatigue, joint pain, and neurological problems.