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 bipolar disorder. Which of the following findings should the nurse expect during a manic episode?
Correct Answer: B
Rationale: Euphoria and rapid speech are hallmark symptoms of a manic episode in bipolar disorder, reflecting elevated mood and increased psychomotor activity.
Choice A is incorrect because mania typically causes a decreased need for sleep, with clients feeling energized despite little rest.
Choice C is incorrect because weight loss, not weight gain, is more common during mania due to increased activity and reduced appetite.
Choice D is incorrect because difficulty concentrating is more associated with depression or mixed episodes; mania often involves heightened focus, though it may be disorganized.
Question 2 of 5
A nurse is caring for a client who has pneumonia and is receiving oxygen via nasal cannula at 2 L/min. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: Crackles in bilateral lung bases indicate fluid accumulation or infection in the lungs, a concerning finding in pneumonia that may suggest worsening condition or complications like pulmonary edema, requiring immediate reporting.
Choice A is incorrect because an oxygen saturation of 92% is borderline but not immediately alarming in pneumonia, especially if the client is receiving oxygen; it should be monitored.
Choice B is incorrect because a respiratory rate of 24/min is slightly elevated but expected in pneumonia and not the priority to report.
Choice D is incorrect because a temperature of 37.8°C is a low-grade fever, common in pneumonia, and does not require immediate reporting unless persistent or accompanied by other symptoms.
Question 3 of 5
A nurse is caring for a client who is postoperative following cataract surgery. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Administering eye drops as prescribed (e.g., antibiotics, corticosteroids) is essential to prevent infection, reduce inflammation, and promote healing after cataract surgery.
Choice A is incorrect because the client should avoid sleeping on the operative side to prevent pressure on the eye, which could increase intraocular pressure or dislodge the lens implant.
Choice C is incorrect because reading small print should be avoided for several days post-surgery to prevent eye strain; large print or no reading is recommended.
Choice D is incorrect because bending at the waist increases intraocular pressure and should be avoided; the client should bend at the knees if necessary.
Question 4 of 5
A nurse is collecting data from a client who has a history of stroke. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Unilateral arm weakness is typical post-stroke due to hemispheric brain damage. Bilateral weakness, fever, or abdominal pain are not specific.
Question 5 of 5
A nurse is providing teaching to a client who has a new prescription for lorazepam for anxiety. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Avoiding driving is critical while taking lorazepam, a benzodiazepine, as it causes drowsiness and impairs coordination, increasing the risk of accidents.
Choice B is incorrect because lorazepam can be taken with or without food; a high-protein meal is not necessary.
Choice C is incorrect because lorazepam causes sedation, not increased energy.
Choice D is incorrect because lorazepam should not be discontinued abruptly, as this can cause withdrawal symptoms or rebound anxiety; it requires gradual tapering under provider guidance.