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 restless legs syndrome. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: An uncontrollable urge to move the legs is a hallmark symptom of restless legs syndrome, often accompanied by uncomfortable sensations relieved by movement.
Choice B is incorrect because joint swelling is not associated with restless legs syndrome; it is more typical of arthritis.
Choice C is incorrect because fever is not a feature unless an infection or other condition is present.
Choice D is incorrect because weight gain is not a primary symptom; weight changes may occur secondary to medication or lifestyle.
Question 2 of 5
A nurse is providing teaching to a client who is at 8 weeks of gestation about the importance of folic acid during pregnancy. Which of the following statements should the nurse include?
Correct Answer: A
Rationale: Folic acid is essential for DNA synthesis and cell division, and adequate intake (400-800 mcg daily) before and during early pregnancy helps prevent neural tube defects, such as spina bifida and anencephaly, in the fetus.
Choice B is wrong because folic acid does not directly increase red blood cell production; it supports hematopoiesis indirectly by aiding DNA synthesis, but this is not its primary role in pregnancy.
Choice C is wrong because folic acid does not specifically promote uterine growth; uterine growth is driven by hormonal changes and fetal development.
Choice D is wrong because there is no direct evidence that folic acid reduces the risk of preterm labor.
Question 3 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: Excessive worrying for at least 6 months is a diagnostic criterion for generalized anxiety disorder, characterized by persistent, uncontrollable anxiety about multiple issues.
Choice B is incorrect because recurrent intrusive memories are more associated with PTSD, not generalized anxiety disorder.
Choice C is incorrect because insomnia, not hypersomnia, is typical due to anxiety-related sleep disturbances.
Choice D is incorrect because weight loss is not a primary feature; weight changes may occur secondary to anxiety or medication.
Question 4 of 5
A nurse manager is updating protocols for the use of belt restraints. Which of the following guidelines should the nurse manager include?
Correct Answer: A
Rationale: Documenting the client's condition every 15 minutes is a crucial part of using restraints. Regular documentation helps ensure the safety and well-being of the client, as it allows for continuous monitoring and timely intervention if necessary. Requesting a PRN (as needed) restraint prescription for clients who are aggressive is not a recommended practice. Restraints should only be used as a last resort and must be based on a thorough assessment of the client's condition, not solely on their behavior. Attaching the restraint to the bed's side rails is not recommended. This can increase the risk of injury to the client. Restraints should be attached to a part of the bed frame that moves with the client, such as the head or footboard. While it's important to regularly check and adjust restraints for comfort and safety, there's no specific guideline that restraints should be removed every 4 hours. The frequency of removal and repositioning will depend on the individual client's condition and needs.
Question 5 of 5
A nurse is assisting with the care of a client who is receiving a continuous IV infusion of heparin. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: Bruising at the IV site with heparin suggests bleeding, requiring provider notification. Normal blood pressure, urine output, and heart rate are not urgent.