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 prescription for clopidogrel following a myocardial infarction. Which of the following findings should the nurse monitor for as an adverse effect?
Correct Answer: A
Rationale: Bruising is a common adverse effect of clopidogrel, an antiplatelet medication, due to its inhibition of platelet aggregation, increasing the risk of bleeding.
Choice B is incorrect because weight gain is not associated with clopidogrel; it may occur with other cardiac medications like beta-blockers.
Choice C is incorrect because tinnitus is not a typical side effect of clopidogrel; it is more associated with aspirin or quinine.
Choice D is incorrect because clopidogrel does not affect blood glucose levels; hyperglycemia is unrelated to its mechanism.
Question 2 of 5
A nurse is providing teaching to a client who has a new prescription for hydrocodone for pain management. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Increasing dietary fiber prevents constipation, a common side effect of hydrocodone, an opioid that slows gastrointestinal motility.
Choice B is incorrect because grapefruit juice can interact with some medications but does not enhance hydrocodone absorption and may increase side effects.
Choice C is incorrect because driving should be avoided while taking hydrocodone, as it can cause drowsiness and impair coordination, regardless of time of day.
Choice D is incorrect because hydrocodone typically causes sedation, not increased energy levels.
Question 3 of 5
A nurse is assessing a client who has pancreatitis. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Epigastric pain radiating to the back is a hallmark symptom of pancreatitis, caused by inflammation of the pancreas irritating surrounding tissues and nerves.
Choice B is incorrect because pancreatitis typically causes hypoactive bowel sounds due to ileus or reduced gastrointestinal motility, but this is less specific than epigastric pain.
Choice C is incorrect because weight gain is not expected; pancreatitis often leads to weight loss due to malabsorption or reduced appetite.
Choice D is incorrect because a fever of 37.2°C is not significant and may not be present unless there is a complication like infection.
Question 4 of 5
A nurse is providing teaching to a client who has a new prescription for prednisone for adrenal insufficiency. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Monitoring for signs of infection is critical, as prednisone, a corticosteroid, suppresses the immune system, increasing infection risk in clients with adrenal insufficiency.
Choice A is incorrect because prednisone should be taken with food to reduce gastrointestinal irritation, not on an empty stomach.
Choice B is incorrect because prednisone for adrenal insufficiency is typically a lifelong therapy, not limited to a few weeks.
Choice D is incorrect because reducing the dose without medical guidance can precipitate an adrenal crisis; dose adjustments must be supervised by the provider.
Question 5 of 5
A nurse is assessing a client who has multiple sclerosis. Which of the following manifestations should the nurse expect?
Correct Answer: A
Rationale: Nystagmus (involuntary eye movements) is a common manifestation of multiple sclerosis due to demyelination affecting the optic nerve or cerebellar pathways, impacting vision and coordination.
Choice B is incorrect because multiple sclerosis typically causes hyperactive deep tendon reflexes due to upper motor neuron involvement, not hypoactive reflexes.
Choice C is incorrect because persistent nausea is not a hallmark symptom of multiple sclerosis; it may occur secondary to medications or other conditions.
Choice D is incorrect because fever is not typical unless the client has an infection or is experiencing a pseudoexacerbation triggered by heat.