ATI RN
ATI Comprehensive Predictor 2023 Exit Exam B Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has a spinal cord injury at the C5 level. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: A spinal cord injury at the C5 level typically preserves the function of the diaphragm (innervated by C3-C5) and shoulder muscles (deltoid and rotator cuff, innervated by C5), allowing the client to shrug shoulders.
Choice A is incorrect because a C5 injury affects the lower extremities, causing paraplegia or quadriplegia, depending on the extent.
Choice B is incorrect because, while respiratory function is partially preserved (diaphragm intact), the client may still have impaired accessory muscle function, leading to reduced respiratory capacity.
Choice C is incorrect because sensation loss typically occurs below the level of injury (below C5), not necessarily below the clavicles, and may vary in completeness.
Question 2 of 5
A nurse is reinforcing teaching with a client who has a new prescription for gabapentin. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Reporting drowsiness is important with gabapentin due to sedation. Antacids reduce absorption, weight gain is more common, and stopping abruptly risks withdrawal.
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 is teaching a client who has a new prescription for combined oral contraceptives. Which of the following statements should the nurse include?
Correct Answer: A
Rationale: Taking combined oral contraceptives at the same time each day helps maintain consistent hormone levels and maximizes effectiveness in preventing pregnancy.
Choice B is wrong because a backup method of contraception is recommended for the first 7 days only if the pills are started after the first day of the menstrual cycle; if started on the first day, no backup is needed.
Choice C is wrong because headaches are a common side effect, but stopping the pills abruptly is not advised; the client should consult the provider if headaches are severe or persistent.
Choice D is wrong because taking an extra pill after missing a dose can increase the risk of side effects; the correct action depends on the timing and number of missed pills, typically involving taking the missed pill as soon as remembered and using a backup method.
Question 5 of 5
A nurse is providing discharge teaching to a client who had a cesarean birth. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Showering daily but avoiding soaking in a bathtub for 2 weeks is appropriate to prevent infection at the incision site, as prolonged soaking can soften the wound and increase the risk of bacterial entry.
Choice A is wrong because the weight limit for lifting is typically more restrictive; clients are advised to avoid lifting anything heavier than their newborn (about 10 pounds) for 6 weeks to prevent incisional strain or dehiscence.
Choice B is wrong because sexual intercourse is generally recommended to be delayed until 4-6 weeks post-cesarean to allow for healing of the incision and uterus.
Choice C is wrong because ibuprofen may be used for pain, but the nurse should emphasize consulting the provider for appropriate dosing and ensuring it is safe, especially if breastfeeding, rather than a blanket instruction to take it as needed.