ATI RN
ATI Comprehensive Predictor 2023 Exit Exam B Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has chronic obstructive pulmonary disease (COPD) and is receiving albuterol via nebulizer. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: Tremors in the hands are a side effect of albuterol, a beta-2 agonist, due to its stimulatory effects on the nervous system, and should be reported to the provider, as it may require dose adjustment or an alternative medication.
Choice A is wrong because a heart rate of 110/min is within the expected range for albuterol, which can cause tachycardia, and is not immediately concerning unless sustained or accompanied by other symptoms.
Choice B is wrong because a respiratory rate of 20/min is normal (12-20/min) and expected in COPD, especially during treatment.
Choice C is wrong because an oxygen saturation of 95% is within the normal range (95-100%) and indicates adequate oxygenation.
Question 2 of 5
A nurse is assessing a client who has a new diagnosis of chronic fatigue syndrome. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Persistent fatigue lasting more than 6 months is a diagnostic criterion for chronic fatigue syndrome, characterized by debilitating fatigue not relieved by rest.
Choice B is incorrect because joint swelling is not a feature of chronic fatigue syndrome; it is more associated with inflammatory conditions like rheumatoid arthritis.
Choice C is incorrect because a fever of 38.5°C is not typical unless an infection is present; low-grade fevers may occur but are not primary.
Choice D is incorrect because weight gain is not a hallmark feature; weight changes may occur secondary to inactivity or medication.
Question 3 of 5
A nurse is caring for a client who has atrial fibrillation and is receiving warfarin. Which of the following laboratory results should the nurse report to the provider?
Correct Answer: A
Rationale: An INR of 4.5 is above the therapeutic range for atrial fibrillation (typically 2.0-3.0) and indicates an increased risk of bleeding, requiring immediate reporting to the provider for potential dose adjustment or vitamin K administration.
Choice B is wrong because a platelet count of 200,000/mm3 is within the normal range (150,000-400,000/mm3) and does not require reporting.
Choice C is wrong because aPTT is not used to monitor warfarin therapy (it monitors heparin); an aPTT of 40 seconds is within normal limits (30-40 seconds) and not concerning.
Choice D is wrong because a hemoglobin of 13 g/dL is within the normal range for males (13-17 g/dL) and females (12-16 g/dL) and does not indicate bleeding or anemia.
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 collecting data from a client who has a history of hyperthyroidism. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Heat intolerance is expected in hyperthyroidism due to increased metabolism. Weight loss, tachycardia, and restlessness are more common.