ATI RN
ATI Comprehensive Predictor 2023 Exit Exam B Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has heart failure and is taking digoxin. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: A heart rate of 56/min is below the normal range (60-100/min) and may indicate digoxin toxicity, especially in heart failure clients, as digoxin slows the heart rate by enhancing vagal tone; this requires immediate reporting to the provider.
Choice B is wrong because a blood pressure of 140/90 mm Hg, while elevated, is not directly related to digoxin toxicity and should be monitored but is not the priority.
Choice C is wrong because a weight gain of 0.5 kg in 24 hours is not significant enough to indicate fluid overload in heart failure; a gain of >1 kg (2.2 lb) in 24 hours would be more concerning.
Choice D is wrong because a potassium level of 4.2 mEq/L is within the normal range (3.5-5.0 mEq/L), and while hypokalemia increases digoxin toxicity risk, this level is not concerning.
Question 2 of 5
A nurse is collecting data from a client who has a history of heart failure. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Orthopnea is expected in heart failure due to fluid overload. Tachycardia, weight gain, and productive cough are more common.
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 caring for a 2-year-old toddler. Which of the following food choices should the nurse recommend to promote independence in eating?
Correct Answer: C
Rationale:
Choice A is wrong because popcorn is a choking hazard for toddlers. It is hard, crunchy, and can get stuck in the airway. The NHS advises not to give whole nuts and peanuts to children under 5 years old.
Choice B is wrong because grapes are also a choking hazard for toddlers. They are round, slippery, and can block the airway. The NHS recommends cutting grapes into quarters before giving them to young children. Banana slices are soft, easy to chew, and can be picked up by the toddler's fingers, which promotes independence in eating. According to the CDC, foods that toddlers should avoid include: Added sugars and no-calorie sweeteners, such as sugar-sweetened and diet drinks, high-salt foods, such as canned foods, processed meats, frozen dinners, fast food, and junk food, unpasteurized juice, milk, yogurt, or cheese, and foods that may cause choking, such as hard or crunchy foods, sticky foods, stringy cheese, and foods that are not cut up into small pieces.
Choice D is wrong because hot dogs are high in salt and can cause choking if not cut up into small pieces. The Extension warns against giving hot dogs to young toddlers.
Question 5 of 5
A nurse is caring for a client who has a new prescription for sertraline for depression. Which of the following findings should the nurse monitor for as an adverse effect?
Correct Answer: B
Rationale: Insomnia is a common adverse effect of sertraline, an SSRI, due to its stimulating effect on serotonin levels, and should be monitored, as it may require dose adjustment or bedtime avoidance.
Choice A is incorrect because sertraline is more likely to cause weight gain, not weight loss, over time.
Choice C is incorrect because hypotension is not a common side effect; orthostatic hypotension may occur but is less frequent.
Choice D is incorrect because bradycardia is not typically associated with sertraline; tachycardia may occur with anxiety or overstimulation.