ATI RN
ATI Comprehensive Predictor 2023 Exit Exam B Questions
Extract:
Question 1 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 2 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 3 of 5
A nurse is providing teaching to a client who has a new colostomy. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Changing the pouch every 3 to 5 days ensures proper hygiene and prevents skin irritation or leakage, which is critical for colostomy care.
Choice A is incorrect because, while hydration is important, the nurse should emphasize 8-10 glasses of water daily to prevent dehydration, especially with an ileostomy or new colostomy.
Choice B is incorrect because a low-fiber diet is recommended for 4-6 weeks post-surgery, not just 2 weeks, to reduce stool bulk and ease digestion.
Choice D is incorrect because bright red output indicates bleeding, which is abnormal and should be reported; normal colostomy output is brown and formed or semi-formed.
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 assessing a client who has a pressure ulcer. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Full-thickness tissue loss with visible muscle is characteristic of a stage 3 or 4 pressure ulcer, indicating severe tissue damage common in advanced pressure ulcers.
Choice A is incorrect because erythema and intact skin describe a stage 1 pressure ulcer, not a fully developed one.
Choice C is incorrect because blanchable redness over a bony prominence indicates tissue at risk but not yet a pressure ulcer.
Choice D is incorrect because eschar may be present in unstageable pressure ulcers, but full-thickness loss with visible muscle is a more specific finding for stage 3 or 4.