ATI RN
ATI Comprehensive Predictor 2023 Exit Exam B Questions
Extract:
Question 1 of 5
A nurse is assisting with the care of a client who is postoperative following a total hip arthroplasty. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Swelling in the affected leg may indicate deep-vein thrombosis, requiring provider notification. Pain, mild fever, and normal heart rate are expected.
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 prescription for levothyroxine for hypothyroidism. Which of the following foods should the nurse instruct the client to avoid taking at the same time as the medication?
Correct Answer: A
Rationale: Soy products can interfere with levothyroxine absorption by binding to the medication in the gastrointestinal tract, reducing its effectiveness, and should be avoided at the same time as the dose.
Choice B is incorrect because bananas do not affect levothyroxine absorption and are safe to consume.
Choice C is incorrect because lean beef does not significantly impact levothyroxine absorption, though high-protein meals may have a minor effect if taken concurrently.
Choice D is incorrect because carrots do not interfere with levothyroxine absorption.
Question 4 of 5
A nurse is assessing a client who has hypertension and takes hydrochlorothiazide. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: A potassium level of 3.2 mEq/L is below the normal range (3.5-5.0 mEq/L) and indicates hypokalemia, a common side effect of hydrochlorothiazide (a thiazide diuretic) that can lead to arrhythmias, requiring immediate reporting to the provider.
Choice B is wrong because a blood pressure of 130/80 mm Hg is within the target range for treated hypertension (<140/90 mm Hg) and does not require reporting.
Choice C is wrong because a sodium level of 138 mEq/L is within the normal range (135-145 mEq/L) and is not concerning.
Choice D is wrong because a weight loss of 1 kg in 1 week is not significant and may reflect the diuretic effect of hydrochlorothiazide; significant weight changes (>2 kg in a week) would be more concerning.
Question 5 of 5
A nurse is assessing a client who has a new diagnosis of chronic obstructive pulmonary disease (COPD). Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: A barrel-shaped chest is a common finding in COPD due to chronic hyperinflation of the lungs, causing the chest to appear rounded and the anteroposterior diameter to increase.
Choice B is incorrect because COPD typically causes tachypnea (rapid breathing) as the body compensates for reduced oxygen exchange, not bradypnea.
Choice C is incorrect because, while clubbing of fingers can occur in advanced COPD with chronic hypoxia, it is less common and not a primary finding.
Choice D is incorrect because weight loss, not weight gain, is typical in COPD due to increased metabolic demand and difficulty eating from dyspnea.