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 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 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.
Question 3 of 5
A nurse is providing teaching to a client who has a new prescription for lithium for bipolar disorder. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Monitoring for signs of toxicity, such as tremor, nausea, or confusion, is critical with lithium, as it has a narrow therapeutic range, and toxicity can occur with dehydration or drug interactions.
Choice A is incorrect because a low-sodium diet can increase lithium levels, leading to toxicity; a consistent, normal-sodium diet is recommended.
Choice C is incorrect because lithium takes 1-2 weeks to stabilize mood, not 24 hours.
Choice D is incorrect because lithium can be taken with or without food; a high-fat meal is not necessary and may delay absorption.
Question 4 of 5
A nurse is caring for a client who has acute kidney injury and a potassium level of 6.5 mEq/L. Which of the following interventions should the nurse anticipate?
Correct Answer: C
Rationale: Preparing the client for hemodialysis is appropriate for a potassium level of 6.5 mEq/L (hyperkalemia) in acute kidney injury, as it effectively removes excess potassium when renal function is impaired and other measures are insufficient.
Choice A is wrong because a loop diuretic may not be effective in acute kidney injury due to reduced renal function, and it is not the first-line treatment for severe hyperkalemia.
Choice B is wrong because restricting dietary potassium is a preventive measure but does not address acute hyperkalemia; urgent treatment is needed.
Choice D is wrong because administering potassium chloride would worsen hyperkalemia and is contraindicated.
Question 5 of 5
A nurse is assessing a client who has a new diagnosis of borderline personality disorder. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Fear of abandonment is a hallmark symptom of borderline personality disorder, driving intense emotional reactions and unstable relationships.
Choice B is incorrect because a persistent sad mood is more associated with depression, not borderline personality disorder, which involves mood instability.
Choice C is incorrect because recurrent intrusive memories are characteristic of PTSD, not borderline personality disorder.
Choice D is incorrect because hypersomnia is not typical; sleep disturbances may occur but are not a primary feature.