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 receiving a continuous IV infusion of dopamine. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: Infiltration at the IV site with dopamine risks tissue damage, requiring provider notification. Normal blood pressure, urine output, and heart rate are not urgent.
Question 2 of 5
A nurse is caring for a client who is experiencing a panic attack. Which of the following actions should the nurse take?
Correct Answer: D
Rationale:
Choice A is wrong because atomoxetine is not an anti-anxiety medication, but a selective norepinephrine reuptake inhibitor (SNRI) used to treat attention deficit hyperactivity disorder (ADH
D). It has no effect on reducing anxiety and can cause side effects such as insomnia, nausea, and increased blood pressure.
Choice B is wrong because encouraging the client to watch television is not a therapeutic intervention for a panic attack. Watching television can increase the stimuli in the client's environment, which can worsen anxiety. The nurse should maintain an environment with low stimulation for the client experiencing a panic attack. Dim lighting, few people, and minimal distractions can assist the nurse to decrease the client's level of anxiety.
Choice C is wrong because teaching the client how to meditate is not appropriate during a panic attack. Meditation is a relaxation technique that can be helpful for preventing or reducing anxiety, but it requires concentration and focus, which are impaired in a panic attack. The nurse should teach the client how to meditate when the client is calm and receptive, not when the client is in crisis. A client who is experiencing a panic attack has a very high level of anxiety and a diminished ability to focus. The nurse should stay with the client and remain calm and reassuring during the panic attack. This can help the client feel safe and supported, and reduce the intensity of the anxiety.
Question 3 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.
Question 4 of 5
A nurse is assessing a client who has a spinal cord injury at the C5 level. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: A spinal cord injury at the C5 level typically preserves the function of the diaphragm (innervated by C3-C5) and shoulder muscles (deltoid and rotator cuff, innervated by C5), allowing the client to shrug shoulders.
Choice A is incorrect because a C5 injury affects the lower extremities, causing paraplegia or quadriplegia, depending on the extent.
Choice B is incorrect because, while respiratory function is partially preserved (diaphragm intact), the client may still have impaired accessory muscle function, leading to reduced respiratory capacity.
Choice C is incorrect because sensation loss typically occurs below the level of injury (below C5), not necessarily below the clavicles, and may vary in completeness.
Question 5 of 5
A nurse is caring for a client who has a new prescription for naltrexone for opioid use disorder. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Monitoring for signs of liver dysfunction (e.g., jaundice, abdominal pain) is critical, as naltrexone, an opioid antagonist, can cause hepatotoxicity, requiring regular liver function tests.
Choice A is incorrect because naltrexone should not be started until the client is opioid-free for 7-10 days to avoid precipitating withdrawal.
Choice B is incorrect because naltrexone reduces cravings over time, not immediately.
Choice C is incorrect because naltrexone can be taken with or without food; a high-fat meal is not necessary.