ATI RN
ATI Comprehensive Predictor 2023 Exit Exam B Questions
Extract:
Question 1 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 2 of 5
A nurse is assessing a client who has a new diagnosis of otitis media. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Ear pain is a hallmark symptom of otitis media, caused by inflammation and pressure from fluid buildup in the middle ear.
Choice B is incorrect because clear ear drainage is not typical; purulent or bloody drainage may occur if the eardrum ruptures.
Choice C is incorrect because a fever of 37.2°C is not significant; otitis media often causes higher fevers (e.g., >38°
C) in acute cases.
Choice D is incorrect because otitis media typically causes hearing loss due to fluid in the middle ear, not improved hearing.
Question 3 of 5
A nurse is assessing a newborn 24 hours after birth. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: A murmur heard on auscultation is an abnormal finding that may indicate a congenital heart defect or other cardiac issue, requiring immediate reporting to the provider for further evaluation, such as an echocardiogram.
Choice A is wrong because a weight loss of 8% since birth is within the normal range for newborns (up to 10% in the first few days) and does not require immediate reporting unless accompanied by other concerns like poor feeding.
Choice B is wrong because acrocyanosis of the hands and feet is a common, benign finding in newborns due to immature circulation and does not typically require reporting.
Choice D is wrong because jaundice of the face and chest within 24 hours is often physiological and expected, but it should be monitored; it does not require immediate reporting unless severe or accompanied by other symptoms.
Question 4 of 5
A nurse is providing teaching to a client who has a new prescription for lorazepam for anxiety. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Avoiding driving is critical while taking lorazepam, a benzodiazepine, as it causes drowsiness and impairs coordination, increasing the risk of accidents.
Choice B is incorrect because lorazepam can be taken with or without food; a high-protein meal is not necessary.
Choice C is incorrect because lorazepam causes sedation, not increased energy.
Choice D is incorrect because lorazepam should not be discontinued abruptly, as this can cause withdrawal symptoms or rebound anxiety; it requires gradual tapering under provider guidance.
Question 5 of 5
A home health nurse is caring for a child who has Lyme disease. Which of the following is an appropriate action for the nurse to take?
Correct Answer: A
Rationale: The nurse should ensure the state health department has been notified of the child's Lyme disease, as it is a reportable disease in most states. Reporting helps to monitor the incidence and prevalence of Lyme disease and to implement prevention and control measures.
Choice B is wrong because antitoxin is not used to treat Lyme disease. Antitoxin is a substance that neutralizes the effects of a toxin, such as botulism or tetanus. Lyme disease is caused by a bacterium called Borrelia burgdorferi, which can be treated with antibiotics.
Choice C is wrong because Lyme disease is not transmitted by sharing personal belongings. Lyme disease is spread to humans by the bite of infected ticks that carry the bacterium. The risk of getting Lyme disease can be reduced by avoiding tick-infested areas, wearing protective clothing, using insect repellent, and removing ticks promptly.
Choice D is wrong because skin necrosis is not a common complication of Lyme disease. Skin necrosis is the death of skin tissue due to lack of blood supply or infection. Lyme disease can cause a characteristic skin rash called erythema migrans, which is usually circular or oval and expands over time. Other possible signs and symptoms of Lyme disease include fever, headache, fatigue, joint pain, and neurological problems.