ATI RN
ATI Comprehensive Predictor 2023 Exit Exam B Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a new prescription for topiramate for migraine prevention. Which of the following findings should the nurse monitor for as an adverse effect?
Correct Answer: A
Rationale: Weight loss is a common adverse effect of topiramate, an anticonvulsant used for migraine prevention, due to its appetite-suppressing effects, requiring monitoring to prevent nutritional deficiencies.
Choice B is incorrect because tachycardia is not a typical side effect; topiramate is more likely to cause sedation.
Choice C is incorrect because hypertension is not commonly associated with topiramate; hypotension may occur in some cases.
Choice D is incorrect because dry mouth is not a primary side effect; cognitive slowing or paresthesia are more frequent.
Question 2 of 5
A nurse is assessing a client who has a new diagnosis of glaucoma. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Blurred vision is a common symptom of glaucoma due to increased intraocular pressure damaging the optic nerve, affecting visual clarity.
Choice B is incorrect because glaucoma is characterized by increased intraocular pressure, not decreased.
Choice C is incorrect because corneas may appear hazy or cloudy in advanced glaucoma, not always clear.
Choice D is incorrect because peripheral vision loss (tunnel vision) is a hallmark of glaucoma, not its absence.
Question 3 of 5
A nurse is reinforcing teaching with a client who has a new prescription for gabapentin. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Reporting drowsiness is important with gabapentin due to sedation. Antacids reduce absorption, weight gain is more common, and stopping abruptly risks withdrawal.
Question 4 of 5
A nurse is caring for a client who is postoperative following a bowel resection and has a new colostomy. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Applying a skin barrier around the stoma protects the peristomal skin from irritation and breakdown caused by contact with stool, a common issue with a new colostomy.
Choice B is incorrect because the colostomy bag should be emptied when it is one-third to one-half full to prevent leakage and skin irritation, not when full.
Choice C is incorrect because the colostomy appliance is typically changed every 3-7 days, not daily, unless there is leakage or skin irritation.
Choice D is incorrect because petroleum jelly is not recommended, as it can interfere with the adhesion of the colostomy appliance; a skin barrier or protective paste is preferred.
Question 5 of 5
A nurse is assessing a client who has a chest tube in place following a thoracotomy. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: Absence of breath sounds on the affected side is a critical finding that may indicate a pneumothorax, lung collapse, or chest tube malfunction, requiring immediate reporting to the provider.
Choice A is incorrect because tidaling (fluctuations) in the water seal chamber is a normal finding, indicating the chest tube is functioning and the lung is re-expanding.
Choice B is incorrect because continuous bubbling in the suction control chamber is expected when suction is applied, as it regulates the amount of suction.
Choice C is incorrect because drainage of 50 mL/hr is within the expected range for the first 24-48 hours post-thoracotomy and does not require immediate reporting unless excessive (>100 mL/hr).