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 risperidone for schizophrenia. Which of the following findings should the nurse monitor for as an adverse effect?
Correct Answer: A
Rationale: Weight gain is a common adverse effect of risperidone, an atypical antipsychotic, due to its effects on metabolism and appetite, requiring monitoring to manage long-term health risks.
Choice B is incorrect because, while hypotension may occur, it is less frequent than weight gain and more associated with initial dosing.
Choice C is incorrect because bradycardia is not a typical side effect; tachycardia may occur with agitation or overdose.
Choice D is incorrect because hypoglycemia is not associated with risperidone; hyperglycemia may occur due to metabolic changes.
Question 2 of 5
A nurse is providing teaching to a client who has gout and a new prescription for allopurinol. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Increasing fluid intake to 2 to 3 liters daily helps prevent uric acid crystal formation in the kidneys and promotes excretion, reducing gout flare-ups while taking allopurinol.
Choice B is incorrect because high-purine meals (e.g., red meat, shellfish) should be avoided, as they increase uric acid levels, counteracting allopurinol's effect.
Choice C is incorrect because allopurinol takes weeks to reduce uric acid levels and does not provide immediate joint pain relief; acute attacks require other treatments like NSAIDs.
Choice D is incorrect because, while ice may help during an acute gout attack, it is not directly related to allopurinol use and is not the priority instruction.
Question 3 of 5
A nurse is assessing a client who has multiple sclerosis. Which of the following manifestations should the nurse expect?
Correct Answer: A
Rationale: Nystagmus (involuntary eye movements) is a common manifestation of multiple sclerosis due to demyelination affecting the optic nerve or cerebellar pathways, impacting vision and coordination.
Choice B is incorrect because multiple sclerosis typically causes hyperactive deep tendon reflexes due to upper motor neuron involvement, not hypoactive reflexes.
Choice C is incorrect because persistent nausea is not a hallmark symptom of multiple sclerosis; it may occur secondary to medications or other conditions.
Choice D is incorrect because fever is not typical unless the client has an infection or is experiencing a pseudoexacerbation triggered by heat.
Question 4 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.
Question 5 of 5
A nurse is providing teaching to a client who has a new prescription for fluoxetine for bulimia nervosa. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Monitoring for signs of serotonin syndrome (e.g., agitation, tremors, hyperthermia) is critical with fluoxetine, an SSRI, as it increases serotonin levels, and overdose or drug interactions can cause this life-threatening condition.
Choice B is incorrect because fluoxetine is typically taken in the morning, as it can cause insomnia if taken at bedtime.
Choice C is incorrect because fluoxetine is more likely to cause weight loss or be weight-neutral in bulimia, not weight gain.
Choice D is incorrect because fluoxetine should not be discontinued abruptly, even if binge eating stops, as this can cause withdrawal symptoms or relapse; it requires provider guidance.