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 zolpidem for insomnia. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Avoiding alcohol is critical while taking zolpidem, a non-benzodiazepine hypnotic, as it enhances CNS depression, increasing the risk of respiratory depression or falls.
Choice A is incorrect because zolpidem is typically taken immediately before bedtime due to its rapid onset, not 30 minutes prior.
Choice C is incorrect because vivid dreams are not a common side effect; amnesia or sleepwalking may occur but are less frequent.
Choice D is incorrect because zolpidem can be taken with or without food; a snack is not necessary for absorption.
Question 2 of 5
A nurse is assessing a client who has a new prescription for tamoxifen for breast cancer. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: Calf pain and swelling are concerning findings that may indicate deep vein thrombosis (DVT), a known risk of tamoxifen due to its estrogen-like effects on clotting factors, requiring immediate reporting to the provider for evaluation, such as an ultrasound.
Choice A is wrong because hot flashes are a common side effect of tamoxifen due to its anti-estrogenic effects and do not typically require reporting unless severe.
Choice B is wrong because vaginal dryness is an expected side effect of tamoxifen and can be managed with non-hormonal lubricants, not requiring immediate reporting.
Choice D is wrong because a weight gain of 2 kg in 1 month is not significant and may be related to other factors; it should be monitored but does not require immediate reporting.
Question 3 of 5
A school nurse is teaching a parent about absence seizures. Which of the following information should the nurse include?
Correct Answer: A
Rationale: Absence seizures are brief, sudden lapses of consciousness that usually last a few seconds. They are more common in children than in adults.
Choice B is wrong because absence seizures typically last less than 15 seconds, not 30 to 60 seconds.
Choice C is wrong because absence seizures have a sudden onset, not a gradual one.
Choice D is wrong because absence seizures do not have an aura prior to onset. An aura is a warning sign that some people experience before a seizure, such as a strange feeling, smell, or vision.
Question 4 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 5 of 5
A nurse is providing teaching to a client who has a new diagnosis of Parkinson's disease. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Performing exercises to improve balance and coordination is essential for clients with Parkinson's disease to maintain mobility, reduce fall risk, and manage motor symptoms like bradykinesia and rigidity.
Choice B is incorrect because Parkinson's medications (e.g., levodopa) are typically taken during the day on a strict schedule to control symptoms, not at bedtime, which may disrupt sleep.
Choice C is incorrect because high-protein meals can interfere with levodopa absorption, so they should be spaced out from medication doses, not avoided entirely.
Choice D is incorrect because a heating pad may not effectively relieve Parkinson's-related muscle stiffness and could cause burns if sensation is impaired.