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 sertraline for depression. Which of the following findings should the nurse monitor for as an adverse effect?
Correct Answer: B
Rationale: Insomnia is a common adverse effect of sertraline, an SSRI, due to its stimulating effect on serotonin levels, and should be monitored, as it may require dose adjustment or bedtime avoidance.
Choice A is incorrect because sertraline is more likely to cause weight gain, not weight loss, over time.
Choice C is incorrect because hypotension is not a common side effect; orthostatic hypotension may occur but is less frequent.
Choice D is incorrect because bradycardia is not typically associated with sertraline; tachycardia may occur with anxiety or overstimulation.
Question 2 of 5
A nurse is assisting with the care of a client who is receiving a continuous IV infusion of heparin. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: Bruising at the IV site with heparin suggests bleeding, requiring provider notification. Normal blood pressure, urine output, and heart rate are not urgent.
Question 3 of 5
A nurse is caring for a client who is experiencing an acute asthma attack. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Administering albuterol via nebulizer is the first action to take during an acute asthma attack, as it rapidly relaxes bronchial smooth muscles, relieving bronchospasm and improving airflow.
Choice B is incorrect because a supine position can worsen breathing; a semi-Fowler's or upright position is preferred to facilitate lung expansion.
Choice C is incorrect because obtaining a peak expiratory flow rate is useful for monitoring but is not the priority during an acute attack.
Choice D is incorrect because administering oxygen is secondary to bronchodilator therapy unless the client has severe hypoxia (e.g., oxygen saturation <90%).
Question 4 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 5 of 5
A nurse is assisting with the care of a client who is postoperative following a thyroidectomy. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: Tingling around the mouth suggests hypocalcemia, a risk post-thyroidectomy, requiring provider notification. Pain, hoarseness, and mild fever are expected.