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 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 2 of 5
A nurse is providing teaching to a client who has a new prescription for amoxicillin for otitis media. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Completing the full course of amoxicillin ensures eradication of the bacterial infection causing otitis media, preventing recurrence or antibiotic resistance.
Choice A is incorrect because amoxicillin should not be taken with an antacid, as it does not significantly reduce stomach upset and may affect absorption.
Choice C is incorrect because diarrhea, if it occurs, is typically a side effect during treatment and should resolve after completion; persistent diarrhea requires evaluation.
Choice D is incorrect because amoxicillin suspension should be refrigerated, not stored at room temperature, to maintain stability.
Question 3 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 4 of 5
A nurse is assessing a client who has a new diagnosis of hypothyroidism. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Bradycardia is a common finding in hypothyroidism due to decreased metabolic rate and reduced sympathetic stimulation, slowing the heart rate.
Choice A is incorrect because hypothyroidism typically causes weight gain due to slowed metabolism, not weight loss.
Choice C is incorrect because heat intolerance is associated with hyperthyroidism; hypothyroidism causes cold intolerance.
Choice D is incorrect because hypothyroidism often leads to constipation due to reduced gastrointestinal motility, not diarrhea.
Question 5 of 5
A nurse is providing teaching to a client who has asthma and a new prescription for a metered-dose inhaler with a spacer. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Holding the breath for 5-10 seconds after inhaling the medication allows the medication to deposit in the lungs, maximizing its effectiveness for asthma control.
Choice A is incorrect because the inhaler should be shaken well before use, but not necessarily before attaching it to the spacer; shaking ensures proper mixing of the medication.
Choice B is incorrect because inhaling slowly and deeply (not quickly) through the spacer ensures better medication delivery to the lungs.
Choice D is incorrect because the spacer should be cleaned with mild soap and water, not alcohol wipes, to avoid damaging it or leaving residue.