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 peptic ulcer and is receiving sucralfate. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Administer the medication 1 hour before meals. Sucralfate forms a protective barrier over the ulcer, so administering it before meals allows it to adhere to the ulcer site without interference from food or gastric acid. This timing maximizes its therapeutic effect. Administering it with meals (choice
A) may reduce its efficacy as it could bind to food instead of the ulcer. Crushing the tablet (choice
B) is not recommended as it alters the drug's release mechanism. Mixing it with an antacid (choice
D) may decrease sucralfate's effectiveness by altering its pH-dependent activation.
Therefore, choice C is the most appropriate action for optimal therapeutic outcome.
Question 2 of 5
A nurse is assessing a client who has pancreatitis. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Epigastric pain radiating to the back. In pancreatitis, epigastric pain that radiates to the back is a classic symptom due to inflammation of the pancreas and surrounding tissues. This pain is often severe and persistent. Other choices are incorrect because: B: Hypoactive bowel sounds are more indicative of bowel obstruction or paralytic ileus, not pancreatitis. C: Weight gain is not a typical finding in pancreatitis as it is associated with reduced appetite and potential weight loss due to malabsorption. D: A fever of 37.2°C (99°F) is within normal range and not a specific finding in pancreatitis.
Question 3 of 5
A nurse is providing teaching to a client who has a new prescription for insulin glargine. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Administer the insulin at bedtime. Insulin glargine is a long-acting insulin that is typically administered once daily at the same time each day, often at bedtime. This timing helps provide a consistent basal insulin level throughout the night, mimicking the body's natural insulin release pattern. Option A is incorrect as rotating injection sites is recommended to prevent lipohypertrophy. Option B is incorrect as insulin glargine should not be shaken vigorously to avoid damaging the insulin molecules. Option D is incorrect as insulin glargine should appear clear, not cloudy.
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:
Correct
Answer: A - Apply a skin barrier around the stoma.
Rationale: Applying a skin barrier around the stoma is crucial to protect the skin from irritation caused by stool leakage. The skin barrier creates a protective barrier between the stoma and the skin, preventing skin breakdown and promoting healing. It also helps to secure the ostomy appliance in place, reducing the risk of leakage. Additionally, the skin barrier helps to maintain skin integrity and comfort for the client.
Other
Choices:
B: Empty the colostomy bag when it is full - While important, this is a basic colostomy care task and not the priority in this situation.
C: Change the colostomy appliance daily - Changing the appliance daily is not necessary unless there is leakage or skin irritation.
D: Use petroleum jelly to protect the skin around the stoma - Petroleum jelly can interfere with the adherence of the ostomy appliance and is not recommended for use around the stoma.
Question 5 of 5
A nurse is providing teaching to a client who has a new colostomy. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Change the pouch every 3 to 5 days. This instruction is important to maintain skin integrity and prevent skin irritation around the stoma. Changing the pouch regularly helps to prevent leakage and infection. Option A is incorrect because hydration is essential, but it is not the priority instruction for colostomy care. Option B is incorrect as high-fiber foods can actually help regulate bowel movements and prevent blockages. Option D is incorrect because bright red output can indicate bleeding and should be reported to a healthcare provider.