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 urinary tract infection and is receiving ciprofloxacin. Which of the following instructions should the nurse provide?
Correct Answer: B
Rationale: The correct answer is B: Avoid direct sunlight while taking the medication. Ciprofloxacin can increase sensitivity to sunlight, leading to severe sunburn or skin damage. This instruction is vital to prevent adverse reactions.
Choice A is incorrect because taking ciprofloxacin with dairy products can decrease its absorption.
Choice C is incorrect as crushing the tablets can alter the drug's efficacy.
Choice D is incorrect because antacids can decrease ciprofloxacin absorption.
Question 2 of 5
A nurse is assessing a client who has a pressure ulcer. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Full-thickness tissue loss with visible muscle. This finding indicates a stage III pressure ulcer, where the damage extends through the skin into deeper tissues. The nurse would expect to see visible muscle or bone, indicating severe tissue damage.
Choice A is incorrect because erythema and intact skin are signs of a stage I pressure ulcer.
Choice C describes a stage I pressure ulcer, which is characterized by blanchable redness that disappears with pressure relief.
Choice D is indicative of a stage IV pressure ulcer, where eschar covers the wound indicating severe tissue necrosis.
Question 3 of 5
A nurse is providing teaching to a client who has a new prescription for hydrocodone for pain management. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Increase dietary fiber to prevent constipation. Hydrocodone is an opioid analgesic that can cause constipation as a common side effect. Increasing dietary fiber can help prevent constipation by promoting regular bowel movements. The other options are incorrect because: B: Grapefruit juice can actually inhibit the absorption of many medications, including hydrocodone. C: Driving restrictions are not necessary with hydrocodone unless the client experiences drowsiness or dizziness. D: Hydrocodone is a central nervous system depressant, so it is more likely to cause drowsiness or sedation rather than increased energy levels.
Question 4 of 5
A nurse is caring for a client who is postoperative following a mastectomy. Which of the following actions should the nurse take to promote comfort?
Correct Answer: D
Rationale: The correct answer is D: Elevate the affected arm on a pillow. This position promotes comfort by reducing swelling and preventing lymphedema in the affected arm post-mastectomy. Elevating the arm also helps with drainage and decreases the risk of postoperative complications. Encouraging deep-breathing exercises (choice
A) is important for preventing respiratory complications but does not directly promote comfort in this scenario. Placing the client in a supine position with the head flat (choice
B) may cause discomfort and increase the risk of lymphedema. Applying a warm compress (choice
C) may not be suitable immediately postoperatively as it can increase swelling.
Question 5 of 5
A nurse is assessing a client who has a new diagnosis of rheumatoid arthritis. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Morning stiffness lasting more than 30 minutes. This is a hallmark symptom of rheumatoid arthritis due to inflammation in the joints. It typically lasts longer than with osteoarthritis.
Choices B, C, and D are incorrect. Unilateral joint pain is more indicative of other conditions like gout. Fever is not a typical symptom of rheumatoid arthritis unless there is an infection present. Bradycardia is not associated with rheumatoid arthritis.