ATI RN
ATI Comprehensive Predictor 2023 Exit Exam B Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has acute kidney injury and a potassium level of 6.5 mEq/L. Which of the following interventions should the nurse anticipate?
Correct Answer: C
Rationale: The correct answer is C: Prepare the client for hemodialysis. In acute kidney injury with high potassium levels, hemodialysis is the most effective intervention to quickly lower potassium levels by removing excess potassium from the bloodstream. This is a critical and urgent intervention to prevent life-threatening complications such as cardiac arrhythmias. Administering a loop diuretic (choice
A) may worsen the hyperkalemia by further reducing renal function. Restricting dietary potassium intake (choice
B) is not as effective in rapidly lowering potassium levels in acute situations. Administering potassium chloride IV (choice
D) would be contraindicated as it would further elevate potassium levels.
Question 2 of 5
A nurse is assessing a client who has chronic obstructive pulmonary disease (COPD) and is receiving albuterol via nebulizer. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Tremors in hands. Albuterol is a bronchodilator that can cause side effects like tremors, especially in the hands. The nurse should report this to the provider as it may indicate an adverse reaction or overdose. Reporting this finding promptly can help prevent further complications.
A: Heart rate 110/min is within normal limits and commonly seen with albuterol use.
B: Respiratory rate 20/min is within normal range and expected with COPD.
C: Oxygen saturation 95% is a good reading and shows effective oxygenation.
In summary, tremors in the hands are a significant finding that requires immediate attention, while the other options are within expected parameters for a client with COPD receiving albuterol.
Question 3 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: The correct answer is C: Hold your breath for 5 seconds after inhaling the medication. This instruction is important because it allows the medication to be fully absorbed into the lungs. Holding the breath for 5 seconds ensures that the medication has enough time to reach the deeper airways where it can be most effective.
Other choices are incorrect:
A: Shaking the inhaler well before attaching it to the spacer is not necessary and may cause the medication to not be delivered properly.
B: Inhaling quickly through the spacer after pressing the inhaler may lead to improper inhalation technique and less effective medication delivery.
D: Cleaning the spacer with alcohol wipes after each use is important for hygiene but not directly related to proper inhaler technique.
Question 4 of 5
A nurse is caring for a client who has pneumonia and is receiving oxygen via nasal cannula at 2 L/min. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Crackles in bilateral lung bases. Crackles indicate fluid in the lungs, which can worsen the client's pneumonia and oxygenation status. Reporting this finding promptly allows the provider to assess and potentially adjust the treatment plan.
A: Oxygen saturation of 92% is within an acceptable range for a client with pneumonia.
B: Respiratory rate of 24/min is slightly elevated but not alarming for a client with pneumonia.
D: Temperature of 37.8°C (100°F) is a low-grade fever, common in pneumonia, and may not require immediate intervention.
Question 5 of 5
A nurse is assessing a client who has a chest tube in place following a thoracotomy. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Absence of breath sounds on the affected side. This finding could indicate a pneumothorax, which is a serious complication following thoracotomy requiring immediate intervention. Tidaling in the water seal chamber (
A) is expected and indicates proper functioning of the chest tube. Continuous bubbling in the suction control chamber (
B) is normal if the provider has ordered suction. Drainage of 50 mL/hr in the collection chamber (
C) is within normal limits. Absence of breath sounds on the affected side (
D) is abnormal and requires prompt attention.