ATI RN
ATI Comprehensive Predictor 2023 Exit Exam B Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has end-stage liver disease and is undergoing a paracentesis. Which of the following actions should the nurse take to evaluate the effectiveness of the procedure?
Correct Answer: A
Rationale: Comparing the client's current weight with preprocedure weight is the best way to evaluate the effectiveness of the paracentesis, which is a procedure to remove excess fluid from the abdominal cavity. The fluid buildup, or ascites, is a common complication of end-stage liver disease (ESL
D), which is a condition in which the liver is severely damaged and cannot function adequately.
Choice B is wrong because examining for leakage at the site of the procedure is not a measure of effectiveness, but a potential complication that should be monitored and reported.
Choice C is wrong because checking the client's serum albumin levels is not relevant to the paracentesis. Albumin is a protein that helps maintain fluid balance in the body, but it is not affected by the removal of fluid from the abdomen.
Choice D is wrong because confirming that the client is able to urinate is not related to the paracentesis. Urination is a function of the kidneys, not the liver, and it does not reflect the amount of fluid removed from the abdomen.
Question 2 of 5
A nurse is caring for a client who is postoperative following a total knee arthroplasty. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Applying a cold pack to the surgical site for the first 24 hours reduces swelling and pain, promoting comfort and recovery after total knee arthroplasty.
Choice B is incorrect because keeping the affected leg in a dependent position increases swelling; the leg should be elevated to reduce edema.
Choice C is incorrect because active range-of-motion exercises are typically started later (e.g., day 2 or 3), with passive or assisted exercises on day 1 to avoid strain.
Choice D is incorrect because heparin is usually given subcutaneously (e.g., enoxaparin) for DVT prophylaxis, not IV, and the duration depends on the provider's protocol, not automatically 7 days.
Question 3 of 5
A nurse is assessing a client who has a new diagnosis of attention deficit hyperactivity disorder (ADHD). Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Inability to sit still for prolonged periods is a hallmark symptom of ADHD, reflecting hyperactivity and impulsivity, especially in children and some adults.
Choice B is incorrect because a persistent sad mood is more associated with depression, not ADHD.
Choice C is incorrect because recurrent intrusive thoughts are characteristic of obsessive-compulsive disorder, not ADHD.
Choice D is incorrect because hypersomnia is not typical; ADHD may cause sleep difficulties due to hyperactivity, but not excessive sleep.
Question 4 of 5
A nurse is assessing a client who has a new diagnosis of chronic fatigue syndrome. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Persistent fatigue lasting more than 6 months is a diagnostic criterion for chronic fatigue syndrome, characterized by debilitating fatigue not relieved by rest.
Choice B is incorrect because joint swelling is not a feature of chronic fatigue syndrome; it is more associated with inflammatory conditions like rheumatoid arthritis.
Choice C is incorrect because a fever of 38.5°C is not typical unless an infection is present; low-grade fevers may occur but are not primary.
Choice D is incorrect because weight gain is not a hallmark feature; weight changes may occur secondary to inactivity or medication.
Question 5 of 5
A nurse is collecting data from a client who has a history of heart failure. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Orthopnea is expected in heart failure due to fluid overload. Tachycardia, weight gain, and productive cough are more common.