ATI RN
ATI Comprehensive Predictor 2023 Exit Exam B Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has experienced a stroke and is moving in with an adult child. Which of the following actions should the nurse encourage the client and family to take as they adjust to their new roles?
Correct Answer: A
Rationale: The correct answer is A: Implement firm but flexible boundaries in their relationship. This option promotes a balanced approach to setting boundaries, allowing for both structure and adaptability. After a stroke, adjusting to new living arrangements can be challenging, and having clear boundaries can help maintain a sense of autonomy for the client while also fostering a supportive environment. Minimizing open discussion (
B) can hinder effective communication and understanding between the client and family. Encouraging authoritative communication (
C) may lead to power imbalances and hinder collaboration. Decreasing socialization with extended relatives (
D) can limit social support and resources during the adjustment period.
Question 2 of 5
A nurse is providing teaching to a client who has a new prescription for methylergonovine to treat postpartum hemorrhage. Which of the following conditions should the nurse include as a contraindication for this medication?
Correct Answer: A
Rationale: The correct answer is A: Hypertension. Methylergonovine is a vasoconstrictor that can potentially increase blood pressure. Clients with hypertension are at risk for further elevation in blood pressure, which could lead to severe complications such as stroke or heart attack.
Therefore, it is crucial for the nurse to include hypertension as a contraindication when teaching a client about methylergonovine.
Choices B, C, and D are incorrect because they are not directly contraindicated with methylergonovine. Migraine headaches may improve with this medication, asthma is not a contraindication, and diabetes mellitus does not pose a direct risk with methylergonovine use.
Question 3 of 5
A nurse is reviewing the laboratory results for a client who is at 12 weeks of gestation. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Hemoglobin 9.2 g/dL. At 12 weeks of gestation, a hemoglobin level lower than the normal range (11-14 g/dL) may indicate anemia, which can affect both the mother and the developing fetus. Anemia during pregnancy can lead to complications such as preterm birth and low birth weight.
Therefore, the nurse should report this finding to the provider for further evaluation and management.
Choices B, C, and D are within normal ranges for a pregnant individual and are not concerning at this stage of gestation.
Question 4 of 5
A nurse is teaching a client who has a new prescription for combined oral contraceptives. Which of the following statements should the nurse include?
Correct Answer: A
Rationale:
Correct
Answer: A. Take the pills at the same time each day.
Rationale: Taking the pills at the same time each day helps maintain consistent hormone levels for effective contraception. Consistency is crucial for the pills to work properly. It minimizes the risk of missed doses and ensures maximum efficacy.
Summary of Other
Choices:
B: Using a backup method for the first 7 days is important, but it doesn't address the daily regimen of pill-taking.
C: Stopping pills for a headache is not recommended and could lead to ineffective contraception.
D: Taking an extra pill if a dose is missed can cause hormonal imbalances and is not the correct protocol for missed doses.
Question 5 of 5
A nurse is providing teaching to a client who is at 8 weeks of gestation about the importance of folic acid during pregnancy. Which of the following statements should the nurse include?
Correct Answer: A
Rationale: The correct answer is A. Folic acid helps prevent neural tube defects in the fetus. This is crucial during early pregnancy when the neural tube is forming. Folic acid aids in proper development and reduces the risk of serious birth defects.
B: Folic acid doesn't increase red blood cell production, iron does.
C: Folic acid doesn't promote uterine growth; it supports healthy fetal development.
D: Folic acid is not directly linked to reducing the risk of preterm labor.
Therefore, option A is the most relevant and important statement to include in teaching about folic acid during pregnancy.