ATI RN
ATI Comprehensive Predictor 2023 Exit Exam B Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has type 1 diabetes mellitus and reports feeling shaky and sweaty. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Checking the client's blood glucose level is the first action to take, as shakiness and sweating suggest hypoglycemia (blood glucose typically <70 mg/dL) in a client with type 1 diabetes, and the glucose level will guide treatment (e.g., administering 15 g of fast-acting carbohydrates).
Choice A is wrong because administering insulin would worsen hypoglycemia; insulin is used to lower blood glucose, not treat low levels.
Choice C is wrong because a high-protein snack is not appropriate for treating hypoglycemia; fast-acting carbohydrates (e.g., juice, glucose tabs) are needed first to rapidly raise blood glucose.
Choice D is wrong because encouraging rest does not address the urgent need to correct hypoglycemia, which can progress to confusion, seizures, or unconsciousness if untreated.
Question 2 of 5
A nurse is reinforcing teaching with a client who has a new prescription for gabapentin. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Reporting drowsiness is important with gabapentin due to sedation. Antacids reduce absorption, weight gain is more common, and stopping abruptly risks withdrawal.
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 providing teaching to a client who is breastfeeding. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Storing expressed milk in the refrigerator for up to 4 days is correct, as breast milk can be safely stored in a refrigerator (at 4°C or 39°F) for up to 4 days to maintain its quality and safety for the newborn.
Choice A is wrong because newborns should be fed every 2-3 hours (8-12 times in 24 hours) or on demand, not every 4-5 hours, to ensure adequate nutrition and stimulate milk production.
Choice B is wrong because limiting feedings to 10 minutes per breast may not allow the newborn to receive sufficient milk, especially hindmilk; feedings should continue until the newborn is satisfied (typically 10-20 minutes per side).
Choice D is wrong because supplementing with formula after each breastfeeding session is not routinely recommended, as it can reduce milk supply and interfere with establishing breastfeeding; supplementation should only be used if medically indicated.
Question 5 of 5
A nurse is reinforcing teaching with a client who has a new prescription for enalapril. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Reporting a persistent cough is important with enalapril due to potential intolerance. Grapefruit juice is unrelated, weight gain is not expected, and potassium intake needs monitoring.