ATI RN
ATI Comprehensive Predictor 2023 Exit Exam B Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is at 33 weeks of gestation following an amniocentesis. The nurse should monitor the client for which of the following complications?
Correct Answer: C
Rationale:
Choice A is wrong because it is not a common complication of amniocentesis. Epigastric pain is more likely to be associated with preeclampsia, a condition that causes high blood pressure and proteinuria in pregnancy. Epigastric pain can indicate severe preeclampsia or HELLP syndrome (hemolysis, elevated liver enzymes, low platelets), which are life-threatening complications that require immediate medical attention.
Choice B is wrong because it is not a direct result of amniocentesis. Hypertension can occur in pregnancy due to various factors, such as chronic hypertension, gestational hypertension, preeclampsia, or eclampsia. Hypertension can increase the risk of complications such as placental abruption, fetal growth restriction, preterm birth, and maternal stroke. According to the flashcards from Quizlet, a nurse should monitor a client who is at 33 weeks of gestation following an amniocentesis for contractions, as they are a sign of preterm labor and possible uterine rupture. An amniocentesis is a procedure that involves inserting a needle into the amniotic sac to obtain a sample of amniotic fluid for testing. It can cause complications such as bleeding, infection, leakage of fluid, and injury to the fetus or placenta.
Choice D is wrong because it is not a typical complication of amniocentesis. Vomiting can occur in pregnancy due to various causes, such as morning sickness, gastroenteritis, food poisoning, or hyperemesis gravidarum. Vomiting can lead to dehydration, electrolyte imbalance, weight loss, and malnutrition if not treated properly.
Question 2 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.
Question 3 of 5
A nurse is providing teaching to a client who has a new prescription for disulfiram for alcohol use disorder. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Avoiding all products containing alcohol, including mouthwash, is critical with disulfiram, as it causes a severe reaction (flushing, nausea, vomiting) when alcohol is consumed, deterring alcohol use.
Choice B is incorrect because disulfiram is typically taken at bedtime to minimize side effects like drowsiness, not in the morning.
Choice C is incorrect because a metallic taste is not a common side effect of disulfiram; it is more associated with metronidazole.
Choice D is incorrect because disulfiram should not be discontinued abruptly without provider guidance, even if drinking resumes, to avoid complications.
Question 4 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: This is because boundaries can help the client and family to respect each other's roles, needs, and preferences, and to avoid role confusion, resentment, or guilt. Boundaries can also promote independence and self-care for the client, as well as prevent caregiver burnout for the family.
Choice B is wrong because minimizing open discussion regarding the changes can lead to misunderstanding, frustration, or isolation. The client and family should communicate openly and honestly about their feelings, expectations, and challenges to foster mutual understanding and support.
Choice C is wrong because encouraging authoritative communication from the adult child can create a power imbalance and undermine the client's autonomy and dignity. The client and family should use collaborative and respectful communication to make decisions and solve problems together.
Choice D is wrong because decreasing socialization with extended relatives until roles are identified can isolate the client and family from their social support network. Socialization with extended relatives can provide emotional, practical, and informational support, as well as a sense of belonging and identity for the client and family.
Question 5 of 5
A nurse is caring for a client who has a new prescription for risperidone for schizophrenia. Which of the following findings should the nurse monitor for as an adverse effect?
Correct Answer: A
Rationale: Weight gain is a common adverse effect of risperidone, an atypical antipsychotic, due to its effects on metabolism and appetite, requiring monitoring to manage long-term health risks.
Choice B is incorrect because, while hypotension may occur, it is less frequent than weight gain and more associated with initial dosing.
Choice C is incorrect because bradycardia is not a typical side effect; tachycardia may occur with agitation or overdose.
Choice D is incorrect because hypoglycemia is not associated with risperidone; hyperglycemia may occur due to metabolic changes.