ATI RN
ATI Comprehensive Predictor 2023 Exit Exam B Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the following medications should the nurse anticipate administering?
Correct Answer: C
Rationale: Lorazepam, a benzodiazepine, is commonly administered during alcohol withdrawal to manage symptoms like tremors, seizures, and agitation by calming the central nervous system.
Choice A is incorrect because naltrexone is used for maintenance therapy to reduce alcohol cravings, not for acute withdrawal.
Choice B is incorrect because disulfiram is used to deter alcohol consumption, not to treat withdrawal symptoms.
Choice D is incorrect because acamprosate is used to maintain abstinence in alcohol use disorder, not for managing acute withdrawal.
Question 2 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 3 of 5
A nurse is providing teaching to a client who has a new prescription for buspirone for generalized anxiety disorder. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Monitoring for dizziness or drowsiness is important with buspirone, a non-benzodiazepine anxiolytic, as these are common side effects that may affect safety or require dose adjustment.
Choice A is incorrect because buspirone is taken regularly (2-3 times daily), not as needed, to achieve steady-state anxiety control.
Choice B is incorrect because buspirone takes 2-4 weeks to provide significant anxiety relief, not immediate relief.
Choice D is incorrect because buspirone should not be discontinued abruptly, even if symptoms resolve, to avoid withdrawal or relapse; it requires provider guidance.
Question 4 of 5
A nurse is assisting with the care of a client who is postoperative following a total hip arthroplasty. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Swelling in the affected leg may indicate deep-vein thrombosis, requiring provider notification. Pain, mild fever, and normal heart rate are expected.
Question 5 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: Preparing the client for hemodialysis is appropriate for a potassium level of 6.5 mEq/L (hyperkalemia) in acute kidney injury, as it effectively removes excess potassium when renal function is impaired and other measures are insufficient.
Choice A is wrong because a loop diuretic may not be effective in acute kidney injury due to reduced renal function, and it is not the first-line treatment for severe hyperkalemia.
Choice B is wrong because restricting dietary potassium is a preventive measure but does not address acute hyperkalemia; urgent treatment is needed.
Choice D is wrong because administering potassium chloride would worsen hyperkalemia and is contraindicated.