ATI RN
ATI Comprehensive Predictor 2023 Exit Exam B Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is postoperative following a coronary artery bypass graft (CABG). Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: ST-segment elevation on ECG is a critical finding post-CABG, indicating possible myocardial ischemia or infarction, requiring immediate reporting to the provider for intervention.
Choice A is incorrect because incisional pain rated 4/10 is expected post-CABG and can be managed with analgesics; severe or worsening pain would be more concerning.
Choice B is incorrect because a temperature of 37.8°C is a low-grade fever, common in the first 48 hours post-surgery, and does not require immediate reporting unless persistent or higher.
Choice D is incorrect because drainage of 50 mL/hr from chest tubes is within the expected range for the first 24 hours post-CABG; excessive drainage (>100 mL/hr) would be concerning.
Question 2 of 5
A nurse is providing teaching to a client who has a new prescription for omeprazole for gastroesophageal reflux disease (GERD). Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Taking omeprazole 30 minutes before breakfast optimizes its acid-suppressing effect by aligning with the body's natural acid production cycle, improving GERD symptom control.
Choice B is incorrect because omeprazole may take several days to provide significant relief, not immediate relief.
Choice C is incorrect because, while swallowing the capsule whole is correct for delayed-release formulations, the timing (before meals) is more critical to emphasize for efficacy.
Choice D is incorrect because taking omeprazole with an antacid is not recommended, as it may reduce the drug's effectiveness; antacids are used for immediate relief, not in combination with proton pump inhibitors.
Question 3 of 5
A nurse is assisting with the care of a client who is receiving a continuous enteral feeding. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: A gastric residual volume of 300 mL suggests delayed gastric emptying, requiring provider notification. Mild fever, normal heart rate, and blood pressure are not urgent.
Question 4 of 5
A nurse is caring for a client who has a new prescription for zolpidem for insomnia. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Avoiding alcohol is critical while taking zolpidem, a non-benzodiazepine hypnotic, as it enhances CNS depression, increasing the risk of respiratory depression or falls.
Choice A is incorrect because zolpidem is typically taken immediately before bedtime due to its rapid onset, not 30 minutes prior.
Choice C is incorrect because vivid dreams are not a common side effect; amnesia or sleepwalking may occur but are less frequent.
Choice D is incorrect because zolpidem can be taken with or without food; a snack is not necessary for absorption.
Question 5 of 5
A nurse is providing teaching to a client who has a new prescription for latanoprost eye drops for open-angle glaucoma. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Removing contact lenses before instilling latanoprost eye drops prevents the lenses from absorbing the medication or becoming damaged, ensuring proper administration for open-angle glaucoma.
Choice A is incorrect because latanoprost is typically instilled in the evening, as it is most effective at night to reduce intraocular pressure.
Choice C is incorrect because, while iris darkening is a possible side effect, it is not guaranteed or permanent in all clients and is not the priority instruction.
Choice D is incorrect because applying pressure to the inner corner (nasolacrimal duct) of the eye, not the outer corner, prevents systemic absorption, but this is less critical than ensuring proper administration.