ATI RN
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ATI Comprehensive Predictor 2023 Exit Exam B Questions
Extract:
Question
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1 of 5
A nurse is caring for a client who is receiving continuous bladder irrigation following a transurethral resection of the prostate (TURP). Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Bright red urine with clots indicates potential active bleeding or clot obstruction in the bladder, a serious complication after TURP that requires immediate reporting to the provider.
Choice A is incorrect because a urine output of 200 mL/hr is within the expected range with continuous bladder irrigation, which produces high output to keep the bladder clear.
Choice C is incorrect because bladder spasms are common after TURP due to catheter irritation and can be managed with medications like oxybutynin, not requiring immediate reporting unless severe.
Choice D is incorrect because irrigation fluid inflow equal to outflow is a normal finding, indicating the system is functioning properly.
Question 2 of 5
A nurse is assisting with the care of a client who is receiving a continuous IV infusion of dopamine. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: Infiltration at the IV site with dopamine risks tissue damage, requiring provider notification. Normal blood pressure, urine output, and heart rate are not urgent.
Question 3 of 5
A nurse is caring for a client who is postoperative following cataract surgery. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Administering eye drops as prescribed (e.g., antibiotics, corticosteroids) is essential to prevent infection, reduce inflammation, and promote healing after cataract surgery.
Choice A is incorrect because the client should avoid sleeping on the operative side to prevent pressure on the eye, which could increase intraocular pressure or dislodge the lens implant.
Choice C is incorrect because reading small print should be avoided for several days post-surgery to prevent eye strain; large print or no reading is recommended.
Choice D is incorrect because bending at the waist increases intraocular pressure and should be avoided; the client should bend at the knees if necessary.
Question 4 of 5
A nurse is assessing a client who has a new diagnosis of borderline personality disorder. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Fear of abandonment is a hallmark symptom of borderline personality disorder, driving intense emotional reactions and unstable relationships.
Choice B is incorrect because a persistent sad mood is more associated with depression, not borderline personality disorder, which involves mood instability.
Choice C is incorrect because recurrent intrusive memories are characteristic of PTSD, not borderline personality disorder.
Choice D is incorrect because hypersomnia is not typical; sleep disturbances may occur but are not a primary feature.
Question 5 of 5
A nurse is assessing a client who has a new diagnosis of obsessive-compulsive disorder (OCD). Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Recurrent, intrusive thoughts (obsessions) are a hallmark symptom of OCD, driving compulsive behaviors to alleviate anxiety caused by these thoughts.
Choice B is incorrect because euphoria is not associated with OCD; clients typically experience anxiety or distress.
Choice C is incorrect because OCD often causes insomnia due to anxiety or compulsive behaviors, not an increased need for sleep.
Choice D is incorrect because weight gain is not a primary feature; weight changes may occur secondary to medication or stress.