ATI RN
ATI Comprehensive Predictor 2023 Exit Exam B Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is receiving heparin for deep vein thrombosis. Which of the following laboratory values should the nurse monitor?
Correct Answer: B
Rationale: Monitoring aPTT (activated partial thromboplastin time) is essential for clients receiving heparin, as it measures the therapeutic effect of heparin on the intrinsic clotting pathway, ensuring the dose is within the therapeutic range (1.5-2.5 times the baseline).
Choice A is incorrect because INR is used to monitor warfarin, not heparin.
Choice C is incorrect because, while platelet count should be monitored to detect heparin-induced thrombocytopenia, aPTT is the primary test for heparin therapy.
Choice D is incorrect because heparin does not directly affect potassium levels; electrolyte monitoring is not a priority.
Extract:
0400:.
57-year-old male client presents to the emergency department with severe abdominal and epigastric pain that began about 12 hr ago. Client rates pain as a 7 on a 0 to 10 pain scale. Client reports pain worsens after eating and radiates into his back. States is nauseous and has had several episodes of vomiting, i Reports some shortness of air and increased pain when lying । flat.
Client is alert and oriented x4 but appears ill. Sclera and palate noted to be yellow. Abdomen distended, rigid, and tender to palpation. Skin turgor poor.
Client reports consuming 3 to 4 alcoholic drinks per day, denies use of other substances. No known allergies.
0730:.
Will admit to medical-surgical unit for treatment of pancreatitis. Treatment plan discussed with client.
Question 2 of 5
The nurse is providing teaching to the client about self-care. Select the 3 statements the nurse should include in the teaching.
Correct Answer: B,C,D
Rationale: The findings that require immediate follow-up are: Adult child accompanying parent reports decline in client, expressing concern over memory and thought process, appetite, and self-care. Adult child states. “My sibling and I hired help at home for my parent. We thought that would help but it has not. I found the title to the car today, signed over to me.†Client makes poor eye contact, speaks in a monotone voice, and has a lack of facial expression. Client reports not wanting to eat anymore. Client's child reports their parent has lost about 8 lb in the past month. Client says. 'Why don't you just leave me? I am of no use.' These findings suggest that the client may have cognitive impairment, depression, and/or malnutrition, which can affect their health and quality of life. The nurse should perform a comprehensive assessment of the client's cognitive, behavioral, and functional status, review their medications and possible side effects, provide education and support for healthy aging, and collaborate with interdisciplinary teams and community resources. The nurse should also evaluate the client's home environment and lifestyle, and consider nonpharmacological approaches to manage behavioral problems. The nurse should also monitor the client's vital signs and weight regularly.
Extract:
Question 3 of 5
A nurse is assessing a child who has bacterial pneumonia. Which of the following manifestations should the nurse expect?
Correct Answer: C
Rationale:
Choice A is wrong because it is not a typical symptom of bacterial pneumonia. Drooling can be caused by other conditions, such as sore throat, dental problems, or neurological disorders.
Choice B is wrong because it is not a symptom of bacterial pneumonia either. Tinnitus is a ringing or buzzing sound in the ears that can be caused by exposure to loud noise, ear infections, or other ear problems. Malaise is a general feeling of discomfort, weakness, or illness that can be a sign of infection. According to the health search result from Focus Medica, bacterial pneumonia is an infection of the air sacs in one or both lungs that causes symptoms such as cough with phlegm, fever, chills, and difficulty breathing. Malaise is one of the symptoms that may follow these signs of infection.
Choice D is wrong because it is not specific to bacterial pneumonia. Rhinorrhea is a runny nose that can be caused by many factors, such as allergies, colds, or sinus infections. Rhinorrhea can sometimes occur with viral pneumonia, but not usually with bacterial pneumonia.
Question 4 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 5 of 5
A charge nurse is concerned about a recent increase in facility-acquired catheter infections. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: While scheduling nursing staff training for infection control procedures is important, it should not be the first action taken. Before implementing training, it is crucial to identify the factors contributing to the increased infection rates to ensure that the training addresses the specific issues at hand. Meeting with providers to discuss measures to decrease the infections is a necessary step, but it should not be the first action. Providers need to be informed about the situation, but their input will be more valuable once the precipitating factors have been identified. Revising the current policy for catheter care may be necessary, but it should not be the first action. Policies should be based on evidence-based practices and tailored to address the specific issues identified through the investigation. As a charge nurse concerned about a recent increase in facility-acquired catheter infections, the first step should be to identify possible precipitating factors related to the infections. This involves conducting a thorough investigation to determine the root causes of the increased infection rates. By identifying the underlying factors, the nurse can then develop targeted interventions to address the specific issues and prevent further infections.