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 total parenteral nutrition (TPN). The bag has 20 mL remaining to infuse, but a new bag is not readily available. Which of the following actions should the nurse take?
Correct Answer: D
Rationale:
Choice A is wrong because giving 500 mL of lactated Ringer's solution would not provide enough calories or glucose to prevent hypoglycemia. Lactated Ringer's solution is an isotonic solution that contains electrolytes but no calories or glucose.
Choice B is wrong because temporarily discontinuing the infusion would cause hypoglycemia, which can be life-threatening for the client.
Choice C is wrong because slowing the TPN infusion rate would also cause hypoglycemia, as the client would receive less calories and glucose than prescribed. This is because abruptly stopping TPN can cause hypoglycemia, which is a low blood sugar level that can cause shakiness, diaphoresis, confusion, and seizures.
Therefore, infusing dextrose 10% in water temporarily at the same rate as the TPN can prevent this adverse effect. Dextrose 10% in water is a hypertonic solution that contains 340 calories per liter and can maintain the client's blood glucose level until the new TPN bag arrives.
Question 2 of 5
A nurse is providing teaching to a client who has a new prescription for amoxicillin for otitis media. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Completing the full course of amoxicillin ensures eradication of the bacterial infection causing otitis media, preventing recurrence or antibiotic resistance.
Choice A is incorrect because amoxicillin should not be taken with an antacid, as it does not significantly reduce stomach upset and may affect absorption.
Choice C is incorrect because diarrhea, if it occurs, is typically a side effect during treatment and should resolve after completion; persistent diarrhea requires evaluation.
Choice D is incorrect because amoxicillin suspension should be refrigerated, not stored at room temperature, to maintain stability.
Question 3 of 5
A nurse is assessing a client who has chronic obstructive pulmonary disease (COPD) and is receiving albuterol via nebulizer. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: Tremors in the hands are a side effect of albuterol, a beta-2 agonist, due to its stimulatory effects on the nervous system, and should be reported to the provider, as it may require dose adjustment or an alternative medication.
Choice A is wrong because a heart rate of 110/min is within the expected range for albuterol, which can cause tachycardia, and is not immediately concerning unless sustained or accompanied by other symptoms.
Choice B is wrong because a respiratory rate of 20/min is normal (12-20/min) and expected in COPD, especially during treatment.
Choice C is wrong because an oxygen saturation of 95% is within the normal range (95-100%) and indicates adequate oxygenation.
Question 4 of 5
A nurse is caring for a client who is receiving chemotherapy for breast cancer. Which of the following laboratory findings should the nurse report to the provider?
Correct Answer: A
Rationale: A WBC count of 2,500/mm3 is below the normal range (5,000-10,000/mm3) and indicates leukopenia, a common side effect of chemotherapy that increases infection risk, requiring immediate reporting to the provider for potential interventions like growth factors or antibiotics.
Choice B is wrong because a hemoglobin of 12 g/dL is within the normal range for females (12-16 g/dL) and does not require reporting.
Choice C is wrong because a platelet count of 150,000/mm3 is within the normal range (150,000-400,000/mm3) and does not indicate thrombocytopenia.
Choice D is wrong because a potassium level of 4.0 mEq/L is within the normal range (3.5-5.0 mEq/L) and does not require reporting.
Question 5 of 5
A nurse is assessing a client who has a new prescription for tamoxifen for breast cancer. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: Calf pain and swelling are concerning findings that may indicate deep vein thrombosis (DVT), a known risk of tamoxifen due to its estrogen-like effects on clotting factors, requiring immediate reporting to the provider for evaluation, such as an ultrasound.
Choice A is wrong because hot flashes are a common side effect of tamoxifen due to its anti-estrogenic effects and do not typically require reporting unless severe.
Choice B is wrong because vaginal dryness is an expected side effect of tamoxifen and can be managed with non-hormonal lubricants, not requiring immediate reporting.
Choice D is wrong because a weight gain of 2 kg in 1 month is not significant and may be related to other factors; it should be monitored but does not require immediate reporting.