ATI RN
ATI Comprehensive Predictor 2023 Exit Exam B Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who has a history of anemia. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Fatigue is expected in anemia due to reduced oxygen-carrying capacity. Fever, hypertension, or weight gain are not typical.
Question 2 of 5
A nurse is caring for a client who has a new prescription for topiramate for migraine prevention. Which of the following findings should the nurse monitor for as an adverse effect?
Correct Answer: A
Rationale: Weight loss is a common adverse effect of topiramate, an anticonvulsant used for migraine prevention, due to its appetite-suppressing effects, requiring monitoring to prevent nutritional deficiencies.
Choice B is incorrect because tachycardia is not a typical side effect; topiramate is more likely to cause sedation.
Choice C is incorrect because hypertension is not commonly associated with topiramate; hypotension may occur in some cases.
Choice D is incorrect because dry mouth is not a primary side effect; cognitive slowing or paresthesia are more frequent.
Question 3 of 5
A nurse is caring for a client who has a peptic ulcer and is receiving sucralfate. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Administering sucralfate 1 hour before meals allows it to form a protective barrier over the ulcer site without interference from food, enhancing its effectiveness in treating peptic ulcers.
Choice A is incorrect because taking sucralfate with meals reduces its ability to coat the ulcer due to food in the stomach.
Choice B is incorrect because sucralfate tablets should not be crushed, as this alters their ability to form a protective coating; they should be swallowed whole or dissolved in water if needed.
Choice D is incorrect because mixing sucralfate with an antacid can reduce its efficacy, as antacids alter stomach pH, which is necessary for sucralfate's action.
Question 4 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 5 of 5
A nurse is assessing a client who has a new diagnosis of post-traumatic stress disorder (PTSD). Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Flashbacks of the traumatic event are a hallmark symptom of PTSD, where clients vividly re-experience the trauma, leading to significant distress.
Choice B is incorrect because euphoria is not associated with PTSD; clients typically experience anxiety, depression, or hypervigilance.
Choice C is incorrect because PTSD often causes insomnia or nightmares, not an increased need for sleep.
Choice D is incorrect because weight gain is not a primary feature; weight changes may occur secondary to depression or medication side effects.