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 heart failure. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Orthopnea is expected in heart failure due to fluid overload. Tachycardia, weight gain, and productive cough are more common.
Question 2 of 5
A nurse is caring for a client who has atrial fibrillation and is receiving warfarin. Which of the following laboratory results should the nurse report to the provider?
Correct Answer: A
Rationale: An INR of 4.5 is above the therapeutic range for atrial fibrillation (typically 2.0-3.0) and indicates an increased risk of bleeding, requiring immediate reporting to the provider for potential dose adjustment or vitamin K administration.
Choice B is wrong because a platelet count of 200,000/mm3 is within the normal range (150,000-400,000/mm3) and does not require reporting.
Choice C is wrong because aPTT is not used to monitor warfarin therapy (it monitors heparin); an aPTT of 40 seconds is within normal limits (30-40 seconds) and not concerning.
Choice D is wrong because a hemoglobin of 13 g/dL is within the normal range for males (13-17 g/dL) and females (12-16 g/dL) and does not indicate bleeding or anemia.
Question 3 of 5
A nurse is assessing a client who has a new diagnosis of alcohol use disorder. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Tremors are a common finding in alcohol use disorder, especially during withdrawal, due to central nervous system hyperexcitability from chronic alcohol suppression.
Choice A is incorrect because hyperglycemia, not hypoglycemia, may occur due to alcohol's effect on liver glycogenolysis.
Choice C is incorrect because hypertension, not hypotension, is more common, especially during withdrawal or chronic use.
Choice D is incorrect because weight loss, not weight gain, is typical due to poor nutrition and increased metabolic demand.
Question 4 of 5
A nurse is caring for a client who is postoperative following a bowel resection and has a new colostomy. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Applying a skin barrier around the stoma protects the peristomal skin from irritation and breakdown caused by contact with stool, a common issue with a new colostomy.
Choice B is incorrect because the colostomy bag should be emptied when it is one-third to one-half full to prevent leakage and skin irritation, not when full.
Choice C is incorrect because the colostomy appliance is typically changed every 3-7 days, not daily, unless there is leakage or skin irritation.
Choice D is incorrect because petroleum jelly is not recommended, as it can interfere with the adhesion of the colostomy appliance; a skin barrier or protective paste is preferred.
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.