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 migraines. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Nausea is common in migraines, often accompanying headache. Leg pain, chest tightness, or fever are not typical.
Question 2 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 3 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 4 of 5
A nurse is providing teaching to a client who has a new prescription for modafinil for narcolepsy. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Monitoring for chest pain or palpitations is critical with modafinil, a stimulant used for narcolepsy, as it can cause cardiovascular side effects like tachycardia or hypertension.
Choice A is correct but not the priority; modafinil is typically taken in the morning to promote wakefulness, but safety monitoring is more critical.
Choice C is incorrect because modafinil is more likely to cause weight loss, not weight gain, due to its stimulant effects.
Choice D is incorrect because modafinil can be taken with or without food; a high-fat meal may delay absorption but is not necessary.
Question 5 of 5
A nurse is providing teaching to a client who has a new prescription for lithium for bipolar disorder. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Monitoring for signs of toxicity, such as tremor, nausea, or confusion, is critical with lithium, as it has a narrow therapeutic range, and toxicity can occur with dehydration or drug interactions.
Choice A is incorrect because a low-sodium diet can increase lithium levels, leading to toxicity; a consistent, normal-sodium diet is recommended.
Choice C is incorrect because lithium takes 1-2 weeks to stabilize mood, not 24 hours.
Choice D is incorrect because lithium can be taken with or without food; a high-fat meal is not necessary and may delay absorption.