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 stroke. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Unilateral arm weakness is typical post-stroke due to hemispheric brain damage. Bilateral weakness, fever, or abdominal pain are not specific.
Question 2 of 5
A nurse is reinforcing teaching with a client who has a new prescription for spironolactone. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Reporting signs of hyperkalemia is critical with spironolactone due to potassium-sparing effects. Potassium intake should not increase, it's taken in the morning, and diuresis is not immediate.
Question 3 of 5
A nurse is providing teaching to a client who has a new prescription for methylphenidate for ADHD. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Monitoring for weight loss is critical with methylphenidate, a stimulant, as it commonly causes appetite suppression, which can lead to significant weight loss, especially in children with ADHD.
Choice A is incorrect because methylphenidate should be taken in the morning or early afternoon, as it can cause insomnia if taken at bedtime.
Choice C is incorrect because methylphenidate may take days to weeks to improve focus, not immediately.
Choice D is incorrect because methylphenidate can be taken with or without food; a high-fat meal may delay absorption but is not necessary.
Question 4 of 5
A nurse is caring for a client who has a new prescription for zolpidem for insomnia. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Avoiding alcohol is critical while taking zolpidem, a non-benzodiazepine hypnotic, as it enhances CNS depression, increasing the risk of respiratory depression or falls.
Choice A is incorrect because zolpidem is typically taken immediately before bedtime due to its rapid onset, not 30 minutes prior.
Choice C is incorrect because vivid dreams are not a common side effect; amnesia or sleepwalking may occur but are less frequent.
Choice D is incorrect because zolpidem can be taken with or without food; a snack is not necessary for absorption.
Question 5 of 5
A nurse is providing teaching to a client who has a new prescription for pramipexole for restless legs syndrome. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Monitoring for nausea or dizziness is important with pramipexole, a dopamine agonist, as these are common side effects that may affect safety or require dose adjustment in restless legs syndrome treatment.
Choice A is incorrect because pramipexole is typically taken in the evening or a few hours before bedtime, as symptoms worsen at night.
Choice C is incorrect because pramipexole may take days to weeks to relieve symptoms, not immediately.
Choice D is incorrect because pramipexole should not be discontinued abruptly, even if symptoms resolve, to avoid withdrawal or symptom recurrence; it requires provider guidance.