Questions 175

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ATI Comprehensive Predictor 2023 Exit Exam B Questions

Extract:


Question 1 of 5

A nurse is planning teaching for a client and their family about home oxygen therapy. Which of the following information should the nurse plan to include in the teaching?

Correct Answer: D

Rationale:
Choice A is wrong because synthetic fabrics can generate static electricity, which can also cause sparks and ignite oxygen. The client's bedding should be made of cotton or wool, which are natural fabrics that do not produce static electricity.
Choice B is wrong because petroleum jelly is a petroleum-based product that can react with oxygen and cause skin irritation or burns. The client should use water-based moisturizers to soothe the mucous membranes.
Choice C is wrong because alcohol-based cleaning products are also flammable and can cause fires or explosions when exposed to oxygen. The client should use mild soap and water to clean the equipment, and follow the manufacturer's instructions for maintenance. Nail polish remover contains acetone, which is a flammable substance that can ignite in the presence of oxygen. Using nail polish remover around the client can increase the risk of fire and burn injuries.

Question 2 of 5

A nurse is caring for a 2-year-old toddler. Which of the following food choices should the nurse recommend to promote independence in eating?

Correct Answer: C

Rationale:
Choice A is wrong because popcorn is a choking hazard for toddlers. It is hard, crunchy, and can get stuck in the airway. The NHS advises not to give whole nuts and peanuts to children under 5 years old.
Choice B is wrong because grapes are also a choking hazard for toddlers. They are round, slippery, and can block the airway. The NHS recommends cutting grapes into quarters before giving them to young children. Banana slices are soft, easy to chew, and can be picked up by the toddler's fingers, which promotes independence in eating. According to the CDC, foods that toddlers should avoid include: Added sugars and no-calorie sweeteners, such as sugar-sweetened and diet drinks, high-salt foods, such as canned foods, processed meats, frozen dinners, fast food, and junk food, unpasteurized juice, milk, yogurt, or cheese, and foods that may cause choking, such as hard or crunchy foods, sticky foods, stringy cheese, and foods that are not cut up into small pieces.
Choice D is wrong because hot dogs are high in salt and can cause choking if not cut up into small pieces. The Extension warns against giving hot dogs to young toddlers.

Question 3 of 5

A nurse is providing teaching to a client who has a new prescription for prednisone for adrenal insufficiency. Which of the following instructions should the nurse include?

Correct Answer: C

Rationale: Monitoring for signs of infection is critical, as prednisone, a corticosteroid, suppresses the immune system, increasing infection risk in clients with adrenal insufficiency.
Choice A is incorrect because prednisone should be taken with food to reduce gastrointestinal irritation, not on an empty stomach.
Choice B is incorrect because prednisone for adrenal insufficiency is typically a lifelong therapy, not limited to a few weeks.
Choice D is incorrect because reducing the dose without medical guidance can precipitate an adrenal crisis; dose adjustments must be supervised by the provider.

Question 4 of 5

A nurse is providing teaching to a client who has a new prescription for ipratropium for COPD. Which of the following instructions should the nurse include?

Correct Answer: A

Rationale: Rinsing the mouth after using ipratropium, an anticholinergic inhaler, prevents dry mouth and reduces the risk of oral candidiasis, a potential side effect.
Choice B is incorrect because ipratropium provides gradual bronchodilation and does not offer immediate relief; short-acting beta-agonists like albuterol are used for acute symptoms.
Choice C is incorrect because ipratropium is typically used 3-4 times daily, not every 2 hours as needed; overuse can cause side effects like tachycardia.
Choice D is incorrect because a spacer can be used with ipratropium to improve medication delivery, especially for clients with poor inhaler technique.

Question 5 of 5

A nurse is reinforcing teaching with a client who has a new prescription for amitriptyline. Which of the following instructions should the nurse include?

Correct Answer: C

Rationale: Reporting constipation is important with amitriptyline due to anticholinergic effects. Sleepiness is expected, it's taken at night, and mood improvement takes weeks.

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