ATI RN
ATI Comprehensive Predictor 2023 Exit Exam B Questions
Extract:
Question 1 of 5
A nurse is preparing an in-service for a group of nurses about malpractice issues in nursing. Which of the following examples should the nurse include in the teaching as an example of malpractice?
Correct Answer: C
Rationale:
Choice A is wrong because placing a yellow bracelet on a client who is at risk for falls is not malpractice, but rather a safety measure. A yellow bracelet indicates that the client needs assistance with mobility and should not be left alone. This is a common practice in many health care facilities to prevent falls and injuries.
Choice B is wrong because leaving a nasogastric tube clamped after administering oral medication is not malpractice, but rather a mistake. A nasogastric tube is a tube that goes through the nose and into the stomach to deliver nutrition or medication. It should be unclamped after giving oral medication to allow the medication to enter the stomach and prevent reflux or aspiration. However, this error does not rise to the level of malpractice unless it causes harm to the patient, such as vomiting, choking, or infection. This is because potassium is a medication that can cause cardiac arrest if given too quickly or in high doses. A nurse who administers potassium via IV bolus is not providing the standard of care that a similarly trained nurse would have offered under the same circumstances. This could result in harm or death to the patient.
Choice D is wrong because documenting communication with a provider in the progress notes of the client's medical record is not malpractice, but rather a good practice.
Question 2 of 5
A nurse is caring for a client who is receiving magnesium sulfate IV for preeclampsia. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: A respiratory rate of 10/min is below the normal range (12-20/min) and indicates potential magnesium sulfate toxicity, which can lead to respiratory depression or arrest. This finding should be reported immediately to the provider, and the infusion may need to be stopped.
Choice B is wrong because a blood pressure of 150/90 mm Hg, while elevated, is not unexpected in preeclampsia and does not indicate immediate toxicity; it should be monitored, but it is not the priority.
Choice C is wrong because a urine output of 40 mL/hr is within the acceptable range (at least 30 mL/hr) for a client receiving magnesium sulfate and does not indicate renal compromise.
Choice D is wrong because deep tendon reflexes of 2+ are normal and do not suggest magnesium toxicity, which would present with absent or diminished reflexes.
Question 3 of 5
A nurse is assessing a client who has a new prescription for tamoxifen for breast cancer. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: Calf pain and swelling are concerning findings that may indicate deep vein thrombosis (DVT), a known risk of tamoxifen due to its estrogen-like effects on clotting factors, requiring immediate reporting to the provider for evaluation, such as an ultrasound.
Choice A is wrong because hot flashes are a common side effect of tamoxifen due to its anti-estrogenic effects and do not typically require reporting unless severe.
Choice B is wrong because vaginal dryness is an expected side effect of tamoxifen and can be managed with non-hormonal lubricants, not requiring immediate reporting.
Choice D is wrong because a weight gain of 2 kg in 1 month is not significant and may be related to other factors; it should be monitored but does not require immediate reporting.
Question 4 of 5
A nurse is teaching a client who has a new prescription for combined oral contraceptives. Which of the following statements should the nurse include?
Correct Answer: A
Rationale: Taking combined oral contraceptives at the same time each day helps maintain consistent hormone levels and maximizes effectiveness in preventing pregnancy.
Choice B is wrong because a backup method of contraception is recommended for the first 7 days only if the pills are started after the first day of the menstrual cycle; if started on the first day, no backup is needed.
Choice C is wrong because headaches are a common side effect, but stopping the pills abruptly is not advised; the client should consult the provider if headaches are severe or persistent.
Choice D is wrong because taking an extra pill after missing a dose can increase the risk of side effects; the correct action depends on the timing and number of missed pills, typically involving taking the missed pill as soon as remembered and using a backup method.
Question 5 of 5
A nurse is assessing a client who has a new prescription for clopidogrel following a myocardial infarction. Which of the following findings should the nurse monitor for as an adverse effect?
Correct Answer: A
Rationale: Bruising is a common adverse effect of clopidogrel, an antiplatelet medication, due to its inhibition of platelet aggregation, increasing the risk of bleeding.
Choice B is incorrect because weight gain is not associated with clopidogrel; it may occur with other cardiac medications like beta-blockers.
Choice C is incorrect because tinnitus is not a typical side effect of clopidogrel; it is more associated with aspirin or quinine.
Choice D is incorrect because clopidogrel does not affect blood glucose levels; hyperglycemia is unrelated to its mechanism.