ATI RN
ATI Comprehensive Predictor 2023 Exit Exam B Questions
Extract:
Question 1 of 5
A nurse is providing discharge teaching to a client who had a cesarean birth. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Showering daily but avoiding soaking in a bathtub for 2 weeks is appropriate to prevent infection at the incision site, as prolonged soaking can soften the wound and increase the risk of bacterial entry.
Choice A is wrong because the weight limit for lifting is typically more restrictive; clients are advised to avoid lifting anything heavier than their newborn (about 10 pounds) for 6 weeks to prevent incisional strain or dehiscence.
Choice B is wrong because sexual intercourse is generally recommended to be delayed until 4-6 weeks post-cesarean to allow for healing of the incision and uterus.
Choice C is wrong because ibuprofen may be used for pain, but the nurse should emphasize consulting the provider for appropriate dosing and ensuring it is safe, especially if breastfeeding, rather than a blanket instruction to take it as needed.
Question 2 of 5
A nurse is assessing a client who has a new diagnosis of hypothyroidism. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Bradycardia is a common finding in hypothyroidism due to decreased metabolic rate and reduced sympathetic stimulation, slowing the heart rate.
Choice A is incorrect because hypothyroidism typically causes weight gain due to slowed metabolism, not weight loss.
Choice C is incorrect because heat intolerance is associated with hyperthyroidism; hypothyroidism causes cold intolerance.
Choice D is incorrect because hypothyroidism often leads to constipation due to reduced gastrointestinal motility, not diarrhea.
Question 3 of 5
A nurse is assisting with the care of a client who has a new prescription for metoprolol. Which of the following findings should the nurse monitor?
Correct Answer: A
Rationale: Monitoring heart rate is essential with metoprolol due to risk of bradycardia. Glucose, potassium, and urine output are less directly affected.
Question 4 of 5
A nurse is caring for a client who is postoperative following a thyroidectomy. Which of the following findings should the nurse monitor for as a complication?
Correct Answer: B
Rationale: Hypocalcemia is a potential complication after thyroidectomy due to accidental removal or damage to the parathyroid glands, which regulate calcium; symptoms like tetany or numbness should be monitored.
Choice A is incorrect because tachycardia is not a primary postoperative complication; it may occur with pain or hyperthyroidism but is less specific.
Choice C is incorrect because a fever of 37.5°C is not significant and may be a normal postoperative response, not a complication unless persistent.
Choice D is incorrect because increased appetite is not a typical postoperative complication; hypothyroidism may cause decreased appetite.
Question 5 of 5
A school nurse is teaching a parent about absence seizures. Which of the following information should the nurse include?
Correct Answer: A
Rationale: Absence seizures are brief, sudden lapses of consciousness that usually last a few seconds. They are more common in children than in adults.
Choice B is wrong because absence seizures typically last less than 15 seconds, not 30 to 60 seconds.
Choice C is wrong because absence seizures have a sudden onset, not a gradual one.
Choice D is wrong because absence seizures do not have an aura prior to onset. An aura is a warning sign that some people experience before a seizure, such as a strange feeling, smell, or vision.