ATI RN
ATI Comprehensive Predictor 2023 Exit Exam B Questions
Extract:
Question 1 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 2 of 5
A nurse is caring for a client who is postoperative following a mastectomy. Which of the following actions should the nurse take to promote comfort?
Correct Answer: D
Rationale: Elevating the affected arm on a pillow promotes lymphatic drainage, reduces swelling, and enhances comfort after a mastectomy, where lymph nodes may have been removed.
Choice A is incorrect because, while deep-breathing exercises are beneficial for lung expansion, they do not directly address post-mastectomy comfort related to the surgical site.
Choice B is incorrect because a supine position with the head flat may increase swelling and discomfort; a semi-Fowler's position is preferred.
Choice C is incorrect because a warm compress is not recommended, as it may increase swelling or risk infection; cold packs may be used if prescribed.
Question 3 of 5
A nurse is caring for a client who has end-stage liver disease and is undergoing a paracentesis. Which of the following actions should the nurse take to evaluate the effectiveness of the procedure?
Correct Answer: A
Rationale: Comparing the client's current weight with preprocedure weight is the best way to evaluate the effectiveness of the paracentesis, which is a procedure to remove excess fluid from the abdominal cavity. The fluid buildup, or ascites, is a common complication of end-stage liver disease (ESL
D), which is a condition in which the liver is severely damaged and cannot function adequately.
Choice B is wrong because examining for leakage at the site of the procedure is not a measure of effectiveness, but a potential complication that should be monitored and reported.
Choice C is wrong because checking the client's serum albumin levels is not relevant to the paracentesis. Albumin is a protein that helps maintain fluid balance in the body, but it is not affected by the removal of fluid from the abdomen.
Choice D is wrong because confirming that the client is able to urinate is not related to the paracentesis. Urination is a function of the kidneys, not the liver, and it does not reflect the amount of fluid removed from the abdomen.
Question 4 of 5
A nurse is assessing a client who has a new diagnosis of generalized anxiety disorder. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Excessive worrying for at least 6 months is a diagnostic criterion for generalized anxiety disorder, characterized by persistent, uncontrollable anxiety about multiple issues.
Choice B is incorrect because recurrent intrusive memories are more associated with PTSD, not generalized anxiety disorder.
Choice C is incorrect because insomnia, not hypersomnia, is typical due to anxiety-related sleep disturbances.
Choice D is incorrect because weight loss is not a primary feature; weight changes may occur secondary to anxiety or medication.
Question 5 of 5
A nurse is assisting with the care of a client who is receiving a continuous IV infusion of dopamine. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: Infiltration at the IV site with dopamine risks tissue damage, requiring provider notification. Normal blood pressure, urine output, and heart rate are not urgent.