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 metronidazole for bacterial vaginosis. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Expecting a metallic taste in the mouth is a common side effect of metronidazole, and informing the client helps them anticipate and tolerate this effect during treatment for bacterial vaginosis.
Choice A is correct but not the best answer here, as avoiding alcohol is critical to prevent a disulfiram-like reaction, but the question focuses on expected effects, making C more specific.
Choice B is incorrect because metronidazole can be taken with or without food; a high-fat meal is not necessary.
Choice D is incorrect because metronidazole is typically taken 2-3 times daily, not only at bedtime, to maintain therapeutic levels.
Question 2 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 3 of 5
A nurse is reinforcing teaching with a client who has a new prescription for insulin detemir. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Storing insulin detemir at room temperature for up to 42 days maintains potency. Shaking is incorrect, it's not taken before meals, and it's clear.
Question 4 of 5
A nurse is caring for a client who has atrial fibrillation and is receiving warfarin. Which of the following laboratory results should the nurse report to the provider?
Correct Answer: A
Rationale: An INR of 4.5 is above the therapeutic range for atrial fibrillation (typically 2.0-3.0) and indicates an increased risk of bleeding, requiring immediate reporting to the provider for potential dose adjustment or vitamin K administration.
Choice B is wrong because a platelet count of 200,000/mm3 is within the normal range (150,000-400,000/mm3) and does not require reporting.
Choice C is wrong because aPTT is not used to monitor warfarin therapy (it monitors heparin); an aPTT of 40 seconds is within normal limits (30-40 seconds) and not concerning.
Choice D is wrong because a hemoglobin of 13 g/dL is within the normal range for males (13-17 g/dL) and females (12-16 g/dL) and does not indicate bleeding or anemia.
Question 5 of 5
A nurse is caring for a client who is postoperative following a coronary artery bypass graft (CABG). Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: ST-segment elevation on ECG is a critical finding post-CABG, indicating possible myocardial ischemia or infarction, requiring immediate reporting to the provider for intervention.
Choice A is incorrect because incisional pain rated 4/10 is expected post-CABG and can be managed with analgesics; severe or worsening pain would be more concerning.
Choice B is incorrect because a temperature of 37.8°C is a low-grade fever, common in the first 48 hours post-surgery, and does not require immediate reporting unless persistent or higher.
Choice D is incorrect because drainage of 50 mL/hr from chest tubes is within the expected range for the first 24 hours post-CABG; excessive drainage (>100 mL/hr) would be concerning.