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 gout and a new prescription for allopurinol. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Increasing fluid intake to 2 to 3 liters daily helps prevent uric acid crystal formation in the kidneys and promotes excretion, reducing gout flare-ups while taking allopurinol.
Choice B is incorrect because high-purine meals (e.g., red meat, shellfish) should be avoided, as they increase uric acid levels, counteracting allopurinol's effect.
Choice C is incorrect because allopurinol takes weeks to reduce uric acid levels and does not provide immediate joint pain relief; acute attacks require other treatments like NSAIDs.
Choice D is incorrect because, while ice may help during an acute gout attack, it is not directly related to allopurinol use and is not the priority instruction.
Question 2 of 5
A nurse is collecting data from a client who has a history of anemia. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Fatigue is expected in anemia due to reduced oxygen-carrying capacity. Fever, hypertension, or weight gain are not typical.
Question 3 of 5
A nurse is assessing a client who has a new diagnosis of attention deficit hyperactivity disorder (ADHD). Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Inability to sit still for prolonged periods is a hallmark symptom of ADHD, reflecting hyperactivity and impulsivity, especially in children and some adults.
Choice B is incorrect because a persistent sad mood is more associated with depression, not ADHD.
Choice C is incorrect because recurrent intrusive thoughts are characteristic of obsessive-compulsive disorder, not ADHD.
Choice D is incorrect because hypersomnia is not typical; ADHD may cause sleep difficulties due to hyperactivity, but not excessive sleep.
Question 4 of 5
A nurse is caring for a client who has pneumonia and is receiving oxygen via nasal cannula at 2 L/min. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: Crackles in bilateral lung bases indicate fluid accumulation or infection in the lungs, a concerning finding in pneumonia that may suggest worsening condition or complications like pulmonary edema, requiring immediate reporting.
Choice A is incorrect because an oxygen saturation of 92% is borderline but not immediately alarming in pneumonia, especially if the client is receiving oxygen; it should be monitored.
Choice B is incorrect because a respiratory rate of 24/min is slightly elevated but expected in pneumonia and not the priority to report.
Choice D is incorrect because a temperature of 37.8°C is a low-grade fever, common in pneumonia, and does not require immediate reporting unless persistent or accompanied by other symptoms.
Question 5 of 5
A nurse is caring for a client who is experiencing a panic attack. Which of the following actions should the nurse take?
Correct Answer: D
Rationale:
Choice A is wrong because atomoxetine is not an anti-anxiety medication, but a selective norepinephrine reuptake inhibitor (SNRI) used to treat attention deficit hyperactivity disorder (ADH
D). It has no effect on reducing anxiety and can cause side effects such as insomnia, nausea, and increased blood pressure.
Choice B is wrong because encouraging the client to watch television is not a therapeutic intervention for a panic attack. Watching television can increase the stimuli in the client's environment, which can worsen anxiety. The nurse should maintain an environment with low stimulation for the client experiencing a panic attack. Dim lighting, few people, and minimal distractions can assist the nurse to decrease the client's level of anxiety.
Choice C is wrong because teaching the client how to meditate is not appropriate during a panic attack. Meditation is a relaxation technique that can be helpful for preventing or reducing anxiety, but it requires concentration and focus, which are impaired in a panic attack. The nurse should teach the client how to meditate when the client is calm and receptive, not when the client is in crisis. A client who is experiencing a panic attack has a very high level of anxiety and a diminished ability to focus. The nurse should stay with the client and remain calm and reassuring during the panic attack. This can help the client feel safe and supported, and reduce the intensity of the anxiety.