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 lorazepam for anxiety. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Avoiding driving is critical while taking lorazepam, a benzodiazepine, as it causes drowsiness and impairs coordination, increasing the risk of accidents.
Choice B is incorrect because lorazepam can be taken with or without food; a high-protein meal is not necessary.
Choice C is incorrect because lorazepam causes sedation, not increased energy.
Choice D is incorrect because lorazepam should not be discontinued abruptly, as this can cause withdrawal symptoms or rebound anxiety; it requires gradual tapering under provider guidance.
Question 2 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 3 of 5
A nurse is assessing a client who has adrenal insufficiency. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Hyperkalemia is expected in adrenal insufficiency (e.g., Addison's disease) due to decreased aldosterone production, which impairs potassium excretion by the kidneys.
Choice A is incorrect because adrenal insufficiency typically causes hypotension due to reduced cortisol and aldosterone, not hypertension.
Choice C is incorrect because weight loss, not weight gain, is common due to decreased appetite and fluid loss.
Choice D is incorrect because fever is not a primary feature unless there is an underlying infection or adrenal crisis.
Question 4 of 5
A nurse is reinforcing teaching with a client who has a new prescription for warfarin. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Reporting unusual bleeding is critical with warfarin due to bleeding risk. Green leafy vegetables affect efficacy, antacids are unrelated, and weight gain is not expected.
Question 5 of 5
A nurse is reinforcing teaching with a client who has a new prescription for ipratropium. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Rinsing the mouth after ipratropium prevents oral irritation or infection. It's used per schedule, relief is not immediate, and food is unrelated.