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 amoxicillin for otitis media. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Completing the full course of amoxicillin ensures eradication of the bacterial infection causing otitis media, preventing recurrence or antibiotic resistance.
Choice A is incorrect because amoxicillin should not be taken with an antacid, as it does not significantly reduce stomach upset and may affect absorption.
Choice C is incorrect because diarrhea, if it occurs, is typically a side effect during treatment and should resolve after completion; persistent diarrhea requires evaluation.
Choice D is incorrect because amoxicillin suspension should be refrigerated, not stored at room temperature, to maintain stability.
Question 2 of 5
A nurse is reinforcing teaching with a client who has a new prescription for fluoxetine. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Reporting weight gain is important with fluoxetine, as it can affect weight. It's taken in the morning, tyramine is unrelated, and relief takes weeks.
Question 3 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 4 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 5 of 5
A nurse is providing teaching to a client who has a new prescription for methotrexate for rheumatoid arthritis. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Avoiding alcohol is critical while taking methotrexate, as alcohol increases the risk of hepatotoxicity, a serious side effect of this immunosuppressive drug used for rheumatoid arthritis.
Choice A is incorrect because methotrexate can be taken with or without food, but a high-fat meal is not specifically recommended and may not affect absorption.
Choice C is incorrect because methotrexate takes weeks to months to relieve joint pain; it is not an immediate-acting analgesic.
Choice D is incorrect because methotrexate is typically taken once weekly (not daily at bedtime) to reduce systemic toxicity, and timing is flexible.