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 fluoxetine for bulimia nervosa. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Monitor for signs of serotonin syndrome. Serotonin syndrome can occur with fluoxetine, a selective serotonin reuptake inhibitor (SSRI), especially when combined with other serotonergic medications. Symptoms include confusion, agitation, rapid heart rate, high blood pressure, sweating, tremors, and muscle stiffness. Monitoring for these signs is crucial for early detection and intervention.
B: Taking fluoxetine at bedtime is not recommended as it may cause insomnia.
C: Weight loss is more common than weight gain with fluoxetine.
D: Abruptly discontinuing fluoxetine can lead to withdrawal symptoms and should be done under medical supervision.
Question 2 of 5
A nurse is caring for a client who has a new prescription for naltrexone for opioid use disorder. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Monitor for signs of liver dysfunction. Naltrexone can potentially cause liver toxicity, so it is crucial for the nurse to instruct the client to monitor for signs such as jaundice, abdominal pain, or dark urine. This proactive approach allows for early detection and intervention if liver dysfunction occurs.
A: Avoid taking the medication if you have used opioids recently - This is incorrect as naltrexone is specifically used to help with opioid use disorder by blocking the effects of opioids.
B: Expect immediate relief from cravings - This is incorrect as naltrexone does not provide immediate relief from cravings but rather helps reduce the reinforcing effects of opioids.
C: Take the medication with a high-fat meal - This is incorrect as naltrexone can be taken with or without food, and there is no specific requirement for a high-fat meal.
In summary, monitoring for signs of liver dysfunction is the most important instruction due to the potential risk of liver toxicity with n
Question 3 of 5
A nurse is assessing a client who has a new diagnosis of alcohol use disorder. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Tremors. Alcohol use disorder can lead to physical dependence, causing withdrawal symptoms such as tremors. This is due to the central nervous system's hyper-excitability when alcohol is no longer present. Hypoglycemia (
A) is not a typical finding in alcohol use disorder unless there are other underlying issues. Hypotension (
C) is more commonly associated with chronic alcohol use, not necessarily a new diagnosis. Weight gain (
D) is less likely as alcohol is high in calories and can lead to weight loss.
Question 4 of 5
A nurse is providing teaching to a client who has a new prescription for disulfiram for alcohol use disorder. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Avoid all products containing alcohol, including mouthwash. This is crucial because disulfiram causes a severe reaction when alcohol is consumed, leading to unpleasant symptoms like nausea, vomiting, headache, and flushing. By avoiding all alcohol-containing products, the client can prevent these adverse reactions and support their treatment for alcohol use disorder effectively. Taking the medication in the morning (
B) or experiencing a metallic taste (
C) are not directly related to the mechanism of disulfiram. Discontinuing the medication if drinking resumes (
D) is incorrect as the medication should be continued to deter alcohol consumption.
Question 5 of 5
A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the following medications should the nurse anticipate administering?
Correct Answer: C
Rationale: The correct answer is C: Lorazepam. Lorazepam is a benzodiazepine used to manage alcohol withdrawal symptoms by reducing anxiety, agitation, and seizures. Naltrexone (
A), Disulfiram (
B), and Acamprosate (
D) are used in alcohol dependence treatment, not acute withdrawal management. Naltrexone helps reduce alcohol cravings, Disulfiram causes severe adverse reactions if alcohol is consumed, and Acamprosate helps maintain abstinence.