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 paroxetine for PTSD. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Monitoring for suicidal thoughts is critical with paroxetine, an SSRI, as it carries a black box warning for increased suicide risk, especially in the early weeks of treatment for PTSD.
Choice A is incorrect because paroxetine is typically taken at bedtime, as it can cause sedation, not in the morning.
Choice B is incorrect because paroxetine takes 4-6 weeks to reduce PTSD symptoms like flashbacks, not immediate relief.
Choice C is incorrect because paroxetine should not be discontinued abruptly, even if symptoms improve, to avoid withdrawal or relapse; it requires provider guidance.
Question 2 of 5
A nurse is providing teaching to a client who has a new prescription for buspirone for generalized anxiety disorder. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Monitoring for dizziness or drowsiness is important with buspirone, a non-benzodiazepine anxiolytic, as these are common side effects that may affect safety or require dose adjustment.
Choice A is incorrect because buspirone is taken regularly (2-3 times daily), not as needed, to achieve steady-state anxiety control.
Choice B is incorrect because buspirone takes 2-4 weeks to provide significant anxiety relief, not immediate relief.
Choice D is incorrect because buspirone should not be discontinued abruptly, even if symptoms resolve, to avoid withdrawal or relapse; it requires provider guidance.
Question 3 of 5
A nurse is collecting data from a client who has a history of heart failure. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Orthopnea is expected in heart failure due to fluid overload. Tachycardia, weight gain, and productive cough are more common.
Question 4 of 5
A nurse is providing teaching to a client who has a new prescription for prednisone for adrenal insufficiency. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Monitoring for signs of infection is critical, as prednisone, a corticosteroid, suppresses the immune system, increasing infection risk in clients with adrenal insufficiency.
Choice A is incorrect because prednisone should be taken with food to reduce gastrointestinal irritation, not on an empty stomach.
Choice B is incorrect because prednisone for adrenal insufficiency is typically a lifelong therapy, not limited to a few weeks.
Choice D is incorrect because reducing the dose without medical guidance can precipitate an adrenal crisis; dose adjustments must be supervised by the provider.
Question 5 of 5
A nurse is assessing a client who has a new prescription for enoxaparin for a pulmonary embolism. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: Stool positive for occult blood indicates potential gastrointestinal bleeding, a serious adverse effect of enoxaparin (a low-molecular-weight heparin), requiring immediate reporting to the provider.
Choice A is incorrect because a hemoglobin of 10 g/dL is low but not critical unless accompanied by signs of active bleeding; it should be monitored.
Choice B is incorrect because a platelet count of 100,000/mm3 is low but not immediately concerning unless trending downward or associated with bleeding.
Choice D is incorrect because INR is not used to monitor enoxaparin; it is relevant for warfarin therapy, and 1.2 is within normal limits.