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 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 2 of 5
A nurse is reinforcing teaching with a client who has a new prescription for insulin detemir. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Storing insulin detemir at room temperature for up to 42 days maintains potency. Shaking is incorrect, it's not taken before meals, and it's clear.
Question 3 of 5
A nurse is caring for a client who is in labor and receiving oxytocin. Which of the following findings indicates that the nurse should increase the infusion rate?
Correct Answer: C
Rationale: Uterine contractions lasting 90 seconds indicate adequate contraction strength and duration, suggesting that the oxytocin infusion is effective, but the nurse should assess if the frequency and cervical progression support increasing the rate to achieve active labor (contractions every 2-3 minutes).
Choice A is wrong because contractions every 4 minutes may indicate early labor, and increasing the oxytocin rate may be premature without assessing cervical change or contraction strength.
Choice B is wrong because a fetal heart rate of 140/min with moderate variability is normal and does not directly indicate the need to adjust the oxytocin rate.
Choice D is wrong because a cervical dilation of 2 cm after 6 hours of labor suggests protracted labor, but increasing the oxytocin rate should be based on a comprehensive assessment, including contraction pattern and fetal status, not dilation alone.
Question 4 of 5
A nurse is assisting with the care of a client who is receiving a continuous IV infusion of dopamine. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: Infiltration at the IV site with dopamine risks tissue damage, requiring provider notification. Normal blood pressure, urine output, and heart rate are not urgent.
Question 5 of 5
A nurse is providing teaching to a client who has a new prescription for nitroglycerin sublingual for angina. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Expecting a mild headache as a side effect is correct, as nitroglycerin causes vasodilation, which can lead to headaches; clients should be informed this is common and manageable with acetaminophen if needed.
Choice A is incorrect because, while taking up to three doses 5 minutes apart is correct, the nurse should also instruct the client to seek emergency care if pain persists after three doses.
Choice B is incorrect because nitroglycerin should be stored in a cool, dark place in its original container to maintain potency, not a warm, dry place.
Choice C is incorrect because nitroglycerin sublingual tablets are placed under the tongue to dissolve, not swallowed, for rapid absorption.