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 valproic acid for bipolar disorder. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Monitoring for signs of liver dysfunction (e.g., jaundice, abdominal pain) is critical with valproic acid, a mood stabilizer, as it can cause hepatotoxicity, requiring regular liver function tests.
Choice B is incorrect because valproic acid can be taken with or without food; a high-fat meal is not necessary.
Choice C is incorrect because valproic acid takes 1-2 weeks to stabilize mood, not immediately.
Choice D is incorrect because valproic acid 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 reviewing the laboratory results for a client who is at 12 weeks of gestation. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: A hemoglobin level of 9.2 g/dL is below the normal range for pregnancy (11-12 g/dL in the first trimester) and indicates anemia, which can affect fetal growth and maternal health. The nurse should report this finding to the provider for further evaluation and management, such as iron supplementation.
Choice B is wrong because a fasting blood glucose of 92 mg/dL is within the normal range for pregnancy (less than 95 mg/dL) and does not indicate gestational diabetes.
Choice C is wrong because a WBC count of 10,000/mm3 is within the normal range for pregnancy (5,000-15,000/mm3) due to physiological leukocytosis.
Choice D is wrong because a platelet count of 200,000/mm3 is within the normal range for pregnancy (150,000-400,000/mm3) and does not indicate thrombocytopenia.
Question 3 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: Monitoring for signs of liver dysfunction (e.g., jaundice, abdominal pain) is critical, as naltrexone, an opioid antagonist, can cause hepatotoxicity, requiring regular liver function tests.
Choice A is incorrect because naltrexone should not be started until the client is opioid-free for 7-10 days to avoid precipitating withdrawal.
Choice B is incorrect because naltrexone reduces cravings over time, not immediately.
Choice C is incorrect because naltrexone can be taken with or without food; a high-fat meal is not necessary.
Question 4 of 5
A nurse is caring for a client who has a new prescription for duloxetine for depression. Which of the following findings should the nurse monitor for as an adverse effect?
Correct Answer: D
Rationale: Dry mouth is a common adverse effect of duloxetine, an SNRI, due to its anticholinergic properties, and should be monitored to ensure client comfort and hydration.
Choice A is incorrect because duloxetine is more likely to cause weight gain or be weight-neutral, not weight loss.
Choice B is incorrect because hypotension is not a frequent side effect; orthostatic hypotension may occur but is less common.
Choice C is incorrect because tachycardia is not a primary side effect; it may occur with overdose or serotonin syndrome.
Question 5 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.