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 chronic kidney disease and a new prescription for epoetin alfa. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Monitoring blood pressure regularly is essential, as epoetin alfa, used to treat anemia in chronic kidney disease, can cause hypertension as a side effect, requiring close monitoring and potential antihypertensive therapy.
Choice B is wrong because epoetin alfa is administered by injection (subcutaneous or intravenous), not orally, so it is not taken with meals.
Choice C is wrong because epoetin alfa stimulates red blood cell production but does not directly increase urine output, which is typically reduced in chronic kidney disease.
Choice D is wrong because epoetin alfa should be stored in the refrigerator (2-8°C or 36-46°F), not at room temperature, to maintain stability.
Question 2 of 5
A nurse is assisting with the care of a client who is receiving a continuous IV infusion of heparin. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: Bruising at the IV site with heparin suggests bleeding, requiring provider notification. Normal blood pressure, urine output, and heart rate are not urgent.
Question 3 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: Avoiding all products containing alcohol, including mouthwash, is critical with disulfiram, as it causes a severe reaction (flushing, nausea, vomiting) when alcohol is consumed, deterring alcohol use.
Choice B is incorrect because disulfiram is typically taken at bedtime to minimize side effects like drowsiness, not in the morning.
Choice C is incorrect because a metallic taste is not a common side effect of disulfiram; it is more associated with metronidazole.
Choice D is incorrect because disulfiram should not be discontinued abruptly without provider guidance, even if drinking resumes, to avoid complications.
Question 4 of 5
A nurse is assessing a client who has pancreatitis. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Epigastric pain radiating to the back is a hallmark symptom of pancreatitis, caused by inflammation of the pancreas irritating surrounding tissues and nerves.
Choice B is incorrect because pancreatitis typically causes hypoactive bowel sounds due to ileus or reduced gastrointestinal motility, but this is less specific than epigastric pain.
Choice C is incorrect because weight gain is not expected; pancreatitis often leads to weight loss due to malabsorption or reduced appetite.
Choice D is incorrect because a fever of 37.2°C is not significant and may not be present unless there is a complication like infection.
Question 5 of 5
A nurse is assessing a client who has a new diagnosis of otitis media. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Ear pain is a hallmark symptom of otitis media, caused by inflammation and pressure from fluid buildup in the middle ear.
Choice B is incorrect because clear ear drainage is not typical; purulent or bloody drainage may occur if the eardrum ruptures.
Choice C is incorrect because a fever of 37.2°C is not significant; otitis media often causes higher fevers (e.g., >38°
C) in acute cases.
Choice D is incorrect because otitis media typically causes hearing loss due to fluid in the middle ear, not improved hearing.