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 hydrocodone for pain management. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Increasing dietary fiber prevents constipation, a common side effect of hydrocodone, an opioid that slows gastrointestinal motility.
Choice B is incorrect because grapefruit juice can interact with some medications but does not enhance hydrocodone absorption and may increase side effects.
Choice C is incorrect because driving should be avoided while taking hydrocodone, as it can cause drowsiness and impair coordination, regardless of time of day.
Choice D is incorrect because hydrocodone typically causes sedation, not increased energy levels.
Question 2 of 5
A nurse is caring for a client who has experienced a stroke and is moving in with an adult child. Which of the following actions should the nurse encourage the client and family to take as they adjust to their new roles?
Correct Answer: A
Rationale: This is because boundaries can help the client and family to respect each other's roles, needs, and preferences, and to avoid role confusion, resentment, or guilt. Boundaries can also promote independence and self-care for the client, as well as prevent caregiver burnout for the family.
Choice B is wrong because minimizing open discussion regarding the changes can lead to misunderstanding, frustration, or isolation. The client and family should communicate openly and honestly about their feelings, expectations, and challenges to foster mutual understanding and support.
Choice C is wrong because encouraging authoritative communication from the adult child can create a power imbalance and undermine the client's autonomy and dignity. The client and family should use collaborative and respectful communication to make decisions and solve problems together.
Choice D is wrong because decreasing socialization with extended relatives until roles are identified can isolate the client and family from their social support network. Socialization with extended relatives can provide emotional, practical, and informational support, as well as a sense of belonging and identity for the client and family.
Question 3 of 5
A nurse is assisting with the care of a client who is postoperative following a craniotomy. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: Clear drainage from the surgical site may indicate a cerebrospinal fluid leak, requiring provider notification. Pain, mild fever, and normal heart rate are expected.
Question 4 of 5
A nurse is assessing a client who has a new diagnosis of attention deficit hyperactivity disorder (ADHD). Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Inability to sit still for prolonged periods is a hallmark symptom of ADHD, reflecting hyperactivity and impulsivity, especially in children and some adults.
Choice B is incorrect because a persistent sad mood is more associated with depression, not ADHD.
Choice C is incorrect because recurrent intrusive thoughts are characteristic of obsessive-compulsive disorder, not ADHD.
Choice D is incorrect because hypersomnia is not typical; ADHD may cause sleep difficulties due to hyperactivity, but not excessive sleep.
Question 5 of 5
A nurse is providing teaching to a client who has a new prescription for furosemide for heart failure. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Monitoring for muscle weakness, which may indicate hypokalemia, is critical, as furosemide is a loop diuretic that can cause potassium loss, increasing the risk of arrhythmias in heart failure clients.
Choice A is wrong because clients with heart failure should limit sodium intake to reduce fluid retention, not increase it, to prevent exacerbation of heart failure.
Choice B is wrong because taking furosemide at bedtime is not advised; it should be taken in the morning to avoid nocturia and disrupted sleep due to its diuretic effect.
Choice D is wrong because increasing fluid intake is not recommended for heart failure clients, as it can worsen fluid overload; fluid intake should be guided by the provider based on the client's condition.