ATI RN
ATI Comprehensive Predictor 2023 Exit Exam B Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a client who is at 8 weeks of gestation about the importance of folic acid during pregnancy. Which of the following statements should the nurse include?
Correct Answer: A
Rationale: Folic acid is essential for DNA synthesis and cell division, and adequate intake (400-800 mcg daily) before and during early pregnancy helps prevent neural tube defects, such as spina bifida and anencephaly, in the fetus.
Choice B is wrong because folic acid does not directly increase red blood cell production; it supports hematopoiesis indirectly by aiding DNA synthesis, but this is not its primary role in pregnancy.
Choice C is wrong because folic acid does not specifically promote uterine growth; uterine growth is driven by hormonal changes and fetal development.
Choice D is wrong because there is no direct evidence that folic acid reduces the risk of preterm labor.
Question 2 of 5
A nurse is caring for a client who has end-stage liver disease and is undergoing a paracentesis. Which of the following actions should the nurse take to evaluate the effectiveness of the procedure?
Correct Answer: A
Rationale: Comparing the client's current weight with preprocedure weight is the best way to evaluate the effectiveness of the paracentesis, which is a procedure to remove excess fluid from the abdominal cavity. The fluid buildup, or ascites, is a common complication of end-stage liver disease (ESL
D), which is a condition in which the liver is severely damaged and cannot function adequately.
Choice B is wrong because examining for leakage at the site of the procedure is not a measure of effectiveness, but a potential complication that should be monitored and reported.
Choice C is wrong because checking the client's serum albumin levels is not relevant to the paracentesis. Albumin is a protein that helps maintain fluid balance in the body, but it is not affected by the removal of fluid from the abdomen.
Choice D is wrong because confirming that the client is able to urinate is not related to the paracentesis. Urination is a function of the kidneys, not the liver, and it does not reflect the amount of fluid removed from the abdomen.
Question 3 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.
Question 4 of 5
A nurse is providing teaching to a client who has a new prescription for carbamazepine for trigeminal neuralgia. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Monitoring for signs of bone marrow suppression (e.g., bruising, fever, infection) is critical with carbamazepine, an anticonvulsant, as it can cause serious hematologic side effects like agranulocytosis or aplastic anemia in trigeminal neuralgia treatment.
Choice B is incorrect because carbamazepine can be taken with or without food; a high-fat meal is not necessary.
Choice C is incorrect because carbamazepine takes days to weeks to relieve pain, not immediately.
Choice D is incorrect because carbamazepine should not be discontinued abruptly, even if pain resolves, to avoid withdrawal or seizure risk; it requires provider guidance.
Question 5 of 5
A nurse is assessing a client who has a new diagnosis of obsessive-compulsive disorder (OCD). Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Recurrent, intrusive thoughts (obsessions) are a hallmark symptom of OCD, driving compulsive behaviors to alleviate anxiety caused by these thoughts.
Choice B is incorrect because euphoria is not associated with OCD; clients typically experience anxiety or distress.
Choice C is incorrect because OCD often causes insomnia due to anxiety or compulsive behaviors, not an increased need for sleep.
Choice D is incorrect because weight gain is not a primary feature; weight changes may occur secondary to medication or stress.