ATI RN
ATI Comprehensive Predictor 2023 Exit Exam B Questions
Extract:
Question 1 of 5
A nurse is providing teaching to the parents of a newborn about newborn genetic screening. Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale:
Choice A is wrong because the blood sample is not drawn from the baby's inner elbow, but from the heel.
Choice B is wrong because the baby does not need to drink water prior to the test, as this could dilute the blood sample and affect the results.
Choice C is wrong because the test does not need to be repeated when the baby is 2 months old, unless there is a positive or inconclusive result from the first test. Newborn genetic screening is important for early detection and intervention. This test should be performed after your baby is 24 hours old. This is because newborn genetic screening is a set of laboratory tests that detect a set of known genetic diseases that can affect a child's long-term health or survival. The test is performed on a blood sample obtained from a heel prick when the baby is two or three days old. Performing the test after 24 hours ensures that the baby has had enough time to metabolize certain substances that could interfere with the accuracy of the test.
Question 2 of 5
A nurse is collecting data from a client who has a history of heart failure. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Orthopnea is expected in heart failure due to fluid overload. Tachycardia, weight gain, and productive cough are more common.
Question 3 of 5
A nurse is providing teaching to a client who has a new prescription for metronidazole for bacterial vaginosis. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Expecting a metallic taste in the mouth is a common side effect of metronidazole, and informing the client helps them anticipate and tolerate this effect during treatment for bacterial vaginosis.
Choice A is correct but not the best answer here, as avoiding alcohol is critical to prevent a disulfiram-like reaction, but the question focuses on expected effects, making C more specific.
Choice B is incorrect because metronidazole can be taken with or without food; a high-fat meal is not necessary.
Choice D is incorrect because metronidazole is typically taken 2-3 times daily, not only at bedtime, to maintain therapeutic levels.
Question 4 of 5
A nurse is providing teaching to a client who has a new prescription for modafinil for narcolepsy. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Monitoring for chest pain or palpitations is critical with modafinil, a stimulant used for narcolepsy, as it can cause cardiovascular side effects like tachycardia or hypertension.
Choice A is correct but not the priority; modafinil is typically taken in the morning to promote wakefulness, but safety monitoring is more critical.
Choice C is incorrect because modafinil is more likely to cause weight loss, not weight gain, due to its stimulant effects.
Choice D is incorrect because modafinil can be taken with or without food; a high-fat meal may delay absorption but is not necessary.
Question 5 of 5
A nurse is collecting data from a client who has a history of stroke. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Unilateral arm weakness is typical post-stroke due to hemispheric brain damage. Bilateral weakness, fever, or abdominal pain are not specific.