ATI RN
ATI Comprehensive Predictor 2023 Exit Exam B Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with a client who has a new prescription for methotrexate. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Reporting signs of infection is critical with methotrexate due to immunosuppression. Antacids are unrelated, pain relief is not immediate, and vitamin C is not specific.
Question 2 of 5
A nurse is assessing a client who has a new diagnosis of glaucoma. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Blurred vision is a common symptom of glaucoma due to increased intraocular pressure damaging the optic nerve, affecting visual clarity.
Choice B is incorrect because glaucoma is characterized by increased intraocular pressure, not decreased.
Choice C is incorrect because corneas may appear hazy or cloudy in advanced glaucoma, not always clear.
Choice D is incorrect because peripheral vision loss (tunnel vision) is a hallmark of glaucoma, not its absence.
Question 3 of 5
A nurse is caring for a client who is postoperative following a total hip arthroplasty. Which of the following actions should the nurse take to prevent dislocation of the prosthesis?
Correct Answer: A
Rationale: Keeping the client's legs abducted (using an abduction pillow or wedge) prevents adduction, which can cause hip prosthesis dislocation, a common complication after total hip arthroplasty.
Choice B is incorrect because a supine position with legs flat does not maintain the necessary hip alignment and may increase dislocation risk.
Choice C is incorrect because, while early ambulation is encouraged, it does not directly prevent dislocation and must be done with precautions (e.g., using a walker).
Choice D is incorrect because applying a heating pad is not recommended, as it may increase swelling or bleeding at the surgical site.
Question 4 of 5
A nurse is caring for a client who is postoperative following a thyroidectomy. Which of the following findings should the nurse monitor for as a complication?
Correct Answer: B
Rationale: Hypocalcemia is a potential complication after thyroidectomy due to accidental removal or damage to the parathyroid glands, which regulate calcium; symptoms like tetany or numbness should be monitored.
Choice A is incorrect because tachycardia is not a primary postoperative complication; it may occur with pain or hyperthyroidism but is less specific.
Choice C is incorrect because a fever of 37.5°C is not significant and may be a normal postoperative response, not a complication unless persistent.
Choice D is incorrect because increased appetite is not a typical postoperative complication; hypothyroidism may cause decreased appetite.
Question 5 of 5
A nurse is reinforcing teaching with a client who has a new prescription for lorazepam. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Avoiding driving is critical with lorazepam due to sedation. Grapefruit juice is unrelated, weight changes are not typical, and stopping abruptly risks withdrawal.