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 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.
Question 2 of 5
A nurse is reinforcing teaching with a client who has a new prescription for spironolactone. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Reporting signs of hyperkalemia is critical with spironolactone due to potassium-sparing effects. Potassium intake should not increase, it's taken in the morning, and diuresis is not immediate.
Question 3 of 5
A nurse is caring for a client who is receiving continuous bladder irrigation following a transurethral resection of the prostate (TURP). Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Bright red urine with clots indicates potential active bleeding or clot obstruction in the bladder, a serious complication after TURP that requires immediate reporting to the provider.
Choice A is incorrect because a urine output of 200 mL/hr is within the expected range with continuous bladder irrigation, which produces high output to keep the bladder clear.
Choice C is incorrect because bladder spasms are common after TURP due to catheter irritation and can be managed with medications like oxybutynin, not requiring immediate reporting unless severe.
Choice D is incorrect because irrigation fluid inflow equal to outflow is a normal finding, indicating the system is functioning properly.
Question 4 of 5
A nurse is providing teaching to a client who has a new prescription for lorazepam for anxiety. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Avoiding driving is critical while taking lorazepam, a benzodiazepine, as it causes drowsiness and impairs coordination, increasing the risk of accidents.
Choice B is incorrect because lorazepam can be taken with or without food; a high-protein meal is not necessary.
Choice C is incorrect because lorazepam causes sedation, not increased energy.
Choice D is incorrect because lorazepam should not be discontinued abruptly, as this can cause withdrawal symptoms or rebound anxiety; it requires gradual tapering under provider guidance.
Question 5 of 5
A nurse is assessing a newborn 24 hours after birth. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: A murmur heard on auscultation is an abnormal finding that may indicate a congenital heart defect or other cardiac issue, requiring immediate reporting to the provider for further evaluation, such as an echocardiogram.
Choice A is wrong because a weight loss of 8% since birth is within the normal range for newborns (up to 10% in the first few days) and does not require immediate reporting unless accompanied by other concerns like poor feeding.
Choice B is wrong because acrocyanosis of the hands and feet is a common, benign finding in newborns due to immature circulation and does not typically require reporting.
Choice D is wrong because jaundice of the face and chest within 24 hours is often physiological and expected, but it should be monitored; it does not require immediate reporting unless severe or accompanied by other symptoms.