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 amitriptyline. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Reporting constipation is important with amitriptyline due to anticholinergic effects. Sleepiness is expected, it's taken at night, and mood improvement takes weeks.
Question 2 of 5
A nurse is assessing a client who has a new diagnosis of generalized anxiety disorder. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Excessive worrying for at least 6 months is a diagnostic criterion for generalized anxiety disorder, characterized by persistent, uncontrollable anxiety about multiple issues.
Choice B is incorrect because recurrent intrusive memories are more associated with PTSD, not generalized anxiety disorder.
Choice C is incorrect because insomnia, not hypersomnia, is typical due to anxiety-related sleep disturbances.
Choice D is incorrect because weight loss is not a primary feature; weight changes may occur secondary to anxiety or medication.
Question 3 of 5
A nurse is assessing a client who has a new diagnosis of chronic obstructive pulmonary disease (COPD). Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: A barrel-shaped chest is a common finding in COPD due to chronic hyperinflation of the lungs, causing the chest to appear rounded and the anteroposterior diameter to increase.
Choice B is incorrect because COPD typically causes tachypnea (rapid breathing) as the body compensates for reduced oxygen exchange, not bradypnea.
Choice C is incorrect because, while clubbing of fingers can occur in advanced COPD with chronic hypoxia, it is less common and not a primary finding.
Choice D is incorrect because weight loss, not weight gain, is typical in COPD due to increased metabolic demand and difficulty eating from dyspnea.
Question 4 of 5
A nurse is providing teaching to a client who is breastfeeding. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Storing expressed milk in the refrigerator for up to 4 days is correct, as breast milk can be safely stored in a refrigerator (at 4°C or 39°F) for up to 4 days to maintain its quality and safety for the newborn.
Choice A is wrong because newborns should be fed every 2-3 hours (8-12 times in 24 hours) or on demand, not every 4-5 hours, to ensure adequate nutrition and stimulate milk production.
Choice B is wrong because limiting feedings to 10 minutes per breast may not allow the newborn to receive sufficient milk, especially hindmilk; feedings should continue until the newborn is satisfied (typically 10-20 minutes per side).
Choice D is wrong because supplementing with formula after each breastfeeding session is not routinely recommended, as it can reduce milk supply and interfere with establishing breastfeeding; supplementation should only be used if medically indicated.
Question 5 of 5
A nurse is instructing a school-age child who has asthma about the use of a peak expiratory flow meter. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale:
Choice A is wrong because maintaining a semi-Fowler's position during testing is not necessary. You can sit or stand up straight, but make sure you do it the same way each time.
Choice B is wrong because placing tongue on the mouthpiece of the meter can block the air flow and affect the accuracy of the measurement. You should close your lips tightly on the mouthpiece instead. This is because a peak flow meter measures how fast you can push air out of your lungs when you blow out as hard and as fast as you can. This is called peak expiratory flow rate (PEFR) or peak expiratory flow (PEF). It shows how open the airways are in the lungs and can help detect early signs of worsening asthma.
Choice D is wrong because recording the average of the readings is not recommended. You should record the highest of the three readings on a sheet of paper, calendar, or in your asthma diary. This is your daily peak flow.