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 gabapentin. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Reporting drowsiness is important with gabapentin due to sedation. Antacids reduce absorption, weight gain is more common, and stopping abruptly risks withdrawal.
Question 2 of 5
A nurse is providing teaching to a client who has a new prescription for hydrocodone for pain management. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Increasing dietary fiber prevents constipation, a common side effect of hydrocodone, an opioid that slows gastrointestinal motility.
Choice B is incorrect because grapefruit juice can interact with some medications but does not enhance hydrocodone absorption and may increase side effects.
Choice C is incorrect because driving should be avoided while taking hydrocodone, as it can cause drowsiness and impair coordination, regardless of time of day.
Choice D is incorrect because hydrocodone typically causes sedation, not increased energy levels.
Question 3 of 5
A nurse is providing teaching to the parents of a newborn about car seat safety. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Positioning the car seat at a 45-degree angle is correct to ensure the newborn's airway remains open and to reduce the risk of positional asphyxia, as recommended by car seat safety guidelines.
Choice A is wrong because the car seat should never be placed in the front passenger seat, even with the airbag off, due to the risk of injury from airbag deployment or other crash dynamics; the rear seat is safest.
Choice B is wrong because infants should remain in a rear-facing car seat until at least 2 years of age or until they exceed the car seat's height/weight limits, not forward-facing before 1 year.
Choice D is wrong because for rear-facing car seats, the harness straps should be at or below the infant's shoulders to provide proper support and prevent injury during a crash.
Question 4 of 5
A nurse is providing teaching to a client who has a new prescription for buspirone for generalized anxiety disorder. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Monitoring for dizziness or drowsiness is important with buspirone, a non-benzodiazepine anxiolytic, as these are common side effects that may affect safety or require dose adjustment.
Choice A is incorrect because buspirone is taken regularly (2-3 times daily), not as needed, to achieve steady-state anxiety control.
Choice B is incorrect because buspirone takes 2-4 weeks to provide significant anxiety relief, not immediate relief.
Choice D is incorrect because buspirone should not be discontinued abruptly, even if symptoms resolve, to avoid withdrawal or relapse; it requires provider guidance.
Question 5 of 5
A nurse is providing teaching to a client who has a new prescription for methotrexate for rheumatoid arthritis. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Avoiding alcohol is critical while taking methotrexate, as alcohol increases the risk of hepatotoxicity, a serious side effect of this immunosuppressive drug used for rheumatoid arthritis.
Choice A is incorrect because methotrexate can be taken with or without food, but a high-fat meal is not specifically recommended and may not affect absorption.
Choice C is incorrect because methotrexate takes weeks to months to relieve joint pain; it is not an immediate-acting analgesic.
Choice D is incorrect because methotrexate is typically taken once weekly (not daily at bedtime) to reduce systemic toxicity, and timing is flexible.