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 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 2 of 5
A nurse is providing teaching to a client who has a new prescription for methylphenidate for ADHD. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Monitoring for weight loss is critical with methylphenidate, a stimulant, as it commonly causes appetite suppression, which can lead to significant weight loss, especially in children with ADHD.
Choice A is incorrect because methylphenidate should be taken in the morning or early afternoon, as it can cause insomnia if taken at bedtime.
Choice C is incorrect because methylphenidate may take days to weeks to improve focus, not immediately.
Choice D is incorrect because methylphenidate can be taken with or without food; a high-fat meal may delay absorption but is not necessary.
Question 3 of 5
A nurse is providing discharge teaching to a client who had a cesarean birth. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Showering daily but avoiding soaking in a bathtub for 2 weeks is appropriate to prevent infection at the incision site, as prolonged soaking can soften the wound and increase the risk of bacterial entry.
Choice A is wrong because the weight limit for lifting is typically more restrictive; clients are advised to avoid lifting anything heavier than their newborn (about 10 pounds) for 6 weeks to prevent incisional strain or dehiscence.
Choice B is wrong because sexual intercourse is generally recommended to be delayed until 4-6 weeks post-cesarean to allow for healing of the incision and uterus.
Choice C is wrong because ibuprofen may be used for pain, but the nurse should emphasize consulting the provider for appropriate dosing and ensuring it is safe, especially if breastfeeding, rather than a blanket instruction to take it as needed.
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 providing teaching to a client who has a new prescription for furosemide for edema. Which of the following laboratory values should the nurse monitor?
Correct Answer: D
Rationale: Monitoring potassium is critical for clients taking furosemide, a loop diuretic that increases potassium excretion, potentially causing hypokalemia, which can lead to arrhythmias.
Choice A is incorrect because, while furosemide can cause hyponatremia, potassium is the primary electrolyte of concern due to its cardiac implications.
Choice B is incorrect because hemoglobin is not directly affected by furosemide; it is monitored for other conditions like anemia.
Choice C is incorrect because calcium levels are not significantly impacted by furosemide compared to potassium.