ATI RN
ATI Comprehensive Predictor 2023 Exit Exam B Questions
Extract:
Question 1 of 5
A nurse is setting up a sterile field to perform wound irrigation for a client. Which of the following actions should the nurse take when pouring the sterile solution?
Correct Answer: C
Rationale: Placing sterile gauze over areas of spilled solution within the sterile field is incorrect. If solution is spilled within the sterile field, the entire field should be considered contaminated and a new sterile field should be set up. Holding the irrigation solution bottle with the label facing away from the palm of the hand is incorrect. The label should face the palm of the hand to avoid contamination of the sterile field. Removing the cap and placing it sterile-side up on a clean surface is correct. This ensures that the sterile side of the cap remains sterile and can be used to recap the bottle after pouring the solution. Holding the bottle in the center of the sterile field when pouring the solution is incorrect. The bottle should be held over the edge of the sterile field to avoid contamination of the field if solution spills.
Question 2 of 5
A nurse is assessing a client who has pancreatitis. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Epigastric pain radiating to the back is a hallmark symptom of pancreatitis, caused by inflammation of the pancreas irritating surrounding tissues and nerves.
Choice B is incorrect because pancreatitis typically causes hypoactive bowel sounds due to ileus or reduced gastrointestinal motility, but this is less specific than epigastric pain.
Choice C is incorrect because weight gain is not expected; pancreatitis often leads to weight loss due to malabsorption or reduced appetite.
Choice D is incorrect because a fever of 37.2°C is not significant and may not be present unless there is a complication like infection.
Question 3 of 5
A nurse is caring for a client who has a prescription for a peripheral IV catheter. After puncturing the skin with the vascular access device and noting a blood return in the flashback chamber, which of the following actions should the nurse perform next?
Correct Answer: D
Rationale:
Choice A is wrong because flushing the catheter with saline should be done after securing the catheter to the skin with a transparent dressing and attaching a primed piece of extension tubing to the catheter.
Choice B is wrong because retracting the stylet should be done after advancing the catheter into the vein and releasing the tourniquet from the client's arm.
Choice C is wrong because releasing the tourniquet should be done after advancing the catheter into the vein and before retracting the stylet. This is because after puncturing the skin and the vein, the nurse needs to advance the catheter into the vein with the finger hub to ensure proper placement and prevent complications such as infiltration or phlebitis.
Question 4 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 5 of 5
A nurse is assessing a client who has a new prescription for tamoxifen for breast cancer. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: Calf pain and swelling are concerning findings that may indicate deep vein thrombosis (DVT), a known risk of tamoxifen due to its estrogen-like effects on clotting factors, requiring immediate reporting to the provider for evaluation, such as an ultrasound.
Choice A is wrong because hot flashes are a common side effect of tamoxifen due to its anti-estrogenic effects and do not typically require reporting unless severe.
Choice B is wrong because vaginal dryness is an expected side effect of tamoxifen and can be managed with non-hormonal lubricants, not requiring immediate reporting.
Choice D is wrong because a weight gain of 2 kg in 1 month is not significant and may be related to other factors; it should be monitored but does not require immediate reporting.