ATI RN
ATI Comprehensive Predictor 2023 Exit Exam B Questions
Extract:
Question 1 of 5
A nurse manager is updating protocols for the use of belt restraints. Which of the following guidelines should the nurse manager include?
Correct Answer: A
Rationale: Documenting the client's condition every 15 minutes is a crucial part of using restraints. Regular documentation helps ensure the safety and well-being of the client, as it allows for continuous monitoring and timely intervention if necessary. Requesting a PRN (as needed) restraint prescription for clients who are aggressive is not a recommended practice. Restraints should only be used as a last resort and must be based on a thorough assessment of the client's condition, not solely on their behavior. Attaching the restraint to the bed's side rails is not recommended. This can increase the risk of injury to the client. Restraints should be attached to a part of the bed frame that moves with the client, such as the head or footboard. While it's important to regularly check and adjust restraints for comfort and safety, there's no specific guideline that restraints should be removed every 4 hours. The frequency of removal and repositioning will depend on the individual client's condition and needs.
Question 2 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 3 of 5
A nurse is caring for a client who has a new prescription for sumatriptan for migraines. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Taking sumatriptan at the onset of migraine symptoms is critical, as it is most effective when used early to abort the migraine by constricting cranial blood vessels and blocking pain pathways.
Choice B is incorrect because sumatriptan can be taken with or without food; food does not significantly affect its absorption.
Choice C is incorrect because drowsiness is not a common side effect; sumatriptan may cause dizziness or tingling, but alertness is usually unaffected.
Choice D is incorrect because sumatriptan is used for acute migraine treatment, not daily for prevention, which requires other medications like propranolol.
Question 4 of 5
A nurse is assisting with the care of a client who has a new prescription for metoprolol. Which of the following findings should the nurse monitor?
Correct Answer: A
Rationale: Monitoring heart rate is essential with metoprolol due to risk of bradycardia. Glucose, potassium, and urine output are less directly affected.
Question 5 of 5
A nurse is reinforcing teaching with a client who has a new prescription for insulin detemir. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Storing insulin detemir at room temperature for up to 42 days maintains potency. Shaking is incorrect, it's not taken before meals, and it's clear.