ATI RN
ATI Comprehensive Predictor 2023 Exit Exam B Questions
Extract:
Question 1 of 5
For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the client.
| Applying warm compresses to the incision site |
| Maintaining bed rest for 2 days postoperatively |
| Irrigating indwelling urinary catheter with 50 mL of normal saline |
| Administering enema to relieve constipation |
| Placing a blanket roll under the client's knees while in bed |
Correct Answer: A
Rationale: The correct answer is choice A. Applying warm compresses to the incision site is anticipated for the client, as it can help reduce swelling and pain. The other choices are contraindicated for the following reasons:
Choice B: Maintaining bed rest for 2 days postoperatively is contraindicated, as it can increase the risk of complications such as deep vein thrombosis, pulmonary embolism, and pneumonia. The client should be encouraged to ambulate as soon as possible after surgery.
Choice C: Irrigating indwelling urinary catheter with 50 mL of normal saline is contraindicated, as it can introduce bacteria into the bladder and cause infection. The catheter should be kept patent and draining without irrigation unless there is a specific order from the provider.
Choice D: Administering enema to relieve constipation is contraindicated, as it can increase the pressure in the pelvic area and cause bleeding or damage to the surgical site. The client should be given stool softeners and laxatives to prevent constipation.
Choice E: Placing a blanket roll under the client's knees while in bed is contraindicated, as it can impair blood circulation and cause thrombophlebitis. The client should avoid flexing the knees excessively and elevate the legs slightly when lying down.
Question 2 of 5
A nurse is caring for a client who has a peptic ulcer and is receiving sucralfate. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Administering sucralfate 1 hour before meals allows it to form a protective barrier over the ulcer site without interference from food, enhancing its effectiveness in treating peptic ulcers.
Choice A is incorrect because taking sucralfate with meals reduces its ability to coat the ulcer due to food in the stomach.
Choice B is incorrect because sucralfate tablets should not be crushed, as this alters their ability to form a protective coating; they should be swallowed whole or dissolved in water if needed.
Choice D is incorrect because mixing sucralfate with an antacid can reduce its efficacy, as antacids alter stomach pH, which is necessary for sucralfate's action.
Question 3 of 5
A nurse is providing teaching to a client who has gout and a new prescription for allopurinol. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Increasing fluid intake to 2 to 3 liters daily helps prevent uric acid crystal formation in the kidneys and promotes excretion, reducing gout flare-ups while taking allopurinol.
Choice B is incorrect because high-purine meals (e.g., red meat, shellfish) should be avoided, as they increase uric acid levels, counteracting allopurinol's effect.
Choice C is incorrect because allopurinol takes weeks to reduce uric acid levels and does not provide immediate joint pain relief; acute attacks require other treatments like NSAIDs.
Choice D is incorrect because, while ice may help during an acute gout attack, it is not directly related to allopurinol use and is not the priority instruction.
Question 4 of 5
A nurse is collecting data from a client who has a history of anemia. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Fatigue is expected in anemia due to reduced oxygen-carrying capacity. Fever, hypertension, or weight gain are not typical.
Question 5 of 5
A nurse is providing teaching to a client who has a new prescription for disulfiram for alcohol use disorder. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Avoiding all products containing alcohol, including mouthwash, is critical with disulfiram, as it causes a severe reaction (flushing, nausea, vomiting) when alcohol is consumed, deterring alcohol use.
Choice B is incorrect because disulfiram is typically taken at bedtime to minimize side effects like drowsiness, not in the morning.
Choice C is incorrect because a metallic taste is not a common side effect of disulfiram; it is more associated with metronidazole.
Choice D is incorrect because disulfiram should not be discontinued abruptly without provider guidance, even if drinking resumes, to avoid complications.