ATI RN Comprehensive Predictor Real Exam & Study
Guide 2019 with Expertly Verified Questions and
Answers Graded A+ High Yield
Testing for TB - ............ANSWER..........- A Mantoux skin test is the
most accurate and valuable screening tool available for TB. A positive
result means only that the client has been exposed to TB; it does not
meant that the client has active TB.
Testing for TB continue - ............ANSWER..........- A sputum culture for
acid fast bacillus (AFB) is used to confirm the diagnosis of pulmonary
TB after a screening test and chest x-ray come back positive.
Teaching instructions for the use of a cane:
- ............ANSWER..........(1) The cane is moved forward about 12 inches.
(2) Then, the weak leg is moved even with the cane.
(3) Finally, the strong leg is brought forward and ahead of the cane and
weak leg.
- Cane is held on stronger side.
- The gripper of the cane should be level with the trochanter of the femur.
Meningococcal vaccine - ............ANSWER..........- Recommended that
this vaccine be given to children who are 11 through 12 years of age and
then given a booster dose at age 16.
,When should the single dose of Herpes zoster vaccine be given?
- ............ANSWER..........- To adults 60 years or older whether or not
they report a previous episode of herpes zoster.
Rotavirus should be given at what age? - ............ANSWER..........-
During the child's first year of life.
Alendronate (Fosamax) - ............ANSWER..........- This medication is
used to prevent and treat postmenopausal osteoporosis and Paget's
Disease.
- Alendronate-taken in morning on an empty stomach.
- The patient must be instructed to wait at least 30 minutes after taking
Alendronate before eating, drinking, or taking other medications.
What to expect with a patient having a chest tube?
- ............ANSWER..........- Continuous gentle bubbling in the suction
control chamber.
- Crepitus (with a pneumothorax, this will persist for several hours
depending)
- Oscillations-tidaling in the water seal chamber upon respiration are
expected.
What is a potential complication of a thyroidectomy?
- ............ANSWER..........- Hypocalcemia: numbness and tingling in the
hands, soles of the feet and around the lips.
What is Chvostek's sign? And how is it done?
- ............ANSWER..........Tap on the pt's face at a point just anterior to the
ear and just below the zygomatic bone. A positive response would be
,twitching of the ipsilateral (same side only) facial muscles, suggestive of
neuromuscular excitability caused by hypocalcemia.
Brudzinski's sign - ............ANSWER..........- Is an indication of
meningeal irritation, which may be positive in patient's with meningitis.
- To perform this, the client needs to be supine. The nurse: -places one
hand behind patient's head.
-places the other hand on the client's chest.
Brudzinski's sign continue - ............ANSWER..........-raises the clients
head (with the hand behind the head) while the hand on the chest
restrains the clients and prevents the client from rising. Flexion of the
clients lower extremities constitutes a positive sign.
Kernig's sign - ............ANSWER..........- Is an indication of meningeal
irritation. The maneuver is usually performed with the client supine with
hips and knees in flexion. Extension of the knees is attempted and the
inability to extend the clients knee beyond 135 degrees w/out causing
pain constitutes a positive test.
Babinski sign - ............ANSWER..........- This is used to test for brain
damage or upper motor neuron damage. It is considered positive if the
toes flare up upon stroking the plantar aspect of the foot.
Cataract surgery discharge instructions - ............ANSWER..........- Do not
lift anything heavier than 10lbs for at least one week
- Sleep on your back or unaffected side to lessen the pressure.
- Need to report any pain, decrease in vision or increase in discharge in
the eye.
, Cataract continue - ............ANSWER..........- It is normal to feel itching
and mild discomfort after surgery, but the pt should be instructed not to
rub or place pressure on the eye.
Exposure or possible exposure to anthrax - ............ANSWER..........-
Administer an antibiotic prophylaxis to all pt's newly exposed
**Those exposed to anthrax do not require decontamination and are not
considered contagious**
Botulism treatment - ............ANSWER..........- Give an antitoxin
Why would lidocaine (Xylocaine) be given to someone following cardiac
arrest? - ............ANSWER..........- Lidocaine is an antiarrhythmic med
that is commonly used to restore a regular heartbeat in a client who has
arrhythmia. This effect is produced by delaying abnormal nerve pulses to
the heart and reducing irritability of the heart tissue.
Factors that can trigger an exacerbation of SLE?
- ............ANSWER..........- Infection (especially a strep or viral infection.
This can be a major stressor and can trigger an exacerbation)
- Pregnancy (due to hormonal changes. The pt should be advised of the
risks and must be monitored closely for effects on the renal and
cardiovascular system if she decides to get pregnant)
- Sunlight (Exposure to sunlight and artificial UV light is the leading
cause of SLE exacerbation manifestations, especially the characteristic
skin manifestations of lesions and butterfly rash)
Guide 2019 with Expertly Verified Questions and
Answers Graded A+ High Yield
Testing for TB - ............ANSWER..........- A Mantoux skin test is the
most accurate and valuable screening tool available for TB. A positive
result means only that the client has been exposed to TB; it does not
meant that the client has active TB.
Testing for TB continue - ............ANSWER..........- A sputum culture for
acid fast bacillus (AFB) is used to confirm the diagnosis of pulmonary
TB after a screening test and chest x-ray come back positive.
Teaching instructions for the use of a cane:
- ............ANSWER..........(1) The cane is moved forward about 12 inches.
(2) Then, the weak leg is moved even with the cane.
(3) Finally, the strong leg is brought forward and ahead of the cane and
weak leg.
- Cane is held on stronger side.
- The gripper of the cane should be level with the trochanter of the femur.
Meningococcal vaccine - ............ANSWER..........- Recommended that
this vaccine be given to children who are 11 through 12 years of age and
then given a booster dose at age 16.
,When should the single dose of Herpes zoster vaccine be given?
- ............ANSWER..........- To adults 60 years or older whether or not
they report a previous episode of herpes zoster.
Rotavirus should be given at what age? - ............ANSWER..........-
During the child's first year of life.
Alendronate (Fosamax) - ............ANSWER..........- This medication is
used to prevent and treat postmenopausal osteoporosis and Paget's
Disease.
- Alendronate-taken in morning on an empty stomach.
- The patient must be instructed to wait at least 30 minutes after taking
Alendronate before eating, drinking, or taking other medications.
What to expect with a patient having a chest tube?
- ............ANSWER..........- Continuous gentle bubbling in the suction
control chamber.
- Crepitus (with a pneumothorax, this will persist for several hours
depending)
- Oscillations-tidaling in the water seal chamber upon respiration are
expected.
What is a potential complication of a thyroidectomy?
- ............ANSWER..........- Hypocalcemia: numbness and tingling in the
hands, soles of the feet and around the lips.
What is Chvostek's sign? And how is it done?
- ............ANSWER..........Tap on the pt's face at a point just anterior to the
ear and just below the zygomatic bone. A positive response would be
,twitching of the ipsilateral (same side only) facial muscles, suggestive of
neuromuscular excitability caused by hypocalcemia.
Brudzinski's sign - ............ANSWER..........- Is an indication of
meningeal irritation, which may be positive in patient's with meningitis.
- To perform this, the client needs to be supine. The nurse: -places one
hand behind patient's head.
-places the other hand on the client's chest.
Brudzinski's sign continue - ............ANSWER..........-raises the clients
head (with the hand behind the head) while the hand on the chest
restrains the clients and prevents the client from rising. Flexion of the
clients lower extremities constitutes a positive sign.
Kernig's sign - ............ANSWER..........- Is an indication of meningeal
irritation. The maneuver is usually performed with the client supine with
hips and knees in flexion. Extension of the knees is attempted and the
inability to extend the clients knee beyond 135 degrees w/out causing
pain constitutes a positive test.
Babinski sign - ............ANSWER..........- This is used to test for brain
damage or upper motor neuron damage. It is considered positive if the
toes flare up upon stroking the plantar aspect of the foot.
Cataract surgery discharge instructions - ............ANSWER..........- Do not
lift anything heavier than 10lbs for at least one week
- Sleep on your back or unaffected side to lessen the pressure.
- Need to report any pain, decrease in vision or increase in discharge in
the eye.
, Cataract continue - ............ANSWER..........- It is normal to feel itching
and mild discomfort after surgery, but the pt should be instructed not to
rub or place pressure on the eye.
Exposure or possible exposure to anthrax - ............ANSWER..........-
Administer an antibiotic prophylaxis to all pt's newly exposed
**Those exposed to anthrax do not require decontamination and are not
considered contagious**
Botulism treatment - ............ANSWER..........- Give an antitoxin
Why would lidocaine (Xylocaine) be given to someone following cardiac
arrest? - ............ANSWER..........- Lidocaine is an antiarrhythmic med
that is commonly used to restore a regular heartbeat in a client who has
arrhythmia. This effect is produced by delaying abnormal nerve pulses to
the heart and reducing irritability of the heart tissue.
Factors that can trigger an exacerbation of SLE?
- ............ANSWER..........- Infection (especially a strep or viral infection.
This can be a major stressor and can trigger an exacerbation)
- Pregnancy (due to hormonal changes. The pt should be advised of the
risks and must be monitored closely for effects on the renal and
cardiovascular system if she decides to get pregnant)
- Sunlight (Exposure to sunlight and artificial UV light is the leading
cause of SLE exacerbation manifestations, especially the characteristic
skin manifestations of lesions and butterfly rash)
