ATI 2019 RN Comprehensive Predictor Study Guide QUESTIONS
WITH WELL VERIFIED ANSWERS
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.
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.
What diagnostic test would help the nurse monitor and evaluate the effectiveness of the aspirin
medication for an Rhematoid arthritis patient? - answer☑️✔️..- Erythrocyte sedimentation
rate (ESR)
, ** RA is a chronic inflammatory disease. ESR is useful in detecting and monitoring tissue
inflammation in clients with RA.**
Antinuclear antibody (ANA) - answer☑️✔️..- ANAs are frequently present in pts who have
autoimmune disorders such as systemic lupus erythematosus, RA, and scleroderma
Rheumatoid factor (RF) diagnostic test - answer☑️✔️..Helpful in diagnosing RA, but the levels
do not always correlate with the severity of the disease
Cheyne-Stokes Respirations - answer☑️✔️..- Is characterized by a rhythmic increase (to the
point of hyperventilation) and decrease (to the point of apnea) in the rate and depth of
respirations.
- It is commonly seen in pts who are unconscious, comatose or moribund (approaching death).
Cryoprecipitate - answer☑️✔️..- Clients with hemophilia (deficiency of clotting factor), are
given cryoprecipitate to replace the deficient factor as a prophylactic measure before any
invasive procedure, surgery or when actively bleeding.
Cryoprecipitate continue - answer☑️✔️..- Cryoprecipitate provides therapeutic amounts of
Facto 8, Factor 13, von Willebrand factor and fibrinogen. These concentrates are made with
recombinant DNA technology and are the treatment of choice with hemophilic A and von
Willebrands disease.
Cisplatin (Platinol) - answer☑️✔️..- Treatment for cancer.
- If a client has reported fatigue it is important to check the patients most recent CBC. The client
I likely to be anemic as a result of myelosuppression (bone marrow suppression) from the chem.
Cisplatin continue - answer☑️✔️..The pt may require tx for the anemia (transfusion,
medications) and further chemo may be need to be delayed until the blood counts are higher.
WITH WELL VERIFIED ANSWERS
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.
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.
What diagnostic test would help the nurse monitor and evaluate the effectiveness of the aspirin
medication for an Rhematoid arthritis patient? - answer☑️✔️..- Erythrocyte sedimentation
rate (ESR)
, ** RA is a chronic inflammatory disease. ESR is useful in detecting and monitoring tissue
inflammation in clients with RA.**
Antinuclear antibody (ANA) - answer☑️✔️..- ANAs are frequently present in pts who have
autoimmune disorders such as systemic lupus erythematosus, RA, and scleroderma
Rheumatoid factor (RF) diagnostic test - answer☑️✔️..Helpful in diagnosing RA, but the levels
do not always correlate with the severity of the disease
Cheyne-Stokes Respirations - answer☑️✔️..- Is characterized by a rhythmic increase (to the
point of hyperventilation) and decrease (to the point of apnea) in the rate and depth of
respirations.
- It is commonly seen in pts who are unconscious, comatose or moribund (approaching death).
Cryoprecipitate - answer☑️✔️..- Clients with hemophilia (deficiency of clotting factor), are
given cryoprecipitate to replace the deficient factor as a prophylactic measure before any
invasive procedure, surgery or when actively bleeding.
Cryoprecipitate continue - answer☑️✔️..- Cryoprecipitate provides therapeutic amounts of
Facto 8, Factor 13, von Willebrand factor and fibrinogen. These concentrates are made with
recombinant DNA technology and are the treatment of choice with hemophilic A and von
Willebrands disease.
Cisplatin (Platinol) - answer☑️✔️..- Treatment for cancer.
- If a client has reported fatigue it is important to check the patients most recent CBC. The client
I likely to be anemic as a result of myelosuppression (bone marrow suppression) from the chem.
Cisplatin continue - answer☑️✔️..The pt may require tx for the anemia (transfusion,
medications) and further chemo may be need to be delayed until the blood counts are higher.
