ATI RN Predictor QUESTIONS AND ANSwers 2025-
2026 update
Addison's Disease - ANS>>adrenal glands do not produce enough cortisol or aldosterone
Common symptoms of Addison's Disease - ANS>>- Weight loss
- Hyperpigmentation
- Weakness/fatigue
- Low BP
- Loss of Body hair
Cushing's Disease s/s - ANS>>Hirsutism (excessive hair)
moon face
purple striatum (typically in the skin of the abdomen, thighs or breast)
thin extremities
buffalo hump
Testing for TB - ANS>>- A Mantoux skin test is the most accurate and valuable screening
A positive result means only that the client has been exposed to TB; it does not mean active TB.
- A sputum culture for acid fast bacillus (AFB) is used to confirm the diagnosis of pulmonary TB after
screening test and chest x-ray come back positive.
Teaching instructions for the use of a cane: - ANS>>(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.
- Canes are held on the strong side
- The grip of the cane should be level with the trochanter of the femur
Veracity - ANS>>- Is truthfulness
Autonomy - ANS>>- Is the right to independence and personal freedom, which leads to the primacy o
self-determination
Fidelity - ANS>>- Is the duty to keep promises
Nonmaleficence - ANS>>- Is the obligation and duty to do no harm.
Meningococcal vaccine - ANS>>- Recommended that this vaccine be given to children who are 11 throug
12 years of age and then given a booster dose at age 16.
When should the single dose of Herpes zoster vaccine be given? - ANS>>- To adults 60 years or olde
whether or not they report a previous episode of herpes zoster.
Rotavirus should be given at what age? - ANS>>- During the child's first year of life.
Alendronate (Fosamax) - ANS>>- This medication is used to prevent and treat postmenopausa
osteoporosis and Paget's Disease.
- Alendronate must be taken first thing in the morning on an empty stomach.
- The pt must be instructed to wait at least 30 minutes after taking Alendronate before eating, drinking, o
taking other medications.
What to expect with a pt having a chest tube? - ANS>>- Continuous gentle bubbling in the suction contro
chamber
- Crepitus (with a pneumothorax, this will persist for several hours depending)
,- Oscillations or also called tidaling in the water seal chamber upon respiration are also expected.
Symptoms of hypocalcemia - ANS>>- Numbness and tingling in the hands, soles of the feet and aroun
the lips.
- A nurse would assess the client for a positive reaction by eliciting the Chvostek's sign.
What is a potential complication of a thyroidectomy? - ANS>>- Hypocalcemia, which can includ
numbness and tingling in the hands, soles of the feet and around the lips.
What assessment tool would a nurse use to determine hypocalcemia? - ANS>>- Chvostek's sign
What is Chvostek's sign? And how is it done? - ANS>>Tap on the pt's face at a point just anterior to th
ear and just below the zygomatic bone.
A positive response would be twitching of the ipsilateral (same side only) facial muscles, suggestive o
neuromuscular excitability caused by hypocalcemia.
Brudzinski's sign - ANS>>- Is an indication of meningeal irritation, which may be positive with pt's wit
meningitis.
- To perform this, the client needs to be supine. The nurse places one hand behind the pt's head an
places the other hand on the clients chest. The nurse then raises the clients head (with the hand behin
the head) while the hand on the chest restrains the clients and prevents the client from rising. Flexion o
the clients lower extremities constitutes a positive sign.
Kernig's sign - ANS>>- Is an indication of meningeal irritation. The maneuver is usually performed wit
the client supine with hips and knees in flexion. Extension of the knees is attempted and the inability t
extend the clients knee beyond 135 degrees w/out causing pain constitutes a positive test.
Babinski sign - ANS>>- This is used to test for brain damage or upper motor neuron damage. It
considered positive if the toes flare up upon stroking the plantar aspect of the foot.
Cataract surgery discharge instructions - ANS>>- Do not lift anything heavier than 10lbs for at least on
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.
- It is normal to feel itching and mild discomfort after surgery, but the pt should be instructed not to ru
or place pressure on the eye.
, Exposure or possible exposure to anthrax - ANS>>- Administer an antibiotic prophylaxis to all pt's new
exposed
**Those exposed to anthrax do not require decontamination and are not considered contagious**
Botulism treatment - ANS>>- Give an antitoxin
Why would lidocaine (Xylocaine) be given to someone following cardiac arrest? - ANS>>- Lidocaine is a
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 th
heart tissue.
Factors that can trigger an exacerbation of SLE? - ANS>>- 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 monitore
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 exacerbatio
manifestations, especially the characteristic skin manifestations of lesions and butterfly rash)
Hemoptysis - ANS>>Coughing up blood or bloody sputum
Normal BUN value - ANS>>7-20 mg/dL
Normal Hemoglobin levels - ANS>>Male: 13-18 g/100mL
Female: 12-16 g/100mL
Normal Hematocrit levels - ANS>>Male: 45%-52%
Female: 37-48%
Normal lactic acid levels - ANS>>0.5-1.5 mEq/L
Normal creatinine levels - ANS>>0.8-1.4 mg/dL
Defense mechanism: Conversion - ANS>>- Operating unconsciously, expresses emotional conflict vi
physical symptoms.
EX: The pt converts repressed ideas or impulses into a variety of somatic (physical) symptoms that ma
include paralysis, pain or loss of sensory function.
2026 update
Addison's Disease - ANS>>adrenal glands do not produce enough cortisol or aldosterone
Common symptoms of Addison's Disease - ANS>>- Weight loss
- Hyperpigmentation
- Weakness/fatigue
- Low BP
- Loss of Body hair
Cushing's Disease s/s - ANS>>Hirsutism (excessive hair)
moon face
purple striatum (typically in the skin of the abdomen, thighs or breast)
thin extremities
buffalo hump
Testing for TB - ANS>>- A Mantoux skin test is the most accurate and valuable screening
A positive result means only that the client has been exposed to TB; it does not mean active TB.
- A sputum culture for acid fast bacillus (AFB) is used to confirm the diagnosis of pulmonary TB after
screening test and chest x-ray come back positive.
Teaching instructions for the use of a cane: - ANS>>(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.
- Canes are held on the strong side
- The grip of the cane should be level with the trochanter of the femur
Veracity - ANS>>- Is truthfulness
Autonomy - ANS>>- Is the right to independence and personal freedom, which leads to the primacy o
self-determination
Fidelity - ANS>>- Is the duty to keep promises
Nonmaleficence - ANS>>- Is the obligation and duty to do no harm.
Meningococcal vaccine - ANS>>- Recommended that this vaccine be given to children who are 11 throug
12 years of age and then given a booster dose at age 16.
When should the single dose of Herpes zoster vaccine be given? - ANS>>- To adults 60 years or olde
whether or not they report a previous episode of herpes zoster.
Rotavirus should be given at what age? - ANS>>- During the child's first year of life.
Alendronate (Fosamax) - ANS>>- This medication is used to prevent and treat postmenopausa
osteoporosis and Paget's Disease.
- Alendronate must be taken first thing in the morning on an empty stomach.
- The pt must be instructed to wait at least 30 minutes after taking Alendronate before eating, drinking, o
taking other medications.
What to expect with a pt having a chest tube? - ANS>>- Continuous gentle bubbling in the suction contro
chamber
- Crepitus (with a pneumothorax, this will persist for several hours depending)
,- Oscillations or also called tidaling in the water seal chamber upon respiration are also expected.
Symptoms of hypocalcemia - ANS>>- Numbness and tingling in the hands, soles of the feet and aroun
the lips.
- A nurse would assess the client for a positive reaction by eliciting the Chvostek's sign.
What is a potential complication of a thyroidectomy? - ANS>>- Hypocalcemia, which can includ
numbness and tingling in the hands, soles of the feet and around the lips.
What assessment tool would a nurse use to determine hypocalcemia? - ANS>>- Chvostek's sign
What is Chvostek's sign? And how is it done? - ANS>>Tap on the pt's face at a point just anterior to th
ear and just below the zygomatic bone.
A positive response would be twitching of the ipsilateral (same side only) facial muscles, suggestive o
neuromuscular excitability caused by hypocalcemia.
Brudzinski's sign - ANS>>- Is an indication of meningeal irritation, which may be positive with pt's wit
meningitis.
- To perform this, the client needs to be supine. The nurse places one hand behind the pt's head an
places the other hand on the clients chest. The nurse then raises the clients head (with the hand behin
the head) while the hand on the chest restrains the clients and prevents the client from rising. Flexion o
the clients lower extremities constitutes a positive sign.
Kernig's sign - ANS>>- Is an indication of meningeal irritation. The maneuver is usually performed wit
the client supine with hips and knees in flexion. Extension of the knees is attempted and the inability t
extend the clients knee beyond 135 degrees w/out causing pain constitutes a positive test.
Babinski sign - ANS>>- This is used to test for brain damage or upper motor neuron damage. It
considered positive if the toes flare up upon stroking the plantar aspect of the foot.
Cataract surgery discharge instructions - ANS>>- Do not lift anything heavier than 10lbs for at least on
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.
- It is normal to feel itching and mild discomfort after surgery, but the pt should be instructed not to ru
or place pressure on the eye.
, Exposure or possible exposure to anthrax - ANS>>- Administer an antibiotic prophylaxis to all pt's new
exposed
**Those exposed to anthrax do not require decontamination and are not considered contagious**
Botulism treatment - ANS>>- Give an antitoxin
Why would lidocaine (Xylocaine) be given to someone following cardiac arrest? - ANS>>- Lidocaine is a
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 th
heart tissue.
Factors that can trigger an exacerbation of SLE? - ANS>>- 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 monitore
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 exacerbatio
manifestations, especially the characteristic skin manifestations of lesions and butterfly rash)
Hemoptysis - ANS>>Coughing up blood or bloody sputum
Normal BUN value - ANS>>7-20 mg/dL
Normal Hemoglobin levels - ANS>>Male: 13-18 g/100mL
Female: 12-16 g/100mL
Normal Hematocrit levels - ANS>>Male: 45%-52%
Female: 37-48%
Normal lactic acid levels - ANS>>0.5-1.5 mEq/L
Normal creatinine levels - ANS>>0.8-1.4 mg/dL
Defense mechanism: Conversion - ANS>>- Operating unconsciously, expresses emotional conflict vi
physical symptoms.
EX: The pt converts repressed ideas or impulses into a variety of somatic (physical) symptoms that ma
include paralysis, pain or loss of sensory function.
