ATI RN Predictor Study questions and
answers 2025\2026 A+ Grade
Addison's Disease
- correct answer - Is an endocrine disorder that occurs when the adrenal glands do not produce enough
of the hormone cortisol and in some cases, the hormone aldosterone.
- The disease is characterized by weight loss, muscle weakness, fatigue, low BP and hyperpigmentation
(darkening) of the skin in both exposed and non-exposed parts of the body.
Common symptoms of Addison's Disease
- correct answer - Weight loss
- Hyperpigmentation
- Weakness/fatigue
- Low BP
- Loss of Body hair
Cushing's Disease
- correct answer - S/S: Hirsutism (excessive hair), moon face, purple striatum (typically in the skin of the
abdomen, thighs or breast), thin extremities, buffalo hump
Testing for TB
- correct 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.
- 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:
- correct 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.
- Canes are held on the strong side
- The grip of the cane should be level with the trochanter of the femur
Veracity
- correct answer - Is truthfulness. This is the value that requires the nurse to tell the truth to every client
and to make sure that the client fully understands the message.
Autonomy
- correct answer - Is the right to independence and personal freedom, which leads to the primacy of self-
determination
Fidelity
- correct answer - Is the duty to keep promises. It refers to the obligation to be faithful to agreements,
commitments and responsibilities that are made.
Nonmaleficence
- correct answer - Is the obligation and duty to do no harm.
Meningococcal vaccine
- correct 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?
- correct 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?
- correct answer - During the child's first year of life.
,Alendronate (Fosamax)
- correct answer - This medication is used to prevent and treat postmenopausal 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,
or taking other medications.
What to expect with a pt having a chest tube?
- correct answer - Continuous gentle bubbling in the suction control 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
- correct answer - Numbness and tingling in the hands, soles of the feet and around 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?
- correct answer - Hypocalcemia, which can include numbness and tingling in the hands, soles of the feet
and around the lips.
What assessment tool would a nurse use to determine hypocalcemia?
- correct answer - Chvostek's sign
What is Chvostek's sign? And how is it done?
- correct 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
- correct answer - Is an indication of meningeal irritation, which may be positive with pt's with
meningitis.
, - To perform this, the client needs to be supine. The nurse places one hand behind the pt's head and
places the other hand on the clients chest. The nurse then 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
- correct 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
- correct 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
- correct 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.
- 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
- correct 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
- correct answer - Give an antitoxin
Why would lidocaine (Xylocaine) be given to someone following cardiac arrest?
- correct 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.
answers 2025\2026 A+ Grade
Addison's Disease
- correct answer - Is an endocrine disorder that occurs when the adrenal glands do not produce enough
of the hormone cortisol and in some cases, the hormone aldosterone.
- The disease is characterized by weight loss, muscle weakness, fatigue, low BP and hyperpigmentation
(darkening) of the skin in both exposed and non-exposed parts of the body.
Common symptoms of Addison's Disease
- correct answer - Weight loss
- Hyperpigmentation
- Weakness/fatigue
- Low BP
- Loss of Body hair
Cushing's Disease
- correct answer - S/S: Hirsutism (excessive hair), moon face, purple striatum (typically in the skin of the
abdomen, thighs or breast), thin extremities, buffalo hump
Testing for TB
- correct 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.
- 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:
- correct 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.
- Canes are held on the strong side
- The grip of the cane should be level with the trochanter of the femur
Veracity
- correct answer - Is truthfulness. This is the value that requires the nurse to tell the truth to every client
and to make sure that the client fully understands the message.
Autonomy
- correct answer - Is the right to independence and personal freedom, which leads to the primacy of self-
determination
Fidelity
- correct answer - Is the duty to keep promises. It refers to the obligation to be faithful to agreements,
commitments and responsibilities that are made.
Nonmaleficence
- correct answer - Is the obligation and duty to do no harm.
Meningococcal vaccine
- correct 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?
- correct 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?
- correct answer - During the child's first year of life.
,Alendronate (Fosamax)
- correct answer - This medication is used to prevent and treat postmenopausal 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,
or taking other medications.
What to expect with a pt having a chest tube?
- correct answer - Continuous gentle bubbling in the suction control 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
- correct answer - Numbness and tingling in the hands, soles of the feet and around 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?
- correct answer - Hypocalcemia, which can include numbness and tingling in the hands, soles of the feet
and around the lips.
What assessment tool would a nurse use to determine hypocalcemia?
- correct answer - Chvostek's sign
What is Chvostek's sign? And how is it done?
- correct 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
- correct answer - Is an indication of meningeal irritation, which may be positive with pt's with
meningitis.
, - To perform this, the client needs to be supine. The nurse places one hand behind the pt's head and
places the other hand on the clients chest. The nurse then 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
- correct 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
- correct 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
- correct 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.
- 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
- correct 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
- correct answer - Give an antitoxin
Why would lidocaine (Xylocaine) be given to someone following cardiac arrest?
- correct 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.
