ATI PN COMPREHENSIVE PREDICTOR
FORM A, B,& C QUESTIONS AND ANSWERS
LATEST UPDATE 2023 GRADED A+
A nurse is assessing a client who received 2 units of packed RBCs 48 hrs ago. Which of
the following findings should indicate to the nurse that the therapy has been effective? -
ANSWER-hemoglobin 14.9 g/Dl
Patient education for the first 48 hrs following placement of a fiberglass cast on a lower
extremity - ANSWER-Do not insert any objects between the cast and skin,
scratches/abrasions can lead to infection
Reston avoid strenuous activities but use the muscles of the leg and joints above and
below the cast
Keep the affected limb above the level of the heart to prevent edema and pain and
promote venous return
Keep cast dry
Nonpharmacological approaches to relieve osteoarthritis pain - ANSWER-Warm packs
or compresses
well balanced diet to maintain healthy weight
Rest joints in functional position, do not place pillows under knees to avoid flexion
contractures
sleep for 8 to 10 hours per night and rest for 1 to 2 hours when awake
Bleomycin (Blenoxane) - ANSWER-Antibiotic Antineoplastic
Adverse effects/ Rx factors: thrombocytopenia, decreased kidney function which leads
to peripheralperipheral edema and weight gain
Complications: severe lung injury, including pneumonitis and pulmonary fibrosis -->
Priority nursing assessment: pulmonary function
,*REMEMBER: mycin drugs = mon pulmonary function
Prednisone (Deltasone) - ANSWER-Glucocorticoid, corticosteroid, anti-inflammatory
Tx of arthritis; high doses required
At Rx for delayed wound healing
Nifedipine (Procardia) - ANSWER-Ca channel blocker
Tocolytic that is given to stop preterm labor
Adverse effects: dermatitis, urticaria
hemothroax - ANSWER-blood in the pleural cavity (chest)
Treatment: chest tube insertion to drain blood accumulated in chest cavity
Rubeola (measles) - ANSWER-Airborne infection, opportunistic infection
Manifestations: Koplik spots/oral lesions that are small, irregular spots w/ blue/white
center appearing on bucks mucosa opposite to molars (prodromal stage of measles)
Candidiasis (thrush) - ANSWER-Opportunistic fungus that develops and oral cavity of
patients who have amateur/compromised immune system's
Manifestations: cheesy white plaque that looks like milk curds on the bugle mucosa and
tongue
Often initial opportunistic infection and HIV-positive child who is developing AIDS
Transient ischemic attack (TIA) - ANSWER-Temporary disturbance of the blood supply
to the brain causes TIAs, which are brief alterations in neurological function
Most common causes: atherosclerotic plaque in the carotid arteries and hypertension
Monitor: BP regularly to promote hypertension management and reduce risk of another
TIA or cerebrovascular accident
D/C teaching:
Limit Na intake to help control HTN and prevent future TIAs
Increase K intake to manage HTN
Increase fiber intake
Limit alcohol intake to no > 2 serving for men and 1 serving for women per day
,What does it mean when the low-pressure alarm on a mechanical ventilator sounds? -
ANSWER-There is either a leak or the tubing has come apart or detached from the
patient
What equipment should be available at the bedside of a patient following a subtotal
thyroidectomy? - ANSWER-Tracheostomy Tray
Laryngeal edema common post-thyroidectomy can lead to respiratory distress and
airway obstruction which makes emergency intubatuon difficult and increases risk for
hemorrhaging because it increases tension in incision during insertion
Metropolol d/c teaching - ANSWER-Do not stop taking abruptly because it increases
patient risk for angina, HTN, MI; reduce the dosage gradually over 1 to 2 weeks
Count your radio pulse daily
Change positions slowly d/t Rx of orthostatic hypotension
Expected findings of celiac disease - ANSWER-Foul, fatty, frothy stools known as
steatorrhea
Indications of an acute intravascular hemolytic reaction for a patient who is receiving a
transfusion of packed RBCs - ANSWER-This type of transfusion reaction causes acute
kidney injury (leading to oliguria and hemoglobinuria)
Manifestations: oliguria and hemoglobinuria, tachypnea, fever, hypotension
Indications that can make a hearing aid whistle include- - ANSWER-Poor seal with the
earmold, air infection, excessive wax in the canal, and proper fit, malfunction
hyperthyroidism - ANSWER-excessive activity of the thyroid gland
Manifestations: inability to sleep, creased attention span, mild to severe hyperactivity,
low-grade fever, diaphoresis, restlessness, increased systolic BP, tachycardia,
dysrhythmias, increased protein, lipid, carbohydrate metabolism rate
Recommendations for managing this disorder:
Frequent rest. periods in a quiet environment
Cool environment to decrease discomfort of heat intolerance
Increase caloric intake with meals to prevent muscle weakness and wasting from
increased metabolism rate
Pneumothorax - ANSWER-Air in the pleural cavity (chest cavity)
Rx after blunt chest trauma
, Tx: chest tube insertion
Addison's disease - ANSWER-occurs when the adrenal glands do not produce enough
of the hormones cortisol (glucocorticoids) or aldosterone
Manifestations: severe fluid and electrolyte imbalances -> Hyponatremia, hyperkalemia
Tx: (to Prevent addisonian crisis) nurse should do rapid infusion of IV fluids such as .9
percent sodium chloride and IV administration of high-dose corticosteroid such as
hydrocortisone to correct deficiency
Treatment for hypoparathyroidism - ANSWER-IV Ca+ or phosphate binding drugs
An 18-month-old infant has Pneumocystis carinii pneumonia. Results of enzyme-linked
immunosorbent assay (ELISA) testing indicate that she is HIV positive. When planning
care, the nurse should consider which of the following factors?A. The infant's mother is
likely HIV positive.B. The infant's ELISA test result is probably a false positive for HIV.C.
Antiretroviral medications are inappropriate for infants and children who have HIV.D.
HIV-positive status is a contraindication for measles, mumps, and rubella immunizations
- ANSWER-A. The infant's mother is likely HIV positive
DKA therapy - ANSWER-Initial goal is a blood glucose level below 240
Patient should receive regular insulin via continuous IV infusion and have blood glucose
monitored hourly
Mantoux skin test - ANSWER-Negative result = reddened, flat area with no induration
Positive result = injection cite is raised and feels hard to the touch (induration), with
redness; determines exposure to TB not Dx of active TB
A nurse is assessing a client who is receiving hemodialysis for the first time. Which of
the following findings indicates to the nurse that the client is developing dialysis
disequilibrium syndrome (DDS)? - ANSWER-headache
caused by the rapid removal of urea during hemodialysis; CNS disorder
Rx factors: elevated BUN above 175
Manifestations: headache, nausea, vomiting, decreased LOC, seizures, restlessness;
when severe, patient progress to confusion, seizures, coma, death
A nurse is assessing a child who has acute lymphocytic leukemia and is receiving
vincristine sulfate. Which of the following findings is the nurse's priority? - ANSWER-
parethesia
Tx of acute lymphocytic leukemia
Greatest Rx factor for the pt: neurotoxicity (adverse effect)
