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ATI RN Predictor Study 2019 questions and answers all correct

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ATI RN Predictor

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ATI RN Predictor

ATI RN Predictor Study 2019 Testing for TB ANS: - 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 ANS: - A s...

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2019- Me

2019- Me
ATI RN Predictor Study 2019

Testing for TB ANS: - 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 ANS: - 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: 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.

- Cane is held on stronger side.
- The gripper of the cane should be level with the trochanter of the femur.

Meningococcal vaccine ANS: - 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? ANS: - To adults 60 years or older
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 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? ANS: - 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? ANS: - 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? ANS: 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 ANS: - 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 ANS: -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 ANS: - 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 ANS: - 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 ANS: - 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 ANS: - 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 ANS: - 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 ANS: - Give an antitoxin

Why would lidocaine (Xylocaine) be given to someone following cardiac arrest? ANS: - 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? 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 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)

What diagnostic test would help the nurse monitor and evaluate the effectiveness of the aspirin
medication for an Rhematoid arthritis patient? ANS: - 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) ANS: - ANAs are frequently present in pts who have systemic lupus
erythematosus and other autoimmune disorders such as RA and scleroderma.

Rheumatoid factor (RF) diagnostic test ANS: This is helpful in diagnosing RA, but the levels do not always
correlate with the severity of the disease activity.

Cheyne-Stokes Respirations ANS: - 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 ANS: - 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 ANS: - 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) ANS: - 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 ANS: 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.

Jerking movements of the extremities ANS: - Such as ataxia, may be seen with many neurologic
conditions affecting the clients ability to produce a smooth movement.

Ataxia ANS: Jerky movements of the extremities

Spasm of the extremities ANS: - Involuntary spasms may be found with such conditions as cerebral
palsy, trauma, cerebral infection and certain degenerative disorders.

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