ATI 2019 RN Comprehensive
Predictor Study Guide
ATI 2019 RN Comprehensive
Predictor Study Guide
ATI 2019 RN Comprehensive
Predictor Study Guide
ATI 2019 RN Comprehensive
Predictor Study Guide
ATI 2019 RN Comprehensive Predictor
Study Guide
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 signANS - 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 signANS - 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 signANS - 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 instructionsANS - 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 continueANS - 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 anthraxANS - Administer an antibiotic prophylaxis to
all pt's newly exposed
**Those exposed to anthrax do not require decontamination and are not considered
contagious**
Botulism treatmentANS - 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.
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
autoimmune disorders such as systemic lupus erythematosus, RA, and scleroderma
, Rheumatoid factor (RF) diagnostic testANS Helpful in diagnosing RA, but the levels do
not always correlate with the severity of the disease
Cheyne-Stokes RespirationsANS - 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).
CryoprecipitateANS - 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 continueANS - 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 continueANS 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.
AtaxiaANS Jerky movements of the extremities
RAST testingANS - Involves measuring the quantity of IgE present in the serum after
exposure to specific antigens that are selected based on the pts symptom hx. An
elevated IgE indicates a positive response to RAST testing and is seen in pts who have
a hx of allergic manifestations, anaphylaxis and asthma.
If clear drainage is coming out of a patient and you suspect that it could be CSF, first
action is to?ANS - First, test it for glucose
- Second, notify doctor
What is a complication that you should frequently assess if a patient is suspected of
having diabetes insipidus?ANS - Hypotension
**A pt who has diabetes insipidus will continue to excrete urine even though there is no
intake. Hypovolemia, with resulting hypotension is possible.**
Active TB treatment duration?ANS A 6-9 month regimen consisting of two meds is
frequently used.
Active TB is usually treated with the simultaneous administration of a combo of meds to
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