ATI RN Predictor Study Exam 2022/2023 Latest Update
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ATI RN Predictor Study Exam 2022
Addison's Disease - 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 B...
ati rn predictor study exam 20222023 latest update
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ATI RN Predictor Study Exam 2022
Addison's Disease - 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 - Answer- - Weight loss
- Hyperpigmentation
- Weakness/fatigue
- Low BP
- Loss of Body hair
Cushing's Disease - 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 - 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: - 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 - 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 - Answer- - Is the right to independence and personal freedom, which
leads to the primacy of self-determination
Fidelity - Answer- - Is the duty to keep promises. It refers to the obligation to be
faithful to agreements, commitments and responsibilities that are made.
Nonmaleficence - Answer- - Is the obligation and duty to do no harm.
,Meningococcal vaccine - 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? - 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? - Answer- - During the child's first year of
life.
Alendronate (Fosamax) - 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? - 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 - 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? - 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? - Answer- -
Chvostek's sign
What is Chvostek's sign? And how is it done? - 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 - 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 - 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 - 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 - 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 - 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 - Answer- - Give an antitoxin
Why would lidocaine (Xylocaine) be given to someone following cardiac arrest? -
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.
Factors that can trigger an exacerbation of SLE? - Answer- - 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)
Hemoptysis - Answer- Coughing up blood or bloody sputum
EX: The pt converts repressed ideas or impulses into a variety of somatic (physical)
symptoms that may include paralysis, pain or loss of sensory function.
Defense Mechanism: Projection - Answer- - In which the pt refused to acknowledge
unacceptable personal characteristics and transfer feelings, thoughts or traits onto
another person.
EX: Projecting emotions about self onto something or someone else.
Defense Mechanism Undoing - Answer- - Is also known as reaction formation. It is a
defense mechanism in which the pt, operating unconsciously, acts out of behavior or
attitude in opposition to what he really believes.
Defense Mechanism Idealization - Answer- - Is when the positive attributes of
another person are exaggerated in an effort to reduce related emotional conflicts.
EX: Someone that got into a horrible car accident and had to go through rehab to
walk again, now wants to be a physical therapist for a career.
What diagnostic test would help the nurse monitor and evaluate the effectiveness of
the aspirin medication for an Rhematoid arthritis patient? - Answer- - 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) - Answer- - 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 - Answer- This is helpful in diagnosing RA,
but the levels do not always correlate with the severity of the disease activity.
Cheyne-Stokes Respirations - Answer- - 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 - Answer- - 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 provides therapeutic amounts of Facto 8, Factor 13, von Willebrand
factor and fibrinogen. These concentrates are made with recombinant DNA
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