2023 EXAM REVIEW
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This document, "ATI RN Comprehensive Predictor 2023 Exam Review," provides a comprehensive review of
nursing concepts for exam preparation , covering topics such as blood glucose levels, newborn
assessment, surgical procedures (e.g., hip arthroplasty, subtotal thyroidectomy), post-operative care, and
geriatric nursing (e.g., disorientation, lethargy). Each question includes the correct answer with detailed
explanations, offering a thorough review of relevant nursing concepts. Students can utilize this document to
study, review, and deepen their understanding of these concepts, facilitating better retention and recall
of essential nursing knowledge.
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EXAM QUESTIONS
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, QUESTION 1
Blood glucose level
CORRECT ANSWER
Normal range is 70-100 mg/dl.
RATIONALE: The "normal range" refers to the typical or expected values for a particular measurement, in this case, blood
glucose levels, which indicates that the value of 70-100 mg/dl is the standard range for a healthy individual. This range is
based on the consensus of various medical organizations and studies that have established this range as the typical and
safe threshold for blood glucose levels in a healthy person.
QUESTION 2
Jitteriness
CORRECT ANSWER
Common sign of hypoglycemia in newborns.
RATIONALE: Jitteriness in newborns is often an indication of low blood sugar, or hypoglycemia, due to their limited
glycogen stores and high glucose demands for brain development and function. In newborns, jitteriness may be a subtle
symptom of hypoglycemia, prompting healthcare providers to quickly assess and manage the infant's glucose levels to
prevent potential complications.
QUESTION 3
Hip arthroplasty
CORRECT ANSWER
Surgical procedure to replace hip joint.
RATIONALE: Hip arthroplasty refers to a type of surgical intervention that involves replacing the natural hip joint with an
artificial one, typically to alleviate severe pain and restore mobility in individuals with severe hip damage or arthritis. The
key concept underlying this answer is that it accurately describes the primary purpose and nature of the surgical procedure
known as hip arthroplasty.
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, QUESTION 4
Abducted position
CORRECT ANSWER
Hips positioned away from midline post-surgery.
RATIONALE: The "abducted position" in anatomy and physical therapy refers to a position where a limb is moved away
from the midline of the body, which aligns with the phrase "Hips positioned away from midline post-surgery." This term is
used to describe the movement or positioning of a limb, in this case, the hips or legs, away from the central axis of the
body, creating a wide stance or angle.
QUESTION 5
Subtotal thyroidectomy
CORRECT ANSWER
Partial removal of the thyroid gland.
RATIONALE: A subtotal thyroidectomy is a surgical procedure where the surgeon removes part of the thyroid gland, but not
all of it, leaving a small portion intact to preserve the parathyroid glands and the recurrent laryngeal nerve. This partial
removal allows the patient to maintain some thyroid function while still addressing the underlying condition that
necessitated the surgery.
QUESTION 6
Calcium gluconate
CORRECT ANSWER
Administered to prevent hypocalcemia post-thyroidectomy.
RATIONALE: Calcium gluconate is administered to prevent hypocalcemia post-thyroidectomy because the removal of the
thyroid gland can disrupt the body's ability to regulate calcium levels, leading to a potentially life-threatening condition. This
is due to the thyroid gland's role in activating vitamin D, which is necessary for calcium absorption in the intestines, and the
parathyroid glands' role in regulating calcium levels through parathyroid hormone secretion, both of which can be affected
by thyroidectomy.
QUESTION 7
Medication half-life
CORRECT ANSWER
Time taken for drug concentration to halve.
RATIONALE: The key concept behind medication half-life is that it measures the rate at which the concentration of a drug
in the body decreases over time, with a half-life referring to the specific time interval during which the concentration is
reduced by half. This time interval is significant because it indicates how often a drug needs to be administered to maintain
a stable concentration in the body.
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, QUESTION 8
Adverse effects
CORRECT ANSWER
Unintended harmful reactions to medications.
RATIONALE: The correct answer "Unintended harmful reactions to medications" is supported by the definition of adverse
effects, which refers to any unfavorable or undesirable outcome resulting from a medical intervention, including medication.
This definition encompasses unintended consequences that can harm the patient, emphasizing the importance of
understanding the potential risks associated with medication use.
QUESTION 9
Client advocacy
CORRECT ANSWER
Supporting clients' rights and informed choices.
RATIONALE: Client advocacy involves promoting and protecting clients' autonomy, dignity, and well-being by ensuring they
have access to information, resources, and opportunities that empower them to make informed decisions. By supporting
clients' rights and informed choices, advocacy helps to prevent exploitation, promote self-determination, and foster a
positive and empowering relationship between the client and the service provider.
QUESTION 10
Informed consent
CORRECT ANSWER
Client's agreement after understanding procedure details.
RATIONALE: Informed consent is a fundamental concept in healthcare ethics that requires patients to be fully aware of
their treatment options, potential risks, and benefits before giving their consent. The correct answer, "Client's agreement
after understanding procedure details," reflects this principle by emphasizing the importance of the client's active
participation and comprehension in the decision-making process.
QUESTION 11
Gastrostomy tube feedings
CORRECT ANSWER
Nutritional support via tube inserted in stomach.
RATIONALE: The correct answer is correct because gastrostomy tube feedings involve inserting a tube directly into the
stomach, which enables nutritional support to be delivered directly into the stomach. This method bypasses the mouth and
esophagus, allowing for effective administration of nutrients to individuals who have difficulty eating or swallowing due to
various medical conditions.
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