ATI RN PREDICTOR STUDY GUIDE
WITH QUESTIONS AND ANSWERS
ALL CORRECT 2023-2024 LATEST
EXAM
Addison's Disease - ✅✅- 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 - ✅✅- Weight loss
• Hyperpigmentation
• Weakness/fatigue
• Low BP
• Loss of Body hair
,• Cushing's Disease - ✅✅- 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 - ✅✅- 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: - ✅✅(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 - ✅✅- 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 - ✅✅- Is the right to independence and personal freedom,
which leads to the primacy of self-determination
,• Fidelity - ✅✅- Is the duty to keep promises. It refers to the obligation to be
faithful to agreements, commitments and responsibilities that are made.
• Nonmaleficence - ✅✅- Is the obligation and duty to do no harm.
• Meningococcal vaccine - ✅✅- 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? - ✅✅- To
adults 60 years or older whether or not they report a previous episode of
herpes zoster.
• Rotavirus should be given at what age? - ✅✅- During the child's first year
of life.
• Alendronate (Fosamax) - ✅✅- 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? - ✅✅- 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 - ✅✅- 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? - ✅✅- 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? -
✅✅- Chvostek's sign
• What is Chvostek's sign? And how is it done? - ✅✅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 - ✅✅- 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.
WITH QUESTIONS AND ANSWERS
ALL CORRECT 2023-2024 LATEST
EXAM
Addison's Disease - ✅✅- 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 - ✅✅- Weight loss
• Hyperpigmentation
• Weakness/fatigue
• Low BP
• Loss of Body hair
,• Cushing's Disease - ✅✅- 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 - ✅✅- 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: - ✅✅(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 - ✅✅- 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 - ✅✅- Is the right to independence and personal freedom,
which leads to the primacy of self-determination
,• Fidelity - ✅✅- Is the duty to keep promises. It refers to the obligation to be
faithful to agreements, commitments and responsibilities that are made.
• Nonmaleficence - ✅✅- Is the obligation and duty to do no harm.
• Meningococcal vaccine - ✅✅- 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? - ✅✅- To
adults 60 years or older whether or not they report a previous episode of
herpes zoster.
• Rotavirus should be given at what age? - ✅✅- During the child's first year
of life.
• Alendronate (Fosamax) - ✅✅- 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? - ✅✅- 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 - ✅✅- 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? - ✅✅- 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? -
✅✅- Chvostek's sign
• What is Chvostek's sign? And how is it done? - ✅✅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 - ✅✅- 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.
