ATI Comprehensive Exam
Dietary teaching for IBS? Crohns? Diverticulitis? Diverticulosis? Iron absorption? High K, what
do you do? - ANS--IBS: excessive fiber
-crohns: Low fiber
-diverticulitis: low fiber
-diverticulosis: high fiber
-iron absorption: eat vitamin C meals
-Heart failure: keep salt and fluid limit
-High K: preserve spironolactone
For a 26 week gestation customer approximately to have oral glucose take a look at, what ought
to you do? - ANS--reduce carbs 3 days previous
-rapid overnight
-blood may be accumulated each hour all through check
-keep away from caffeine
-hold regular interest degree
For a baby with asthma, what should you do? - ANS--get flu vaccine once/yr
-take the best reading out of three PEF meter readings (now not average)
-eliminate carpet from bed room
For a consumer with GI bleed and NG tube in area, what motion must the nurse take while
appearing a gastric lavage? - ANS--200-three hundred mL room temperature answer (faucet
water, sterile water, NaCl) must be instilled
-lie on left facet
For a patron with type 1 DM who may additionally have injured their ankle, what therapy have to
accept? - ANS--reveal glucose q 2-4 hours (for growth glucose from stress on frame)
-reveal neurovascular status of client every hour
-DO NOT APPLY ICE (DM 1 clients with ice remedy are contraindicated)
-keep the affected ankle multiplied and immobilize
-deliver opioid IV or PO to manipulate pain
For a non-weight bearing extremity patron on crutches, what's essential? - ANS--first of all
measure crutches (NEVER alter halfway)
-use three point gait
-whilst on foot upstairs, develop unaffected leg first
-whilst strolling downstairs, advance crutches with affected leg first
-wear rubber soled footwear
,For an occlusive crisis in sickle cellular, what ought to you do first? - ANS--GIVE IV FLUIDS to
sell blood flow through ischemic areas
-then can give ache meds, warm packs, gather blood
For cataract extraction surgical procedure, what are the protocols? - ANS--keep away from
taking aspirin
-use cool compress on eye before calling MD if itchy
-avoid bending on the waist b/c it is able to raise intraoccular strain (BEND AT THE KNEES)
-do not elevate some thing over 10 lbs
For clients with uric acid formation urinary calculi, what ingredients can they eat? -
ANS--oranges
-AVOID meats, alcohol, chook
For hypocalcemia, in which do you tap to ellicit advantageous Chvostik sign? - ANS--cheek
about an inch in front of tragus
-ellicits facial nerve
For general hip arthroplasty's, what is maximum important? - ANS--putting in a raised lavatory
seat at home
-preserve hip angles less than ninety tiers
-USE a walker
-DO NOT use pillow under knees->can motive decrease flow and contractures
For visual acuity trying out using the Snellen chart, what ought to you do? - ANS--preserve each
eyes open for the duration of take a look at
-examine with glasses first, then with out glasses
-stand 10 ft away
-to be able to bypass a line, have to get 4-6 symbols accurate
How are ear drops administered to youngsters over 3? Under 3? - ANS--over 3: pull ear
upwards and returned whilst instilling it
-below 3: lightly pull ear down and returned
-gently rubdown tragus after administering it (NOT the again of the ear)
-permit it to be administered at room temp
How do you verify NG tube placement? Med for ectopic pregnancy, what is a hazard for it?
What does betamethasone purpose? What is the take a look at for PKU? Frequent
variable/overdue decels, what do you do first? What sickness should be reported to CDC?
Screening check completed at 16 weeks gestation? Can female with hep C breastfeed? -
ANS--aspirate content->pH of four or less
-ectopic pregnancy: methotrexate, IUD->threat
-betameth. Causes hyperglycemia in mother and hypoglycemia in new child
-PKU: Guthrie take a look at
, -switch on side->left lateral
-chlamydia
-16 weeks: AFP
-yes as long as no cracked nips
How do you work a non-stop passive range of motion gadget following arthroplasty? - ANS--flip
off at some stage in mealtimes
-keep effected extremity in neutral role
-patron can not adjust settings b/c it's far perscribed through health practitioner
-do not vicinity underneath client's bed while no longer in use
How is insulin administered through a pen tool? - ANS--preserve perpendicular to customer's
pores and skin
-do not shake previous to use
-hold in skin for six-10 seconds
If a client with COPD and could be very brief of breath, what intervention will require an incident
report? - ANS--giving purchaser O2 6 L/min via NC
-CAN give bronchodilator, IV anxiolytic, increase HOB 45 degrees
If a patient 24 hours p/o refuses to ambulate, what should you do first? - ANS--investigate ache
-THEN you could train, turn patient, supply PRN analgesic
If a affected person if four hr postpartum with a boggy uterus and heavy lochia, what must you
do? - ANS--rub down uterus to expel clots->will growth uterine firmness and decrease bleeding
-do that earlier than oxytocin!
If feeling respiratory melancholy from lorazepam, what hsould you administer to reverse
outcomes? - ANS--flumazinil
-naloxone is used for opioid overdose
If fetus is within the left occiput anterior position, where's the great vicinity to concentrate for
fetal coronary heart tones? - ANS--role of back
-left decrease quadrant if at the left facet
If infiltration, what do you do? If phlebitis, what do you do? Where do you insert the catheter? -
ANS--each, dispose of IV
-infiltration: cool compress
-phlebitis: warm compress
-distal veins in non-dominant hand
Recommended blood lead level? Urine sp gravity? APTT? Warfarin? Albumin? - ANS--lead:
over 5=social services, over 20=touch poison manipulate, over forty five=chelation
-urine sp gravity: 1.0.5-1.030 (over 1.030 means dehydration)
Dietary teaching for IBS? Crohns? Diverticulitis? Diverticulosis? Iron absorption? High K, what
do you do? - ANS--IBS: excessive fiber
-crohns: Low fiber
-diverticulitis: low fiber
-diverticulosis: high fiber
-iron absorption: eat vitamin C meals
-Heart failure: keep salt and fluid limit
-High K: preserve spironolactone
For a 26 week gestation customer approximately to have oral glucose take a look at, what ought
to you do? - ANS--reduce carbs 3 days previous
-rapid overnight
-blood may be accumulated each hour all through check
-keep away from caffeine
-hold regular interest degree
For a baby with asthma, what should you do? - ANS--get flu vaccine once/yr
-take the best reading out of three PEF meter readings (now not average)
-eliminate carpet from bed room
For a consumer with GI bleed and NG tube in area, what motion must the nurse take while
appearing a gastric lavage? - ANS--200-three hundred mL room temperature answer (faucet
water, sterile water, NaCl) must be instilled
-lie on left facet
For a patron with type 1 DM who may additionally have injured their ankle, what therapy have to
accept? - ANS--reveal glucose q 2-4 hours (for growth glucose from stress on frame)
-reveal neurovascular status of client every hour
-DO NOT APPLY ICE (DM 1 clients with ice remedy are contraindicated)
-keep the affected ankle multiplied and immobilize
-deliver opioid IV or PO to manipulate pain
For a non-weight bearing extremity patron on crutches, what's essential? - ANS--first of all
measure crutches (NEVER alter halfway)
-use three point gait
-whilst on foot upstairs, develop unaffected leg first
-whilst strolling downstairs, advance crutches with affected leg first
-wear rubber soled footwear
,For an occlusive crisis in sickle cellular, what ought to you do first? - ANS--GIVE IV FLUIDS to
sell blood flow through ischemic areas
-then can give ache meds, warm packs, gather blood
For cataract extraction surgical procedure, what are the protocols? - ANS--keep away from
taking aspirin
-use cool compress on eye before calling MD if itchy
-avoid bending on the waist b/c it is able to raise intraoccular strain (BEND AT THE KNEES)
-do not elevate some thing over 10 lbs
For clients with uric acid formation urinary calculi, what ingredients can they eat? -
ANS--oranges
-AVOID meats, alcohol, chook
For hypocalcemia, in which do you tap to ellicit advantageous Chvostik sign? - ANS--cheek
about an inch in front of tragus
-ellicits facial nerve
For general hip arthroplasty's, what is maximum important? - ANS--putting in a raised lavatory
seat at home
-preserve hip angles less than ninety tiers
-USE a walker
-DO NOT use pillow under knees->can motive decrease flow and contractures
For visual acuity trying out using the Snellen chart, what ought to you do? - ANS--preserve each
eyes open for the duration of take a look at
-examine with glasses first, then with out glasses
-stand 10 ft away
-to be able to bypass a line, have to get 4-6 symbols accurate
How are ear drops administered to youngsters over 3? Under 3? - ANS--over 3: pull ear
upwards and returned whilst instilling it
-below 3: lightly pull ear down and returned
-gently rubdown tragus after administering it (NOT the again of the ear)
-permit it to be administered at room temp
How do you verify NG tube placement? Med for ectopic pregnancy, what is a hazard for it?
What does betamethasone purpose? What is the take a look at for PKU? Frequent
variable/overdue decels, what do you do first? What sickness should be reported to CDC?
Screening check completed at 16 weeks gestation? Can female with hep C breastfeed? -
ANS--aspirate content->pH of four or less
-ectopic pregnancy: methotrexate, IUD->threat
-betameth. Causes hyperglycemia in mother and hypoglycemia in new child
-PKU: Guthrie take a look at
, -switch on side->left lateral
-chlamydia
-16 weeks: AFP
-yes as long as no cracked nips
How do you work a non-stop passive range of motion gadget following arthroplasty? - ANS--flip
off at some stage in mealtimes
-keep effected extremity in neutral role
-patron can not adjust settings b/c it's far perscribed through health practitioner
-do not vicinity underneath client's bed while no longer in use
How is insulin administered through a pen tool? - ANS--preserve perpendicular to customer's
pores and skin
-do not shake previous to use
-hold in skin for six-10 seconds
If a client with COPD and could be very brief of breath, what intervention will require an incident
report? - ANS--giving purchaser O2 6 L/min via NC
-CAN give bronchodilator, IV anxiolytic, increase HOB 45 degrees
If a patient 24 hours p/o refuses to ambulate, what should you do first? - ANS--investigate ache
-THEN you could train, turn patient, supply PRN analgesic
If a affected person if four hr postpartum with a boggy uterus and heavy lochia, what must you
do? - ANS--rub down uterus to expel clots->will growth uterine firmness and decrease bleeding
-do that earlier than oxytocin!
If feeling respiratory melancholy from lorazepam, what hsould you administer to reverse
outcomes? - ANS--flumazinil
-naloxone is used for opioid overdose
If fetus is within the left occiput anterior position, where's the great vicinity to concentrate for
fetal coronary heart tones? - ANS--role of back
-left decrease quadrant if at the left facet
If infiltration, what do you do? If phlebitis, what do you do? Where do you insert the catheter? -
ANS--each, dispose of IV
-infiltration: cool compress
-phlebitis: warm compress
-distal veins in non-dominant hand
Recommended blood lead level? Urine sp gravity? APTT? Warfarin? Albumin? - ANS--lead:
over 5=social services, over 20=touch poison manipulate, over forty five=chelation
-urine sp gravity: 1.0.5-1.030 (over 1.030 means dehydration)
