ATI COMPREHENSIVE EXIT EXAM (NGN ATI)
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1.=Treat=first=any=immediate=threats=to=a=patient's=survival=or=safety.=
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Ex.=obstructed=airway,=loss=of=consciousness,=psychological=episode=or=anxiety=attack.=
ABC's.=2.=Next,=treat=actual=problems.=Ex.=nausea,=full=bowel=or=bladder,=comfort=m
easures.=
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3. Then,=treat=relatively=urgent=actual=or=potential=problems=that=the=patient=or=family=does=not=rec
ognize.=Ex.=Monitoring=for=post-
op=complications,=anticipating=teaching=needs=of=a=patient=that=may=be=unaware=of=side=effects=o
f=meds.=
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4. Lastly,=treat=actual=or=potential=problems=where=help=may=be=needed=in=the=future.=
Ex=Teaching=for=self-
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care=in=the=home.==
Here=are=some=great=principles=to=help=you=as=you=prioritize:=
Systemic=before=local=
Acute=before=chronic=
Actual=before=potential=
Listen=don't=assume=
Recognize=first=then=apply=clinical=knowledge=Maslow's
= Hierarchy=of=Needs:=
, Prioritize=according=to=Maslow=with=physiological=and=safety=issues=before=psychological=esteem=
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Variant=angina=(Prinzmetal's=angina)
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Due=to=a=coronary=artery=spasm,=oftening=occurring=during=periods=of=rest.
Occurs=with=exercise=or=emotional=stress,=but=it=increases=in=occurrence,=severity,=and=duration=
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Occurs=with=exercise=or=emotional=stress=and=is=relieved=by=rest=or=nitroglycerin=(Nitrostat).
electrolyte=imbalance=manifestations:=
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hypocakelmia-->=flat=T=waves=on=ECG
hypercalcemia-->=decreased=deep=tendon=reflexes=(DTRs)=
issues.=
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Unstable=angina=
over=time.=
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Stable=angina=
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hypocalcemia-->=tetany=hyperkalemia--
>=tall=peaked=T=waves=on=ECG=
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Addison's=disease=Decreased=ald
osterone=and=renin=
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, Hypothyroidism=
Decreased=triiodothyronine=(T3)=and=thyroxine=Cushing's=disease=
Elevated=cortisol=
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Diabetes=Insipidus=(DI)=
Decreased=urine=specific=gravity=
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Diabetes=melitus=
Elevated=glycosylated=hemoglobin=(HbA1c)=
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Syndrome=of=Inappropriate=Secretion=of=Antidiuretic=Hormone=Increased
=urine=osmolality=
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Cataract=
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= Progressive=and=painless=loss=of=vision
Angle-closure=glaucoma=
Rapid=onset=of=elevated=IOP=
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macular=degeneration=Central
=loss=of=vision=
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Open-angle=galucoma=
Loss=of=peripheral=vision=
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Retinal=detachment=
Sudden=loss=of=vision=without=pain=
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Common=disease's=manifestations=
Cholecystitis-->=Murphy's=sign=
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Pancreatitis-->=Turner's=sign=
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Peptic=Ulcer=Disease-->=Upper=epigastric=pain=1-2=hours=after=meals=
Appendicits-->=Pain=at=McBurney's=point=
Decorticate=
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Decerebrate=
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Hepatitis=disease=transmissions=
Hepatitis=A-->=Ingestions=o=contaminated=food/water=
, Hepatitis=B--
>=Unprotected=sexual=contact=Nonviral=Hepatits--
>=Drug=toxicity=
Symptoms:=Shortness=of=breath,=fatigue,=jugular=vein=distention,=and=an=S3=are=signs/symptoms= of=
heart=failure=resulting=from=the=decreased=pumping=ability=of=the=heart=and=increased=fluid=
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position:=Supine=with=legs=elevated=(shock=position)
Position:=The=client= should=be=placed=in=the=prone=position=several=times=a=day=to=prevent=hip=
-Continuous=bubling=in=the=water=seal=champers=indicates=an=air=leak.=If=this=is=observed,=the=
nurse=should=attempt=to=located=the=source=of=the=air=leak=and=intervene=accordingly=(tighten=the=
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connections,=replace=drainage=system)
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Heart=Failure=
volume.=
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Hypovolemic=shock=
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Below-the-knee=amputation=
flexion=contractions.=
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Chest=tube=