ATI COMPREHENSIVE PRACTICE PREDICTOR
PRACTICE QUESTIONS AND DETAILED
SOLUTIONS
◉ Skin infection.
Answer: VCHIPS
Varicella zoster
Cutaneous diptheria
Herpes simplez
Impetigo
Peduculosis
Scabies
◉ Air or Pulmonary Embolism.
Answer: S/S chest pain, dyspnea, tachycardia, pale/cyanotic, sense
of impending doom. (turn pt to LEFT side and LOWER the head of
bed.)
◉ Woman in labor (un-reassuring FHR).
Answer: (late decels, decreased variability, fetal bradycardia, etc)
Turn pt on Left side, give O2, stop pitocin, Increase IV fluids!
,◉ Tube feeding with decreased LOC.
Answer: Pt on Right side (promotes emptying of the stomach) Head
of bed elevated (prevent aspiration)
◉ After lumbar puncture and oil based myelogram.
Answer: pt is flat SUPINE (prevent headache and leaking of CSF)
◉ Pt with heat stroke.
Answer: flat with legs elevated
◉ during Continuous Bladder Irrigation (CBI).
Answer: catheter is taped to the thigh. leg must be kept straight.
◉ After Myringotomy.
Answer: position on the side of AFFECTED ear, allows drainage.
◉ After Cateract surgery.
Answer: pt sleep on UNAFFECTED side with a night shield for 1-4
weeks
◉ after Thyroidectomy.
,Answer: low or semi-fowler's position, support head, neck and
shoulders.
◉ Infant with Spina Bifida.
Answer: Prone so that sac does not rupture
◉ Buck's Traction (skin).
Answer: elevate foot of bed for counter traction
◉ After total hip replacement.
Answer: don't sleep on side of surgery, don't flex hip more than 45-
60 degress, don't elevate Head Of Bed more than 45 degrees.
Maintain hip abduction by separating thighs with pillows.
◉ Prolapsed cord.
Answer: Knee to chest or Trendelenburg
oxygen 8 to 10 L
◉ Cleft Lip.
Answer: position on back or in infant seat to prevent trauma to the
suture line. while feeding hold in upright position.
◉ To prevent dumping syndrome.
, Answer: (post operative ulcer/stomach surgeries) eat in reclining
position. Lie down after meals for 20-30 min. also restrict fluids
during meals, low CHO and fiber diet. small, frequent meals.
◉ AKA (above knee amputation).
Answer: elevate for first 24 hours on pillow. position prone daily to
maintain hip extension.
◉ BKA (below knee amputation).
Answer: foot of bed elevated for first 24 hours. position prone to
provide hip extension.
◉ detached retina.
Answer: area of detachment should be in the dependent position
◉ administration of enema.
Answer: pt should be left side lying (Sim's) with knee flexed.
◉ After supratentorial surgery.
Answer: (incision behind hairline on forhead) elevate HOB 30-40
degrees
◉ After infratentorial surgery.
PRACTICE QUESTIONS AND DETAILED
SOLUTIONS
◉ Skin infection.
Answer: VCHIPS
Varicella zoster
Cutaneous diptheria
Herpes simplez
Impetigo
Peduculosis
Scabies
◉ Air or Pulmonary Embolism.
Answer: S/S chest pain, dyspnea, tachycardia, pale/cyanotic, sense
of impending doom. (turn pt to LEFT side and LOWER the head of
bed.)
◉ Woman in labor (un-reassuring FHR).
Answer: (late decels, decreased variability, fetal bradycardia, etc)
Turn pt on Left side, give O2, stop pitocin, Increase IV fluids!
,◉ Tube feeding with decreased LOC.
Answer: Pt on Right side (promotes emptying of the stomach) Head
of bed elevated (prevent aspiration)
◉ After lumbar puncture and oil based myelogram.
Answer: pt is flat SUPINE (prevent headache and leaking of CSF)
◉ Pt with heat stroke.
Answer: flat with legs elevated
◉ during Continuous Bladder Irrigation (CBI).
Answer: catheter is taped to the thigh. leg must be kept straight.
◉ After Myringotomy.
Answer: position on the side of AFFECTED ear, allows drainage.
◉ After Cateract surgery.
Answer: pt sleep on UNAFFECTED side with a night shield for 1-4
weeks
◉ after Thyroidectomy.
,Answer: low or semi-fowler's position, support head, neck and
shoulders.
◉ Infant with Spina Bifida.
Answer: Prone so that sac does not rupture
◉ Buck's Traction (skin).
Answer: elevate foot of bed for counter traction
◉ After total hip replacement.
Answer: don't sleep on side of surgery, don't flex hip more than 45-
60 degress, don't elevate Head Of Bed more than 45 degrees.
Maintain hip abduction by separating thighs with pillows.
◉ Prolapsed cord.
Answer: Knee to chest or Trendelenburg
oxygen 8 to 10 L
◉ Cleft Lip.
Answer: position on back or in infant seat to prevent trauma to the
suture line. while feeding hold in upright position.
◉ To prevent dumping syndrome.
, Answer: (post operative ulcer/stomach surgeries) eat in reclining
position. Lie down after meals for 20-30 min. also restrict fluids
during meals, low CHO and fiber diet. small, frequent meals.
◉ AKA (above knee amputation).
Answer: elevate for first 24 hours on pillow. position prone daily to
maintain hip extension.
◉ BKA (below knee amputation).
Answer: foot of bed elevated for first 24 hours. position prone to
provide hip extension.
◉ detached retina.
Answer: area of detachment should be in the dependent position
◉ administration of enema.
Answer: pt should be left side lying (Sim's) with knee flexed.
◉ After supratentorial surgery.
Answer: (incision behind hairline on forhead) elevate HOB 30-40
degrees
◉ After infratentorial surgery.
