ATI COMPREHENSIVE EXAM 1 Exam
Questions and answers GRADED A
How do you walk up stairs with crutches? - correct answer ✅Use railing if there is
one; lead with good leg, using crutches for support of bad leg
What are signs of compartment syndrome? - correct answer ✅MEDICAL
EMERGENCY! tingling, numbness, worsening pain, edema, pain on passive
movement, unequal pulses
What should you do for suspected compartment syndrome? - correct answer
✅Call doctor immediately, loosen dressings, and prepare to assist with
fasciotomy
What interventions do you do for suspected enterocolitis? - correct answer
✅Assess and measure abdominal girth, monitor/manage fluid, electrolyte, and
blood replacement, monitor for sepsis/peritonitis/shock, and give antibiotics
What are some signs and symptoms of Hirschsprung's disease? - correct answer
✅Newborn: failure to pass meconium in 24-48 hours, vomiting bile, refusing to
eat, abdominal distention; infant: FTT, vomiting, constipation; child:
undernourished, anemic appearance, abdominal distention, visible peristalsis,
palpable fecal mass, constipation
What should you advise your patient of who has peripheral vascular disease? -
correct answer ✅Sleep with legs in a dependent position (hanging off the bed) to
reduce swelling and discomfort of legs; avoid crossing legs, avoid restrictive
clothing, and elevate legs but not above heart level; exercise and eat low fat diet
What is intermittent claudication? - correct answer ✅Burning, cramping, and
pain in the legs during exercise; present in peripheral vascular disease
,ATI COMPREHENSIVE EXAM 1 Exam
Questions and answers GRADED A
What are some expected findings of Peripheral Vascular Disease? - correct answer
✅bruit over femoral/aortic arteries, decreased capillary refill, diminished pulses,
loss of hair on ankle/calf/foot, dry/scaly/mottled skin, thick toe nails, RUBOR!,
cold/cyanotic extremity, and ulcers/gangrene of toes
What is a cardiac stress test? - correct answer ✅Measures the patient's heart
ability to respond to external stress in a controlled clinical environment; patient
will exercise for 10-15 minutes; doctor will use an EKG, BP, HR and O2 level; shows
pumping ability; used in PVD
What are expected findings of pulmonary edema? - correct answer ✅Crackles in
lungs, edema, cough with pink/frothy sputum, cyanosis, confusion/stupor,
tachycardia, tachypnea/dyspnea/orthopnea, anxiety, inability to sleep, hypoxemia,
decreased urine output
What would you advise a patient with pulmonary edema? - correct answer
✅Fluid restriction and low sodium diet, high fowler's position, daily weights at
same time of day, effective breathing techniques, report SOB, swelling and angina;
stay compliant with meds even if patient starts to feel better!
Nursing interventions for pulmonary edema? - correct answer ✅High fowlers,
vitals q15 min, hourly urine output, monitor ABGs and electrolytes, monitor I & O,
hemodynamic status
Why might someone have pulmonary edema? - correct answer ✅Most common
cause is cardiogenic! Patient will have increased pulmonary vascular pressure;
, ATI COMPREHENSIVE EXAM 1 Exam
Questions and answers GRADED A
patient may also be in opiate OD, inhaled irritants, too rapid of IV fluids, head
injury
What are some expected findings of cataracts? - correct answer ✅Blurry vision!
decreased visual acuity, diplopia (double vision), ABSENT RED REFLEX; visual
opacity; cloudy pupils
What would you educate a patient with cataracts? - correct answer ✅Annual eye
exams after 40!; Wear sunglasses anytime outside, avoid activities that increase
IOP (bending, sneezing, coughing, straining, sex, restrictive clothing, head
hyperflexion); report pain with n/v, limit activities (cooking, driving, sports)
What laboratory test would you order to confirm diagnosis of HF? - correct
answer ✅hBNP (level will be elevated if patient has HF); heart is working harder,
so more BNP in the blood
What is cystic fibrosis? - correct answer ✅mucus glands that secrete an increase
in thick mucous, leading to an obstruction of organs; the nurse will see and
increase in SODIUM + CHLORIDE IN THE SWEAT
What is the goal of case management? - correct answer ✅Avoid fragmentation
of care and control cost
What is Rifampin and what should one warn the patient about? - correct answer
✅Rifampin is used to treat TB; educate client to expect orange urine
Questions and answers GRADED A
How do you walk up stairs with crutches? - correct answer ✅Use railing if there is
one; lead with good leg, using crutches for support of bad leg
What are signs of compartment syndrome? - correct answer ✅MEDICAL
EMERGENCY! tingling, numbness, worsening pain, edema, pain on passive
movement, unequal pulses
What should you do for suspected compartment syndrome? - correct answer
✅Call doctor immediately, loosen dressings, and prepare to assist with
fasciotomy
What interventions do you do for suspected enterocolitis? - correct answer
✅Assess and measure abdominal girth, monitor/manage fluid, electrolyte, and
blood replacement, monitor for sepsis/peritonitis/shock, and give antibiotics
What are some signs and symptoms of Hirschsprung's disease? - correct answer
✅Newborn: failure to pass meconium in 24-48 hours, vomiting bile, refusing to
eat, abdominal distention; infant: FTT, vomiting, constipation; child:
undernourished, anemic appearance, abdominal distention, visible peristalsis,
palpable fecal mass, constipation
What should you advise your patient of who has peripheral vascular disease? -
correct answer ✅Sleep with legs in a dependent position (hanging off the bed) to
reduce swelling and discomfort of legs; avoid crossing legs, avoid restrictive
clothing, and elevate legs but not above heart level; exercise and eat low fat diet
What is intermittent claudication? - correct answer ✅Burning, cramping, and
pain in the legs during exercise; present in peripheral vascular disease
,ATI COMPREHENSIVE EXAM 1 Exam
Questions and answers GRADED A
What are some expected findings of Peripheral Vascular Disease? - correct answer
✅bruit over femoral/aortic arteries, decreased capillary refill, diminished pulses,
loss of hair on ankle/calf/foot, dry/scaly/mottled skin, thick toe nails, RUBOR!,
cold/cyanotic extremity, and ulcers/gangrene of toes
What is a cardiac stress test? - correct answer ✅Measures the patient's heart
ability to respond to external stress in a controlled clinical environment; patient
will exercise for 10-15 minutes; doctor will use an EKG, BP, HR and O2 level; shows
pumping ability; used in PVD
What are expected findings of pulmonary edema? - correct answer ✅Crackles in
lungs, edema, cough with pink/frothy sputum, cyanosis, confusion/stupor,
tachycardia, tachypnea/dyspnea/orthopnea, anxiety, inability to sleep, hypoxemia,
decreased urine output
What would you advise a patient with pulmonary edema? - correct answer
✅Fluid restriction and low sodium diet, high fowler's position, daily weights at
same time of day, effective breathing techniques, report SOB, swelling and angina;
stay compliant with meds even if patient starts to feel better!
Nursing interventions for pulmonary edema? - correct answer ✅High fowlers,
vitals q15 min, hourly urine output, monitor ABGs and electrolytes, monitor I & O,
hemodynamic status
Why might someone have pulmonary edema? - correct answer ✅Most common
cause is cardiogenic! Patient will have increased pulmonary vascular pressure;
, ATI COMPREHENSIVE EXAM 1 Exam
Questions and answers GRADED A
patient may also be in opiate OD, inhaled irritants, too rapid of IV fluids, head
injury
What are some expected findings of cataracts? - correct answer ✅Blurry vision!
decreased visual acuity, diplopia (double vision), ABSENT RED REFLEX; visual
opacity; cloudy pupils
What would you educate a patient with cataracts? - correct answer ✅Annual eye
exams after 40!; Wear sunglasses anytime outside, avoid activities that increase
IOP (bending, sneezing, coughing, straining, sex, restrictive clothing, head
hyperflexion); report pain with n/v, limit activities (cooking, driving, sports)
What laboratory test would you order to confirm diagnosis of HF? - correct
answer ✅hBNP (level will be elevated if patient has HF); heart is working harder,
so more BNP in the blood
What is cystic fibrosis? - correct answer ✅mucus glands that secrete an increase
in thick mucous, leading to an obstruction of organs; the nurse will see and
increase in SODIUM + CHLORIDE IN THE SWEAT
What is the goal of case management? - correct answer ✅Avoid fragmentation
of care and control cost
What is Rifampin and what should one warn the patient about? - correct answer
✅Rifampin is used to treat TB; educate client to expect orange urine