ATI Comprehensive Predictor B Exam With Complete Solutions
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.
Do not delegate - ANSWER-What you can EAT E-evaluate A-assess T-teach
Addison's & Cushings - ANSWER-Addison's = down down down up down
Cushings= up up up down up
,hypo/hypernatremia, hypo/hypertension, blood volume, hypo/hyperkalemia,
hypo/hyperglycemia
Better peripheral perfusion? - ANSWER-EleVate Veins, DAngle Arteries
APGAR - ANSWER-Appearance (all pink, pink and blue, blue (pale)
Pulse (>100, <100, absent)
Grimace (cough, grimace, no response)
Activity (flexed, flaccid, limp)
Respirations (strong cry, weak cry, absent)
Airborne precautions - ANSWER-MTV or My chicken hez tb measles, chickenpox
(varicella) Herpes zoster/shingles TB
Airborne precautions protective equip - ANSWER-private room, neg pressure with
6-12 air exchanges/hr mask & respirator N95 for TB
Droplet precautions - ANSWER-spiderman! sepsis, scarlet fever, streptococcal
pharyngitis, parvovirus, pneumonia, pertussis,
influenza,
diptheria,
epiglottitis,
, rubella,
mumps, meningitis, mycoplasma or meningeal pneumonia, adeNovirus
(Private room and mask)
Contact precaution - ANSWER-MRS WHISE
protect visitors & caregivers when 3 ft of the pt.
Multidrug-resistant organisms
RSV, Shigella, Wound infections, Herpes simplex, Impetigo, Scabies, Enteric
diseases caused by micro-organisms (C diff),
Gloves and gowns worn by the caregivers and visitors
Disposal of infectious dressing material into a single, nonporous bag without
touching the outside of the bag
PMGG= Private room/ share same illness, mask, gown and gloves
Skin infection - ANSWER-VCHIPS
Varicella zoster
Cutaneous diptheria
Herpes simplez
Impetigo
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.
Do not delegate - ANSWER-What you can EAT E-evaluate A-assess T-teach
Addison's & Cushings - ANSWER-Addison's = down down down up down
Cushings= up up up down up
,hypo/hypernatremia, hypo/hypertension, blood volume, hypo/hyperkalemia,
hypo/hyperglycemia
Better peripheral perfusion? - ANSWER-EleVate Veins, DAngle Arteries
APGAR - ANSWER-Appearance (all pink, pink and blue, blue (pale)
Pulse (>100, <100, absent)
Grimace (cough, grimace, no response)
Activity (flexed, flaccid, limp)
Respirations (strong cry, weak cry, absent)
Airborne precautions - ANSWER-MTV or My chicken hez tb measles, chickenpox
(varicella) Herpes zoster/shingles TB
Airborne precautions protective equip - ANSWER-private room, neg pressure with
6-12 air exchanges/hr mask & respirator N95 for TB
Droplet precautions - ANSWER-spiderman! sepsis, scarlet fever, streptococcal
pharyngitis, parvovirus, pneumonia, pertussis,
influenza,
diptheria,
epiglottitis,
, rubella,
mumps, meningitis, mycoplasma or meningeal pneumonia, adeNovirus
(Private room and mask)
Contact precaution - ANSWER-MRS WHISE
protect visitors & caregivers when 3 ft of the pt.
Multidrug-resistant organisms
RSV, Shigella, Wound infections, Herpes simplex, Impetigo, Scabies, Enteric
diseases caused by micro-organisms (C diff),
Gloves and gowns worn by the caregivers and visitors
Disposal of infectious dressing material into a single, nonporous bag without
touching the outside of the bag
PMGG= Private room/ share same illness, mask, gown and gloves
Skin infection - ANSWER-VCHIPS
Varicella zoster
Cutaneous diptheria
Herpes simplez
Impetigo
