ATI Comp Predictor-Study Guide
Do not delegate - Question and answersWhat you can EAT E-evaluate A-assess T-
teach
Addison's & Cushings - Question and answersAddison'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? - Question and answersEleVate Veins, DAngle Arteries
APGAR - Question and answersAppearance (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 - Question and answersMy chicken hez tb (measles, chickenpox
(varicella) Herpes zoster/shingles TB
Airborne precautions protective equip - Question and answersprivate room, neg
pressure with 6-12 air exchanges/hr mask N95 for TB
Droplet precautions - Question and answersspiderman! sepsis, scarlet fever,
streptococcal pharyngitis, parvovirus, pneumonia, pertussis,
influenza,
diptheria,
epiglottitis,
rubella,
mumps, meningitis, mycoplasma or meningeal pneumonia, adeNovirus (Private room
or cohort mask!)
Contact precaution - Question and answersMRS WEE
Multidrug resistant organism
Rresiratory infection
Skin infection
Wound infection
Enteric infection (C diff)
Eye infection (conjunctivitis)
Skin infection - Question and answersVCHIPS
Varicella zoster
Cutaneous diptheria
Herpes simplez
,Impetigo
Peduculosis
Scabies
Air or Pulmonary Embolism - Question and answersS/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) - Question and answers(late decels, decreased
variability, fetal bradycardia, etc) Turn pt on Left side, give O2, stop pitocin, Increase IV
fluids!
Tube feeding with decreased LOC - Question and answersPt on Right side (promotes
emptying of the stomach) Head of bed elevated (prevent aspiration)
After lumbar puncture and oil based myelogram - Question and answerspt is flat
SUPINE (prevent headache and leaking of CSF)
Pt with heat stroke - Question and answersflat with legs elevated
during Continuous Bladder Irrigation (CBI) - Question and answerscatheter is taped to
the thigh. leg must be kept straight.
After Myringotomy - Question and answersposition on the side of AFFECTED ear,
allows drainage.
After Cateract surgery - Question and answerspt sleep on UNAFFECTED side with a
night shield for 1-4 weeks
after Thyroidectomy - Question and answerslow or semi-fowler's position, support head,
neck and shoulders.
Infant with Spina Bifida - Question and answersProne so that sac does not rupture
Buck's Traction (skin) - Question and answerselevate foot of bed for counter traction
After total hip replacement - Question and answersdon'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 - Question and answersKnee to chest or Trendelenburg
Cleft Lip - Question and answersposition on back or in infant seat to prevent trauma to
the suture line. while feeding hold in upright position.
, To prevent dumping syndrome - Question and answers(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) - Question and answerselevate for first 24 hours on
pillow. position prone daily to maintain hip extension.
BKA (below knee amputation) - Question and answersfoot of bed elevated for first 24
hours. position prone to provide hip extension.
detached retina - Question and answersarea of detachment should be in the dependent
position
administration of enema - Question and answerspt should be left side lying (Sim's) with
knee flexed.
After supratentorial surgery - Question and answers(incision behind hairline on forhead)
elevate HOB 30-40 degrees
After infratentorial surgery - Question and answers(incision at the nape of neck) position
pt flat and lateral on either side.
During internal radiation - Question and answerson bed rest while implant in place
Autonomic Dysreflexia/Hyperreflexia - Question and answersS/S pounding headache,
profuse sweating, nasal congestion, chills, bradycardia, hypertension. Place client in
sitting position (elevate HOB) FIRST!
Shock - Question and answersbedrest with extremities elevated 20 degrees. knees
straight, head slightly elevated (modified Trendelenberg)
Head Injury - Question and answerselevate HOB 30 degrees to decrease ICP
Peritoneal Dialysis (when outflow is inadequate) - Question and answersturn pt from
side to side BEFORE checking for kinks in tubing
Lumbar Puncture - Question and answersAfter the procedure, the pt should be supine
for 4-12 hours as prescribed.
Myesthenia Gravis - Question and answersworsens with exercise and improves with
rest
Myesthenia Gravis - Question and answersa positive reaction to Tensilon---will improve
symptoms
Do not delegate - Question and answersWhat you can EAT E-evaluate A-assess T-
teach
Addison's & Cushings - Question and answersAddison'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? - Question and answersEleVate Veins, DAngle Arteries
APGAR - Question and answersAppearance (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 - Question and answersMy chicken hez tb (measles, chickenpox
(varicella) Herpes zoster/shingles TB
Airborne precautions protective equip - Question and answersprivate room, neg
pressure with 6-12 air exchanges/hr mask N95 for TB
Droplet precautions - Question and answersspiderman! sepsis, scarlet fever,
streptococcal pharyngitis, parvovirus, pneumonia, pertussis,
influenza,
diptheria,
epiglottitis,
rubella,
mumps, meningitis, mycoplasma or meningeal pneumonia, adeNovirus (Private room
or cohort mask!)
Contact precaution - Question and answersMRS WEE
Multidrug resistant organism
Rresiratory infection
Skin infection
Wound infection
Enteric infection (C diff)
Eye infection (conjunctivitis)
Skin infection - Question and answersVCHIPS
Varicella zoster
Cutaneous diptheria
Herpes simplez
,Impetigo
Peduculosis
Scabies
Air or Pulmonary Embolism - Question and answersS/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) - Question and answers(late decels, decreased
variability, fetal bradycardia, etc) Turn pt on Left side, give O2, stop pitocin, Increase IV
fluids!
Tube feeding with decreased LOC - Question and answersPt on Right side (promotes
emptying of the stomach) Head of bed elevated (prevent aspiration)
After lumbar puncture and oil based myelogram - Question and answerspt is flat
SUPINE (prevent headache and leaking of CSF)
Pt with heat stroke - Question and answersflat with legs elevated
during Continuous Bladder Irrigation (CBI) - Question and answerscatheter is taped to
the thigh. leg must be kept straight.
After Myringotomy - Question and answersposition on the side of AFFECTED ear,
allows drainage.
After Cateract surgery - Question and answerspt sleep on UNAFFECTED side with a
night shield for 1-4 weeks
after Thyroidectomy - Question and answerslow or semi-fowler's position, support head,
neck and shoulders.
Infant with Spina Bifida - Question and answersProne so that sac does not rupture
Buck's Traction (skin) - Question and answerselevate foot of bed for counter traction
After total hip replacement - Question and answersdon'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 - Question and answersKnee to chest or Trendelenburg
Cleft Lip - Question and answersposition on back or in infant seat to prevent trauma to
the suture line. while feeding hold in upright position.
, To prevent dumping syndrome - Question and answers(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) - Question and answerselevate for first 24 hours on
pillow. position prone daily to maintain hip extension.
BKA (below knee amputation) - Question and answersfoot of bed elevated for first 24
hours. position prone to provide hip extension.
detached retina - Question and answersarea of detachment should be in the dependent
position
administration of enema - Question and answerspt should be left side lying (Sim's) with
knee flexed.
After supratentorial surgery - Question and answers(incision behind hairline on forhead)
elevate HOB 30-40 degrees
After infratentorial surgery - Question and answers(incision at the nape of neck) position
pt flat and lateral on either side.
During internal radiation - Question and answerson bed rest while implant in place
Autonomic Dysreflexia/Hyperreflexia - Question and answersS/S pounding headache,
profuse sweating, nasal congestion, chills, bradycardia, hypertension. Place client in
sitting position (elevate HOB) FIRST!
Shock - Question and answersbedrest with extremities elevated 20 degrees. knees
straight, head slightly elevated (modified Trendelenberg)
Head Injury - Question and answerselevate HOB 30 degrees to decrease ICP
Peritoneal Dialysis (when outflow is inadequate) - Question and answersturn pt from
side to side BEFORE checking for kinks in tubing
Lumbar Puncture - Question and answersAfter the procedure, the pt should be supine
for 4-12 hours as prescribed.
Myesthenia Gravis - Question and answersworsens with exercise and improves with
rest
Myesthenia Gravis - Question and answersa positive reaction to Tensilon---will improve
symptoms
