ATI COMPREHENSIVE PREDICTOR 2020
Signs/Symptoms9of9Hypothyroidism9-9ans--
✔✔Intolerance9to9cold,9constipation,9weight9gain,9thick-
brittle9fingernails,9bradycardia,9hypotension
Nursing9care9for9hypothyroidism9-9ans--
✔✔Monitor9for9low9BP,9bradycardia,9edema9and9monitor9weight.
A9task9an9AP9can9do9-9ans--✔✔Specimen9collection
A9task9an9AP9can9do9-9ans--✔✔Obtain9clean9urine9specimen9samples
What9is9something9you9would9report9if9a9patient9has9hypothyrodism9-9ans--
✔✔Chest9pain
Drug9of9choice9for9hypothyroidism9-9ans--✔✔levothyroxine
Levothyroxine9can9increase9the9effects9of?9-9ans--✔✔Warfarin
What9is9the9antidote9for9warfarin?9-9ans--✔✔Vitamin9K
How9many9mg9of9minerals9are9required9through9dietary9sources9each9day?9-9ans--
✔✔100mg
Nursing9actions9when9a9patient9is9taking9phosphorus?9-9ans--
✔✔Evaluate9the9use9of9antacids9and9use9of9alcohol9because9alcohol9impairs9absorpti
on
Colostomies9end9in9the9-9ans--✔✔Colon
Ileostomies9end9in9the9-9ans--✔✔Ileum
Stool9samples9should9come9from9where?9-9ans--
✔✔Fresh9stools,9avoid9contaminating9with9water9or9urine.
,How9far9do9you9insert9a9rectal9tube9during9an9enema9for9an9adult?9-9ans--
✔✔7.59to9109cm9(39to949inches)
How9far9do9you9insert9a9rectal9tube9during9an9enema9for9a9child?9-9ans--
✔✔59to97.59cm9(29to939inches)
Ostomy9care9includes9-9ans--
✔✔Wash9hands.9Don9gloves.9Remove9pouch9from9stoma.9Stoma9should9be9moist,9sh
iny9and9pink.9Use9mild9soap9and9water9to9cleanse9it.9Cut9about91/89inch9larger9to9fit9o
ver.
Arthroplasty9refers9to9the9surgical9removal9of9what?9-9ans--
✔✔A9diseased9joint9due9to9osteoarthritis,9osteonecrosis,9rheumatoid9arthritis,9trauma9
or9congenital9anomalies,9and9replaced9with9prosthetics9or9artificial9components9made9
of9metal9or9plastic.
Post-op9care9of9a9patient9recovering9from9a9knee9arthroplasty?9-9ans--
✔✔Avoid9knee9gatches9and9pillows,9place9one9pillow9under9the9lower9calf9and9foot9to9
cause9a9slight9extension9of9the9knee9joint,9and9to9prevent9flexion9contracturas.9The9kn
ee9can9rest9flat9on9the9bed.9Place9a9small9pillow/
blanket9above9the9ankle9area9to9keep9heals9off9the9bed.
Post-op9care9of9a9patient9recovering9from9a9hip9arthroplasty?9-9ans--
✔✔Monitor9HgB9and9HCT9levels.9They9can9continue9to9drop9for9489hours9after9and9n
euromuscular9status9every92-
49hours.9Apply9ice9following9ambulation9to9decrease9pain.
How9would9you9position9a9patient9recovering9from9a9hip9arthroplasty?9-9ans--
✔✔Place9head9slightly9elevated9with9the9affected9leg9in9neutral9position.9Place9a9pillo
w9or9abduction9device9between9the9legs9when9turning9to9the9unaffected9side.9DO9NO
T9TURN9TO9THE9OPERATIVE9SIDE.
How9do9you9store9nitroglycerin9tablets?9-9ans--
✔✔Store9tablets9in9original9bottles9and9in9a9cool,9dark9place.
Post-op9care9instructions9for9a9patient9who9has9a9thyroidectomy?9-9ans--
✔✔Keep9client9in9a9semi-
Fowler's9position.9Support9head9and9neck9with9pillows,9AVOID9NECK9EXTENSION.
How9long9do9you9monitor9VS9after9a9patient9has9a9thyroidectomy?9-9ans--
✔✔Every9159minutes9until9stable9then9every930.
How9often9should9deep-breathing9exercises9be9performed9after9a9thyroidectomy?9-
9ans--✔✔Every9309to9609minutes.
, Most9important9assessment9after9a9thyroidectomy9is9what?9-9ans--
✔✔Assess9the9neck9and9back9of9neck9for9bleeding.9This9can9cause9the9patient9to9he
morrhage.
What9else9should9you9assess9for9after9a9thyroidectomy?9-9ans--
✔✔Check9for9indications9of9hypocalcemia,9or9tetany.
Signs9and9symptoms9of9hypocalcemia?9-9ans--
✔✔Extreme9twitching,9tingling,9positive9chvostek9and9trousseau9sign.
Beneficence9-9ans--✔✔Doing9good9or9causing9good9to9be9done;9kindly9action
autonomy9-9ans--✔✔Client9having9the9right9to9make9their9own9decisions.
Justice9-9ans--✔✔Fair9and9equal
Fidelity9-9ans--✔✔Loyal9and9faithfullness
Veracity9-9ans--✔✔honesty,9truthfulness
Key9priority9for9an9Alzheimer's9patient?9-9ans--✔✔Maintaining9a9safe9environment.
How9can9you9provide9a9safe9environment9for9an9Alzheimer's9patient?9-9ans--
✔✔Frequent9monitoring/
visual9checks,9keep9clients9from9stairs,9elevators,9and9exit.9Remove9or9secure9danger
ous9items.9Provide9frequent9walks9to9reduce9wondering,9maintain9a9sleeping9schedule
.9Provide9verbal9and9nonverbal9ways9to9communicate.
If9a9client9with9Alzheimers9is9unable9to9sit9for9long9periods9of9time,9what9should9you9d
o9as9a9nurse?9-9ans--✔✔Offer9snack9or9finger9foods
Nursing9care9for9a9patient9with9Alzheimer's?9-9ans--
✔✔Keep9a9structured9environment,9use9a9calendar9to9assist9with9orientation.9Use9sho
rt9directions.9Be9consistent9and9repetitive9and9use9therapeutic9touch.
What9is9the9correct9way9to9reposition9a9client?9-9ans--
✔✔Tighten9abdominal9muscles.9When9lifting9from9the9floor,9flex9your9hips,9knees9and9
back.9Bring9the9object9to9thigh9level.9Bend9your9knees9and9keep9your9back9straight.9S
tand9up9and9hold9the9object9as9close9to9you9as9possible.
When9is9an9appropriate9time9to9use9an9assistive9device9when9lifting?9-9ans--
✔✔When9you9are9lifting9more9than9359pounds.
If9you9are9pushing/pulling,9what9is9the9correct9way?9-9ans--
✔✔Widen9your9base9of9support,9pull9rather9than9push.9If9you9can9only9push,9move9yo
ur9foot9forward9and9if9pulling9-
Signs/Symptoms9of9Hypothyroidism9-9ans--
✔✔Intolerance9to9cold,9constipation,9weight9gain,9thick-
brittle9fingernails,9bradycardia,9hypotension
Nursing9care9for9hypothyroidism9-9ans--
✔✔Monitor9for9low9BP,9bradycardia,9edema9and9monitor9weight.
A9task9an9AP9can9do9-9ans--✔✔Specimen9collection
A9task9an9AP9can9do9-9ans--✔✔Obtain9clean9urine9specimen9samples
What9is9something9you9would9report9if9a9patient9has9hypothyrodism9-9ans--
✔✔Chest9pain
Drug9of9choice9for9hypothyroidism9-9ans--✔✔levothyroxine
Levothyroxine9can9increase9the9effects9of?9-9ans--✔✔Warfarin
What9is9the9antidote9for9warfarin?9-9ans--✔✔Vitamin9K
How9many9mg9of9minerals9are9required9through9dietary9sources9each9day?9-9ans--
✔✔100mg
Nursing9actions9when9a9patient9is9taking9phosphorus?9-9ans--
✔✔Evaluate9the9use9of9antacids9and9use9of9alcohol9because9alcohol9impairs9absorpti
on
Colostomies9end9in9the9-9ans--✔✔Colon
Ileostomies9end9in9the9-9ans--✔✔Ileum
Stool9samples9should9come9from9where?9-9ans--
✔✔Fresh9stools,9avoid9contaminating9with9water9or9urine.
,How9far9do9you9insert9a9rectal9tube9during9an9enema9for9an9adult?9-9ans--
✔✔7.59to9109cm9(39to949inches)
How9far9do9you9insert9a9rectal9tube9during9an9enema9for9a9child?9-9ans--
✔✔59to97.59cm9(29to939inches)
Ostomy9care9includes9-9ans--
✔✔Wash9hands.9Don9gloves.9Remove9pouch9from9stoma.9Stoma9should9be9moist,9sh
iny9and9pink.9Use9mild9soap9and9water9to9cleanse9it.9Cut9about91/89inch9larger9to9fit9o
ver.
Arthroplasty9refers9to9the9surgical9removal9of9what?9-9ans--
✔✔A9diseased9joint9due9to9osteoarthritis,9osteonecrosis,9rheumatoid9arthritis,9trauma9
or9congenital9anomalies,9and9replaced9with9prosthetics9or9artificial9components9made9
of9metal9or9plastic.
Post-op9care9of9a9patient9recovering9from9a9knee9arthroplasty?9-9ans--
✔✔Avoid9knee9gatches9and9pillows,9place9one9pillow9under9the9lower9calf9and9foot9to9
cause9a9slight9extension9of9the9knee9joint,9and9to9prevent9flexion9contracturas.9The9kn
ee9can9rest9flat9on9the9bed.9Place9a9small9pillow/
blanket9above9the9ankle9area9to9keep9heals9off9the9bed.
Post-op9care9of9a9patient9recovering9from9a9hip9arthroplasty?9-9ans--
✔✔Monitor9HgB9and9HCT9levels.9They9can9continue9to9drop9for9489hours9after9and9n
euromuscular9status9every92-
49hours.9Apply9ice9following9ambulation9to9decrease9pain.
How9would9you9position9a9patient9recovering9from9a9hip9arthroplasty?9-9ans--
✔✔Place9head9slightly9elevated9with9the9affected9leg9in9neutral9position.9Place9a9pillo
w9or9abduction9device9between9the9legs9when9turning9to9the9unaffected9side.9DO9NO
T9TURN9TO9THE9OPERATIVE9SIDE.
How9do9you9store9nitroglycerin9tablets?9-9ans--
✔✔Store9tablets9in9original9bottles9and9in9a9cool,9dark9place.
Post-op9care9instructions9for9a9patient9who9has9a9thyroidectomy?9-9ans--
✔✔Keep9client9in9a9semi-
Fowler's9position.9Support9head9and9neck9with9pillows,9AVOID9NECK9EXTENSION.
How9long9do9you9monitor9VS9after9a9patient9has9a9thyroidectomy?9-9ans--
✔✔Every9159minutes9until9stable9then9every930.
How9often9should9deep-breathing9exercises9be9performed9after9a9thyroidectomy?9-
9ans--✔✔Every9309to9609minutes.
, Most9important9assessment9after9a9thyroidectomy9is9what?9-9ans--
✔✔Assess9the9neck9and9back9of9neck9for9bleeding.9This9can9cause9the9patient9to9he
morrhage.
What9else9should9you9assess9for9after9a9thyroidectomy?9-9ans--
✔✔Check9for9indications9of9hypocalcemia,9or9tetany.
Signs9and9symptoms9of9hypocalcemia?9-9ans--
✔✔Extreme9twitching,9tingling,9positive9chvostek9and9trousseau9sign.
Beneficence9-9ans--✔✔Doing9good9or9causing9good9to9be9done;9kindly9action
autonomy9-9ans--✔✔Client9having9the9right9to9make9their9own9decisions.
Justice9-9ans--✔✔Fair9and9equal
Fidelity9-9ans--✔✔Loyal9and9faithfullness
Veracity9-9ans--✔✔honesty,9truthfulness
Key9priority9for9an9Alzheimer's9patient?9-9ans--✔✔Maintaining9a9safe9environment.
How9can9you9provide9a9safe9environment9for9an9Alzheimer's9patient?9-9ans--
✔✔Frequent9monitoring/
visual9checks,9keep9clients9from9stairs,9elevators,9and9exit.9Remove9or9secure9danger
ous9items.9Provide9frequent9walks9to9reduce9wondering,9maintain9a9sleeping9schedule
.9Provide9verbal9and9nonverbal9ways9to9communicate.
If9a9client9with9Alzheimers9is9unable9to9sit9for9long9periods9of9time,9what9should9you9d
o9as9a9nurse?9-9ans--✔✔Offer9snack9or9finger9foods
Nursing9care9for9a9patient9with9Alzheimer's?9-9ans--
✔✔Keep9a9structured9environment,9use9a9calendar9to9assist9with9orientation.9Use9sho
rt9directions.9Be9consistent9and9repetitive9and9use9therapeutic9touch.
What9is9the9correct9way9to9reposition9a9client?9-9ans--
✔✔Tighten9abdominal9muscles.9When9lifting9from9the9floor,9flex9your9hips,9knees9and9
back.9Bring9the9object9to9thigh9level.9Bend9your9knees9and9keep9your9back9straight.9S
tand9up9and9hold9the9object9as9close9to9you9as9possible.
When9is9an9appropriate9time9to9use9an9assistive9device9when9lifting?9-9ans--
✔✔When9you9are9lifting9more9than9359pounds.
If9you9are9pushing/pulling,9what9is9the9correct9way?9-9ans--
✔✔Widen9your9base9of9support,9pull9rather9than9push.9If9you9can9only9push,9move9yo
ur9foot9forward9and9if9pulling9-
