ATI RN Comprehensive Predictor Exam 2023/2024 (D
g g g g g g
etail Solutions and Resource for the test)
g g g g g g
AginggProcess
NewborngAssessment:gExpectedgFindings
● NormalgAssessmentgFindingsgforgHead:gShouldgbeg2-
3gcmglargergthangchest.
● Anteriorgfontanelgshouldgbegpalpatedgandgapproximatelyg5gcmgo
ngaveragegandgdiamondgshaped.
● Posteriorgfontanelgisgsmallergandgtriangle-
shaped.gShouldgbegsoftgandgflat.gMoldinggofgsuturesgisgnormal.
PsychosocialgIntegrity
CrisisgIntervention
SexualgAssault:gPrioritygIntervention
● Providegagprivategenvironmentgandglimitgpersonnelgwhogexaminegthegclient.
● Assessgclientgemotionsgandgprovidegsupport
● Assess,gtreat,gandgdocumentgallginjuries
● Usegagnongjudgementalgandgempatheticgapproach
Abuse/Neglect
PsychosocialgIssuesgofgInfants,gChildren,gandgAdolescents:gCaringgforgagChildgWho
,ReportsgSexualgAbuse
● Removegthegchildgfromgthegsituation
● Mandatorygreportinggforgallghealthgcaregworkers;gtheregaregcivilgan
dgcriminalgpenaltiesgforgnotgreporting
● AssessgforgunusualgbruisinggongABD,gbackgandgbuttocks
,Sensory/PerceptualgAlterations
EffectivegCommunication:gRespondinggtogagClientgWhogIsgObesegandgIsgCryinggPsyc
hoticgDisorders:gCaringgForgagClientgWhogIsgExperiencinggDelusions
● Askgthegclientgdirectlygaboutghallucinations.gThegnursegshouldgnotgarguegorgor
agreegwithgthegclient’sgviewgofgthegsituation.
● Dognotgarguegwithgagclient’sgdelusions,gbutgfocusgongthegclient’sgfeelingsga
ndgpossiblygoffergreasonablegexplanations.
● Assessgthegclientgforgparanoidgdelusions,gwhichgcangincreasegthegriskgfor
violencegagainstgothers.
BasicgCaregandgComfort
Elimination
PostpartumgPhysiologicalgAdaptations:gInterventionsgtogPromotegVoiding
● Assistgwithgfrequentgurination
● Providegnoninvasivegmeasuresgtogpromotegurination
● Performgbladdergscan
NutritiongandgOralgHydration
Burns:gSupportinggNutritionalgRequirements
● Clientgwithgaglargegburnginjurygwillgbegingaghypermetabolicgstategandgm
aygexceedg5,000gcalories/day
● Increasegproteingintakegtogpreventgtissuegbreakdowngandgpromoteghealing
● EnteralgorgtotalgparenteralgtherapygisgoftengnecessarygMedicat
ionsgforgDepressivegDisorders:gFoodgandgMedicationgInteraction
● MAOIs-gavoidgfoodsgcontaininggtyramineg(meats,gcheeses,galcohol)
● SSRIg&gSNRI-gavoidgalcohol
● Tricyclic-gdognotgadministergwithgMAOIsgorgSt.gJohn'sgWart
, RenalgDisorders:gTeachinggagClientgWhogHasgChronicgKidneygDisease
● StrictgI&Os
g g g g g g
etail Solutions and Resource for the test)
g g g g g g
AginggProcess
NewborngAssessment:gExpectedgFindings
● NormalgAssessmentgFindingsgforgHead:gShouldgbeg2-
3gcmglargergthangchest.
● Anteriorgfontanelgshouldgbegpalpatedgandgapproximatelyg5gcmgo
ngaveragegandgdiamondgshaped.
● Posteriorgfontanelgisgsmallergandgtriangle-
shaped.gShouldgbegsoftgandgflat.gMoldinggofgsuturesgisgnormal.
PsychosocialgIntegrity
CrisisgIntervention
SexualgAssault:gPrioritygIntervention
● Providegagprivategenvironmentgandglimitgpersonnelgwhogexaminegthegclient.
● Assessgclientgemotionsgandgprovidegsupport
● Assess,gtreat,gandgdocumentgallginjuries
● Usegagnongjudgementalgandgempatheticgapproach
Abuse/Neglect
PsychosocialgIssuesgofgInfants,gChildren,gandgAdolescents:gCaringgforgagChildgWho
,ReportsgSexualgAbuse
● Removegthegchildgfromgthegsituation
● Mandatorygreportinggforgallghealthgcaregworkers;gtheregaregcivilgan
dgcriminalgpenaltiesgforgnotgreporting
● AssessgforgunusualgbruisinggongABD,gbackgandgbuttocks
,Sensory/PerceptualgAlterations
EffectivegCommunication:gRespondinggtogagClientgWhogIsgObesegandgIsgCryinggPsyc
hoticgDisorders:gCaringgForgagClientgWhogIsgExperiencinggDelusions
● Askgthegclientgdirectlygaboutghallucinations.gThegnursegshouldgnotgarguegorgor
agreegwithgthegclient’sgviewgofgthegsituation.
● Dognotgarguegwithgagclient’sgdelusions,gbutgfocusgongthegclient’sgfeelingsga
ndgpossiblygoffergreasonablegexplanations.
● Assessgthegclientgforgparanoidgdelusions,gwhichgcangincreasegthegriskgfor
violencegagainstgothers.
BasicgCaregandgComfort
Elimination
PostpartumgPhysiologicalgAdaptations:gInterventionsgtogPromotegVoiding
● Assistgwithgfrequentgurination
● Providegnoninvasivegmeasuresgtogpromotegurination
● Performgbladdergscan
NutritiongandgOralgHydration
Burns:gSupportinggNutritionalgRequirements
● Clientgwithgaglargegburnginjurygwillgbegingaghypermetabolicgstategandgm
aygexceedg5,000gcalories/day
● Increasegproteingintakegtogpreventgtissuegbreakdowngandgpromoteghealing
● EnteralgorgtotalgparenteralgtherapygisgoftengnecessarygMedicat
ionsgforgDepressivegDisorders:gFoodgandgMedicationgInteraction
● MAOIs-gavoidgfoodsgcontaininggtyramineg(meats,gcheeses,galcohol)
● SSRIg&gSNRI-gavoidgalcohol
● Tricyclic-gdognotgadministergwithgMAOIsgorgSt.gJohn'sgWart
, RenalgDisorders:gTeachinggagClientgWhogHasgChronicgKidneygDisease
● StrictgI&Os
