ATI Comprehensive Exam with correct
answers
For |cataract |extraction |surgery, |what |are |the |protocols? |- |VERIFIED |ANSWER--avoid |taking |aspirin
-use |cool |compress |on |eye |before |calling |MD |if |itchy
-avoid |bending |at |the |waist |b/c |it |can |raise |intraoccular |pressure |(BEND |AT |THE |KNEES)
-don't |lift |anything |over |10 |lbs
If |a |patient |24 |hours |p/o |refuses |to |ambulate, |what |should |you |do |first? |- |VERIFIED |ANSWER--assess |
pain
-THEN |you |can |educate, |turn |patient, |give |PRN |analgesic
What |happens |during |true |labor? |- |VERIFIED |ANSWER--cervix |transitions |to |anterior |position
-contractions |felt |in |low |ab |and |back
-increases |w/ |ambulation
-cervix |thins
What |are |common |side |effects |of |amitryptiline |(antidepressant)? |- |VERIFIED |ANSWER--dry |mouth |and
|constipation |(eat |fiber |and |chew |gum) |and |BLURRED |VISION
-take |a |night |to |minimize |drowsiness
-lack |of |ability |to |sweat->avoid |overheating
What |should |you |do |for |diabetes |insipidus? |- |VERIFIED |ANSWER--monitor |increase |urine |output |
(polyuria->over |4 |L/day)
-monitor |tachycardia
-orthostatic |hypotension
-increased |BUN
-monitor |for |hyperthermia |d/t |dehydration
What |should |you |do |to |minimize |risk |of |increased |ICP? |- |VERIFIED |ANSWER--place |client |in |quiet |
environment
-spread |out |nursing |activities |throughout |the |day
-keep |head |of |bed |no |more |than |25 |degrees
,What |should |you |do |for |a |client |who |recently |got |a |stoma |and |can't |afford |it |d/t |lack |of |insurance? |- |
VERIFIED |ANSWER--arrange |for |social |services
-refer |to |american |cancer |society
-refer |to |support |groups
-refer |to |enterostomal |therapist
-DO |NOT |delay |discharge
What |should |you |teach |for |myasthenia |gravis |patients? |- |VERIFIED |ANSWER--cut |food |into |small |bites |
and |eat |slowly |(SEMI-SOLID)
-keep |HOB |elevated |30-60 |mins |after |meal
-weigh |self |daily
-take |anticholinesterase |meds |45-60 |mins |before |meals |(NOT |anticholinergics)
-choose |snacks |high |in |calories
-ANNUAL |FLU |VACCINE->avoid |pulmonary |disorders |b/c |compromised |resp |muscles
What |should |you |do |for |clients |who |have |rheumatoid |arthritis |and |are |in |pain? |- |VERIFIED |ANSWER--
allow |frequent |rest |periods |throughout |the |day
-recommend |warm |showers, |not |baths |to |prevent |falls
-apply |ice |to |reduce |inflammation
-don't |do |morning |ADLs |until |pain |meds |are |given
-don't |take |more |than |4 |g |of |acetaminophen/day
-encourage |high |iron, |protein |and |vitamins
What |should |you |give |a |toddler |who |has |infectious |gastroenteritis? |- |VERIFIED |ANSWER--initiate |oral |
rehydration |therapy
-DONT |give |BRAT |(bananas, |rice, |applesauce, |toast) |diet |because |it |doesn't |have |electrolytes
What |should |you |do |if |the |client |vomits |on |a |reusable |BP |cuff? |- |VERIFIED |ANSWER--send |it |off |in |a |
labeled |bag |for |contamination
-DONT |throw |it |away
-rinse |in |cold |water |immediately |after
-use |chlorine |bleach |to |clean |blood |spills
What |does |petechiae |over |the |chest |after |a |lower |leg |injury |mean? |- |VERIFIED |ANSWER--at |risk |for |
fat |embolism |syndrome
-PRIORITY |FINDING
, What |is |important |about |newborn |safety? |- |VERIFIED |ANSWER--set |hot |water |heater |temp |at |120 |
degree |F |or |below
-DONT |sleep |with |blanket
-make |sure |crib |slats |are |no |more |than |2.5 |in |apart
-place |baby's |car |seat |rear |facing |until |2
What |is |within |the |LVN |scope? |Assistive |personnel? |- |VERIFIED |ANSWER--LVN: |insert |NG |tube
-AP |scope: |prepare |bed, |obtain |stool |sample
What |should |you |instruct |the |client |of |a |newborn |baby |regarding |motor |vehicle |safety? |- |VERIFIED |
ANSWER--place |baby |at |45 |degree |angle
-rear |facing |until |2 |year |old
-place |blanket |over |baby |AFTER |harness |is |set
-secure |retainer |clip |at |level |of |baby's |armpit
What |about |a |physicial |assessment |is |wrong? |- |VERIFIED |ANSWER--SHOULDNT |write |detailed |notes
What |are |the |steps |of |trach |care |for |a |child? |- |VERIFIED |ANSWER-1. |Take |out |inner |cannula
2. |Remove |soiled |dressing
3. |Clean |stoma
4. |Replace |collar
What |is |important |regarding |NPH |and |regular |insulin? |- |VERIFIED |ANSWER--air |into |NPH, |air |into |
regular
-draw |from |regular, |draw |from |NPH
-roll |NPH |between |palms
-use |same |needle
What |is |care |like |for |patients |with |DVT? |- |VERIFIED |ANSWER--elevate |leg |to |reduce |edema |and |
improve |blood |flow
-encourage |ambulation
-drink |2-3 |L |of |fluid |to |decrease |platelet |aggreggation |and |prevent |dehydration
-place |warm |compress |on |leg
For |clients |with |uric |acid |formation |urinary |calculi, |what |foods |can |they |eat? |- |VERIFIED |ANSWER--
oranges
-AVOID |meats, |alcohol, |chicken
answers
For |cataract |extraction |surgery, |what |are |the |protocols? |- |VERIFIED |ANSWER--avoid |taking |aspirin
-use |cool |compress |on |eye |before |calling |MD |if |itchy
-avoid |bending |at |the |waist |b/c |it |can |raise |intraoccular |pressure |(BEND |AT |THE |KNEES)
-don't |lift |anything |over |10 |lbs
If |a |patient |24 |hours |p/o |refuses |to |ambulate, |what |should |you |do |first? |- |VERIFIED |ANSWER--assess |
pain
-THEN |you |can |educate, |turn |patient, |give |PRN |analgesic
What |happens |during |true |labor? |- |VERIFIED |ANSWER--cervix |transitions |to |anterior |position
-contractions |felt |in |low |ab |and |back
-increases |w/ |ambulation
-cervix |thins
What |are |common |side |effects |of |amitryptiline |(antidepressant)? |- |VERIFIED |ANSWER--dry |mouth |and
|constipation |(eat |fiber |and |chew |gum) |and |BLURRED |VISION
-take |a |night |to |minimize |drowsiness
-lack |of |ability |to |sweat->avoid |overheating
What |should |you |do |for |diabetes |insipidus? |- |VERIFIED |ANSWER--monitor |increase |urine |output |
(polyuria->over |4 |L/day)
-monitor |tachycardia
-orthostatic |hypotension
-increased |BUN
-monitor |for |hyperthermia |d/t |dehydration
What |should |you |do |to |minimize |risk |of |increased |ICP? |- |VERIFIED |ANSWER--place |client |in |quiet |
environment
-spread |out |nursing |activities |throughout |the |day
-keep |head |of |bed |no |more |than |25 |degrees
,What |should |you |do |for |a |client |who |recently |got |a |stoma |and |can't |afford |it |d/t |lack |of |insurance? |- |
VERIFIED |ANSWER--arrange |for |social |services
-refer |to |american |cancer |society
-refer |to |support |groups
-refer |to |enterostomal |therapist
-DO |NOT |delay |discharge
What |should |you |teach |for |myasthenia |gravis |patients? |- |VERIFIED |ANSWER--cut |food |into |small |bites |
and |eat |slowly |(SEMI-SOLID)
-keep |HOB |elevated |30-60 |mins |after |meal
-weigh |self |daily
-take |anticholinesterase |meds |45-60 |mins |before |meals |(NOT |anticholinergics)
-choose |snacks |high |in |calories
-ANNUAL |FLU |VACCINE->avoid |pulmonary |disorders |b/c |compromised |resp |muscles
What |should |you |do |for |clients |who |have |rheumatoid |arthritis |and |are |in |pain? |- |VERIFIED |ANSWER--
allow |frequent |rest |periods |throughout |the |day
-recommend |warm |showers, |not |baths |to |prevent |falls
-apply |ice |to |reduce |inflammation
-don't |do |morning |ADLs |until |pain |meds |are |given
-don't |take |more |than |4 |g |of |acetaminophen/day
-encourage |high |iron, |protein |and |vitamins
What |should |you |give |a |toddler |who |has |infectious |gastroenteritis? |- |VERIFIED |ANSWER--initiate |oral |
rehydration |therapy
-DONT |give |BRAT |(bananas, |rice, |applesauce, |toast) |diet |because |it |doesn't |have |electrolytes
What |should |you |do |if |the |client |vomits |on |a |reusable |BP |cuff? |- |VERIFIED |ANSWER--send |it |off |in |a |
labeled |bag |for |contamination
-DONT |throw |it |away
-rinse |in |cold |water |immediately |after
-use |chlorine |bleach |to |clean |blood |spills
What |does |petechiae |over |the |chest |after |a |lower |leg |injury |mean? |- |VERIFIED |ANSWER--at |risk |for |
fat |embolism |syndrome
-PRIORITY |FINDING
, What |is |important |about |newborn |safety? |- |VERIFIED |ANSWER--set |hot |water |heater |temp |at |120 |
degree |F |or |below
-DONT |sleep |with |blanket
-make |sure |crib |slats |are |no |more |than |2.5 |in |apart
-place |baby's |car |seat |rear |facing |until |2
What |is |within |the |LVN |scope? |Assistive |personnel? |- |VERIFIED |ANSWER--LVN: |insert |NG |tube
-AP |scope: |prepare |bed, |obtain |stool |sample
What |should |you |instruct |the |client |of |a |newborn |baby |regarding |motor |vehicle |safety? |- |VERIFIED |
ANSWER--place |baby |at |45 |degree |angle
-rear |facing |until |2 |year |old
-place |blanket |over |baby |AFTER |harness |is |set
-secure |retainer |clip |at |level |of |baby's |armpit
What |about |a |physicial |assessment |is |wrong? |- |VERIFIED |ANSWER--SHOULDNT |write |detailed |notes
What |are |the |steps |of |trach |care |for |a |child? |- |VERIFIED |ANSWER-1. |Take |out |inner |cannula
2. |Remove |soiled |dressing
3. |Clean |stoma
4. |Replace |collar
What |is |important |regarding |NPH |and |regular |insulin? |- |VERIFIED |ANSWER--air |into |NPH, |air |into |
regular
-draw |from |regular, |draw |from |NPH
-roll |NPH |between |palms
-use |same |needle
What |is |care |like |for |patients |with |DVT? |- |VERIFIED |ANSWER--elevate |leg |to |reduce |edema |and |
improve |blood |flow
-encourage |ambulation
-drink |2-3 |L |of |fluid |to |decrease |platelet |aggreggation |and |prevent |dehydration
-place |warm |compress |on |leg
For |clients |with |uric |acid |formation |urinary |calculi, |what |foods |can |they |eat? |- |VERIFIED |ANSWER--
oranges
-AVOID |meats, |alcohol, |chicken
