ATI RN COMPREHENSIVE EXIT
EXAM QUICK REVISION
\Hemolytic transfusion reaction manifestations
ANSWER : Chills, fever
Nausea, anxiety, impending sense of doom
Low-back pain, chest tightening or pain
Tachycardia, hypotension, tachypnea
Flushing
Hemoglobinuria
Macular degeneration manifestations
ANSWER : Lack of depth perception
Objects appear distorted
Blurred vision
Loss of central vision
Blindness
Cataracts manifestations
ANSWER : Decreased visual acuity (Rx changes, reduced night vision, decreased color
perception)
Blurred vision
Diplopia
Progressive and painless loss of vision
Visible opacity
Absent red reflex
Glaucoma: primary open angle manifestations
ANSWER : HA
Mild eye pain
,loss of peripheral vision
decreased accommodation
Halos seen around lights
Elevated IOP (greater than 21 mm Hg: usually 22-32)
Glaucoma: primary angle-closure manifestations
ANSWER : Rapid onset of elevated IOP (30 mm Hg or higher)
Decreased or blurred vision
Colored halos seen around lights
pupils nonreactive to light
Severe pain and nausea
Photophobia
Risk factors for pressure injuries
ANSWER : Diarrhea, incontinence
Low hemoglobin
Low albumin level
Recent weight loss
TPN education
ANSWER : - nutritional needs are greater than oral or enteral can provide (burn injuries)
- POC BGL
- provides vitamins, minerals w/ cals.
- for hyper metabolic states
- pt w/ egg allergy will be intolerant of lipid solutions.
fluid volume deficit manifestations
ANSWER : VS: hypothermia, tachycardia, thready pulse, hypotension, orthostatic hypotension,
decreased CVP, tachypnea, hypoxia.
NM: dizziness, syncope, confusion, weakness, fatigue
GI: thirst, dry furrowed tongue, N/V, anorexia, acute weight loss.
Renal: oliguria.
Fluid volume excess manifestations
ANSWER : • Pitting edema, sacral edema.
• Dyspnea, crackles, possible pulmonary edema.
• Bounding pulse, weight gain.
,• Lethargy, dizziness, headache, confusion.
• Increased CVP, jugular vein distention.
• Increased blood pressure.
decreased BUN, visual disturbances, SOB
Early decelerations
ANSWER : *safe* Begin prior to peak of the contraction and end by the end of it. they are
caused by head compression.
no need for intervention if variability is within normal range (6-10) and the FHR is within normal
range.
Late decelerations
ANSWER : Bad (placental insufficiency)
LION: left side. Increase IV. Oxygenation.
umbilical cord prolapse
ANSWER : Initial action = elevate the presenting fetal part to reduce compression on cord
-- can place in knee-chest or deep Trendelenburg position to further relieve compression
vaso-occlusive crisis
ANSWER : Ischemia and pain caused by sickle-shaped red blood cells that obstruct blood flow
to a portion of the body.
, visual disturbance, hematuria, painful swelling extremities, fever, tachy, PAIN
Safety for children
ANSWER : -infant: lead poisoning, electrocution, drowning, car seat - on ground.
-toddler: hotdog length wise, no skateboarding.
-school age: bike, sports, abductions
-adolescent: risky behavior, driving, sex, peer pressure
Lithium Carbonate adverse effects
ANSWER : Expected findings: lethargy, polyuria, fine hand tremors
Emergent: confusion
emergency preparedness plan
ANSWER : notify the incident commander first
Nursing interventions for AV fistulas
ANSWER : - palpate for thrill
- auscultate for bruit
- encourage ROM exercises
- NO labs/IV on affected extremity
Complications of OSA
ANSWER : - weight gain
- enuresis
- HTN
Expected findings for methylenedioxymtheamphetamine (MDMA)
ANSWER : Diaphoresis
Tachycardia
Cyclophophamide
ANSWER : do not touch
antiemetic BEFORE administration
maintain hydration w/ liberal fluid intake to prevent hemorrhagic cystitis
Glomerulonephritis - lab findings
EXAM QUICK REVISION
\Hemolytic transfusion reaction manifestations
ANSWER : Chills, fever
Nausea, anxiety, impending sense of doom
Low-back pain, chest tightening or pain
Tachycardia, hypotension, tachypnea
Flushing
Hemoglobinuria
Macular degeneration manifestations
ANSWER : Lack of depth perception
Objects appear distorted
Blurred vision
Loss of central vision
Blindness
Cataracts manifestations
ANSWER : Decreased visual acuity (Rx changes, reduced night vision, decreased color
perception)
Blurred vision
Diplopia
Progressive and painless loss of vision
Visible opacity
Absent red reflex
Glaucoma: primary open angle manifestations
ANSWER : HA
Mild eye pain
,loss of peripheral vision
decreased accommodation
Halos seen around lights
Elevated IOP (greater than 21 mm Hg: usually 22-32)
Glaucoma: primary angle-closure manifestations
ANSWER : Rapid onset of elevated IOP (30 mm Hg or higher)
Decreased or blurred vision
Colored halos seen around lights
pupils nonreactive to light
Severe pain and nausea
Photophobia
Risk factors for pressure injuries
ANSWER : Diarrhea, incontinence
Low hemoglobin
Low albumin level
Recent weight loss
TPN education
ANSWER : - nutritional needs are greater than oral or enteral can provide (burn injuries)
- POC BGL
- provides vitamins, minerals w/ cals.
- for hyper metabolic states
- pt w/ egg allergy will be intolerant of lipid solutions.
fluid volume deficit manifestations
ANSWER : VS: hypothermia, tachycardia, thready pulse, hypotension, orthostatic hypotension,
decreased CVP, tachypnea, hypoxia.
NM: dizziness, syncope, confusion, weakness, fatigue
GI: thirst, dry furrowed tongue, N/V, anorexia, acute weight loss.
Renal: oliguria.
Fluid volume excess manifestations
ANSWER : • Pitting edema, sacral edema.
• Dyspnea, crackles, possible pulmonary edema.
• Bounding pulse, weight gain.
,• Lethargy, dizziness, headache, confusion.
• Increased CVP, jugular vein distention.
• Increased blood pressure.
decreased BUN, visual disturbances, SOB
Early decelerations
ANSWER : *safe* Begin prior to peak of the contraction and end by the end of it. they are
caused by head compression.
no need for intervention if variability is within normal range (6-10) and the FHR is within normal
range.
Late decelerations
ANSWER : Bad (placental insufficiency)
LION: left side. Increase IV. Oxygenation.
umbilical cord prolapse
ANSWER : Initial action = elevate the presenting fetal part to reduce compression on cord
-- can place in knee-chest or deep Trendelenburg position to further relieve compression
vaso-occlusive crisis
ANSWER : Ischemia and pain caused by sickle-shaped red blood cells that obstruct blood flow
to a portion of the body.
, visual disturbance, hematuria, painful swelling extremities, fever, tachy, PAIN
Safety for children
ANSWER : -infant: lead poisoning, electrocution, drowning, car seat - on ground.
-toddler: hotdog length wise, no skateboarding.
-school age: bike, sports, abductions
-adolescent: risky behavior, driving, sex, peer pressure
Lithium Carbonate adverse effects
ANSWER : Expected findings: lethargy, polyuria, fine hand tremors
Emergent: confusion
emergency preparedness plan
ANSWER : notify the incident commander first
Nursing interventions for AV fistulas
ANSWER : - palpate for thrill
- auscultate for bruit
- encourage ROM exercises
- NO labs/IV on affected extremity
Complications of OSA
ANSWER : - weight gain
- enuresis
- HTN
Expected findings for methylenedioxymtheamphetamine (MDMA)
ANSWER : Diaphoresis
Tachycardia
Cyclophophamide
ANSWER : do not touch
antiemetic BEFORE administration
maintain hydration w/ liberal fluid intake to prevent hemorrhagic cystitis
Glomerulonephritis - lab findings
