ATI COMPREHENSIVE EXIT EXAM (NGN ATI)

ATI COMPREHENSIVE EXIT EXAM
(NGN ATI)

1. Treat15first15any15immediate15threats15to15a15patient's15survival15or15safety.

Ex.15obstructed15airway,15loss15of15consciousness,15psychological15episode15or15anxiety15att

ack.15ABC's.

2. Next,15treat15actual15problems.15Ex.15nausea,15full15bowel15or15bladder,15comfort15measures.

3. Then,15treat15relatively15urgent15actual15or15potential15problems15that15the15patient15or15family
15does15not15recognize.15Ex.15Monitoring15for15post-

op15complications,15anticipating15teaching15needs15of15a15patient15that15may15be15unaware15of15si
de15effects15of15meds.

4. Lastly,15treat15actual15or15potential15problems15where15help15may15be15needed15in15the15future.

Ex15Teaching15for15self-care15in15the15home.

Here15are15some15great15principles15to15help15you15as15you15prioritize:

,Systemic15before15local15

Acute15before15chronic15

Actual15before15potential15

Listen15don't15assume

Recognize15first15then15apply15clinical15knowledge15M

aslow's15Hierarchy15of15Needs:

Prioritize15according15to15Maslow15with15physiological15and15safety15issues15before15psychologic
al15esteem15issues.

Variant15angina15(Prinzmetal's15angina)
Due15to15a15coronary15artery15spasm,15oftening15occurring15during15periods15of15rest.

Unstable15angina
Occurs15with15exercise15or15emotional15stress,15but15it15increases15in15occurrence,15severity,15and1
5duration15over15time.



Stable15angina
Occurs15with15exercise15or15emotional15stress15and15is15relieved15by15rest15or15nitroglycerin15(Nit
rostat).

electrolyte15imbalance15manifestations
:15hypocakelmia--
>15flat15T15waves15on15ECG

hypercalcemia--

>15decreased15deep15tendon15reflexes15(DTRs)15hypocalce

mia-->15tetany

hyperkalemia-->15tall15peaked15T15waves15on15ECG

Addison's15disease
Decreased15aldosterone15and15renin

Hypothyroidism
Decreased15triiodothyronine15(T3)15and15thyroxine

,Cushing's15diseas
e15Elevated15cort
isol

Diabetes15Insipidus15(DI)15Decre
ased15urine15specific15gravity

Diabetes15melitus
Elevated15glycosylated15hemoglobin15(HbA1c)

Syndrome15of15Inappropriate15Secretion15of15Antidiuretic15Hormon
e15Increased15urine15osmolality

Cataract
Progressive15and15painless15loss15of15vision

Angle-
closure15glaucoma15Rapid15on
set15of15elevated15IOP

macular15degeneratio
n15Central15loss15of15
vision

Open-
angle15galucoma15Loss15o
f15peripheral15vision

Retinal15detachment
Sudden15loss15of15vision15without15pain

Common15disease's15manifestatio
ns15Cholecystitis--
>15Murphy's15sign

Pancreatitis-->15Turner's15sign

Peptic15Ulcer15Disease-->15Upper15epigastric15pain151-

215hours15after15meals15Appendicits--

, >15Pain15at15McBurney's15point

Decorticate