ATI Comprehensive Exam | Exam
Questions And Answers | Already
Verified Answers
For cataract extraction surgery, what are the protocols? - ✔✔✔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? -
✔✔✔ANSWER--assess pain
-THEN you can educate, turn patient, give PRN analgesic
,What happens during true labor? - ✔✔✔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)? -
✔✔✔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? - ✔✔✔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? - ✔✔✔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? - ✔✔✔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? - ✔✔✔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? -
✔✔✔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? -
✔✔✔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? -
✔✔✔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? -
✔✔✔ANSWER--at risk for fat embolism syndrome
-PRIORITY FINDING
What is important about newborn safety? - ✔✔✔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? - ✔✔✔ANSWER--LVN:
insert NG tube
Questions And Answers | Already
Verified Answers
For cataract extraction surgery, what are the protocols? - ✔✔✔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? -
✔✔✔ANSWER--assess pain
-THEN you can educate, turn patient, give PRN analgesic
,What happens during true labor? - ✔✔✔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)? -
✔✔✔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? - ✔✔✔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? - ✔✔✔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? - ✔✔✔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? - ✔✔✔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? -
✔✔✔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? -
✔✔✔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? -
✔✔✔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? -
✔✔✔ANSWER--at risk for fat embolism syndrome
-PRIORITY FINDING
What is important about newborn safety? - ✔✔✔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? - ✔✔✔ANSWER--LVN:
insert NG tube
