ATI PREDICTOR PRACTICE
QUESTIONS & VERIFIED
ANSWERS
Hepatitis A - correct answer ✔✔Contaminated Food
Pancreatitis - correct answer ✔✔-- Upper left quadrant pain (abdominal pain)
Priority Finding: *Absent bowel sounds* (indicative of paralytic ileus.
*Expected findings:*
(H) amylase + (H) Lipase
Liver enzymes elevated
Glucose may be elevated - (L) insulin
N/V, jaundice, (H) WBC
Lab values
(Per ATI) - correct answer ✔✔*BUN*: 10-20
*Cr*: 0.6-1.2
*Creatinine Clearance*: 80-139
*Na*: 135-145
*K*: 3.5-5
*Ca*: 9-11
*Cl*: 98-106
*Mg*: 1.3-2.1
*Albumin*: 3.5-5 (slow changes in protein)
,*Prealbumin*: 23-43 (better indication of malnutrition - for acute changes in protein)
*Urine Specific Gravity*: 1.010-1.025
*Fasting Glucose*: <110
*Oral glucose tolerance test*: <140
*HbA1c*: <5%; pre-diabetes: 5.7-6.4%; DM: >6.5%
*ICP*: 10-15 mm Hg
*pH*: 7.35-7.45
*O2*: 95-100%
*PaCO2*: 35-45 mm Hg
*HCO3*: 22-26
*CO*: 4-7 L/min
*D-dimer*: 0.43-2.33 mcg/mL (elevated = clot formation occurred--> pulmonary embolism
occurred)
*CK-MB*: 0% (30-170 units/L); elevated 4-6 hrs; lasts 3 days
*Troponin I*: <0.03 ng/L; elevated @ 3hrs; lasts 7-10 days
*Troponin T*: <0.2 ng/L; elevated @3-5hrs; lasts 14-21 days
*Cholesterol*: <200 mg/L
*HDL*: 35-80 (female): 35-65 (male) -- High Desirable
*LDL*: >130 mg/dL -- Low Desirable (up to 70% of total cholesterol)
*Triglycerides*: 40-160 (males); 35-135 (females); 55-220 (older adults) -- Evaluates
Atherosclerosis
*RBC*: 4.2-5.4 (female); 4.7-6.1 (male)
*WBC*: 5,000-10,000
*Platelets*: 150,000-400,000
*Hgb*: 12-16 (females); 14-18 (males)
*Hct*: 37-47 (females); 42-52 (males) (3x Hgb)
*PT*: 11-12.5 -- See clotting & vit. K
, *aPTT*: 30-40 seconds -- Monitor for Heparin; increased if DIC, liver disease
*INR*: 2-3 on warfarin (checked with PT)
Magnesium Sulfate - correct answer ✔✔Adverse effects:
Respiratory paralysis (serious)
Depressed or absent reflexes
Hypotension
Depressed cardiac function
Prednisone inhaler - correct answer ✔✔Wait 20-30 seconds between puffs
Exhale with pursed lips
Rinse mouth afterwards (to decrease chance of infection)
hold breath for 10 seconds
Detached Retina - correct answer ✔✔"feels like a *curtain* is pulled over my eye"
Hypothyroidism - correct answer ✔✔Causes constipation (due to decreased metabolism)
Hyperthyroidism - correct answer ✔✔Increase nutritional intake with meals. (due to increased
metabolism using up protein, lipid, and carbohydrate stores)
*Priority finding*: Increased BP
Chest Tubes - correct answer ✔✔Keep collection chamber below lungs
Weight applied to skin traction - correct answer ✔✔should be 5-10 lbs max to prevent skin
injury
QUESTIONS & VERIFIED
ANSWERS
Hepatitis A - correct answer ✔✔Contaminated Food
Pancreatitis - correct answer ✔✔-- Upper left quadrant pain (abdominal pain)
Priority Finding: *Absent bowel sounds* (indicative of paralytic ileus.
*Expected findings:*
(H) amylase + (H) Lipase
Liver enzymes elevated
Glucose may be elevated - (L) insulin
N/V, jaundice, (H) WBC
Lab values
(Per ATI) - correct answer ✔✔*BUN*: 10-20
*Cr*: 0.6-1.2
*Creatinine Clearance*: 80-139
*Na*: 135-145
*K*: 3.5-5
*Ca*: 9-11
*Cl*: 98-106
*Mg*: 1.3-2.1
*Albumin*: 3.5-5 (slow changes in protein)
,*Prealbumin*: 23-43 (better indication of malnutrition - for acute changes in protein)
*Urine Specific Gravity*: 1.010-1.025
*Fasting Glucose*: <110
*Oral glucose tolerance test*: <140
*HbA1c*: <5%; pre-diabetes: 5.7-6.4%; DM: >6.5%
*ICP*: 10-15 mm Hg
*pH*: 7.35-7.45
*O2*: 95-100%
*PaCO2*: 35-45 mm Hg
*HCO3*: 22-26
*CO*: 4-7 L/min
*D-dimer*: 0.43-2.33 mcg/mL (elevated = clot formation occurred--> pulmonary embolism
occurred)
*CK-MB*: 0% (30-170 units/L); elevated 4-6 hrs; lasts 3 days
*Troponin I*: <0.03 ng/L; elevated @ 3hrs; lasts 7-10 days
*Troponin T*: <0.2 ng/L; elevated @3-5hrs; lasts 14-21 days
*Cholesterol*: <200 mg/L
*HDL*: 35-80 (female): 35-65 (male) -- High Desirable
*LDL*: >130 mg/dL -- Low Desirable (up to 70% of total cholesterol)
*Triglycerides*: 40-160 (males); 35-135 (females); 55-220 (older adults) -- Evaluates
Atherosclerosis
*RBC*: 4.2-5.4 (female); 4.7-6.1 (male)
*WBC*: 5,000-10,000
*Platelets*: 150,000-400,000
*Hgb*: 12-16 (females); 14-18 (males)
*Hct*: 37-47 (females); 42-52 (males) (3x Hgb)
*PT*: 11-12.5 -- See clotting & vit. K
, *aPTT*: 30-40 seconds -- Monitor for Heparin; increased if DIC, liver disease
*INR*: 2-3 on warfarin (checked with PT)
Magnesium Sulfate - correct answer ✔✔Adverse effects:
Respiratory paralysis (serious)
Depressed or absent reflexes
Hypotension
Depressed cardiac function
Prednisone inhaler - correct answer ✔✔Wait 20-30 seconds between puffs
Exhale with pursed lips
Rinse mouth afterwards (to decrease chance of infection)
hold breath for 10 seconds
Detached Retina - correct answer ✔✔"feels like a *curtain* is pulled over my eye"
Hypothyroidism - correct answer ✔✔Causes constipation (due to decreased metabolism)
Hyperthyroidism - correct answer ✔✔Increase nutritional intake with meals. (due to increased
metabolism using up protein, lipid, and carbohydrate stores)
*Priority finding*: Increased BP
Chest Tubes - correct answer ✔✔Keep collection chamber below lungs
Weight applied to skin traction - correct answer ✔✔should be 5-10 lbs max to prevent skin
injury
