ATI COMPREHENSIVE ACTUAL
EXAM STUDY GUIDE. GRADED
A+. WITH QUESTIONS AND
100% VERIFIED ANSWERS.
LATEST UPDATE
For cataract extraction surgery, what are the protocols? - Ans✔✔--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? -
Ans✔✔--assess pain
-THEN you can educate, turn patient, give PRN analgesic
What happens during true labor? - Ans✔✔--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)? - Ans✔✔--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? - Ans✔✔--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? - Ans✔✔--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? - Ans✔✔--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? - Ans✔✔--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?
- Ans✔✔--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? - Ans✔✔--
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? - Ans✔✔--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? - Ans✔✔--
at risk for fat embolism syndrome
-PRIORITY FINDING
What is important about newborn safety? - Ans✔✔--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? - Ans✔✔--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? - Ans✔✔--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? - Ans✔✔--SHOULDNT write
detailed notes
What are the steps of trach care for a child? - Ans✔✔-1. Take out inner cannula
EXAM STUDY GUIDE. GRADED
A+. WITH QUESTIONS AND
100% VERIFIED ANSWERS.
LATEST UPDATE
For cataract extraction surgery, what are the protocols? - Ans✔✔--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? -
Ans✔✔--assess pain
-THEN you can educate, turn patient, give PRN analgesic
What happens during true labor? - Ans✔✔--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)? - Ans✔✔--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? - Ans✔✔--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? - Ans✔✔--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? - Ans✔✔--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? - Ans✔✔--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?
- Ans✔✔--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? - Ans✔✔--
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? - Ans✔✔--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? - Ans✔✔--
at risk for fat embolism syndrome
-PRIORITY FINDING
What is important about newborn safety? - Ans✔✔--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? - Ans✔✔--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? - Ans✔✔--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? - Ans✔✔--SHOULDNT write
detailed notes
What are the steps of trach care for a child? - Ans✔✔-1. Take out inner cannula
