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ATI Exit Exams Comprehensive Study Guide to Pass

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ATI Exit Exams Comprehensive Study Guide to Pass

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AA ATI Exit Exams A
TT T
II / I

EE E
xx x
ii i
tt t
ABOUT/THIS/ATI

EE Pass your ATI exams with this comprehensive study gu
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ide. Designed using ATI textbooks and tailored to speci
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/

/
/ /

/ /
/

/ /
/
E
xx fic need to know information forATI exit exams.
/ / / / / / / /
x
This is a comprehensive study guide for the final nursin
/ / / / / / / / /

aa g school exit exam! Use this combined with the
/ / / / / / / / a
knowledge of your nursing school education to pass you exams th
mm e first time! m
/ / / / / / / / / /

/ /



ss s

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Proctored Nursing School Exit Exam Study Notes
/ / / / / /



Renal/Calculi/-/Pain:/Flank/pain/→/Kidney/or/Ureter/(if/pain/radiates/→/stones/in/ureter/or/bladder)

Performing/Ear/Irrigation:/Sterile/technique,/warm/meds,/pull/up/&/back,/tilt/toward/affected/ear

Thrombolytic/Therapy/(Stroke): Reteplase/recombinant/(rTPA/–/clot/buster)/w//in/4.5/hours/of/initial
symptom
s

Trach/care Dressing/∆,/inner/cannula/½/hydrogen/peroxide,/&/stoma/□/knot
:
Head/injury/(changes/in/LOC) Length/of/time/unconscious/&/GCS
:
General/anesthesia/(post-op):/ABC’s/–
/full/body/assessment,/Vitals/every/15/minutes,/Lateral/position/(if/ unresponsive/or/unconscious/-
/monitor/LOC),/Fluids/Electrolytes


Superficial/Burns:/Painful,/pink,/red,/mild/edema (3-6/day/healing),/damage/to/epidermis

Dialysis/(reporting/unexpected/findings):/Temp/of/100/degrees,/↓/BP,/bleeding,/1/L/of/fluid/=/1Kg,/clo
tting,/ H/A,/Nausea,/Disequilibrium/syndrome/(rapid/↓/BUN/&/Fluid/volume),/anemia,/peritonitis,/↑/BG,/↑
/ cholesterol


Pacemaker/(complications): Infection,/hematoma,/pneumothorax,/hemo-
thorax,/arrhythmias,/pacer/spikes/ before/P/or/QRS,/hiccups///muscle/twitching

Magnesium (Mg) Sulfate→/Increase/Mg+/>/1.3/Mg/dL
↑/Mg/food =/(Dairy,/dark/leafy/greens/veges)
s↓/Mg/cause→/Hyperactive/deep/tendon/reflexes
s*/Paresthesia’s,/muscle/tetany,/positive/chvostek’s/&/Trousseau’s/sign,/hypoactiv
e/bowels,/ constipation, abdominal/distention,/paralytic/Ileus.

TPN/Admin:/(Total/parenteral/nutrition)/-
feeding/that/bypasses/the/GI/tract./Fluids/are/given/into/a/vein/to/ provide/most/of/the/nutrients/the/bod
y/needs./Given/when/person/cannot//should/not/receive/feedings/or/ fluids/by/mouth.
Hypertonic/(20-50%/dextrose),/Used/in/chronic/pain,/peritonitis,/burns,/Infection,/etc
No/more/than/10%/hourly,/↑/in/rate/for/body/adjustment,/check/BG
Hyperglycemia,/hypoglycemia,/vitamin/deficiencies,/air/embolism/(clamp,/place/in/Trendelenburg/pos.,
O2)
Fluid/imbalance/→/Fluid/volume/excess


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Wound/Culture/specimen: Sterile/field,/press///rotate/over/wound/surface/inside/the/wound/(center)/in
drainag
e

Diabetes/Mellitus/(Nephropathy ): Kidney/damage/d/t/prolonged/↑/BG/&/dehydration
Monitor I/&/O,/Creatinine,/BP
Avoid Soda,/alcohol,/acetaminophen/NSAIDS///2/–/3/L/fluid/from/food///beverages

Kidney/Biops Post/o )
y/( p :
Monitor/VS/→/Client/receives/sedation
Assess/dressings/&/urinary/output/(hematuria-blood/in/urine)
Labs:/HgB/&/Hct/values,/Admin/PRN/pain/meds,/Complications/hemorrhage///infection

Thyroidectomy/(Post/O ): Needs/Thyroid/hormone/replacement
p /fowler’s/position,/Respiratory/(trach/supplies)/present,/Check/for/laryngeal/nerve/dama
Client/in/high
ge/ Pain/management,/Hypocalcemia///Tetany/can/occur
Prioritization: Apply/knowledge/to/Standards/to/determine/priority/actio
n/ Systemic/before/Local/–/“Life/before/Limb”
Acute/before/Chronic
Actual/Problems/before/Potential/Future
Listen/carefully/to/clients/&/Don’t/Assume
Recognize/&/Respond/-
/Trends/vs./Transient/findings/ Recognize/indicati
ons/-/Emergencies/vs./Expected

Delegate/to/LPN Monitoring/Findings,/Reinforcing/teaching,/performing/trach/care,/suctioning,/checking
/:NG/ tube/patency,/administer/tube/feedings,/inserting/urinary/catheter,/administering/meds/(No/IV)


Delegate/to/AP:/ADLs,/Bathing,/Grooming,/Dressing,/toileting,/Ambulating,/feeding/w/out/swallow
ing/ precautions,/positioning,
routine/tasks,/bed/making,/specimen/collection,/I/&/O,/VS/for/stable/cli
ents,/ monitoring/clinical/manifestations/after/initial/RN assess/eval.

Paracentesis/(prep)/-/take/out/fluid/from/belly/(peritoneal/fluid)/Have/client/VOID

Bariatric/Surgery:/(weight/loss/surgery)/–
/Semi/fowlers,/6/small/meals/day,/liquid/pureed/food/for/first/6/weeks/ (not/to/exceed/1cup),/Vitamin///min
eral/supplements,/&/2/servings/of/protein/daily.

Ostomy/(in/small/intestine) Avoid/odorous/&/gas/foods/(dark/green/veges,/dairy,/fish,/eggs,/beans,/corn),
yogurt/↓/gas
Avoid/↑/fiber/foods/for/first/2/months,/↑/fluid/intake




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Dumping/Syndrome:Happens/within/15mins/of/eating.
Sx:/cramps,/diarrhea,/tachycardia,/dizziness,/fatigue,/hypoglycemia
Interventions:/small/frequent/meals,/drink/liquids/1hr/b4/after

Parkinson’s/disease: Tremor,/muscle/rigidity,/bradykinesia/(slowness/in/movement),/postural/instability
Stages:
1./Unilateral/shaking///tremor/of/one/limb
2. Bilateral/limb/involvement,/difficulty/walking/balance
3. Slowed/physical/movements
4. Akinesia/&/Rigidity/make/ADL’s/difficult
5. Unable/to/stand/walk,/dependent/of/cares,/dementia

Assault: threat Battery: touching

Hypoglycemia/Sx: Shakiness,/confusion,/sweating,/tachycardia,/diaphoresis,/palpitations,/H/A,/lack/of/
coordination,/blurred/vision,/seizures,/coma
Oral/Hypoglycemic/Agents:/promote/insulin/release/from/pancreas/(Type2/DM
) Glipizide/(Glucotrol),/Chlorpropamide/(Diabines),/Glyburide/(Diabinese),/Metformin/(Glucophage).
*/Med/for/insulin/overdos =/Glucagon
e
Radiation/Adverse/Effects: Skin/changes,/hair/loss,/debilitating/fatigue,/30/minute/visits///stays/6ft/away//
private/roo
m

Infection/control/in/clients/home good/hygiene,/avoid/crowded/areas,/avoid/raw/foods/(veges/meats),/a
:void/ cleaning/litter/boxes,/clean/home/and/avoid/sick/family.

Client/evacuation/in/response/to/fire:/greatest/good/for/the/greatest/amount/of/people

Client/in/seclusion 18/yo+/→/4/hours,/9/–/17/yo/→2/hours,/8/yo/&/younger/→1/hour
:
Conduct/Disorders:/lack/of/remorse,/bullies,/threatens,/low/self-
esteem,/tempers,/physical/cruelty,/destroys/ property,/truant,/and/shoplifts

Manic/Phase:/↑/mood,/irritable,/lasts/at/least/a/week,/euphoria,/agitation,/restless,/↑/in/talking,/flight/of/ i
deas,/grandiose/view/of/self,/impulsive,/manipulative,/poor/judgement,/attention/seeking.

Paranoid:/distrust///suspiciousness

Schizoid: emotional/detachment,/disinterest/in/relationships,/indifferent/to/praise/criticism,/uncooperative
Schizotypal :/odd/beliefs,/eccentric/appearance,/magical/thinking,/perceptual/distortions




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