ATI COMP PREDICTOR - STUDY GUIDE QUESTIONS WITH VERIFIED SOLUTIONS LATEST UPDATE 2026

ATI COMP PREDICTOR - STUDY GUIDE QUESTIONS WITH VERIFIED SOLUTIONS LATEST UPDATE 2026 Do not delegate - Answers What you can EAT E-evaluate A-assess T-teach Addison's & Cushings - Answers Addison's = down down down up down Cushings= up up up down up hypo/hypernatremia, hypo/hypertension, blood volume, hypo/hyperkalemia, hypo/hyperglycemia Better peripheral perfusion? - Answers EleVate Veins, DAngle Arteries APGAR - Answers Appearance (all pink, pink and blue, blue (pale) Pulse (100, 100, absent) Grimace (cough, grimace, no response) Activity (flexed, flaccid, limp) Respirations (strong cry, weak cry, absent) Airborne precautions - Answers My chicken hez tb (measles, chickenpox (varicella) Herpes zoster/shingles TB Airborne precautions protective equip - Answers private room, neg pressure with 6-12 air exchanges/hr mask N95 for TB Droplet precautions - Answers spiderman! sepsis, scarlet fever, streptococcal pharyngitis, parvovirus, pneumonia, pertussis, influenza, diptheria, epiglottitis, rubella, mumps, meningitis, mycoplasma or meningeal pneumonia, adeNovirus (Private room or cohort mask!) Contact precaution - Answers MRS WEE Multidrug resistant organism Rresiratory infection Skin infection Wound infection Enteric infection (C diff) Eye infection (conjunctivitis) Skin infection - Answers VCHIPS Varicella zoster Cutaneous diptheria Herpes simplez Impetigo Peduculosis Scabies Air or Pulmonary Embolism - Answers S/S chest pain, dyspnea, tachycardia, pale/cyanotic, sense of impending doom. (turn pt to LEFT side and LOWER the head of bed.) Woman in labor (un-reassuring FHR) - Answers (late decels, decreased variability, fetal bradycardia, etc) Turn pt on Left side, give O2, stop pitocin, Increase IV fluids! Tube feeding with decreased LOC - Answers Pt on Right side (promotes emptying of the stomach) Head of bed elevated (prevent aspiration) After lumbar puncture and oil based myelogram - Answers pt is flat SUPINE (prevent headache and leaking of CSF) Pt with heat stroke - Answers flat with legs elevated during Continuous Bladder Irrigation (CBI) - Answers catheter is taped to the thigh. leg must be kept straight. After Myringotomy - Answers position on the side of AFFECTED ear, allows drainage. After Cateract surgery - Answers pt sleep on UNAFFECTED side with a night shield for 1-4 weeks after Thyroidectomy - Answers low or semi-fowler's position, support head, neck and shoulders. Infant with Spina Bifida - Answers Prone so that sac does not rupture Buck's Traction (skin) - Answers elevate foot of bed for counter traction After total hip replacement - Answers don't sleep on side of surgery, don't flex hip more than 45-60 degress, don't elevate Head Of Bed more than 45 degrees. Maintain hip abduction by separating thighs with pillows. Prolapsed cord - Answers Knee to chest or Trendelenburg Cleft Lip - Answers position on back or in infant seat to prevent trauma to the suture line. while feeding hold in upright position. To prevent dumping syndrome - Answers (post operative ulcer/stomach surgeries) eat in reclining position. Lie down after meals for 20-30 min. also restrict fluids during meals, low CHO and fiber diet. small, frequent meals. AKA (above knee amputation) - Answers elevate for first 24 hours on pillow. position prone daily to maintain hip extension. BKA (below knee amputation) - Answers foot of bed elevated for first 24 hours. position prone to provide hip extension. detached retina - Answers area of detachment should be in the dependent position administration of enema - Answers pt should be left side lying (Sim's) with knee flexed. After supratentorial surgery - Answers (incision behind hairline on forhead) elevate HOB 30-40 degrees After infratentorial surgery - Answers (incision at the nape of neck) position pt flat and lateral on either side. During internal radiation - Answers on bed rest while implant in place Autonomic Dysreflexia/Hyperreflexia - Answers S/S pounding headache, profuse sweating, nasal congestion, chills, bradycardia, hypertension. Place client in sitting position (elevate HOB) FIRST! Shock - Answers bedrest with extremities elevated 20 degrees. knees straight, head slightly elevated (modified Trendelenberg) Head Injury - Answers elevate HOB 30 degrees to decrease ICP Peritoneal Dialysis (when outflow is inadequate) - Answers turn pt from side to side BEFORE checking for kinks in tubing Lumbar Puncture - Answers After the procedure, the pt should be supine for 4-12 hours as prescribed. Myesthenia Gravis - Answers worsens with exercise and improves with rest Myesthenia Gravis - Answers a positive reaction to Tensilon---will improve symptoms Cholinergic Crisis - Answers Caused by excessive medication ---stop giving Tensilon...will make it worse. Liver biopsy (prior) - Answers must have lab results for prothrombin time Myxedema/ hypothyroidism - Answers slowed physical and mental function, sensitivity to cold, dry skin and hair. Grave's Disease/ hyperthyroidism - Answers accelerated physical and mental function. Sensitivity to heat. Fine/soft hair. Thyroid storm - Answers increased temp, pulse and HTN Post-Thyroidectomy - Answers semi-fowler's. Prevent neck flexion/hyperextension. Trach at bedside Hypo-parathyroid - Answers CATS---Convulsions, Arrhythmias, Tetany, Spasms, Stridor. (decreased calcium) give high calcium, low phosphorus diet Hyper-parathyroid - Answers fatigue, muscle weakness, renal calculi, back and joint pain (increased calcium) give a low calcium high phosphorous diet Hypovolemia - Answers increased temp, rapid/weak pulse, increase respiration, hypotension, anxiety. Urine specific gravity 1.030 Hypervolemia - Answers bounding pulse, SOB, dyspnea, rales/crackles, peripheral edema, HTN, urine specific gravity 1.010. semi fowler's Diabetes insipidus (decreased ADH) - Answers excessive urine output and thirst, dehydration, weakness, administer Pitressin SIADH (increased ADH) - Answers change in LOC, decreased deep tendon reflexes, tachycardia. N/V HA administer Declomycin, diuretics hypokalemia - Answers muscle weakness, dysrhythmias, increase K (rasins bananas apricots, oranges, beans, potatoes, carrots, celery) Hyperkalemia - Answers MURDER Muscle weakness, Urine (olig, anuria) Resp depression, decreased cardiac contractility, ECG changes, reflexes Hyponatremia - Answers nausea, muscle cramps, increased ICP, muscular twitching, convulsions. give osmotic diuretics (Mannitol) and fluids Hypernatremia - Answers increased temp, weakness, disorientation, dilusions, hypotension, tachycardia. give hypotonic solution. Hypocalcemia - Answers CATS Convulsions, Arrythmias, Tetany, spasms and stridor Hypercalcemia - Answers muscle weakness, lack of coordination, abdominal pain, confusion, absent tendon reflexes, shallow respirations, emergency! Hypo Mg - Answers Tremors, tetany, seizures, dysthythmias, depression, confusion, dysphagia, (dig toxicity) Hyper Mg - Answers depresses the CNS. Hypotension, facial flushing, muscle weakness, absent deep tendon reflexes, shallow respirations. EMERGENCY Addison's - Answers Hypo Na, Hyper K, Hypoglycemia, dark pigmentation, decreased resistance to stress fx, alopecia, weight loss. GI stress. Cushings - Answers Hyper Na, Hypo K, hyperglycemia, prone to infection, muscle wasting, weakness, edema, HTN, hirsutism, moonface/buffalo hump Addesonian crisis - Answers N/V confusion, abdominal pain, extreme weakness, hypoglycemia, dehydration, decreased BP Pheochromocytoma - Answers hypersecretion of epi/norepi. persistent HTN, increased HR, hyperglycemia, diaphoresis, tremor, pounding HA; avoid stress, frequent bathing and rest breaks, avoid cold and stimulating foods (surgery to remove tumor) Tetrology of Fallot - Answers DROP (Defect, septal, Right ventricular hypertrophy, Overriding aortas, Pulmonary stenosis) Autonomic Dysreflexia - Answers (potentially life threatening emergency!) HOB elevate 90 degrees, loosen constrictive clothing, assess for full bladder or bowel impaction, (trigger) administer antihypertensives (may cause stroke, MI, seizure) FHR patterns for OB - Answers Think VEAL CHOP! V-variable decels; C- cord compression caused E-early decels; H- head compression caused A-accels; O-okay, no problem L- late decels; P- placental insufficiency, can't fill what to check with pregnancy - Answers Never check the monitor or machine as a first action. Always assess the patient first. Ex.. listen to fetal heart tones with stethoscope. Position of the baby by fetal heart sounds - Answers Posterior --heard at sides Anterior---midline by unbilicus and side Breech- high up in the fundus near umbilicus Vertex- by the symphysis pubis. Ventilatory alarms - Answers HOLD High alarm--Obstruction due to secretions, kink, pt cough etc Low alarm--Disconnection, leak, etc ICP and Shock - Answers ICP- Increased BP, decreased pulse, decreased resp Shock--Decreased BP, increased pulse, increased resp Cor pumonae - Answers Right sided heart failure caused by left ventricular failure (edema, jugular vein distention) Heroin withdrawal neonate - Answers irritable, poor sucking brachial pulse - Answers pulse area on an infant lead poisoning - Answers test at 12 months of age Before starting IV antibiotics - Answers obtain cultures! pt with leukemia may have - Answers epistaxis due to low platelets when a pt comes in and is in active labor - Answers first action of nurse is to listen to fetal heart tones/rate for phobias - Answers use systematic desensitization NCLEX answer tips - Answers choose assessment first! (assess, collect, auscultate, monitor, palpate) only choose intervention in an emergency or stress situation. If the answer has an absolute, discard it. Give priority to the answers that deal with the patient's body, not machines, or equipment. ARDS and DIC - Answers are always secondary to another disease or trauma In an emergency - Answers patients with a greater chance to live are treated first Cardinal sign of ARDS - Answers hypoxemia Edema is located - Answers in the interstitial space, not the cardiovascular space (outside of the circulatory system) the best indicator of dehydration? - Answers weight---and skin turgor heat/cold - Answers hot for chronic pain; cold for accute pain (sprain etc) When pt is in distress....medication administration - Answers is rarely a good choice pneumonia - Answers fever and chills are usually present. For the elderly confusion is often present.