PN, EXIT EXAM 1, EXIT EXAM ATI
COMPLETE STUDY GUIDE 2026 | PRACTICE
QUESTIONS & ANSWERS
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Updated 2026 Questions and Answers
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Rationales Included
,elevated iron hemochromatosis, iron excess
liver disorder, magaloblastic anemia
decreased iron anemia or hemorrhage
platelets 150,000-4000,000
increased platelets malignancy or polycythemia vera
decreased platelets autoimmune disease
bone marrow suppression or enlarged spleen
Hbg females 12-16
males 14-18
decrease Hgb and Hct anemia
Hct females 37%-47%
males 42-52%
anemia in children pallor, brittle spoon shaped nails
S & SX: irritability, muscle weakness
systolic heart murmur, enlarged heart, HF
iron supplements give 1 hr before or 2 hr after antacid to prevent malabsorpt
N/D and constipation common at start of therapy
use straw for liquid iron to prevent staining of teeth
aPTT 1.5-2X control range of 30-40 seconds
test clotting factors and monitor heparin therapy
increased aPTT hemophilia
disseminated intravascular coagulation DIC
liver disease
PT 11-12.5 seconds, 85-100%
increased PT time evidence of deficiency or clotting
decreaed PT time evidence of vit K excess= bleed out
,acute hemolytic blood transfusion reactions **low back pain, TACHYcardia, HYPOtension
febrile reactions 30 min-6 hr after transfusion
-chills, fever, flushing, headache
use WBC filter, administer antipyretics
mild allergic reactions during or up to 24hr after transfusion
- itching, urticarial, flushing
administer benadryl
anaphylactic shock wheezing, dyspnea, cyanosis, hypotension
maintain airway, admin O2, IV fluids, antihistamines, corticosteroids and
vasopressor
fluid overload HYPERtension,
jugular vein distention, peripheral edema
orthopnea, crackles at base of lungs
sudden anxiety
sepsis and septic shock -fever, N/V, abdominal pain, chills HYPOtension
administer antibiotics, blood cultures, vasopressor (dopamine)
if disseminated intravascular coagulation (DIC) admin heparin in early stage
-blood products and clotting factors in late stage
PICA eating things like soil, chalk, for at least 1 month
parenteral iron given Z track
erythropoietin - epoetin alfa (epogen, Procrit) used to increased production of RBC
monitor increase in BP, Hgb, Hct
folic acid turn urine dark yellow
necessary for new RBC
, hypovolemia causes peritonitis, ascites, burns , NPO
causes of dehydration hyperventilation
DKA
tube feeding without sufficient water intake
subjective and objective HYPOvolemia Hyperthermia, Tachycardia, HYPOtension
decreased central venous pressure
hypoxia
thirst, dizziness, N/V,
-poor skin turgor, tentin
lab test hypovolemia increased: HCT, specific gravity, NA, protein, BUN, glucose
Hypervolemia causes HF, cirrhosis, increased gluccorticosteroids
hypertonic fluids
S & SX HYPERvolemia bounding pulse, increased CVP, HYPERtension, confusion, muscle weakness,
ascites, diminished breath sounds, distended neck veins
lab test HYPERvolemia Decreased: HCT, BUN, electro
respiratory alkalosis PaCO2 less than 35, increased PH
notify doctor if weight gain 1-2 lb/24 or 3 lb in a wk
foods high in potassium avocados, broccoili, dairy products, dried fruit, cantaloupe, bananas
HYPOcalcemia positive chvosteks ( facial twitching)
positive trousseau (hand/finger spasm with blood pressure cuff inflation
excess caffeine causes excretion calcium in urine
secondary osteoporosis results from hyperparathyroidism, long term corticosteroid
long term anticonvulsant (Dilantin)
manifestations: kyphosis
stages of grief 1. denial 4. depression
2. anger 5. acceptance
3. bargaining