ATI RN COMPREHENSIVE EXIT EXAM
QUESTIONS AND CORRECT ANSWERS
Prioritize acute before chronic
Care of pts. with new injuries/illness( confusion, chest pain) over acute exacerbation of a
previous illness, over the care over a pt. with a long-term chronic illness.
prioritize actual problems before future potential problems.
prioritize administration of medication to a pt. experiencing acute pain over a pt. ambulating
and at risk for thrombophlebitis.
Hypoglycemia risk factors for Newborns, Blood glucose <40 in term newborn, <25 in preterm
newborn
POST TERM, IUGR, ASPHYXIA, COLD STRESS,
Maternal diabetes, Gestational hypertension, Tocolytic therapy, Prematurity, LGA, SGA, Perinatal
hypoxia, Infection, Hypothermia
Prioritizing care in clients with hyperthyroidism
Alternate periods of activity with rest
provide calm environment
access mental status
increased calories and protein
,monitor intake and output, wt pt.
eye protection for pt. with exophthalmos
report a degree of 1 or more to MD
prepare for thyroidectomy if meds become unresponsive.
Pt. education r/t hyperthyroidism medications, methimazole (tapazole) and (PTU)
propylthiouracil. These inhibit the production of thyroid hormone.
report fever, sore throat, or bruising to md
report any jaundice or dark urine
follow md instructions about daily intake of iodine.
dysphagia
Latex allergies
must use latex free equipment, gloves and supplies.
Risk Factors of Diabetes
being African American, Hispanic, or Asian
obesity and fat distribution, inactivity, family history, race, age, pre-diabetes, Overweight, family
hx, ethnicity, HTN, gestational diabetes, age, viruses, lifestyle, disease of pancreas.
Dilantin (phenytoin)
,Anticonvulsant
Seizures, therapeutic levels are determined by blood test. Meds should be taken at the same
everyday. Some antieplitic cause overgrowth of the gums, routine oral hygiene.
NO ORAL CONTRACEPTIVES OR COUMADIN.
Seclusion/ restraints
In emergency situation where there is immediate danger to the pt. or others, the nurse may
place the pt. in restraints, nurse must maintain prescription as soon as possible usually within 1
hour. Nsgassess skin integrity, offer food and fluid, provide hygiene and elimination, vss, rom
q2hr. quick release knots to bed frame.
Postpartum hemorrhage/ postpartum disorders appropriate assessment.
Assess fundus for height firmness and position. If boggy massage fundus to increase muscle
contraction.
Assess lochia for color, quantity, and clots.
Assess for signs of bleeding from lacerations, episiotomy site, or hematomas.
Assess for bladder distention, may need to insert urinary catheter to assess kidney function.
Pitocin, methergine, IV fluids.
X1 (spinal accessory) Cranial nerve 11
Motor turning the head, shrugging shoulders. Head and neck.
cultural/spiritual nursing care, use of a interpreter
, Facility approved interpreter, don't designate the family, or a non designated employee.
Inform the interpreter the type of questions that will be answered.
Allow time for family and interpreter to be introduced.
Direct the questions toward family/pt. not interpreter.
Following the interview ask the interpreter if they have any thoughts about pt. verbal or non
verbal.
Dietary guidelines for celiac disease
children-s/s diarrhea, steatorrhea, anemia abdominal distention, impaired growth, lack of
appetite and fatigue. Adults- diarrhea, abdominal pain, bloating, anemia, steatorrhea, and
osteomalacia. Dietary Foods that are gluten free-milk, cheese, rice, corn, eggs, potatoes, fruit,
veg, fresh poultry, meats, fish, dried beans. Gravy mixes sauces,cold cuts, and soups, have
gluten.
Parkinson client safety
Encourage exercise (yoga), assistive devices, rom, teach pt. to stop when walking to slow down
and reduce speed. pace activities by providing rest periods. assist with adls.
Nephrotic Syndrome dietary modifications
D/T protein loss, you will need adequate amount of protein and low sodium.
Protein-0.7 to 1.0g/kg/day. Soy based proteins, Low sodium 1000-2000g per day.
Carbohydrates, trans fat and cholesterol is limited, and total fat should be less than 30% per day,
provide multi vitamin supplements.
QUESTIONS AND CORRECT ANSWERS
Prioritize acute before chronic
Care of pts. with new injuries/illness( confusion, chest pain) over acute exacerbation of a
previous illness, over the care over a pt. with a long-term chronic illness.
prioritize actual problems before future potential problems.
prioritize administration of medication to a pt. experiencing acute pain over a pt. ambulating
and at risk for thrombophlebitis.
Hypoglycemia risk factors for Newborns, Blood glucose <40 in term newborn, <25 in preterm
newborn
POST TERM, IUGR, ASPHYXIA, COLD STRESS,
Maternal diabetes, Gestational hypertension, Tocolytic therapy, Prematurity, LGA, SGA, Perinatal
hypoxia, Infection, Hypothermia
Prioritizing care in clients with hyperthyroidism
Alternate periods of activity with rest
provide calm environment
access mental status
increased calories and protein
,monitor intake and output, wt pt.
eye protection for pt. with exophthalmos
report a degree of 1 or more to MD
prepare for thyroidectomy if meds become unresponsive.
Pt. education r/t hyperthyroidism medications, methimazole (tapazole) and (PTU)
propylthiouracil. These inhibit the production of thyroid hormone.
report fever, sore throat, or bruising to md
report any jaundice or dark urine
follow md instructions about daily intake of iodine.
dysphagia
Latex allergies
must use latex free equipment, gloves and supplies.
Risk Factors of Diabetes
being African American, Hispanic, or Asian
obesity and fat distribution, inactivity, family history, race, age, pre-diabetes, Overweight, family
hx, ethnicity, HTN, gestational diabetes, age, viruses, lifestyle, disease of pancreas.
Dilantin (phenytoin)
,Anticonvulsant
Seizures, therapeutic levels are determined by blood test. Meds should be taken at the same
everyday. Some antieplitic cause overgrowth of the gums, routine oral hygiene.
NO ORAL CONTRACEPTIVES OR COUMADIN.
Seclusion/ restraints
In emergency situation where there is immediate danger to the pt. or others, the nurse may
place the pt. in restraints, nurse must maintain prescription as soon as possible usually within 1
hour. Nsgassess skin integrity, offer food and fluid, provide hygiene and elimination, vss, rom
q2hr. quick release knots to bed frame.
Postpartum hemorrhage/ postpartum disorders appropriate assessment.
Assess fundus for height firmness and position. If boggy massage fundus to increase muscle
contraction.
Assess lochia for color, quantity, and clots.
Assess for signs of bleeding from lacerations, episiotomy site, or hematomas.
Assess for bladder distention, may need to insert urinary catheter to assess kidney function.
Pitocin, methergine, IV fluids.
X1 (spinal accessory) Cranial nerve 11
Motor turning the head, shrugging shoulders. Head and neck.
cultural/spiritual nursing care, use of a interpreter
, Facility approved interpreter, don't designate the family, or a non designated employee.
Inform the interpreter the type of questions that will be answered.
Allow time for family and interpreter to be introduced.
Direct the questions toward family/pt. not interpreter.
Following the interview ask the interpreter if they have any thoughts about pt. verbal or non
verbal.
Dietary guidelines for celiac disease
children-s/s diarrhea, steatorrhea, anemia abdominal distention, impaired growth, lack of
appetite and fatigue. Adults- diarrhea, abdominal pain, bloating, anemia, steatorrhea, and
osteomalacia. Dietary Foods that are gluten free-milk, cheese, rice, corn, eggs, potatoes, fruit,
veg, fresh poultry, meats, fish, dried beans. Gravy mixes sauces,cold cuts, and soups, have
gluten.
Parkinson client safety
Encourage exercise (yoga), assistive devices, rom, teach pt. to stop when walking to slow down
and reduce speed. pace activities by providing rest periods. assist with adls.
Nephrotic Syndrome dietary modifications
D/T protein loss, you will need adequate amount of protein and low sodium.
Protein-0.7 to 1.0g/kg/day. Soy based proteins, Low sodium 1000-2000g per day.
Carbohydrates, trans fat and cholesterol is limited, and total fat should be less than 30% per day,
provide multi vitamin supplements.
