ATI PREDICTOR PRACTICE QUESTIONS AND ANSWERS
SOLVED CORRECTLY LATEST UPDATE GRADED A+
Question 1.
Pacreatitis
ANSWER
-- Upper left quadrant pain (abdominal pain)
Priority Finding: *Absent bowel sounds* (indicative of paralytic ileus.
*Expected findings:*
(H) amylase + (H) Lipase
Liver enzymes elevated
Glucose may be elevated - (L) insulin
N/V, jaundice, (H) WBC
Question 2.
Hepatitis A
ANSWER
Contaminated Food
,Question 3.
Lab values
(Per ATI)
ANSWER
*BUN*: 10-20
*Cr*: 0.6-1.2
*Creatinine Clearance*: 80-139
*Na*: 135-145
*K*: 3.5-5
*Ca*: 9-11
*Cl*: 98-106
*Mg*: 1.3-2.1
*Albumin*: 3.5-5 (slow changes in protein)
*Prealbumin*: 23-43 (better indication of malnutrition - for acute changes in protein)
*Urine Specific Gravity*: 1.010-1.025
*Fasting Glucose*: <110
*Oral glucose tolerance test*: <140
*HbA1c*: <5%; pre-diabetes: 5.7-6.4%; DM: >6.5%
*ICP*: 10-15 mm Hg
*pH*: 7.35-7.45
*O2*: 95-100%
*PaCO2*: 35-45 mm Hg
*HCO3*: 22-26
*CO*: 4-7 L/min
*D-dimer*: 0.43-2.33 mcg/mL (elevated = clot formation occurred--> pulmonary embolism
occurred)
*CK-MB*: 0% (30-170 units/L); elevated 4-6 hrs; lasts 3 days
*Troponin I*: <0.03 ng/L; elevated @ 3hrs; lasts 7-10 days
*Troponin T*: <0.2 ng/L; elevated @3-5hrs; lasts 14-21 days
*Cholesterol*: <200 mg/L
*HDL*: 35-80 (female): 35-65 (male) -- High Desirable
*LDL*: >130 mg/dL -- Low Desirable (up to 70% of total cholesterol)
*Triglycerides*: 40-160 (males); 35-135 (females); 55-220 (older adults) -- Evaluates
Atherosclerosis
*RBC*: 4.2-5.4 (female); 4.7-6.1 (male)
*WBC*: 5,000-10,000
*Platelets*: 150,000-400,000
*Hgb*: 12-16 (females); 14-18 (males)
*Hct*: 37-47 (females); 42-52 (males) (3x Hgb)
*PT*: 11-12.5 -- See clotting & vit. K
*aPTT*: 30-40 seconds -- Monitor for Heparin; increased if DIC, liver disease
*INR*: 2-3 on warfarin (checked with PT)
, Question 4.
Magnesium Sulfate
ANSWER
Adverse effects:
Respiratory paralysis (serious)
Depressed or absent reflexes
Hypotension
Depressed cardiac function
Question 5.
Prednisone inhaler
ANSWER
Wait 20-30 seconds between puffs
Exhale with pursed lips
Rinse mouth afterwards (to decrease chance of infection)
hold breath for 10 seconds
Question 6.
Detached Retina
ANSWER
"feels like a *curtain* is pulled over my eye"
Question 7.
Hypothyroidism
ANSWER
Causes constipation (due to decreased metabolism)
Question 8.
Hyperthyroidism
ANSWER
Increase nutritional intake with meals. (due to increased metabolism using up protein, lipid,
and carbohydrate stores)
*Priority finding*: Increased BP
SOLVED CORRECTLY LATEST UPDATE GRADED A+
Question 1.
Pacreatitis
ANSWER
-- Upper left quadrant pain (abdominal pain)
Priority Finding: *Absent bowel sounds* (indicative of paralytic ileus.
*Expected findings:*
(H) amylase + (H) Lipase
Liver enzymes elevated
Glucose may be elevated - (L) insulin
N/V, jaundice, (H) WBC
Question 2.
Hepatitis A
ANSWER
Contaminated Food
,Question 3.
Lab values
(Per ATI)
ANSWER
*BUN*: 10-20
*Cr*: 0.6-1.2
*Creatinine Clearance*: 80-139
*Na*: 135-145
*K*: 3.5-5
*Ca*: 9-11
*Cl*: 98-106
*Mg*: 1.3-2.1
*Albumin*: 3.5-5 (slow changes in protein)
*Prealbumin*: 23-43 (better indication of malnutrition - for acute changes in protein)
*Urine Specific Gravity*: 1.010-1.025
*Fasting Glucose*: <110
*Oral glucose tolerance test*: <140
*HbA1c*: <5%; pre-diabetes: 5.7-6.4%; DM: >6.5%
*ICP*: 10-15 mm Hg
*pH*: 7.35-7.45
*O2*: 95-100%
*PaCO2*: 35-45 mm Hg
*HCO3*: 22-26
*CO*: 4-7 L/min
*D-dimer*: 0.43-2.33 mcg/mL (elevated = clot formation occurred--> pulmonary embolism
occurred)
*CK-MB*: 0% (30-170 units/L); elevated 4-6 hrs; lasts 3 days
*Troponin I*: <0.03 ng/L; elevated @ 3hrs; lasts 7-10 days
*Troponin T*: <0.2 ng/L; elevated @3-5hrs; lasts 14-21 days
*Cholesterol*: <200 mg/L
*HDL*: 35-80 (female): 35-65 (male) -- High Desirable
*LDL*: >130 mg/dL -- Low Desirable (up to 70% of total cholesterol)
*Triglycerides*: 40-160 (males); 35-135 (females); 55-220 (older adults) -- Evaluates
Atherosclerosis
*RBC*: 4.2-5.4 (female); 4.7-6.1 (male)
*WBC*: 5,000-10,000
*Platelets*: 150,000-400,000
*Hgb*: 12-16 (females); 14-18 (males)
*Hct*: 37-47 (females); 42-52 (males) (3x Hgb)
*PT*: 11-12.5 -- See clotting & vit. K
*aPTT*: 30-40 seconds -- Monitor for Heparin; increased if DIC, liver disease
*INR*: 2-3 on warfarin (checked with PT)
, Question 4.
Magnesium Sulfate
ANSWER
Adverse effects:
Respiratory paralysis (serious)
Depressed or absent reflexes
Hypotension
Depressed cardiac function
Question 5.
Prednisone inhaler
ANSWER
Wait 20-30 seconds between puffs
Exhale with pursed lips
Rinse mouth afterwards (to decrease chance of infection)
hold breath for 10 seconds
Question 6.
Detached Retina
ANSWER
"feels like a *curtain* is pulled over my eye"
Question 7.
Hypothyroidism
ANSWER
Causes constipation (due to decreased metabolism)
Question 8.
Hyperthyroidism
ANSWER
Increase nutritional intake with meals. (due to increased metabolism using up protein, lipid,
and carbohydrate stores)
*Priority finding*: Increased BP
