ATI Comp Predictor-Study Guide
Do not delegate - correct answer - What you can EAT E-evaluate A-assess T-teach
Addison's & Cushings - correct answer - 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? - correct answer - EleVate Veins, DAngle Arteries
APGAR - correct answer - 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 - correct answer - My chicken hez tb (measles, chickenpox (varicella) Herpes
zoster/shingles TB
Airborne precautions protective equip - correct answer - private room, neg pressure with 6-12 air
exchanges/hr mask N95 for TB
Droplet precautions - correct answer - 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 - correct answer - MRS WEE
Multidrug resistant organism
Rresiratory infection
Skin infection
Wound infection
,Enteric infection (C diff)
Eye infection (conjunctivitis)
Skin infection - correct answer - VCHIPS
Varicella zoster
Cutaneous diptheria
Herpes simplez
Impetigo
Peduculosis
Scabies
Air or Pulmonary Embolism - correct answer - 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) - correct answer - (late decels, decreased variability, fetal
bradycardia, etc) Turn pt on Left side, give O2, stop pitocin, Increase IV fluids!
Tube feeding with decreased LOC - correct answer - Pt on Right side (promotes emptying of the stomach)
Head of bed elevated (prevent aspiration)
After lumbar puncture and oil based myelogram - correct answer - pt is flat SUPINE (prevent headache
and leaking of CSF)
Pt with heat stroke - correct answer - flat with legs elevated
during Continuous Bladder Irrigation (CBI) - correct answer - catheter is taped to the thigh. leg must be
kept straight.
After Myringotomy - correct answer - position on the side of AFFECTED ear, allows drainage.
After Cateract surgery - correct answer - pt sleep on UNAFFECTED side with a night shield for 1-4 weeks
after Thyroidectomy - correct answer - low or semi-fowler's position, support head, neck and shoulders.
Infant with Spina Bifida - correct answer - Prone so that sac does not rupture
Buck's Traction (skin) - correct answer - elevate foot of bed for counter traction
After total hip replacement - correct answer - 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 - correct answer - Knee to chest or Trendelenburg
Cleft Lip - correct answer - position on back or in infant seat to prevent trauma to the suture line. while
feeding hold in upright position.
, To prevent dumping syndrome - correct answer - (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) - correct answer - elevate for first 24 hours on pillow. position prone daily
to maintain hip extension.
BKA (below knee amputation) - correct answer - foot of bed elevated for first 24 hours. position prone to
provide hip extension.
detached retina - correct answer - area of detachment should be in the dependent position
administration of enema - correct answer - pt should be left side lying (Sim's) with knee flexed.
After supratentorial surgery - correct answer - (incision behind hairline on forhead) elevate HOB 30-40
degrees
After infratentorial surgery - correct answer - (incision at the nape of neck) position pt flat and lateral on
either side.
During internal radiation - correct answer - on bed rest while implant in place
Autonomic Dysreflexia/Hyperreflexia - correct answer - S/S pounding headache, profuse sweating, nasal
congestion, chills, bradycardia, hypertension. Place client in sitting position (elevate HOB) FIRST!
Shock - correct answer - bedrest with extremities elevated 20 degrees. knees straight, head slightly
elevated (modified Trendelenberg)
Head Injury - correct answer - elevate HOB 30 degrees to decrease ICP
Peritoneal Dialysis (when outflow is inadequate) - correct answer - turn pt from side to side BEFORE
checking for kinks in tubing
Lumbar Puncture - correct answer - After the procedure, the pt should be supine for 4-12 hours as
prescribed.
Myesthenia Gravis - correct answer - worsens with exercise and improves with rest
Myesthenia Gravis - correct answer - a positive reaction to Tensilon---will improve symptoms
Cholinergic Crisis - correct answer - Caused by excessive medication ---stop giving Tensilon...will make it
worse.
Liver biopsy (prior) - correct answer - must have lab results for prothrombin time
Myxedema/ hypothyroidism - correct answer - slowed physical and mental function, sensitivity to cold,
dry skin and hair.
Grave's Disease/ hyperthyroidism - correct answer - accelerated physical and mental function. Sensitivity
to heat. Fine/soft hair.
Thyroid storm - correct answer - increased temp, pulse and HTN
Do not delegate - correct answer - What you can EAT E-evaluate A-assess T-teach
Addison's & Cushings - correct answer - 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? - correct answer - EleVate Veins, DAngle Arteries
APGAR - correct answer - 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 - correct answer - My chicken hez tb (measles, chickenpox (varicella) Herpes
zoster/shingles TB
Airborne precautions protective equip - correct answer - private room, neg pressure with 6-12 air
exchanges/hr mask N95 for TB
Droplet precautions - correct answer - 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 - correct answer - MRS WEE
Multidrug resistant organism
Rresiratory infection
Skin infection
Wound infection
,Enteric infection (C diff)
Eye infection (conjunctivitis)
Skin infection - correct answer - VCHIPS
Varicella zoster
Cutaneous diptheria
Herpes simplez
Impetigo
Peduculosis
Scabies
Air or Pulmonary Embolism - correct answer - 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) - correct answer - (late decels, decreased variability, fetal
bradycardia, etc) Turn pt on Left side, give O2, stop pitocin, Increase IV fluids!
Tube feeding with decreased LOC - correct answer - Pt on Right side (promotes emptying of the stomach)
Head of bed elevated (prevent aspiration)
After lumbar puncture and oil based myelogram - correct answer - pt is flat SUPINE (prevent headache
and leaking of CSF)
Pt with heat stroke - correct answer - flat with legs elevated
during Continuous Bladder Irrigation (CBI) - correct answer - catheter is taped to the thigh. leg must be
kept straight.
After Myringotomy - correct answer - position on the side of AFFECTED ear, allows drainage.
After Cateract surgery - correct answer - pt sleep on UNAFFECTED side with a night shield for 1-4 weeks
after Thyroidectomy - correct answer - low or semi-fowler's position, support head, neck and shoulders.
Infant with Spina Bifida - correct answer - Prone so that sac does not rupture
Buck's Traction (skin) - correct answer - elevate foot of bed for counter traction
After total hip replacement - correct answer - 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 - correct answer - Knee to chest or Trendelenburg
Cleft Lip - correct answer - position on back or in infant seat to prevent trauma to the suture line. while
feeding hold in upright position.
, To prevent dumping syndrome - correct answer - (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) - correct answer - elevate for first 24 hours on pillow. position prone daily
to maintain hip extension.
BKA (below knee amputation) - correct answer - foot of bed elevated for first 24 hours. position prone to
provide hip extension.
detached retina - correct answer - area of detachment should be in the dependent position
administration of enema - correct answer - pt should be left side lying (Sim's) with knee flexed.
After supratentorial surgery - correct answer - (incision behind hairline on forhead) elevate HOB 30-40
degrees
After infratentorial surgery - correct answer - (incision at the nape of neck) position pt flat and lateral on
either side.
During internal radiation - correct answer - on bed rest while implant in place
Autonomic Dysreflexia/Hyperreflexia - correct answer - S/S pounding headache, profuse sweating, nasal
congestion, chills, bradycardia, hypertension. Place client in sitting position (elevate HOB) FIRST!
Shock - correct answer - bedrest with extremities elevated 20 degrees. knees straight, head slightly
elevated (modified Trendelenberg)
Head Injury - correct answer - elevate HOB 30 degrees to decrease ICP
Peritoneal Dialysis (when outflow is inadequate) - correct answer - turn pt from side to side BEFORE
checking for kinks in tubing
Lumbar Puncture - correct answer - After the procedure, the pt should be supine for 4-12 hours as
prescribed.
Myesthenia Gravis - correct answer - worsens with exercise and improves with rest
Myesthenia Gravis - correct answer - a positive reaction to Tensilon---will improve symptoms
Cholinergic Crisis - correct answer - Caused by excessive medication ---stop giving Tensilon...will make it
worse.
Liver biopsy (prior) - correct answer - must have lab results for prothrombin time
Myxedema/ hypothyroidism - correct answer - slowed physical and mental function, sensitivity to cold,
dry skin and hair.
Grave's Disease/ hyperthyroidism - correct answer - accelerated physical and mental function. Sensitivity
to heat. Fine/soft hair.
Thyroid storm - correct answer - increased temp, pulse and HTN
