ATI Capstone 2024 A & B/ ATI Comprehensive 2024 A & B Latest
Acute and Infectious Respiratory Illness: Prioritizing Care for a Group of Children -
ANSPRIORITY s a child that's drooling, sitting upright with tongue out, stridor (croup
can be fatal)
Acute and Infectious Respiratory Illness: Priority Finding Following a Tonsillectomy -
ANSInstruct family to report indications of bleeding (frequent swallowing, clearing the
throat, restlessness, bright red emesis, tachycardia, pallor)
Acute Infectious Gastrointestinal Disorders: Laboratory Findings to Report to a provider
for a child who has dehydration - ANSReport High H and H, high osmolality, High
Sodium, HIGH BUN/Creatnine anything HIGH
Acute Neurological Disorders: Transmissions Precautions - ANSMeningitis-
i. Isolate the client as soon as meningitis is suspected, and maintain droplet precautions
per facility protocol.
ii. Droplet precautions require a private room or a room with clients who have the same
infectious disease, ensuring that each client has his or her own designated equipment.
iii. Providers and visitors should wear a mask.
iv. Maintain respiratory isolation for a minimum of 24 hr after initiation of antibiotic
therapy
alogia - ANSPoverty of thought or speech. The client might sit with a visitor but only
mumble or respond vaguely to questions.
Amputations: Postoperative Interventions - ANSa. Assess surgical site for bleeding.
Monitor vital signs frequently.
b. Monitor tissue perfusion of end of residual limb. Palpate residual limb for warmth.
Heat can indicate infection. Compare pulse most proximal to incision with pulse in other
extremity.
c. Monitor for manifestations of infection and non-healing of incision. Infection can lead
to osteomyelitis.
Antilipemic Agents: Contraindications for receiving Niacin - ANSContraindicated in
clients who have liver disease and gout.
Assessment of Fetal Well Being: Planning Care for Client Who Undergo Amniocentesis
- ANSMonitor vital signs, FHR, and uterine contractions throughout and 30 min following
the procedure.
Assessment of Fetal Well Being: Teaching a client about Nonstress Testing -
ANSInstruct the client to press the button on the handheld event marker each time she
feels the fetus move.
Basic Mental Health Nursing Concepts: Assessing an Older Adult - ANSA. Check
Functional ability, Economic and social status, Environmental factors, such as stairways
in the home, Physical assessment, Geriatric Depression Scale (short form), Michigan
,ATI Capstone 2024 A & B/ ATI Comprehensive 2024 A & B Latest
Alcoholism Screening Test: Geriatric Version, MMSE, Pain assessments, do
assessments in private, quiet space with adequate lighting to accommodate for
impaired vision and hearing, introduction, and determine the client's name preference,
Stand or sit at the client's level to conduct the interview, ask about difficulty sleeping,
incontinence, falls or other injuries, depression, dizziness, and loss of energy, detailed
med history
Basic Mental Health Nursing Concepts:Assessing an Older - ANSQuestion: A nurse is
counseling an older adult who describes having difficulty dealing with several issues.
Which of the following problems verbalized by the client should the
nurse identify as the priority?
Answer :"I keep forgetting which medications I have taken during the day."
Rationale :The greatest risk to this client is injury from
overdosing or underdosing medications due to loss of short-term memory. The priority
issue for the nurse is to assist the client to implement safe medication strategies. The
nurse should assist the client to use a pill organizer to help him remember to take his
medications and to keep a list of all current medications.
Blood and Blood Product Transfusions: Transferring Blood for an Older Adult Client -
ANSOLDER ADULT CLIENTS:
i. Assess vital signs every 15 min throughout the transfusion because changes in pulse,
blood pressure, and respiratory rate can indicate fluid overload, or can be the sole
indicators of a transfusion reaction.
ii. Older adult clients who have cardiac or renal dysfunction are at an increased risk for
heart failure and fluid-volume excess when receiving a blood transfusion.
iii. Administer the blood transfusion over 2 to 4 hr for older adult clients. Withhold
administration of other IV fluids during blood product administration to prevent fluid
overload
bmi chart - ANS> 18.5 is UNDERWEIGHT
18.5 - 24.9 is HEALTHY
25 - 29.9 is OVERWEIGHT
30 - 34.9 is OBESITY, Class 1
35 - 39.9 is OBESITY, Class 2
< 40 is EXTREME obesity
Bowel Elimination: Identifying an Expected Finding with Dehydration - ANSa. Metabolic
acidosis from excessive loss of bicarbonate
b. Weak, rapid pulse, hypotension, poor skin turgor, elevated body temperature
Cancers Disorders: Planning discharge Teaching for a client who is postoperative
following a modified radical mastectomy - ANSa. D/c teaching includes incision care
and drainage tubes. (Drains are usually left in for 1 to 3 weeks.)
b. AVOID placing her arm in a dependent position.
,ATI Capstone 2024 A & B/ ATI Comprehensive 2024 A & B Latest
c. Encourage early arm and hand exercises (squeezing a rubber ball, elbow flexion and
extension, and hand-wall climbing) to prevent lymphedema and to regain full range of
motion.
d. AVOID tight clothing.
e. Teach BSE.
f. Report numbness, pain, heaviness, or impaired motor function of the affected arm to
the surgeon.
g. Encourage discuss breast reconstruction alternatives with the surgeon
(Reconstruction can begin during the original breast removal procedure or after some
healing has occurred, Nipple reconstruction from labia, abdomen, or inner thigh)
h. Genetic counseling for BRCA 1 and 2
i. Recommendation of bilateral mastectomy, oophorectomy to prevent cancer
occurrence. Clients who do not choose this option should have early, frequent, thorough
screening for breast and ovarian cancer.
Care of Special Populations: Recommending Appropriate Referrals - ANSsocial
services to eliminate financial difficulties (Know what each role does)
Chest Tube Insertion and Monitoring: Caring for client who has chest tube - ANSa.
Water seals are created by adding sterile fluid to a chamber up to the 2 cm line. While
this is the minimum amount required for functioning, recommended amounts can vary
by manufacturer. The water seal allows air to exit from the pleural space on exhalation
and stops air from entering with inhalation.
b. To maintain the water seal, keep the chamber upright and below the chest tube
insertion site at all times. Routinely monitor the water level due to the possibility of
evaporation. Add fluid as needed to maintain the manufacturer's recommended water
seal level.
Cholesterol lab values - ANSadult recommended ranges:
cholesterol <200mg/dL;
HDL >45mg/dL;
LDL >60-180(less than 180);
triglycerides- 40-160mg/dL in males 35-135mg/dL in females
Chronic Neurologic Disorders: Laboratory Data to Monitor to a Client Who is Taking
Valproic Acid - ANSLiver function test
- Thrombocyte count
- Amylase level
- Blood ammonia level
Chronic Neuromusculoskeletal Disorders: Cross Sensitive with a Latex Allergy -
ANSLatex allergy crossenstivity with bananas, kiwi, strawberry, avocadoes, chestnut,
spina bifida, water toys, pacifiers, plastic bags.
clang association - ANSMeaningless rhyming of words "Oh fox, box, and lox."
, ATI Capstone 2024 A & B/ ATI Comprehensive 2024 A & B Latest
Client Education and Discharge Teaching: Relieving Breast Engorgement - ANSa.
Completely empty breasts at each feeding.
b. Allow the infant to nurse on demand, which would be about 8 to 12 times in 24-hr
period.
c. Massaging the breasts DURING feeding
d. Feed until the breast softens. If the second breast does not soften after the infant's
feeding, the breast can be emptied with a breast pump. Alternate breasts with each
feeding.
e. Warm compress or warm shower BEFORE feeding
f. Cool compresses AFTER feedings
Communicable Diseases, Disasters, and Bioterrorism: Teaching a Group of Older
Adults about Immunizations - ANSHerpes Zoster
Communicable Diseases, Disasters, and Bioterrorism: Teaching about Lyme disease -
ANS● HERPES ZOSTER IMMUNIZATION
●● Stage 1: 3 to 30 days following bite
◯Erythema migrans at site, chills, fever, itching, headache, fainting, stiff neck, muscle
weakness; bull's eye rash
●● Stage 2: occurs 3 to 10 weeks following bite
◯ (neurologic, cardiac and musculoskeletal effects)
●● Stage 3: 2 to 12 months following bite
◯ Advanced (musculoskeletal pain that includes the muscles, tendons, bursaeand
synovia); possible arthritis, deafness, cardiac complications and encephalopathy.
●● Antibiotic (single dose)
●● Antibiotic (2- to 3-week course) for confirmed disease
●● Doxycycline for children older than 8 years and amoxicillin or cefuroxime for <8yrs
Meds- observe pt tick bite for 30d
Connective Tissue Disorders: Laboratory to Monitor for a Client who is taking
Methotrexate - ANSa. Monitor potassium levels and kidney functions
b. Glucocorticoids promote hyperglycemia, thereby counteracting the effects of insulin
and oral hypoglycemics. The dose of hypoglycemic medications might need to be
increased.
Continuity of Care: Interventions Promoting Independence - ANS● home health nurse:
nursing home, traditional home, assisted living
● -work as part of team, holistic care. nurses, pt, OT, home health aids, social workers
and dieticians part of the care
Acute and Infectious Respiratory Illness: Prioritizing Care for a Group of Children -
ANSPRIORITY s a child that's drooling, sitting upright with tongue out, stridor (croup
can be fatal)
Acute and Infectious Respiratory Illness: Priority Finding Following a Tonsillectomy -
ANSInstruct family to report indications of bleeding (frequent swallowing, clearing the
throat, restlessness, bright red emesis, tachycardia, pallor)
Acute Infectious Gastrointestinal Disorders: Laboratory Findings to Report to a provider
for a child who has dehydration - ANSReport High H and H, high osmolality, High
Sodium, HIGH BUN/Creatnine anything HIGH
Acute Neurological Disorders: Transmissions Precautions - ANSMeningitis-
i. Isolate the client as soon as meningitis is suspected, and maintain droplet precautions
per facility protocol.
ii. Droplet precautions require a private room or a room with clients who have the same
infectious disease, ensuring that each client has his or her own designated equipment.
iii. Providers and visitors should wear a mask.
iv. Maintain respiratory isolation for a minimum of 24 hr after initiation of antibiotic
therapy
alogia - ANSPoverty of thought or speech. The client might sit with a visitor but only
mumble or respond vaguely to questions.
Amputations: Postoperative Interventions - ANSa. Assess surgical site for bleeding.
Monitor vital signs frequently.
b. Monitor tissue perfusion of end of residual limb. Palpate residual limb for warmth.
Heat can indicate infection. Compare pulse most proximal to incision with pulse in other
extremity.
c. Monitor for manifestations of infection and non-healing of incision. Infection can lead
to osteomyelitis.
Antilipemic Agents: Contraindications for receiving Niacin - ANSContraindicated in
clients who have liver disease and gout.
Assessment of Fetal Well Being: Planning Care for Client Who Undergo Amniocentesis
- ANSMonitor vital signs, FHR, and uterine contractions throughout and 30 min following
the procedure.
Assessment of Fetal Well Being: Teaching a client about Nonstress Testing -
ANSInstruct the client to press the button on the handheld event marker each time she
feels the fetus move.
Basic Mental Health Nursing Concepts: Assessing an Older Adult - ANSA. Check
Functional ability, Economic and social status, Environmental factors, such as stairways
in the home, Physical assessment, Geriatric Depression Scale (short form), Michigan
,ATI Capstone 2024 A & B/ ATI Comprehensive 2024 A & B Latest
Alcoholism Screening Test: Geriatric Version, MMSE, Pain assessments, do
assessments in private, quiet space with adequate lighting to accommodate for
impaired vision and hearing, introduction, and determine the client's name preference,
Stand or sit at the client's level to conduct the interview, ask about difficulty sleeping,
incontinence, falls or other injuries, depression, dizziness, and loss of energy, detailed
med history
Basic Mental Health Nursing Concepts:Assessing an Older - ANSQuestion: A nurse is
counseling an older adult who describes having difficulty dealing with several issues.
Which of the following problems verbalized by the client should the
nurse identify as the priority?
Answer :"I keep forgetting which medications I have taken during the day."
Rationale :The greatest risk to this client is injury from
overdosing or underdosing medications due to loss of short-term memory. The priority
issue for the nurse is to assist the client to implement safe medication strategies. The
nurse should assist the client to use a pill organizer to help him remember to take his
medications and to keep a list of all current medications.
Blood and Blood Product Transfusions: Transferring Blood for an Older Adult Client -
ANSOLDER ADULT CLIENTS:
i. Assess vital signs every 15 min throughout the transfusion because changes in pulse,
blood pressure, and respiratory rate can indicate fluid overload, or can be the sole
indicators of a transfusion reaction.
ii. Older adult clients who have cardiac or renal dysfunction are at an increased risk for
heart failure and fluid-volume excess when receiving a blood transfusion.
iii. Administer the blood transfusion over 2 to 4 hr for older adult clients. Withhold
administration of other IV fluids during blood product administration to prevent fluid
overload
bmi chart - ANS> 18.5 is UNDERWEIGHT
18.5 - 24.9 is HEALTHY
25 - 29.9 is OVERWEIGHT
30 - 34.9 is OBESITY, Class 1
35 - 39.9 is OBESITY, Class 2
< 40 is EXTREME obesity
Bowel Elimination: Identifying an Expected Finding with Dehydration - ANSa. Metabolic
acidosis from excessive loss of bicarbonate
b. Weak, rapid pulse, hypotension, poor skin turgor, elevated body temperature
Cancers Disorders: Planning discharge Teaching for a client who is postoperative
following a modified radical mastectomy - ANSa. D/c teaching includes incision care
and drainage tubes. (Drains are usually left in for 1 to 3 weeks.)
b. AVOID placing her arm in a dependent position.
,ATI Capstone 2024 A & B/ ATI Comprehensive 2024 A & B Latest
c. Encourage early arm and hand exercises (squeezing a rubber ball, elbow flexion and
extension, and hand-wall climbing) to prevent lymphedema and to regain full range of
motion.
d. AVOID tight clothing.
e. Teach BSE.
f. Report numbness, pain, heaviness, or impaired motor function of the affected arm to
the surgeon.
g. Encourage discuss breast reconstruction alternatives with the surgeon
(Reconstruction can begin during the original breast removal procedure or after some
healing has occurred, Nipple reconstruction from labia, abdomen, or inner thigh)
h. Genetic counseling for BRCA 1 and 2
i. Recommendation of bilateral mastectomy, oophorectomy to prevent cancer
occurrence. Clients who do not choose this option should have early, frequent, thorough
screening for breast and ovarian cancer.
Care of Special Populations: Recommending Appropriate Referrals - ANSsocial
services to eliminate financial difficulties (Know what each role does)
Chest Tube Insertion and Monitoring: Caring for client who has chest tube - ANSa.
Water seals are created by adding sterile fluid to a chamber up to the 2 cm line. While
this is the minimum amount required for functioning, recommended amounts can vary
by manufacturer. The water seal allows air to exit from the pleural space on exhalation
and stops air from entering with inhalation.
b. To maintain the water seal, keep the chamber upright and below the chest tube
insertion site at all times. Routinely monitor the water level due to the possibility of
evaporation. Add fluid as needed to maintain the manufacturer's recommended water
seal level.
Cholesterol lab values - ANSadult recommended ranges:
cholesterol <200mg/dL;
HDL >45mg/dL;
LDL >60-180(less than 180);
triglycerides- 40-160mg/dL in males 35-135mg/dL in females
Chronic Neurologic Disorders: Laboratory Data to Monitor to a Client Who is Taking
Valproic Acid - ANSLiver function test
- Thrombocyte count
- Amylase level
- Blood ammonia level
Chronic Neuromusculoskeletal Disorders: Cross Sensitive with a Latex Allergy -
ANSLatex allergy crossenstivity with bananas, kiwi, strawberry, avocadoes, chestnut,
spina bifida, water toys, pacifiers, plastic bags.
clang association - ANSMeaningless rhyming of words "Oh fox, box, and lox."
, ATI Capstone 2024 A & B/ ATI Comprehensive 2024 A & B Latest
Client Education and Discharge Teaching: Relieving Breast Engorgement - ANSa.
Completely empty breasts at each feeding.
b. Allow the infant to nurse on demand, which would be about 8 to 12 times in 24-hr
period.
c. Massaging the breasts DURING feeding
d. Feed until the breast softens. If the second breast does not soften after the infant's
feeding, the breast can be emptied with a breast pump. Alternate breasts with each
feeding.
e. Warm compress or warm shower BEFORE feeding
f. Cool compresses AFTER feedings
Communicable Diseases, Disasters, and Bioterrorism: Teaching a Group of Older
Adults about Immunizations - ANSHerpes Zoster
Communicable Diseases, Disasters, and Bioterrorism: Teaching about Lyme disease -
ANS● HERPES ZOSTER IMMUNIZATION
●● Stage 1: 3 to 30 days following bite
◯Erythema migrans at site, chills, fever, itching, headache, fainting, stiff neck, muscle
weakness; bull's eye rash
●● Stage 2: occurs 3 to 10 weeks following bite
◯ (neurologic, cardiac and musculoskeletal effects)
●● Stage 3: 2 to 12 months following bite
◯ Advanced (musculoskeletal pain that includes the muscles, tendons, bursaeand
synovia); possible arthritis, deafness, cardiac complications and encephalopathy.
●● Antibiotic (single dose)
●● Antibiotic (2- to 3-week course) for confirmed disease
●● Doxycycline for children older than 8 years and amoxicillin or cefuroxime for <8yrs
Meds- observe pt tick bite for 30d
Connective Tissue Disorders: Laboratory to Monitor for a Client who is taking
Methotrexate - ANSa. Monitor potassium levels and kidney functions
b. Glucocorticoids promote hyperglycemia, thereby counteracting the effects of insulin
and oral hypoglycemics. The dose of hypoglycemic medications might need to be
increased.
Continuity of Care: Interventions Promoting Independence - ANS● home health nurse:
nursing home, traditional home, assisted living
● -work as part of team, holistic care. nurses, pt, OT, home health aids, social workers
and dieticians part of the care
