ATI COMPREHENSIVE REAL EXAM QUESTIONS AND CORRECT ANSWERS
2024
Air or Pulmonary Embolism - answer-S/S chest pain, dyspnea, tachycardia, pale/cyanotic, sense of
impending doom. (turn pt to LEFT side and LOWER the head of bed.)
Tube feeding with decreased LOC - answer-Pt on Right side (promotes emptying of the stomach) Head of
bed elevated (prevent aspiration)
After lumbar puncture and oil based myelogram - answer-pt is flat SUPINE (prevent headache and
leaking of CSF)
Pt with heat stroke - answer-flat with legs elevated
during Continuous Bladder Irrigation (CBI) - answer-catheter is taped to the thigh. leg must be kept
straight.
After Myringotomy - answer-position on the side of AFFECTED ear, allows drainage.
After Cataract surgery - answer-pt sleep on UNAFFECTED side with a night shield for 1-4 weeks
after Thyroidectomy - answer-low or semi-fowler's position, support head, neck and shoulders.
Infant with Spina Bifida - answer-Prone so that sac does not rupture
Buck's Traction (skin) - answer-elevate foot of bed for counter traction
After total hip replacement - 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 - answer-Knee to chest or Trendelenburg
,Cleft Lip - 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 - 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) - answer-elevate for first 24 hours on pillow. position prone daily to
maintain hip extension.
BKA (below knee amputation) - answer-foot of bed elevated for first 24 hours. position prone to provide
hip extension.
detached retina - answer-area of detachment should be in the dependent position
administration of enema - answer-pt should be left side lying (Sim's) with knee flexed.
After infratentorial surgery - answer-(incision at the nape of neck) position pt flat and lateral on either
side.
Autonomic Dysreflexia/Hyperreflexia - answer-S/S pounding headache, profuse sweating, nasal
congestion, chills, bradycardia, hypertension. Place client in sitting position (elevate HOB) FIRST!
Shock - answer-bedrest with extremities elevated 20 degrees. knees straight, head slightly elevated
(modified Trendelenberg)
Head Injury - answer-elevate HOB 30 degrees to decrease ICP
Peritoneal Dialysis (when outflow is inadequate) - answer-turn pt from side to side BEFORE checking for
kinks in tubing
Lumbar Puncture - answer-After the procedure, the pt should be supine for 4-12 hours as prescribed.
, Myesthenia Gravis - answer-worsens with exercise and improves with rest
Myesthenia Gravis - answer-a positive reaction to Tensilon---will improve symptoms
Cholinergic Crisis - answer-Caused by excessive medication ---stop giving Tensilon...will make it worse.
Liver biopsy (prior) - answer-must have lab results for prothrombin time
Myxedema/ hypothyroidism - answer-slowed physical and mental function, sensitivity to cold, dry skin
and hair.
Grave's Disease/ hyperthyroidism - answer-accelerated physical and mental function. Sensitivity to heat.
Fine/soft hair.
Thyroid storm - answer-increased temp, pulse and HTN
Post-Thyroidectomy - answer-semi-fowler's. Prevent neck flexion/hyperextension. Trach at bedside
Hypo-parathyroid - answer-CATS---Convulsions, Arrhythmias, Tetany, Spasms, Stridor. (decreased
calcium) give high calcium, low phosphorus diet
Hyper-parathyroid - answer-fatigue, muscle weakness, renal calculi, back and joint pain (increased
calcium) give a low calcium high phosphorous diet
Hypovolemia - answer-increased temp, rapid/weak pulse, increase respiration, hypotension, anxiety.
Urine specific gravity >1.030
Hypervolemia - answer-bounding pulse, SOB, dyspnea, rales/crackles, peripheral edema, HTN, urine
specific gravity <1.010. semi fowler's
2024
Air or Pulmonary Embolism - answer-S/S chest pain, dyspnea, tachycardia, pale/cyanotic, sense of
impending doom. (turn pt to LEFT side and LOWER the head of bed.)
Tube feeding with decreased LOC - answer-Pt on Right side (promotes emptying of the stomach) Head of
bed elevated (prevent aspiration)
After lumbar puncture and oil based myelogram - answer-pt is flat SUPINE (prevent headache and
leaking of CSF)
Pt with heat stroke - answer-flat with legs elevated
during Continuous Bladder Irrigation (CBI) - answer-catheter is taped to the thigh. leg must be kept
straight.
After Myringotomy - answer-position on the side of AFFECTED ear, allows drainage.
After Cataract surgery - answer-pt sleep on UNAFFECTED side with a night shield for 1-4 weeks
after Thyroidectomy - answer-low or semi-fowler's position, support head, neck and shoulders.
Infant with Spina Bifida - answer-Prone so that sac does not rupture
Buck's Traction (skin) - answer-elevate foot of bed for counter traction
After total hip replacement - 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 - answer-Knee to chest or Trendelenburg
,Cleft Lip - 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 - 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) - answer-elevate for first 24 hours on pillow. position prone daily to
maintain hip extension.
BKA (below knee amputation) - answer-foot of bed elevated for first 24 hours. position prone to provide
hip extension.
detached retina - answer-area of detachment should be in the dependent position
administration of enema - answer-pt should be left side lying (Sim's) with knee flexed.
After infratentorial surgery - answer-(incision at the nape of neck) position pt flat and lateral on either
side.
Autonomic Dysreflexia/Hyperreflexia - answer-S/S pounding headache, profuse sweating, nasal
congestion, chills, bradycardia, hypertension. Place client in sitting position (elevate HOB) FIRST!
Shock - answer-bedrest with extremities elevated 20 degrees. knees straight, head slightly elevated
(modified Trendelenberg)
Head Injury - answer-elevate HOB 30 degrees to decrease ICP
Peritoneal Dialysis (when outflow is inadequate) - answer-turn pt from side to side BEFORE checking for
kinks in tubing
Lumbar Puncture - answer-After the procedure, the pt should be supine for 4-12 hours as prescribed.
, Myesthenia Gravis - answer-worsens with exercise and improves with rest
Myesthenia Gravis - answer-a positive reaction to Tensilon---will improve symptoms
Cholinergic Crisis - answer-Caused by excessive medication ---stop giving Tensilon...will make it worse.
Liver biopsy (prior) - answer-must have lab results for prothrombin time
Myxedema/ hypothyroidism - answer-slowed physical and mental function, sensitivity to cold, dry skin
and hair.
Grave's Disease/ hyperthyroidism - answer-accelerated physical and mental function. Sensitivity to heat.
Fine/soft hair.
Thyroid storm - answer-increased temp, pulse and HTN
Post-Thyroidectomy - answer-semi-fowler's. Prevent neck flexion/hyperextension. Trach at bedside
Hypo-parathyroid - answer-CATS---Convulsions, Arrhythmias, Tetany, Spasms, Stridor. (decreased
calcium) give high calcium, low phosphorus diet
Hyper-parathyroid - answer-fatigue, muscle weakness, renal calculi, back and joint pain (increased
calcium) give a low calcium high phosphorous diet
Hypovolemia - answer-increased temp, rapid/weak pulse, increase respiration, hypotension, anxiety.
Urine specific gravity >1.030
Hypervolemia - answer-bounding pulse, SOB, dyspnea, rales/crackles, peripheral edema, HTN, urine
specific gravity <1.010. semi fowler's
