ATI COMPREHENSIVE EXIT EXAM
n n
JULY 2023 WITHNGN n n n
(Detail Solutions and Resource for the test)
n n n n n n
AgingnProcess
NewbornnAssessment:nExpectednFindings
● NormalnAssessmentnFindingsnfornHead:nShouldnben2-3ncmnlargernthannchest.
● Anteriornfontanelnshouldnbenpalpatednandnapproximatelyn5ncmnonnaveragen
andndiamondnshaped.
● Posteriornfontanelnisnsmallernandntriangle-
shaped.nShouldnbensoftnandnflat.nMoldingnofnsuturesnisnnormal.
PsychosocialnIntegrity
CrisisnIntervention
SexualnAssault:nPrioritynIntervention
● Providenanprivatenenvironmentnandnlimitnpersonnelnwhonexaminenthenclient.
● Assessnclientnemotionsnandnprovidensupport
● Assess,ntreat,nandndocumentnallninjuries
● Usenannonnjudgementalnandnempatheticnapproach
Abuse/Neglect
PsychosocialnIssuesnofnInfants,nChildren,nandnAdolescents:nCaringnfornanChildnWh
onReportsnSexualnAbuse
● Removenthenchildnfromnthensituation
● Mandatorynreportingnfornallnhealthncarenworkers;ntherenarencivilnandncriminaln
penaltiesnfornnotnreporting
● AssessnfornunusualnbruisingnonnABD,nbacknandnbuttocks
Sensory/PerceptualnAlterations
, EffectivenCommunication:nRespondingntonanClientnWhonIsnObesenandnIsnCryingn
PsychoticnDisorders:nCaringnFornanClientnWhonIsnExperiencingnDelusions
● Asknthenclientndirectlynaboutnhallucinations.nThennursenshouldnnotnarguenornornagre
enwithnthenclient’snviewnofnthensituation.
● Donnotnarguenwithnanclient’sndelusions,nbutnfocusnonnthenclient’snfeelingsnandnpossibl
ynoffernreasonablenexplanations.
● Assessnthenclientnfornparanoidndelusions,nwhichncannincreasenthenrisknfornviolence
againstnothers.
BasicnCarenandnComfort
Elimination
PostpartumnPhysiologicalnAdaptations:nInterventionsntonPromotenVoiding
● Assistnwithnfrequentnurination
● Providennoninvasivenmeasuresntonpromotenurination
● Performnbladdernscan
NutritionnandnOralnHydration
Burns:nSupportingnNutritionalnRequirements
● Clientnwithnanlargenburnninjurynwillnbeninnanhypermetabolicnstatenandnmaynexcee
dn5,000ncalories/day
● Increasenproteinnintakentonpreventntissuenbreakdownnandnpromotenhealing
● EnteralnorntotalnparenteralntherapynisnoftennnecessarynMedicati
onsnfornDepressivenDisorders:nFoodnandnMedicationnInteraction
● MAOIs-navoidnfoodsncontainingntyraminen(meats,ncheeses,nalcohol)
● SSRIn&nSNRI-navoidnalcohol
● Tricyclic-
donnotnadministernwithnMAOIsnornSt.nJohn'snWartnRenalnDisorders:n
n
TeachingnanClientnWhonHasnChronicnKidneynDisease
● StrictnI&Os
, ● Monitornelectrolytes
● Monitornandntreatnhypertensionnasnprescribe
dnStroke:nAssistingnanClientnWhonHasnDysphagia
● placenclientninnannuprightnornhighnFowler'snpositionntonfacilitatenswallowing
● staynwithnclientnduentonrisknfornaspiration
● referntonspeechntherapistnfornevaluation
● makendietnalterations,navoidnthinnliquidsnandnstickynfoods
PharmacologicalnandnParenteralnTherapies
AdversenEffects/Contraindications/SidenEffects/Interactions
MedicationsnAffectingnCoagulation:nMedicationsnContraindicatednfornUsenWith
Warfarin
n
● Garlic
● Ginger
● Ginkgo
MedicationsnAffectingnUrinarynOutput:nIdentifyingnannAdversenEffectnofnFurosemide
● Ototoxicity
● Hypokalemia
● Hyperglycemia
MedicationsnfornDepressivenDisorders:nMonitoringnfornInteractionsnBetween
CitalopramnandnSt.nJohn'snWort
n
● Risknofnserotoninnsyndrome:nHeadache
● Fever
● Shivering
● Sweating
● Highnbloodnpressure
● Rapidnornirregularnheartbeat
n n
JULY 2023 WITHNGN n n n
(Detail Solutions and Resource for the test)
n n n n n n
AgingnProcess
NewbornnAssessment:nExpectednFindings
● NormalnAssessmentnFindingsnfornHead:nShouldnben2-3ncmnlargernthannchest.
● Anteriornfontanelnshouldnbenpalpatednandnapproximatelyn5ncmnonnaveragen
andndiamondnshaped.
● Posteriornfontanelnisnsmallernandntriangle-
shaped.nShouldnbensoftnandnflat.nMoldingnofnsuturesnisnnormal.
PsychosocialnIntegrity
CrisisnIntervention
SexualnAssault:nPrioritynIntervention
● Providenanprivatenenvironmentnandnlimitnpersonnelnwhonexaminenthenclient.
● Assessnclientnemotionsnandnprovidensupport
● Assess,ntreat,nandndocumentnallninjuries
● Usenannonnjudgementalnandnempatheticnapproach
Abuse/Neglect
PsychosocialnIssuesnofnInfants,nChildren,nandnAdolescents:nCaringnfornanChildnWh
onReportsnSexualnAbuse
● Removenthenchildnfromnthensituation
● Mandatorynreportingnfornallnhealthncarenworkers;ntherenarencivilnandncriminaln
penaltiesnfornnotnreporting
● AssessnfornunusualnbruisingnonnABD,nbacknandnbuttocks
Sensory/PerceptualnAlterations
, EffectivenCommunication:nRespondingntonanClientnWhonIsnObesenandnIsnCryingn
PsychoticnDisorders:nCaringnFornanClientnWhonIsnExperiencingnDelusions
● Asknthenclientndirectlynaboutnhallucinations.nThennursenshouldnnotnarguenornornagre
enwithnthenclient’snviewnofnthensituation.
● Donnotnarguenwithnanclient’sndelusions,nbutnfocusnonnthenclient’snfeelingsnandnpossibl
ynoffernreasonablenexplanations.
● Assessnthenclientnfornparanoidndelusions,nwhichncannincreasenthenrisknfornviolence
againstnothers.
BasicnCarenandnComfort
Elimination
PostpartumnPhysiologicalnAdaptations:nInterventionsntonPromotenVoiding
● Assistnwithnfrequentnurination
● Providennoninvasivenmeasuresntonpromotenurination
● Performnbladdernscan
NutritionnandnOralnHydration
Burns:nSupportingnNutritionalnRequirements
● Clientnwithnanlargenburnninjurynwillnbeninnanhypermetabolicnstatenandnmaynexcee
dn5,000ncalories/day
● Increasenproteinnintakentonpreventntissuenbreakdownnandnpromotenhealing
● EnteralnorntotalnparenteralntherapynisnoftennnecessarynMedicati
onsnfornDepressivenDisorders:nFoodnandnMedicationnInteraction
● MAOIs-navoidnfoodsncontainingntyraminen(meats,ncheeses,nalcohol)
● SSRIn&nSNRI-navoidnalcohol
● Tricyclic-
donnotnadministernwithnMAOIsnornSt.nJohn'snWartnRenalnDisorders:n
n
TeachingnanClientnWhonHasnChronicnKidneynDisease
● StrictnI&Os
, ● Monitornelectrolytes
● Monitornandntreatnhypertensionnasnprescribe
dnStroke:nAssistingnanClientnWhonHasnDysphagia
● placenclientninnannuprightnornhighnFowler'snpositionntonfacilitatenswallowing
● staynwithnclientnduentonrisknfornaspiration
● referntonspeechntherapistnfornevaluation
● makendietnalterations,navoidnthinnliquidsnandnstickynfoods
PharmacologicalnandnParenteralnTherapies
AdversenEffects/Contraindications/SidenEffects/Interactions
MedicationsnAffectingnCoagulation:nMedicationsnContraindicatednfornUsenWith
Warfarin
n
● Garlic
● Ginger
● Ginkgo
MedicationsnAffectingnUrinarynOutput:nIdentifyingnannAdversenEffectnofnFurosemide
● Ototoxicity
● Hypokalemia
● Hyperglycemia
MedicationsnfornDepressivenDisorders:nMonitoringnfornInteractionsnBetween
CitalopramnandnSt.nJohn'snWort
n
● Risknofnserotoninnsyndrome:nHeadache
● Fever
● Shivering
● Sweating
● Highnbloodnpressure
● Rapidnornirregularnheartbeat
