ATI PN Comprehensive Predictor Exam 9
2025 LATEST
UPDATED VERSION
PacreatitisT-T--TUpperTleftTquadrantTpainT(abdominalTpain)
PriorityTFinding:T*AbsentTbowelTsounds*T(indicativeTofTparalyticTileus.
*ExpectedTfindings:*
(H)TamylaseT+T(H)TLipaseTLiv
erTenzymesTelevated
GlucoseTmayTbeTelevatedT-
T(L)TinsulinTN/V,Tjaundice,T(H)TWBC
HepatitisTAT-TContaminatedTFood
LabTvalues
(PerTATI)T-T*BUN*:T10-20
*Cr*:T0.6-1.2
*CreatinineTClearance*:T80-139
*Na*:T135-145
*K*:T3.5-5
*Ca*:T9-11
*Cl*:T98-106
*Mg*:T1.3-2.1
*Albumin*:T3.5-5T(slowTchangesTinTprotein)
*Prealbumin*:T23-43T(betterTindicationTofTmalnutritionT-TforTacuteTchangesTinTprotein)
*UrineTSpecificTGravity*:T1.010-1.025
*FastingTGlucose*:T<110
*OralTglucoseTtoleranceTtest*:T<140
*HbA1c*:T<5%;Tpre-diabetes:T5.7-6.4%;TDM:T>6.5%
*ICP*:T10-15TmmTHg
*pH*:T7.35-7.45
*O2*:T95-100%
*PaCO2*:T35-45TmmTHg
*HCO3*:T22-26
*CO*:T4-7TL/min
*D-dimer*:T0.43-2.33Tmcg/mLT(elevatedT=TclotTformationToccurred--
>TpulmonaryTembolismToccurred)
*CK-MB*:T0%T(30-170Tunits/L);TelevatedT4-6Thrs;TlastsT3Tdays
*TroponinTI*:T<0.03Tng/L;TelevatedT@T3hrs;TlastsT7-10Tdays
*TroponinTT*:T<0.2Tng/L;TelevatedT@3-5hrs;TlastsT14-21Tdays
*Cholesterol*:T<200Tmg/L
*HDL*:T35-80T(female):T35-65T(male)T--THighTDesirable
*LDL*:T>130Tmg/dLT--TLowTDesirableT(upTtoT70%TofTtotalTcholesterol)
*Triglycerides*:T40-160T(males);T35-135T(females);T55-220T(olderTadults)T--
TEvaluatesTAtherosclerosis
*RBC*:T4.2-5.4T(female);T4.7-6.1T(male)
*WBC*:T5,000-10,000
*Platelets*:T150,000-400,000
*Hgb*:T12-16T(females);T14-18T(males)
, *Hct*:T37-47T(females);T42-52T(males)T(3xTHgb)
*PT*:T11-12.5T--TSeeTclottingT&Tvit.TK
*aPTT*:T30-40TsecondsT--TMonitorTforTHeparin;TincreasedTifTDIC,TliverTdisease
*INR*:T2-3TonTwarfarinT(checkedTwithTPT)
MagnesiumTSulfateT-
TAdverseTeffects:TRespiratoryTparalysisT(
serious)TDepressedTorTabsentTreflexesTH
ypotension
DepressedTcardiacTfunction
PrednisoneTinhalerT-TWaitT20-
30TsecondsTbetweenTpuffsTExhaleTwithTpursedTlips
RinseTmouthTafterwardsT(toTdecreaseTchanceTofTinfection)T
holdTbreathTforT10Tseconds
DetachedTRetinaT-T"feelsTlikeTaT*curtain*TisTpulledToverTmyTeye"
HypothyroidismT-TCausesTconstipationT(dueTtoTdecreasedTmetabolism)
HyperthyroidismT-
TIncreaseTnutritionalTintakeTwithTmeals.T(dueTtoTincreasedTmetabolismTusingTupTprotein,Tlipid,
TandTcarbohydrateTstores)
*PriorityTfinding*:TIncreasedTBP
ChestTTubesT-TKeepTcollectionTchamberTbelowTlungs
WeightTappliedTtoTskinTtractionT-TshouldTbeT5-10TlbsTmaxTtoTpreventTskinTinjury
IleostomyTbagT-T"ApplyTskinTbarrier"TtoTprotectTskinTfromTenzymeT&TbileTsalts
Non-tunneledTpercutaneousTcentralTvenousTcatheterT-
TPlaceTclientTinTtrendelenburgTpositionTtoTprovideTeasierTaccessTtoTvesselsT&TdecreaseTriskTofT
airTembolus
NewlyTdiagnosedTHeartTFailureTpatientT-TTryTtoTwalkTatTleastT3TtimesTaTweekTforTexercise
ArterialTlinesT-
TNeedTpressureTbagTaroundTtheTsolution,TbecauseTpressureTformTanTarteryTisTgreaterTthanTthatT
ofTtheTline
IronTsupplementsT-T-shouldTbeTtakenTwithThigh-fiberTfoodsTtoTpreventTconstipation
-avoidTtakingTwithTmilkTbecauseTitTinterferesTwithTabsorption
PropanololT(-lolTmedsT-TBetaTBlockers)T-TcanTcauseTbronchoconstriction
MorphineT(opiods)T-
TAdverseTEffect:TnauseaTandTvomiting
MastectomyT-TExpectTpresenceTofToneTorTmoreTsurgicalTdrains
BloodTtransfussionsT-TOKTtoTuseT0.9%TsodiumTchloride.
--5%TdextroseT&TRinger'sTlactateTwillTcauseTclots
2025 LATEST
UPDATED VERSION
PacreatitisT-T--TUpperTleftTquadrantTpainT(abdominalTpain)
PriorityTFinding:T*AbsentTbowelTsounds*T(indicativeTofTparalyticTileus.
*ExpectedTfindings:*
(H)TamylaseT+T(H)TLipaseTLiv
erTenzymesTelevated
GlucoseTmayTbeTelevatedT-
T(L)TinsulinTN/V,Tjaundice,T(H)TWBC
HepatitisTAT-TContaminatedTFood
LabTvalues
(PerTATI)T-T*BUN*:T10-20
*Cr*:T0.6-1.2
*CreatinineTClearance*:T80-139
*Na*:T135-145
*K*:T3.5-5
*Ca*:T9-11
*Cl*:T98-106
*Mg*:T1.3-2.1
*Albumin*:T3.5-5T(slowTchangesTinTprotein)
*Prealbumin*:T23-43T(betterTindicationTofTmalnutritionT-TforTacuteTchangesTinTprotein)
*UrineTSpecificTGravity*:T1.010-1.025
*FastingTGlucose*:T<110
*OralTglucoseTtoleranceTtest*:T<140
*HbA1c*:T<5%;Tpre-diabetes:T5.7-6.4%;TDM:T>6.5%
*ICP*:T10-15TmmTHg
*pH*:T7.35-7.45
*O2*:T95-100%
*PaCO2*:T35-45TmmTHg
*HCO3*:T22-26
*CO*:T4-7TL/min
*D-dimer*:T0.43-2.33Tmcg/mLT(elevatedT=TclotTformationToccurred--
>TpulmonaryTembolismToccurred)
*CK-MB*:T0%T(30-170Tunits/L);TelevatedT4-6Thrs;TlastsT3Tdays
*TroponinTI*:T<0.03Tng/L;TelevatedT@T3hrs;TlastsT7-10Tdays
*TroponinTT*:T<0.2Tng/L;TelevatedT@3-5hrs;TlastsT14-21Tdays
*Cholesterol*:T<200Tmg/L
*HDL*:T35-80T(female):T35-65T(male)T--THighTDesirable
*LDL*:T>130Tmg/dLT--TLowTDesirableT(upTtoT70%TofTtotalTcholesterol)
*Triglycerides*:T40-160T(males);T35-135T(females);T55-220T(olderTadults)T--
TEvaluatesTAtherosclerosis
*RBC*:T4.2-5.4T(female);T4.7-6.1T(male)
*WBC*:T5,000-10,000
*Platelets*:T150,000-400,000
*Hgb*:T12-16T(females);T14-18T(males)
, *Hct*:T37-47T(females);T42-52T(males)T(3xTHgb)
*PT*:T11-12.5T--TSeeTclottingT&Tvit.TK
*aPTT*:T30-40TsecondsT--TMonitorTforTHeparin;TincreasedTifTDIC,TliverTdisease
*INR*:T2-3TonTwarfarinT(checkedTwithTPT)
MagnesiumTSulfateT-
TAdverseTeffects:TRespiratoryTparalysisT(
serious)TDepressedTorTabsentTreflexesTH
ypotension
DepressedTcardiacTfunction
PrednisoneTinhalerT-TWaitT20-
30TsecondsTbetweenTpuffsTExhaleTwithTpursedTlips
RinseTmouthTafterwardsT(toTdecreaseTchanceTofTinfection)T
holdTbreathTforT10Tseconds
DetachedTRetinaT-T"feelsTlikeTaT*curtain*TisTpulledToverTmyTeye"
HypothyroidismT-TCausesTconstipationT(dueTtoTdecreasedTmetabolism)
HyperthyroidismT-
TIncreaseTnutritionalTintakeTwithTmeals.T(dueTtoTincreasedTmetabolismTusingTupTprotein,Tlipid,
TandTcarbohydrateTstores)
*PriorityTfinding*:TIncreasedTBP
ChestTTubesT-TKeepTcollectionTchamberTbelowTlungs
WeightTappliedTtoTskinTtractionT-TshouldTbeT5-10TlbsTmaxTtoTpreventTskinTinjury
IleostomyTbagT-T"ApplyTskinTbarrier"TtoTprotectTskinTfromTenzymeT&TbileTsalts
Non-tunneledTpercutaneousTcentralTvenousTcatheterT-
TPlaceTclientTinTtrendelenburgTpositionTtoTprovideTeasierTaccessTtoTvesselsT&TdecreaseTriskTofT
airTembolus
NewlyTdiagnosedTHeartTFailureTpatientT-TTryTtoTwalkTatTleastT3TtimesTaTweekTforTexercise
ArterialTlinesT-
TNeedTpressureTbagTaroundTtheTsolution,TbecauseTpressureTformTanTarteryTisTgreaterTthanTthatT
ofTtheTline
IronTsupplementsT-T-shouldTbeTtakenTwithThigh-fiberTfoodsTtoTpreventTconstipation
-avoidTtakingTwithTmilkTbecauseTitTinterferesTwithTabsorption
PropanololT(-lolTmedsT-TBetaTBlockers)T-TcanTcauseTbronchoconstriction
MorphineT(opiods)T-
TAdverseTEffect:TnauseaTandTvomiting
MastectomyT-TExpectTpresenceTofToneTorTmoreTsurgicalTdrains
BloodTtransfussionsT-TOKTtoTuseT0.9%TsodiumTchloride.
--5%TdextroseT&TRinger'sTlactateTwillTcauseTclots
