ATI COMPREHENSIVE EXIT EXAM

ATI COMPREHENSIVE EXIT EXAM
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(NGN ATI)l




(Detailed Exam Prep Solutions and Resources f
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or the test in 2024) l l l l




1. Treatlfirstlanylimmediatelthreatsltolalpatient'slsurvivallorlsafety.

Ex.lobstructedlairway,llossloflconsciousness,lpsychologicallepisodelorlanxietylattack.lA

BC's.

2. Next,ltreatlactuallproblems.lEx.lnausea,lfulllbowellorlbladder,lcomfortlmeasures.

3. Then,ltreatlrelativelylurgentlactuallorlpotentiallproblemslthatlthelpatientlorlfamilyldoeslnotlrecogni
ze.lEx.lMonitoringlforlpost-
oplcomplications,lanticipatinglteachinglneedsloflalpatientlthatlmaylbelunawareloflsideleffectsloflmeds.

4. Lastly,ltreatlactuallorlpotentiallproblemslwherelhelplmaylbelneededlinlthelfuture.

ExlTeachinglforlself-carelinlthelhome.

Herelarelsomelgreatlprinciplesltolhelplyoulaslyoulprioritize:

,SystemiclbeforellocallA

cutelbeforelchroniclAct

uallbeforelpotentiallList

enldon'tlassume

Recognizelfirstlthenlapplylclinicallknowledgel

Maslow'slHierarchyloflNeeds:

PrioritizelaccordingltolMaslowlwithlphysiologicallandlsafetylissueslbeforelpsychologicallesteemliss
ues.

Variantlanginal(Prinzmetal'slangina)
Dueltolalcoronarylarterylspasm,lofteningloccurringlduringlperiodsloflrest.

Unstablelangina
Occurslwithlexerciselorlemotionallstress,lbutlitlincreaseslinloccurrence,lseverity,landldurationlove
rltime.

Stablelangina
Occurslwithlexerciselorlemotionallstresslandlislrelievedlbylrestlorlnitroglycerinl(Nitrostat).

electrolytelimbalancelmanifestations:lh
ypocakelmia-->lflatlTlwaveslonlECG

hypercalcemia--

>ldecreasedldeepltendonlreflexesl(DTRs)lhypocalcemia--

>ltetany

hyperkalemia-->ltalllpeakedlTlwaveslonlECG

Addison'sldisease
Decreasedlaldosteronelandlrenin

Hypothyroidism
Decreasedltriiodothyroninel(T3)landlthyroxine

,Cushing'sldiseasel
Elevatedlcortisol

DiabeteslInsipidusl(DI)lDecrease
dlurinelspecificlgravity

Diabeteslmelitus
Elevatedlglycosylatedlhemoglobinl(HbA1c)

SyndromeloflInappropriatelSecretionloflAntidiureticlHormonelI
ncreasedlurinelosmolality

Cataract
Progressivelandlpainlessllossloflvision

Angle-
closurelglaucomalRapidlonse
tloflelevatedlIOP

macularldegenerationl
Centralllossloflvision

Open-
anglelgalucomalLossloflp
eripherallvision

Retinalldetachment
Suddenllossloflvisionlwithoutlpain

Commonldisease'slmanifestationsl
Cholecystitis-->lMurphy'slsign

Pancreatitis-->lTurner'slsign

PepticlUlcerlDisease-->lUpperlepigastriclpainl1-

2lhourslafterlmealslAppendicits-->lPainlatlMcBurney'slpoint

Decorticate

, Decerebrate



Hepatitisldiseaseltransmissions
HepatitislA--

>lIngestionslolcontaminatedlfood/waterlHepatitislB--

>lUnprotectedlsexuallcontact

NonvirallHepatits-->lDrugltoxicity

HeartlFailure
Symptoms:lShortnessloflbreath,lfatigue,ljugularlveinldistention,landlanlS3larelsigns/symptomsloflhear
tlfailurelresultinglfromltheldecreasedlpumpinglabilityloflthelheartlandlincreasedlfluidlvolume.

Hypovolemiclshock
position:lSupinelwithllegslelevatedl(shocklposition)

Below-the-kneelamputation
Position:lThelclientlshouldlbelplacedlinlthelpronelpositionlseveralltimeslaldayltolpreventlhiplflexi
onlcontractions.

Chestltube
-
Continuouslbublinglinlthelwaterlseallchamperslindicateslanlairlleak.lIflthislislobserved,lthelnurselsho
uldlattemptltollocatedlthelsourceloflthelairlleaklandlintervenelaccordinglyl(tightenlthelconnections,lr
eplaceldrainagelsystem)

Compartmentlsyndrome
Symptoms:lPulselessnessl(latelsign),lIncreasedlpainlunrelievedlwithlelevationlorlbylpainlme
dication

Leftlhomonymouslhemianopsia
hasllostlthelleftlvisuallfieldloflbothleyes.lTheylarelunableltolvisualizelanythingltolthelleftloflmidli
neloflthelbody.

dialysislfistula
clientlteaching:lavoidlliftinglheavylobjectslwithlaccess-
sitelarm,lavoidlcarryinglobjectslthatlcompresslthelextremity,lavoidlsleepinglonltoploflthelextremityl
withlthelaccessldevice,lperform