ATI Comprehensive Exam
Dietary teaching for IBS? Crohns? Diverticulitis? Diverticulosis? absorption of iron? What do
you do when you have high K? - ANS--IBS: high fiber Crohns are low in fiber. -Diverticulitis:
insufficient fiber -diverticulosis: high fiber
-iron absorption: eat vitamin C foods
-Heart failure: restrict fluids and salt intake -High K: maintain spironolactone What should you
do if a woman who is 26 weeks pregnant is about to have an oral glucose test? ANS: Reduce
carbs three days before. - quick overnight -During the test, blood will be collected every hour.
-Refrain from caffeine -Retain a normal level of activity What should a parent do if their child has
asthma? - ANS: Get the flu shot once a year. -take the highest reading out of 3 PEF meter
readings (not average)
-Take the carpet out of the bedroom. For a client with GI bleed and NG tube in place, what
action should the nurse take when performing a gastric lavage? - ANS--200-300 mL room
temperature solution (tap water, sterile water, NaCl) should be instilled
-Sit on your left side For a client with type 1 DM who may have injured their ankle, what therapy
should be given? - ANS--monitor glucose q 2-4 hours (for increase glucose from stress on body)
-monitor neurovascular status of client every hour
-DO NOT APPLY ICE (DM 1 clients with ice therapy are contraindicated)
-Immobilize and keep the affected ankle elevated -give opioid IV or PO to manage pain
For a non-weight bearing extremity client on crutches, what is important? - ANS--initially
measure crutches (NEVER adjust midway)
-Use a three-point gait -When ascending stairs, walk with the unaffected leg first. -when walking
downstairs, advance crutches with affected leg first
-wear rubber soled shoes
For an occlusive crisis in sickle cell, what should you do first? - ANS--GIVE IV FLUIDS to
promote blood flow through ischemic areas
-then can give pain meds, warm packs, collect blood
For cataract extraction surgery, what are the protocols? - ANS--avoid taking aspirin
-use cool compress on eye before calling MD if itchy
-avoid bending at the waist b/c it can raise intraoccular pressure (BEND AT THE KNEES)
-don't lift anything over 10 lbs
For clients with uric acid formation urinary calculi, what foods can they eat? - ANS--oranges
-AVOID meats, alcohol, chicken
For hypocalcemia, where do you tap to ellicit positive Chvostik sign? - ANS--cheek about an
inch in front of tragus
-stimulates the facial nerve For total hip arthroplasty's, what is most important? - ANS--installing
a raised toilet seat at home
-maintain hip angles less than 90 degrees
-USE a walker
-DO NOT use pillow under knees->can cause decrease circulation and contractures
, What should you do for the Snellen chart visual acuity test? ANS: Keep both eyes open during
the test. -assess with glasses first, then without glasses
-stand 10 ft away
-You must correctly interpret 4-6 symbols to pass a line. How are ear drops applied to children
over the age of three? Under 3? - ANS--over 3: pull ear upwards and back while instilling it
Under step 3, gently pull the ear back and down. -gently massage tragus after administering it
(NOT the back of the ear)
-allow it to be administered at room temp
How can NG tube placement be confirmed? What are the risks of taking medication for ectopic
pregnancy? What does betamethasone cause? What is the test for PKU? Frequent
variable/late decels, what do you do first? What disease must be reported to CDC? Screening
test done at 16 weeks gestation? Can woman with hep C breastfeed? - ANS--aspirate
content->pH of 4 or less
-ectopic pregnancy: methotrexate, IUD->risk
-Betamethasone makes the mother hyperglycemic and the baby hypoglycemic. -PKU: Guthrie
test
-Side turn to left lateral -chlamydia
sixteen weeks: AFP -Yes, provided there are no cracked nips. How do you work a continuous
passive range of motion machine following arthroplasty? - ANS--turn off during mealtimes
-maintain effected extremity in neutral position
-client cannot adjust settings b/c it is perscribed by physician
-do not place under client's bed when not in use
How is insulin administered via a pen device? - ANS--hold perpendicular to client's skin
-don't shake prior to use
-hold in skin for 6-10 seconds
If a client with COPD and is very short of breath, what intervention will require an incident
report? - ANS--giving client O2 6 L/min via NC
-CAN give bronchodilator, IV anxiolytic, increase HOB 45 degrees
If a patient 24 hours p/o refuses to ambulate, what should you do first? - ANS--assess pain
-THEN you can educate, turn patient, give PRN analgesic
If a patient if 4 hr postpartum with a boggy uterus and heavy lochia, what should you do? -
ANS--massage uterus to expel clots->will increase uterine firmness and decrease bleeding
-do this before oxytocin!
What should you take to reverse the effects of lorazepam if you experience respiratory
depression? - Flumazinil -naloxone is used for opioid overdose
Where is the best place to listen for fetal heart tones if the fetus is in the left occiput anterior
position? - ANS—back position -left lower quadrant if on the left side
If infiltration, what do you do? If phlebitis, what do you do? Where do you insert the catheter? -
ANS--both, remove IV
-infiltration: cool compress
-phlebitis: warm compress
-distal veins in non-dominant hand
Recommended blood lead level? Urine sp gravity? aPTT? Warfarin? Albumin? - ANS--lead:
over 5=social services, over 20=contact poison control, over 45=chelation
Dietary teaching for IBS? Crohns? Diverticulitis? Diverticulosis? absorption of iron? What do
you do when you have high K? - ANS--IBS: high fiber Crohns are low in fiber. -Diverticulitis:
insufficient fiber -diverticulosis: high fiber
-iron absorption: eat vitamin C foods
-Heart failure: restrict fluids and salt intake -High K: maintain spironolactone What should you
do if a woman who is 26 weeks pregnant is about to have an oral glucose test? ANS: Reduce
carbs three days before. - quick overnight -During the test, blood will be collected every hour.
-Refrain from caffeine -Retain a normal level of activity What should a parent do if their child has
asthma? - ANS: Get the flu shot once a year. -take the highest reading out of 3 PEF meter
readings (not average)
-Take the carpet out of the bedroom. For a client with GI bleed and NG tube in place, what
action should the nurse take when performing a gastric lavage? - ANS--200-300 mL room
temperature solution (tap water, sterile water, NaCl) should be instilled
-Sit on your left side For a client with type 1 DM who may have injured their ankle, what therapy
should be given? - ANS--monitor glucose q 2-4 hours (for increase glucose from stress on body)
-monitor neurovascular status of client every hour
-DO NOT APPLY ICE (DM 1 clients with ice therapy are contraindicated)
-Immobilize and keep the affected ankle elevated -give opioid IV or PO to manage pain
For a non-weight bearing extremity client on crutches, what is important? - ANS--initially
measure crutches (NEVER adjust midway)
-Use a three-point gait -When ascending stairs, walk with the unaffected leg first. -when walking
downstairs, advance crutches with affected leg first
-wear rubber soled shoes
For an occlusive crisis in sickle cell, what should you do first? - ANS--GIVE IV FLUIDS to
promote blood flow through ischemic areas
-then can give pain meds, warm packs, collect blood
For cataract extraction surgery, what are the protocols? - ANS--avoid taking aspirin
-use cool compress on eye before calling MD if itchy
-avoid bending at the waist b/c it can raise intraoccular pressure (BEND AT THE KNEES)
-don't lift anything over 10 lbs
For clients with uric acid formation urinary calculi, what foods can they eat? - ANS--oranges
-AVOID meats, alcohol, chicken
For hypocalcemia, where do you tap to ellicit positive Chvostik sign? - ANS--cheek about an
inch in front of tragus
-stimulates the facial nerve For total hip arthroplasty's, what is most important? - ANS--installing
a raised toilet seat at home
-maintain hip angles less than 90 degrees
-USE a walker
-DO NOT use pillow under knees->can cause decrease circulation and contractures
, What should you do for the Snellen chart visual acuity test? ANS: Keep both eyes open during
the test. -assess with glasses first, then without glasses
-stand 10 ft away
-You must correctly interpret 4-6 symbols to pass a line. How are ear drops applied to children
over the age of three? Under 3? - ANS--over 3: pull ear upwards and back while instilling it
Under step 3, gently pull the ear back and down. -gently massage tragus after administering it
(NOT the back of the ear)
-allow it to be administered at room temp
How can NG tube placement be confirmed? What are the risks of taking medication for ectopic
pregnancy? What does betamethasone cause? What is the test for PKU? Frequent
variable/late decels, what do you do first? What disease must be reported to CDC? Screening
test done at 16 weeks gestation? Can woman with hep C breastfeed? - ANS--aspirate
content->pH of 4 or less
-ectopic pregnancy: methotrexate, IUD->risk
-Betamethasone makes the mother hyperglycemic and the baby hypoglycemic. -PKU: Guthrie
test
-Side turn to left lateral -chlamydia
sixteen weeks: AFP -Yes, provided there are no cracked nips. How do you work a continuous
passive range of motion machine following arthroplasty? - ANS--turn off during mealtimes
-maintain effected extremity in neutral position
-client cannot adjust settings b/c it is perscribed by physician
-do not place under client's bed when not in use
How is insulin administered via a pen device? - ANS--hold perpendicular to client's skin
-don't shake prior to use
-hold in skin for 6-10 seconds
If a client with COPD and is very short of breath, what intervention will require an incident
report? - ANS--giving client O2 6 L/min via NC
-CAN give bronchodilator, IV anxiolytic, increase HOB 45 degrees
If a patient 24 hours p/o refuses to ambulate, what should you do first? - ANS--assess pain
-THEN you can educate, turn patient, give PRN analgesic
If a patient if 4 hr postpartum with a boggy uterus and heavy lochia, what should you do? -
ANS--massage uterus to expel clots->will increase uterine firmness and decrease bleeding
-do this before oxytocin!
What should you take to reverse the effects of lorazepam if you experience respiratory
depression? - Flumazinil -naloxone is used for opioid overdose
Where is the best place to listen for fetal heart tones if the fetus is in the left occiput anterior
position? - ANS—back position -left lower quadrant if on the left side
If infiltration, what do you do? If phlebitis, what do you do? Where do you insert the catheter? -
ANS--both, remove IV
-infiltration: cool compress
-phlebitis: warm compress
-distal veins in non-dominant hand
Recommended blood lead level? Urine sp gravity? aPTT? Warfarin? Albumin? - ANS--lead:
over 5=social services, over 20=contact poison control, over 45=chelation
