lOMoARcPSD|26582732
1
ATI - PREDICTOR STUDY NOTES (UPDATED 2025) –
RASMUSSEN COLLEGE
ati – n clex pr edictor r em ediation stu dy n otes
r en al calcu li - pain : fl an k pain → kidney or ureter (if pain radiates → stones in
ureter or bladder)
per for m in g ear ir r igation : sterile technique, warm meds, pull up & back, tilt
toward affected ear
thr om bolytic ther apy (str oke): reteplase recombinant (r tpa – clot bu ster )
w/ in 4.5 hours of initial symptoms
tr ach car e : dressing ∆, inner cannula ½ hydrogen peroxide, & stoma □ knot
head in ju r y ( chan ges in loc):
length of time unconscious & gcs
gen er al an esthesia (post-op): abc’s – full body assessment, vitals every 15
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, lOMoARcPSD|26582732
2
minutes, lateral position (if unresponsive or unconscious - monitor loc),
fluids/electrolytes
su per fi cial bu r n s: painful, pink, red, mild edema (3-6 day healing), damage to
epidermis
dialysis (r epor tin g u n expected : temp of 100 degrees, ↓ bp, bleeding,
fi ndin gs) 1 l of fluid = 1kg, clotting, h/a, nausea,
disequilibrium syndrome (rapid ↓ bun & fluid volume), anemia, peritonitis, ↑ bg, ↑
cholesterol
infection, hematoma, pneumothorax, hemo-thorax,
pacem aker (com plication s ):
arrhythmias, pacer spikes before p or qrs, hiccups /
muscle twitching
m agn esiu m (m g) su lfate
→ increase mg+ > 1.3 mg/dl
↑ mg foods = (dairy, dark leafy greens veges)
↓ mg causes → hyper active deep ten don r efl exes
* paresthesia’s, muscle tetany, positive chvostek’s & tr ou sseau ’s sign ,
hypoactive bowels, constipation, abdominal distention, paralytic ileus.
tpn adm in : (total par en ter al n utr ition ) -feeding that bypasses the gi tract
.
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, lOMoARcPSD|26582732
3
fluids are given into a vein to provide most of the nutrients the body needs. given
when person cannot/ should not receive feedings or fluids by mouth.
hyper ton ic (20-50% dextr ose ), used in chronic pain, peritonitis, burns, infection,
etc
no m or e than 10% hou r ly, ↑ in rate for body adjustment, check bg
hyperglycemia, hypoglycemia, vitamin deficiencies, air embolism (clamp, place in
trendelenburg pos., o2)
fluid imbalance → fluid volume excess
w ou n d cu ltu r e specim en : sterile field, press / rotate over wound surface inside the
wound (center) in drainage
kidney damage d/t prolonged ↑ bg &
diabetes m ellitu s ( n ephr opathy ):
dehydration
m on itor i & o, cr eatin in e, bp
avoid soda, alcohol, acetaminophen/nsaids / 2 – 3 l fluid from food / beverages
kidn ey biopsy post ):
( op
monitor vs → client receives sedation
assess dressings & urinary output (hematuria-blood in urine)
labs: hgb & hct values, admin prn pain meds, complications hemorrhage / infection
thyr oidectom y ( post op ): needs thyroid hormone replacement
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, lOMoARcPSD|26582732
4
client in high fowler’s position, respiratory (trach supplies) present, check for
laryngeal nerve damage
pain management, hypocalcemia / tetany can occur
pr ior itization : apply knowledge to standards to determine priority action
systemic before local – “ life befor e lim b”
acute before chronic
actual problems before potential future
listen carefully to clients & don’t assume
recognize & respond - trends vs. transient findings
recognize indications - emergencies vs. expected
delegate to lpn :
monitoring findings, reinforcing teaching, performing trach care,
suctioning, checking ng tube patency, administer tube feedings, inserting urinary
catheter, administering meds (n o iv)
delegate a : adls, bathing, grooming, dressing, toileting, ambulating, feeding
to p w/out swallowing precautions, positioning, routine tasks, bed
making, specimen collection, i & o, vs for stable clients, monitoring after initial
clinical manifestations rn assess/eval.
par acen tesis (pr ep) - take out fluid from belly (peritoneal fluid) have clien t void
– semi fowlers, 6 small meals/day,
Downloaded by NELSON KIIRU ()
1
ATI - PREDICTOR STUDY NOTES (UPDATED 2025) –
RASMUSSEN COLLEGE
ati – n clex pr edictor r em ediation stu dy n otes
r en al calcu li - pain : fl an k pain → kidney or ureter (if pain radiates → stones in
ureter or bladder)
per for m in g ear ir r igation : sterile technique, warm meds, pull up & back, tilt
toward affected ear
thr om bolytic ther apy (str oke): reteplase recombinant (r tpa – clot bu ster )
w/ in 4.5 hours of initial symptoms
tr ach car e : dressing ∆, inner cannula ½ hydrogen peroxide, & stoma □ knot
head in ju r y ( chan ges in loc):
length of time unconscious & gcs
gen er al an esthesia (post-op): abc’s – full body assessment, vitals every 15
Downloaded by NELSON KIIRU ()
, lOMoARcPSD|26582732
2
minutes, lateral position (if unresponsive or unconscious - monitor loc),
fluids/electrolytes
su per fi cial bu r n s: painful, pink, red, mild edema (3-6 day healing), damage to
epidermis
dialysis (r epor tin g u n expected : temp of 100 degrees, ↓ bp, bleeding,
fi ndin gs) 1 l of fluid = 1kg, clotting, h/a, nausea,
disequilibrium syndrome (rapid ↓ bun & fluid volume), anemia, peritonitis, ↑ bg, ↑
cholesterol
infection, hematoma, pneumothorax, hemo-thorax,
pacem aker (com plication s ):
arrhythmias, pacer spikes before p or qrs, hiccups /
muscle twitching
m agn esiu m (m g) su lfate
→ increase mg+ > 1.3 mg/dl
↑ mg foods = (dairy, dark leafy greens veges)
↓ mg causes → hyper active deep ten don r efl exes
* paresthesia’s, muscle tetany, positive chvostek’s & tr ou sseau ’s sign ,
hypoactive bowels, constipation, abdominal distention, paralytic ileus.
tpn adm in : (total par en ter al n utr ition ) -feeding that bypasses the gi tract
.
Downloaded by NELSON KIIRU ()
, lOMoARcPSD|26582732
3
fluids are given into a vein to provide most of the nutrients the body needs. given
when person cannot/ should not receive feedings or fluids by mouth.
hyper ton ic (20-50% dextr ose ), used in chronic pain, peritonitis, burns, infection,
etc
no m or e than 10% hou r ly, ↑ in rate for body adjustment, check bg
hyperglycemia, hypoglycemia, vitamin deficiencies, air embolism (clamp, place in
trendelenburg pos., o2)
fluid imbalance → fluid volume excess
w ou n d cu ltu r e specim en : sterile field, press / rotate over wound surface inside the
wound (center) in drainage
kidney damage d/t prolonged ↑ bg &
diabetes m ellitu s ( n ephr opathy ):
dehydration
m on itor i & o, cr eatin in e, bp
avoid soda, alcohol, acetaminophen/nsaids / 2 – 3 l fluid from food / beverages
kidn ey biopsy post ):
( op
monitor vs → client receives sedation
assess dressings & urinary output (hematuria-blood in urine)
labs: hgb & hct values, admin prn pain meds, complications hemorrhage / infection
thyr oidectom y ( post op ): needs thyroid hormone replacement
Downloaded by NELSON KIIRU ()
, lOMoARcPSD|26582732
4
client in high fowler’s position, respiratory (trach supplies) present, check for
laryngeal nerve damage
pain management, hypocalcemia / tetany can occur
pr ior itization : apply knowledge to standards to determine priority action
systemic before local – “ life befor e lim b”
acute before chronic
actual problems before potential future
listen carefully to clients & don’t assume
recognize & respond - trends vs. transient findings
recognize indications - emergencies vs. expected
delegate to lpn :
monitoring findings, reinforcing teaching, performing trach care,
suctioning, checking ng tube patency, administer tube feedings, inserting urinary
catheter, administering meds (n o iv)
delegate a : adls, bathing, grooming, dressing, toileting, ambulating, feeding
to p w/out swallowing precautions, positioning, routine tasks, bed
making, specimen collection, i & o, vs for stable clients, monitoring after initial
clinical manifestations rn assess/eval.
par acen tesis (pr ep) - take out fluid from belly (peritoneal fluid) have clien t void
– semi fowlers, 6 small meals/day,
Downloaded by NELSON KIIRU ()
