ATI COMPREHENSIVE PREDICTOR, NCLEX
PN, EXIT EXAM 1, EXIT EXAM ATI (162) P
QUESTIONS WITH VERIFIED ANSWERS.
RBC ANSWER :females 4.2-5.4 million
males 4.7-6.1 million
decrease RBC ANSWER :anemia
WBC ANSWER :5,000-10,000
elevated WBC ANSWER :infection
decreased WBC ANSWER :immunosuppression
Iron ANSWER :females 60-160 mcg
males 80-180
elevated iron ANSWER :hemochromatosis, iron excess
liver disorder, magaloblastic anemia
decreased iron ANSWER :anemia or hemorrhage
platelets ANSWER :150,000-4000,000
increased platelets ANSWER :malignancy or polycythemia vera
decreased platelets ANSWER :autoimmune disease
,bone marrow suppression or enlarged spleen
Hbg ANSWER :females 12-16
males 14-18
decrease Hgb and Hct ANSWER :anemia
Hct ANSWER :females 37%-47%
males 42-52%
anemia in children
S & SX: ANSWER :pallor, brittle spoon shaped nails
irritability, muscle weakness
systolic heart murmur, enlarged heart, HF
iron supplements ANSWER :give 1 hr before or 2 hr after antacid to prevent malabsorpt
N/D and constipation common at start of therapy
use straw for liquid iron to prevent staining of teeth
aPTT ANSWER :1.5-2X control range of 30-40 seconds
test clotting factors and monitor heparin therapy
increased aPTT ANSWER :hemophilia
disseminated intravascular coagulation DIC
liver disease
PT ANSWER :11-12.5 seconds, 85-100%
,increased PT time ANSWER :evidence of deficiency or clotting
decreaed PT time ANSWER :evidence of vit K excess= bleed out
acute hemolytic blood transfusion reactions ANSWER :**low back pain, TACHYcardia, HYPOtension
febrile reactions ANSWER :30 min-6 hr after transfusion
-chills, fever, flushing, headache
use WBC filter, administer antipyretics
mild allergic reactions ANSWER :during or up to 24hr after transfusion
- itching, urticarial, flushing
administer benadryl
anaphylactic shock ANSWER :wheezing, dyspnea, cyanosis, hypotension
maintain airway, admin O2, IV fluids, antihistamines, corticosteroids and vasopressor
fluid overload ANSWER :HYPERtension,
jugular vein distention, peripheral edema
orthopnea, crackles at base of lungs
sudden anxiety
sepsis and septic shock ANSWER :-fever, N/V, abdominal pain, chills HYPOtension
administer antibiotics, blood cultures, vasopressor (dopamine)
if disseminated intravascular coagulation (DIC) ANSWER :admin heparin in early stage
-blood products and clotting factors in late stage
, PICA ANSWER :eating things like soil, chalk, for at least 1 month
parenteral iron ANSWER :given Z track
erythropoietin - epoetin alfa (epogen, Procrit) ANSWER :used to increased production of RBC
monitor increase in BP, Hgb, Hct
folic acid ANSWER :turn urine dark yellow
necessary for new RBC
hypovolemia causes ANSWER :peritonitis, ascites, burns , NPO
causes of dehydration ANSWER :hyperventilation
DKA
tube feeding without sufficient water intake
subjective and objective HYPOvolemia ANSWER :Hyperthermia, Tachycardia, HYPOtension
decreased central venous pressure
hypoxia
thirst, dizziness, N/V,
-poor skin turgor, tentin
lab test hypovolemia ANSWER :increased: HCT, specific gravity, NA, protein, BUN, glucose
Hypervolemia causes ANSWER :HF, cirrhosis, increased gluccorticosteroids
hypertonic fluids
PN, EXIT EXAM 1, EXIT EXAM ATI (162) P
QUESTIONS WITH VERIFIED ANSWERS.
RBC ANSWER :females 4.2-5.4 million
males 4.7-6.1 million
decrease RBC ANSWER :anemia
WBC ANSWER :5,000-10,000
elevated WBC ANSWER :infection
decreased WBC ANSWER :immunosuppression
Iron ANSWER :females 60-160 mcg
males 80-180
elevated iron ANSWER :hemochromatosis, iron excess
liver disorder, magaloblastic anemia
decreased iron ANSWER :anemia or hemorrhage
platelets ANSWER :150,000-4000,000
increased platelets ANSWER :malignancy or polycythemia vera
decreased platelets ANSWER :autoimmune disease
,bone marrow suppression or enlarged spleen
Hbg ANSWER :females 12-16
males 14-18
decrease Hgb and Hct ANSWER :anemia
Hct ANSWER :females 37%-47%
males 42-52%
anemia in children
S & SX: ANSWER :pallor, brittle spoon shaped nails
irritability, muscle weakness
systolic heart murmur, enlarged heart, HF
iron supplements ANSWER :give 1 hr before or 2 hr after antacid to prevent malabsorpt
N/D and constipation common at start of therapy
use straw for liquid iron to prevent staining of teeth
aPTT ANSWER :1.5-2X control range of 30-40 seconds
test clotting factors and monitor heparin therapy
increased aPTT ANSWER :hemophilia
disseminated intravascular coagulation DIC
liver disease
PT ANSWER :11-12.5 seconds, 85-100%
,increased PT time ANSWER :evidence of deficiency or clotting
decreaed PT time ANSWER :evidence of vit K excess= bleed out
acute hemolytic blood transfusion reactions ANSWER :**low back pain, TACHYcardia, HYPOtension
febrile reactions ANSWER :30 min-6 hr after transfusion
-chills, fever, flushing, headache
use WBC filter, administer antipyretics
mild allergic reactions ANSWER :during or up to 24hr after transfusion
- itching, urticarial, flushing
administer benadryl
anaphylactic shock ANSWER :wheezing, dyspnea, cyanosis, hypotension
maintain airway, admin O2, IV fluids, antihistamines, corticosteroids and vasopressor
fluid overload ANSWER :HYPERtension,
jugular vein distention, peripheral edema
orthopnea, crackles at base of lungs
sudden anxiety
sepsis and septic shock ANSWER :-fever, N/V, abdominal pain, chills HYPOtension
administer antibiotics, blood cultures, vasopressor (dopamine)
if disseminated intravascular coagulation (DIC) ANSWER :admin heparin in early stage
-blood products and clotting factors in late stage
, PICA ANSWER :eating things like soil, chalk, for at least 1 month
parenteral iron ANSWER :given Z track
erythropoietin - epoetin alfa (epogen, Procrit) ANSWER :used to increased production of RBC
monitor increase in BP, Hgb, Hct
folic acid ANSWER :turn urine dark yellow
necessary for new RBC
hypovolemia causes ANSWER :peritonitis, ascites, burns , NPO
causes of dehydration ANSWER :hyperventilation
DKA
tube feeding without sufficient water intake
subjective and objective HYPOvolemia ANSWER :Hyperthermia, Tachycardia, HYPOtension
decreased central venous pressure
hypoxia
thirst, dizziness, N/V,
-poor skin turgor, tentin
lab test hypovolemia ANSWER :increased: HCT, specific gravity, NA, protein, BUN, glucose
Hypervolemia causes ANSWER :HF, cirrhosis, increased gluccorticosteroids
hypertonic fluids
