ATI PN COMPREHENSIVE EXIT EXAM 2026
ACTUAL EXAM 180 QUESTIONS AND
CORRECT DETAILED ANSWERS EXAM
STUDY GUIDE COMPREHENSIVE
EXAMINATION TEST
⩥ 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
⩥ S & SX HYPERvolemia. Answer: bounding pulse, increased CVP,
HYPERtension, confusion, muscle weakness, ascites, diminished breath
sounds, distended neck veins
⩥ lab test HYPERvolemia. Answer: Decreased: HCT, BUN, electro
respiratory alkalosis PaCO2 less than 35, increased PH
ACTUAL EXAM 180 QUESTIONS AND
CORRECT DETAILED ANSWERS EXAM
STUDY GUIDE COMPREHENSIVE
EXAMINATION TEST
⩥ 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
⩥ S & SX HYPERvolemia. Answer: bounding pulse, increased CVP,
HYPERtension, confusion, muscle weakness, ascites, diminished breath
sounds, distended neck veins
⩥ lab test HYPERvolemia. Answer: Decreased: HCT, BUN, electro
respiratory alkalosis PaCO2 less than 35, increased PH
