Ati comprehensive exit exam comprehensive ati exit exam 2024,.

ATI COMPREHENSIVE EXIT EXAM(
x x x x




NGN ATI) x




1. Treatxfirstxanyximmediatexthreatsxtoxaxpatient'sxsurvivalxorxsafety.

Ex.xobstructedxairway,xlossxofxconsciousness,xpsychologicalxepisodexorxanxietyxattack.x

ABC's.

2. Next,xtreatxactualxproblems.xEx.xnausea,xfullxbowelxorxbladder,xcomfortxmeasures.

3. Then,xtreatxrelativelyxurgentxactualxorxpotentialxproblemsxthatxthexpatientxorxfamilyxdoesxnotxreco
gnize.xEx.xMonitoringxforxpost-
opxcomplications,xanticipatingxteachingxneedsxofxaxpatientxthatxmayxbexunawarexofxsidexeffectsxofxm
eds.

4. Lastly,xtreatxactualxorxpotentialxproblemsxwherexhelpxmayxbexneededxinxthexfuture.

ExxTeachingxforxself-carexinxthexhome.

Herexarexsomexgreatxprinciplesxtoxhelpxyouxasxyouxprioritize:

,Systemicxbeforexlocalx

Acutexbeforexchronicx

Actualxbeforexpotentialx

Listenxdon'txassume

Recognizexfirstxthenxapplyxclinicalxknowledgex

Maslow'sxHierarchyxofxNeeds:

PrioritizexaccordingxtoxMaslowxwithxphysiologicalxandxsafetyxissuesxbeforexpsychologicalxesteemxi
ssues.

Variantxanginax(Prinzmetal'sxangina)
Duextoxaxcoronaryxarteryxspasm,xofteningxoccurringxduringxperiodsxofxrest.

Unstablexangina
Occursxwithxexercisexorxemotionalxstress,xbutxitxincreasesxinxoccurrence,xseverity,xandxdurationxo
verxtime.

Stablexangina
Occursxwithxexercisexorxemotionalxstressxandxisxrelievedxbyxrestxorxnitroglycerinx(Nitrostat).

electrolyteximbalancexmanifestations:x
hypocakelmia-->xflatxTxwavesxonxECG

hypercalcemia--

>xdecreasedxdeepxtendonxreflexesx(DTRs)xhypocalcemia--

>xtetany

hyperkalemia-->xtallxpeakedxTxwavesxonxECG

Addison'sxdisease
Decreasedxaldosteronexandxrenin

Hypothyroidism
Decreasedxtriiodothyroninex(T3)xandxthyroxine

,Cushing'sxdiseasex
Elevatedxcortisol

DiabetesxInsipidusx(DI)xDecreas
edxurinexspecificxgravity

Diabetesxmelitus
Elevatedxglycosylatedxhemoglobinx(HbA1c)

SyndromexofxInappropriatexSecretionxofxAntidiureticxHormonexI
ncreasedxurinexosmolality

Cataract
Progressivexandxpainlessxlossxofxvision

Angle-
closurexglaucomaxRapidxons
etxofxelevatedxIOP

macularxdegenerationx
Centralxlossxofxvision

Open-
anglexgalucomaxLossxofx
peripheralxvision

Retinalxdetachment
Suddenxlossxofxvisionxwithoutxpain

Commonxdisease'sxmanifestationsx
Cholecystitis-->xMurphy'sxsign

Pancreatitis-->xTurner'sxsign

PepticxUlcerxDisease-->xUpperxepigastricxpainx1-

2xhoursxafterxmealsxAppendicits-->xPainxatxMcBurney'sxpoint

Decorticate

, Decerebrate



Hepatitisxdiseasextransmissions
HepatitisxA--

>xIngestionsxoxcontaminatedxfood/waterxHepatitisxB--

>xUnprotectedxsexualxcontact

NonviralxHepatits-->xDrugxtoxicity

HeartxFailure
Symptoms:xShortnessxofxbreath,xfatigue,xjugularxveinxdistention,xandxanxS3xarexsigns/symptomsxofxh
eartxfailurexresultingxfromxthexdecreasedxpumpingxabilityxofxthexheartxandxincreasedxfluidxvolume.

Hypovolemicxshock
position:xSupinexwithxlegsxelevatedx(shockxposition)

Below-the-kneexamputation
Position:xThexclientxshouldxbexplacedxinxthexpronexpositionxseveralxtimesxaxdayxtoxpreventxhipxfl
exionxcontractions.

Chestxtube
-
Continuousxbublingxinxthexwaterxsealxchampersxindicatesxanxairxleak.xIfxthisxisxobserved,xthexnurs
exshouldxattemptxtoxlocatedxthexsourcexofxthexairxleakxandxintervenexaccordinglyx(tightenxthexconne
ctions,xreplacexdrainagexsystem)

Compartmentxsyndrome
Symptoms:xPulselessnessx(latexsign),xIncreasedxpainxunrelievedxwithxelevationxorxbyxpainx
medication

Leftxhomonymousxhemianopsia
hasxlostxthexleftxvisualxfieldxofxbothxeyes.xTheyxarexunablextoxvisualizexanythingxtoxthexleftxofxm
idlinexofxthexbody.

dialysisxfistula
clientxteaching:xavoidxliftingxheavyxobjectsxwithxaccess-
sitexarm,xavoidxcarryingxobjectsxthatxcompressxthexextremity,xavoidxsleepingxonxtopxofxthexextrem
ityxwithxthexaccessxdevice,xperform