ATI Comprehensive Predictor Exam 2026/2027
COMPLETE STUDY GUIDE WITH VERIFIED
SOLUTIONS
• Addison's & Cushings -✓✓ Addison's = down down down up down
Cushings= up up up down up
hypo/hypernatremia, hypo/hypertension, blood volume, hypo/hyperkalemia,
hypo/hyperglycemia
• Better peripheral perfusion? -✓✓ EleVate Veins, DAngle Arteries
• APGAR -✓✓ Appearance (all pink, pink and blue, blue (pale)
Pulse (>100, <100, absent)
Grimace (cough, grimace, no response)
Activity (flexed, flaccid, limp)
Respirations (strong cry, weak cry, absent)
• Airborne precautions -✓✓ MTV or My chicken hez tb measles, chickenpox (varicella)
Herpes zoster/shingles TB
• Airborne precautions protective equip -✓✓ private room, neg pressure with 6-12 air
exchanges/hr mask & respirator N95 for TB
• Droplet precautions -✓✓ spiderman! sepsis, scarlet fever, streptococcal pharyngitis,
parvovirus, pneumonia, pertussis,
influenza,
diptheria,
epiglottitis,
rubella,
mumps, meningitis, mycoplasma or meningeal pneumonia, adeNovirus
(Private room and mask)
• Contact precaution -✓✓ MRS WHISE
protect visitors & caregivers when 3 ft of the pt.
Multidrug-resistant organisms
RSV, Shigella, Wound infections, Herpes simplex, Impetigo, Scabies, Enteric diseases
caused by micro-organisms (C diff),
Gloves and gowns worn by the caregivers and visitors
Disposal of infectious dressing material into a single, nonporous bag without touching
the outside of the bag
PMGG= Private room/ share same illness, mask, gown and gloves
,• Skin infection -✓✓ VCHIPS
Varicella zoster
Cutaneous diptheria
Herpes simplez
Impetigo
Peduculosis
Scabies
• Air or Pulmonary Embolism -✓✓ S/S chest pain, dyspnea, tachycardia, pale/cyanotic,
sense of impending doom. (turn pt to LEFT side and LOWER the head of bed.)
• Woman in labor (un-reassuring FHR) -✓✓ (late decels, decreased variability, fetal
bradycardia, etc) Turn pt on Left side, give O2, stop pitocin, Increase IV fluids!
• Tube feeding with decreased LOC -✓✓ Pt on Right side (promotes emptying of the
stomach) Head of bed elevated (prevent aspiration)
• After lumbar puncture and oil based myelogram -✓✓ pt is flat SUPINE (prevent
headache and leaking of CSF)
• Pt with heat stroke -✓✓ flat with legs elevated
• during Continuous Bladder Irrigation (CBI) -✓✓ catheter is taped to the thigh. leg must
be kept straight.
• After Myringotomy -✓✓ position on the side of AFFECTED ear, allows drainage.
• After Cateract surgery -✓✓ pt sleep on UNAFFECTED side with a night shield for 1-4
weeks
• after Thyroidectomy -✓✓ low or semi-fowler's position, support head, neck and
shoulders.
• Infant with Spina Bifida -✓✓ Prone so that sac does not rupture
• Buck's Traction (skin) -✓✓ elevate foot of bed for counter traction
• After total hip replacement -✓✓ don't sleep on side of surgery, don't flex hip more than
45-60 degress, don't elevate Head Of Bed more than 45 degrees. Maintain hip
abduction by separating thighs with pillows.
• Prolapsed cord -✓✓ Knee to chest or Trendelenburg
oxygen 8 to 10 L
, • Cleft Lip -✓✓ position on back or in infant seat to prevent trauma to the suture line.
while feeding hold in upright position.
• To prevent dumping syndrome -✓✓ (post operative ulcer/stomach surgeries) eat in
reclining position. Lie down after meals for 20-30 min. also restrict fluids during meals,
low CHO and fiber diet. small, frequent meals.
• AKA (above knee amputation) -✓✓ elevate for first 24 hours on pillow. position prone
daily to maintain hip extension.
• BKA (below knee amputation) -✓✓ foot of bed elevated for first 24 hours. position
prone to provide hip extension.
• detached retina -✓✓ area of detachment should be in the dependent position
• administration of enema -✓✓ pt should be left side lying (Sim's) with knee flexed.
• After supratentorial surgery -✓✓ (incision behind hairline on forhead) elevate HOB 30-
40 degrees
• After infratentorial surgery -✓✓ (incision at the nape of neck) position pt flat and lateral
on either side.
• During internal radiation -✓✓ on bed rest while implant in place
• Autonomic Dysreflexia/Hyperreflexia -✓✓ S/S pounding headache, profuse sweating,
nasal congestion, chills, bradycardia, hypertension. Place client in sitting position
(elevate HOB) FIRST!
• Shock -✓✓ bedrest with extremities elevated 20 degrees. knees straight, head slightly
elevated (modified Trendelenberg)
• Head Injury -✓✓ elevate HOB 30 degrees to decrease ICP
• Peritoneal Dialysis (when outflow is inadequate) -✓✓ turn pt from side to side
BEFORE checking for kinks in tubing
• Lumbar Puncture -✓✓ After the procedure, the pt should be supine for 4-12 hours as
prescribed.
• Myesthenia Gravis -✓✓ worsens with exercise and improves with rest
• Myesthenia Gravis -✓✓ a positive reaction to Tensilon---will improve symptoms
COMPLETE STUDY GUIDE WITH VERIFIED
SOLUTIONS
• Addison's & Cushings -✓✓ Addison's = down down down up down
Cushings= up up up down up
hypo/hypernatremia, hypo/hypertension, blood volume, hypo/hyperkalemia,
hypo/hyperglycemia
• Better peripheral perfusion? -✓✓ EleVate Veins, DAngle Arteries
• APGAR -✓✓ Appearance (all pink, pink and blue, blue (pale)
Pulse (>100, <100, absent)
Grimace (cough, grimace, no response)
Activity (flexed, flaccid, limp)
Respirations (strong cry, weak cry, absent)
• Airborne precautions -✓✓ MTV or My chicken hez tb measles, chickenpox (varicella)
Herpes zoster/shingles TB
• Airborne precautions protective equip -✓✓ private room, neg pressure with 6-12 air
exchanges/hr mask & respirator N95 for TB
• Droplet precautions -✓✓ spiderman! sepsis, scarlet fever, streptococcal pharyngitis,
parvovirus, pneumonia, pertussis,
influenza,
diptheria,
epiglottitis,
rubella,
mumps, meningitis, mycoplasma or meningeal pneumonia, adeNovirus
(Private room and mask)
• Contact precaution -✓✓ MRS WHISE
protect visitors & caregivers when 3 ft of the pt.
Multidrug-resistant organisms
RSV, Shigella, Wound infections, Herpes simplex, Impetigo, Scabies, Enteric diseases
caused by micro-organisms (C diff),
Gloves and gowns worn by the caregivers and visitors
Disposal of infectious dressing material into a single, nonporous bag without touching
the outside of the bag
PMGG= Private room/ share same illness, mask, gown and gloves
,• Skin infection -✓✓ VCHIPS
Varicella zoster
Cutaneous diptheria
Herpes simplez
Impetigo
Peduculosis
Scabies
• Air or Pulmonary Embolism -✓✓ S/S chest pain, dyspnea, tachycardia, pale/cyanotic,
sense of impending doom. (turn pt to LEFT side and LOWER the head of bed.)
• Woman in labor (un-reassuring FHR) -✓✓ (late decels, decreased variability, fetal
bradycardia, etc) Turn pt on Left side, give O2, stop pitocin, Increase IV fluids!
• Tube feeding with decreased LOC -✓✓ Pt on Right side (promotes emptying of the
stomach) Head of bed elevated (prevent aspiration)
• After lumbar puncture and oil based myelogram -✓✓ pt is flat SUPINE (prevent
headache and leaking of CSF)
• Pt with heat stroke -✓✓ flat with legs elevated
• during Continuous Bladder Irrigation (CBI) -✓✓ catheter is taped to the thigh. leg must
be kept straight.
• After Myringotomy -✓✓ position on the side of AFFECTED ear, allows drainage.
• After Cateract surgery -✓✓ pt sleep on UNAFFECTED side with a night shield for 1-4
weeks
• after Thyroidectomy -✓✓ low or semi-fowler's position, support head, neck and
shoulders.
• Infant with Spina Bifida -✓✓ Prone so that sac does not rupture
• Buck's Traction (skin) -✓✓ elevate foot of bed for counter traction
• After total hip replacement -✓✓ don't sleep on side of surgery, don't flex hip more than
45-60 degress, don't elevate Head Of Bed more than 45 degrees. Maintain hip
abduction by separating thighs with pillows.
• Prolapsed cord -✓✓ Knee to chest or Trendelenburg
oxygen 8 to 10 L
, • Cleft Lip -✓✓ position on back or in infant seat to prevent trauma to the suture line.
while feeding hold in upright position.
• To prevent dumping syndrome -✓✓ (post operative ulcer/stomach surgeries) eat in
reclining position. Lie down after meals for 20-30 min. also restrict fluids during meals,
low CHO and fiber diet. small, frequent meals.
• AKA (above knee amputation) -✓✓ elevate for first 24 hours on pillow. position prone
daily to maintain hip extension.
• BKA (below knee amputation) -✓✓ foot of bed elevated for first 24 hours. position
prone to provide hip extension.
• detached retina -✓✓ area of detachment should be in the dependent position
• administration of enema -✓✓ pt should be left side lying (Sim's) with knee flexed.
• After supratentorial surgery -✓✓ (incision behind hairline on forhead) elevate HOB 30-
40 degrees
• After infratentorial surgery -✓✓ (incision at the nape of neck) position pt flat and lateral
on either side.
• During internal radiation -✓✓ on bed rest while implant in place
• Autonomic Dysreflexia/Hyperreflexia -✓✓ S/S pounding headache, profuse sweating,
nasal congestion, chills, bradycardia, hypertension. Place client in sitting position
(elevate HOB) FIRST!
• Shock -✓✓ bedrest with extremities elevated 20 degrees. knees straight, head slightly
elevated (modified Trendelenberg)
• Head Injury -✓✓ elevate HOB 30 degrees to decrease ICP
• Peritoneal Dialysis (when outflow is inadequate) -✓✓ turn pt from side to side
BEFORE checking for kinks in tubing
• Lumbar Puncture -✓✓ After the procedure, the pt should be supine for 4-12 hours as
prescribed.
• Myesthenia Gravis -✓✓ worsens with exercise and improves with rest
• Myesthenia Gravis -✓✓ a positive reaction to Tensilon---will improve symptoms
