1
COMPREHENSIVE ATI EXAM PN AND LPN
NURSING ACTUAL EXAMS STUDY GUIDE REVIEW
ALLERGIES
- Iodine/shellfish: during CT scans and cardiac catheterization procedures
- Gadolinium (non-iodine contrast material): during
MRI, MRCP MRI
- Contraindications: aneurysm clips, metallic implants
such as ICDs, pacemakers, electronic devices,
hearing aids, and shrapnel.
- Non-invasive test that does not require anesthesia or the use of iodine.
- Gadolinium contrast is used instead
- Loud noise and claustrophobia
Basic Life Support after assessing responsiveness (unconscious and
unresponsive client):
- Verify loss of consciousness with a sterna rub; check breathing for 5-10
seconds
- Activate the Emergency response system by calling 911 or code, get AED
- Check carotid pulse 5-10 seconds to verify cardiac arrest
- Attempt CPR if no pulse
- Notify HCP
Disorders of the aortic valve are best auscultated over the aortic area
- Right sternal border, second intercostals space
Steps to assess the abdomen
- Stand at client’s RIGHT side; inspect; auscultate;
Percuss; palpate VACCINES
,2
- Tdap given to pregnant women ideally between 27th and
the end of the 36th week of gestation.
- Influenza inactivated IM can be given during pregnancy from Oct-March
- Influenza nasal spray is a live vaccine, given to those between 2-
49 y/o. These are not safe for pregnant women as it is harmful
to the development of the fetus and embryo.
- MMR is live and is not safe for pregnant women d/t risk of
birth defects and miscarriage from rubella component.
- Varicella (chickenpox) is a category X, live, attenuated vaccine
that is contraindicated for pregnancy or a planned pregnancy
within 4 weeks of administration. Can be given after birth to a
woman who is breastfeeding her infant.
Cholecystectomy
,3
- After the procedure: place in SIMS position. It helps prevent
respiratory complications. It helps with the movement of CO2
used during surgery to fill the abdominal cavity. CO2 can irritate
the phrenic nerve and diaphragm, causing breathing difficulty.
- Diet : related to weight reduction and maintaining
a low fat diet. Agoraphobic fears:
- Being outside home alone
- Being in a crowd or standing in line
- Traveling in a bus, train, car, ship, airplane
- Being on a bridge or in a tunnel
- Being in open spaces (parking lots, market places)
- Being in enclosed spaces (theaters, concert halls, stores)
Its intense anxiety about being in a situation from which there
may be difficulty escaping in the event of a panic attack.
Fluoxetine (Prozac)
- Antidepressant
Asystole
- Total absence of ventricular electrical activity (pulseless, apneic,
unresponsive)
- Treatment: CPR, ACLS, epinephrine and/or vasopressin,
advanced airway use, and any reversible treatment.
- Vasopressin is a vasopressor, that increases vasoconstriction and MAP
ACE Inhibitors
- Cause angioedema (rapid swelling of the lips, tongue, throat, face, and
larynx).
- It can lead to airway obstruction and possible death if not treated
immediately.
, 4
- Risk is 5X greater in African Americans than in Caucasians.
- d/c drug and notify immediately
- Common adverse effects: persistent dry cough d/t the buildup of
bradykinin in the lung; orthostatic hypotension (dizzy) and
hyperkalemia).
Tumor Lysis syndrome
- A complication of chemotherapy is acute tumor lysis syndrome (TLS).
- It’s a rapid release of intracellular components into the
bloodstream. Massive cell lysis releases intracellular ions (K,
Phos) and nucleic acids into the bloodstream.
- Catabolism of the nucleic acids produce uric acid, resulting in severe
Hyperuricemia.
- Released phosphorus binds calcium, producing calcium
phosphate mixture but lowering serum calcium levels. Both
calcium phos. And uric acid are deposited into the kidneys,
causing renal injury.
COMPREHENSIVE ATI EXAM PN AND LPN
NURSING ACTUAL EXAMS STUDY GUIDE REVIEW
ALLERGIES
- Iodine/shellfish: during CT scans and cardiac catheterization procedures
- Gadolinium (non-iodine contrast material): during
MRI, MRCP MRI
- Contraindications: aneurysm clips, metallic implants
such as ICDs, pacemakers, electronic devices,
hearing aids, and shrapnel.
- Non-invasive test that does not require anesthesia or the use of iodine.
- Gadolinium contrast is used instead
- Loud noise and claustrophobia
Basic Life Support after assessing responsiveness (unconscious and
unresponsive client):
- Verify loss of consciousness with a sterna rub; check breathing for 5-10
seconds
- Activate the Emergency response system by calling 911 or code, get AED
- Check carotid pulse 5-10 seconds to verify cardiac arrest
- Attempt CPR if no pulse
- Notify HCP
Disorders of the aortic valve are best auscultated over the aortic area
- Right sternal border, second intercostals space
Steps to assess the abdomen
- Stand at client’s RIGHT side; inspect; auscultate;
Percuss; palpate VACCINES
,2
- Tdap given to pregnant women ideally between 27th and
the end of the 36th week of gestation.
- Influenza inactivated IM can be given during pregnancy from Oct-March
- Influenza nasal spray is a live vaccine, given to those between 2-
49 y/o. These are not safe for pregnant women as it is harmful
to the development of the fetus and embryo.
- MMR is live and is not safe for pregnant women d/t risk of
birth defects and miscarriage from rubella component.
- Varicella (chickenpox) is a category X, live, attenuated vaccine
that is contraindicated for pregnancy or a planned pregnancy
within 4 weeks of administration. Can be given after birth to a
woman who is breastfeeding her infant.
Cholecystectomy
,3
- After the procedure: place in SIMS position. It helps prevent
respiratory complications. It helps with the movement of CO2
used during surgery to fill the abdominal cavity. CO2 can irritate
the phrenic nerve and diaphragm, causing breathing difficulty.
- Diet : related to weight reduction and maintaining
a low fat diet. Agoraphobic fears:
- Being outside home alone
- Being in a crowd or standing in line
- Traveling in a bus, train, car, ship, airplane
- Being on a bridge or in a tunnel
- Being in open spaces (parking lots, market places)
- Being in enclosed spaces (theaters, concert halls, stores)
Its intense anxiety about being in a situation from which there
may be difficulty escaping in the event of a panic attack.
Fluoxetine (Prozac)
- Antidepressant
Asystole
- Total absence of ventricular electrical activity (pulseless, apneic,
unresponsive)
- Treatment: CPR, ACLS, epinephrine and/or vasopressin,
advanced airway use, and any reversible treatment.
- Vasopressin is a vasopressor, that increases vasoconstriction and MAP
ACE Inhibitors
- Cause angioedema (rapid swelling of the lips, tongue, throat, face, and
larynx).
- It can lead to airway obstruction and possible death if not treated
immediately.
, 4
- Risk is 5X greater in African Americans than in Caucasians.
- d/c drug and notify immediately
- Common adverse effects: persistent dry cough d/t the buildup of
bradykinin in the lung; orthostatic hypotension (dizzy) and
hyperkalemia).
Tumor Lysis syndrome
- A complication of chemotherapy is acute tumor lysis syndrome (TLS).
- It’s a rapid release of intracellular components into the
bloodstream. Massive cell lysis releases intracellular ions (K,
Phos) and nucleic acids into the bloodstream.
- Catabolism of the nucleic acids produce uric acid, resulting in severe
Hyperuricemia.
- Released phosphorus binds calcium, producing calcium
phosphate mixture but lowering serum calcium levels. Both
calcium phos. And uric acid are deposited into the kidneys,
causing renal injury.
