ATI RN Comprehensive Predictor Exam 2023/2024(Det
g g g g g g
ail Solutions and Resource for the test)
g g g g g g
AginggProcess
NewborngAssessment:gExpectedgFindingsg
● NormalgAssessmentgFindingsgforgHead:gShouldgbeg2-
3gcmglargergthangchest.g
● Anteriorgfontanelgshouldgbegpalpatedgandgapproximatelyg5gcmgong
averagegandgdiamondgshaped.g
● Posteriorgfontanelgisgsmallergandgtriangle-
shaped.gShouldgbegsoftgandgflat.gMoldinggofgsuturesgisgnormal.g
PsychosocialgIntegrity
CrisisgIntervention
SexualgAssault:gPrioritygInterventiong
● Providegagprivategenvironmentgandglimitgpersonnelgwhogexaminegthegclient.g
● Assessgclientgemotionsgandgprovidegsupportg
● Assess,gtreat,gandgdocumentgallginjuriesg
● Usegagnongjudgementalgandgempatheticgapproachg
Abuse/Neglect
PsychosocialgIssuesgofgInfants,gChildren,gandgAdolescents:gCaringgforgagChildgWhog
,ReportsgSexualgAbuseg
● Removegthegchildgfromgthegsituationg
● Mandatorygreportinggforgallghealthgcaregworkers;gtheregaregcivilgandg
criminalgpenaltiesgforgnotgreportingg
● AssessgforgunusualgbruisinggongABD,gbackgandgbuttocksg
,Sensory/PerceptualgAlterations
EffectivegCommunication:gRespondinggtogagClientgWhogIsgObesegandgIsgCryinggPsychoti
cgDisorders:gCaringgForgagClientgWhogIsgExperiencinggDelusionsg
● Askgthegclientgdirectlygaboutghallucinations.gThegnursegshouldgnotgarguegorgorg
agreegwithgthegclient’sgviewgofgthegsituation.g
● Dognotgarguegwithgagclient’sgdelusions,gbutgfocusgongthegclient’sgfeelingsgandg
possiblygoffergreasonablegexplanations.g
● Assessgthegclientgforgparanoidgdelusions,gwhichgcangincreasegthegriskgforg
violencegagainstgothers.g
BasicgCaregandgComfort
Elimination
PostpartumgPhysiologicalgAdaptations:gInterventionsgtogPromotegVoidingg
● Assistgwithgfrequentgurinationg
● Providegnoninvasivegmeasuresgtogpromotegurinationg
● Performgbladdergscang
NutritiongandgOralgHydration
Burns:gSupportinggNutritionalgRequirementsg
● Clientgwithgaglargegburnginjurygwillgbegingaghypermetabolicgstategandgmayg
exceedg5,000gcalories/dayg
● Increasegproteingintakegtogpreventgtissuegbreakdowngandgpromoteghealingg
● EnteralgorgtotalgparenteralgtherapygisgoftengnecessarygMedicatio
nsgforgDepressivegDisorders:gFoodgandgMedicationgInteractiong
● MAOIs-gavoidgfoodsgcontaininggtyramineg(meats,gcheeses,galcohol)g
● SSRIg&gSNRI-gavoidgalcoholg
● Tricyclic-gdognotgadministergwithgMAOIsgorgSt.gJohn'sgWartg
, RenalgDisorders:gTeachinggagClientgWhogHasgChronicgKidneygDiseaseg
● StrictgI&Osg
g g g g g g
ail Solutions and Resource for the test)
g g g g g g
AginggProcess
NewborngAssessment:gExpectedgFindingsg
● NormalgAssessmentgFindingsgforgHead:gShouldgbeg2-
3gcmglargergthangchest.g
● Anteriorgfontanelgshouldgbegpalpatedgandgapproximatelyg5gcmgong
averagegandgdiamondgshaped.g
● Posteriorgfontanelgisgsmallergandgtriangle-
shaped.gShouldgbegsoftgandgflat.gMoldinggofgsuturesgisgnormal.g
PsychosocialgIntegrity
CrisisgIntervention
SexualgAssault:gPrioritygInterventiong
● Providegagprivategenvironmentgandglimitgpersonnelgwhogexaminegthegclient.g
● Assessgclientgemotionsgandgprovidegsupportg
● Assess,gtreat,gandgdocumentgallginjuriesg
● Usegagnongjudgementalgandgempatheticgapproachg
Abuse/Neglect
PsychosocialgIssuesgofgInfants,gChildren,gandgAdolescents:gCaringgforgagChildgWhog
,ReportsgSexualgAbuseg
● Removegthegchildgfromgthegsituationg
● Mandatorygreportinggforgallghealthgcaregworkers;gtheregaregcivilgandg
criminalgpenaltiesgforgnotgreportingg
● AssessgforgunusualgbruisinggongABD,gbackgandgbuttocksg
,Sensory/PerceptualgAlterations
EffectivegCommunication:gRespondinggtogagClientgWhogIsgObesegandgIsgCryinggPsychoti
cgDisorders:gCaringgForgagClientgWhogIsgExperiencinggDelusionsg
● Askgthegclientgdirectlygaboutghallucinations.gThegnursegshouldgnotgarguegorgorg
agreegwithgthegclient’sgviewgofgthegsituation.g
● Dognotgarguegwithgagclient’sgdelusions,gbutgfocusgongthegclient’sgfeelingsgandg
possiblygoffergreasonablegexplanations.g
● Assessgthegclientgforgparanoidgdelusions,gwhichgcangincreasegthegriskgforg
violencegagainstgothers.g
BasicgCaregandgComfort
Elimination
PostpartumgPhysiologicalgAdaptations:gInterventionsgtogPromotegVoidingg
● Assistgwithgfrequentgurinationg
● Providegnoninvasivegmeasuresgtogpromotegurinationg
● Performgbladdergscang
NutritiongandgOralgHydration
Burns:gSupportinggNutritionalgRequirementsg
● Clientgwithgaglargegburnginjurygwillgbegingaghypermetabolicgstategandgmayg
exceedg5,000gcalories/dayg
● Increasegproteingintakegtogpreventgtissuegbreakdowngandgpromoteghealingg
● EnteralgorgtotalgparenteralgtherapygisgoftengnecessarygMedicatio
nsgforgDepressivegDisorders:gFoodgandgMedicationgInteractiong
● MAOIs-gavoidgfoodsgcontaininggtyramineg(meats,gcheeses,galcohol)g
● SSRIg&gSNRI-gavoidgalcoholg
● Tricyclic-gdognotgadministergwithgMAOIsgorgSt.gJohn'sgWartg
, RenalgDisorders:gTeachinggagClientgWhogHasgChronicgKidneygDiseaseg
● StrictgI&Osg
