ATI COMPREHENSIVE PREDICTOR FINAL
EXIT EXAM UPDATE!!!
ECG - ANSWERS-no sleep the night before, meals allowed, no
stimulants/tranquilizers for 24-48 hours before. may be asked to hyperventilate 3-4 min
and watch a bright flashing light. watch for seizures after the procedure.
eclampsia is a seizure - ANSWERS-medicines given magnesium sulfate before
delivery of the baby & 24 hours after delivery -MEDICAL EMERGENCY!
-Support through seizures and potential coma
-Ensure patent airway, O2 support
-DIC management
-Delivery of fetus
-Emtional support if delivery prior to age of viability
-Severe HTN: seizures may still occur 24-48 hours PP; monitor mag sulfate or
hydralazine if continued PP
Edema is located - ANSWERS-in the interstitial space, not the cardiovascular space
(outside of the circulatory system)
emphysema - ANSWERS-barrel chest
Enalopril (Vasotec) - ANSWERS-Ace
inhibitor Can induce K retention
Fat embolism - ANSWERS-blood tinged sputum r/t inflammations. Increase ESR,
respiratory alkalosis. Hypocalcemia, increased serum lipids.
FHR patterns for OB - ANSWERS-Think VEAL
CHOP! V-variable decels; C- cord compression
caused
E-early decels; H- head compression caused
A-accels; O-okay, no problem
L- late decels; P- placental insufficiency, can't fill
first sign of PE - ANSWERS-sudden chest pain followed by dyspnea and tachypnea
five interventions for psych patients - ANSWERS-safety
setting limits
establish trusting relationship
meds
,least restrictive methods/environment
flumazenil, Romazicon - ANSWERS-benzo overdose
,For neutropenic pts - ANSWERS-no fresh flowers, fresh fruits or veggies and no milk
for phobias - ANSWERS-use systematic desensitization
Glasgow coma scale - ANSWERS-eyes, verbal,
motor Max- 15 pts, below 8= coma
Glaucoma - ANSWERS-No atropine!
glaucoma - ANSWERS-painful vision loss. tunnel vision. halo
Glaucoma patients lose - ANSWERS-peripheral vision.
Glomuloneprhitis - ANSWERS-the most important assessment is blood pressure
acute inflammation of the kidneys
Glucagon increases the effects of? - ANSWERS-anticoagulants
Grave's Disease/ hyperthyroidism - ANSWERS-accelerated physical and mental
function. Sensitivity to heat. Fine/soft hair.
Gullian -Barre syndrome - ANSWERS-ascending paralysis. watch for respiratory
problems.
Gullian-barre syndrome - ANSWERS-ascending muscle weakness and tingling in your
extremities. immune system attacks the nerves
Guthrie test - ANSWERS-Tests for PKU. Baby should have eaten protein first
Haldol - ANSWERS-*schizophrenia and prevents vomiting*
1. monitor for akathsia
2. causes sedation
Head Injury - ANSWERS-elevate HOB 30 degrees to decrease ICP
Head injury or skull fx - ANSWERS-no nasotracheal suctioning
Heart Failure - ANSWERS-1. high fowler's position
2. Diuretics: decrease preload
3. Ace inhibs: reduce after load (contra if have renal failure)
4. angiotension receptor blockers (Cozaar): reduce after load (contra if have renal
failure)
5. Inotropic agents (digoxin, dopamine, dobutamine, and milronone): increase
contractility therefore increase cardiac output
, 6. Vasodilators (nitro, Imdur): *prevent coronary artery vasospasm and reduce preload
and afterload, decreasing myocardial oxygen demand*
7. Anticoagulants (heparin)
heat/cold - ANSWERS-hot for chronic pain; cold for accute pain (sprain etc)
hemophilia is x linked - ANSWERS-passed from mother to son
Heparin - ANSWERS-*inhibits blood clotting*
1. APTT and PTT to monitor
2. Anecdote: protamine sulfate
Hepatitis A - ANSWERS-Ends in a vowel, comes from the bowel
Hepatitis B - ANSWERS-B= blood and body fluids (hep c is the same)
Heroin withdrawal neonate - ANSWERS-irritable, poor sucking
Hiatial Hernia - ANSWERS-occult bleeding is common
-expect changes in Hgb and Hct
Hirschprung's - ANSWERS-diagnosed with rectal biopsy. S/S infant-failure to pass
meconium and later the classic ribbon-like/foul smelling stools
Hodgkin's disease - ANSWERS-cancer of the lymph. very curable in early stages
hungtington's - ANSWERS-50% genetic autosomal dominanat disorder.. s/s
uncontrolled muscle movements of face, limbs and body. no cure
Hyper reflexes
absent reflexes - ANSWERS-upper motor neuron issue (your reflexes are over the top)
Lower motor neuron issue
Hyper-parathyroid - ANSWERS-fatigue, muscle weakness, renal calculi, back and joint
pain (increased calcium) give a low calcium high phosphorous diet
Hypercalcemia - ANSWERS-muscle weakness, lack of coordination, abdominal pain,
confusion, absent tendon reflexes, shallow respirations, emergency!
Hyperkalemia - ANSWERS-MURDER Muscle weakness, Urine (olig, anuria) Resp
depression, decreased cardiac contractility, ECG changes, reflexes
Hypermagnesium - ANSWERS-depresses the CNS. Hypotension, facial flushing,
muscle weakness, absent deep tendon reflexes, shallow respirations. EMERGENCY
EXIT EXAM UPDATE!!!
ECG - ANSWERS-no sleep the night before, meals allowed, no
stimulants/tranquilizers for 24-48 hours before. may be asked to hyperventilate 3-4 min
and watch a bright flashing light. watch for seizures after the procedure.
eclampsia is a seizure - ANSWERS-medicines given magnesium sulfate before
delivery of the baby & 24 hours after delivery -MEDICAL EMERGENCY!
-Support through seizures and potential coma
-Ensure patent airway, O2 support
-DIC management
-Delivery of fetus
-Emtional support if delivery prior to age of viability
-Severe HTN: seizures may still occur 24-48 hours PP; monitor mag sulfate or
hydralazine if continued PP
Edema is located - ANSWERS-in the interstitial space, not the cardiovascular space
(outside of the circulatory system)
emphysema - ANSWERS-barrel chest
Enalopril (Vasotec) - ANSWERS-Ace
inhibitor Can induce K retention
Fat embolism - ANSWERS-blood tinged sputum r/t inflammations. Increase ESR,
respiratory alkalosis. Hypocalcemia, increased serum lipids.
FHR patterns for OB - ANSWERS-Think VEAL
CHOP! V-variable decels; C- cord compression
caused
E-early decels; H- head compression caused
A-accels; O-okay, no problem
L- late decels; P- placental insufficiency, can't fill
first sign of PE - ANSWERS-sudden chest pain followed by dyspnea and tachypnea
five interventions for psych patients - ANSWERS-safety
setting limits
establish trusting relationship
meds
,least restrictive methods/environment
flumazenil, Romazicon - ANSWERS-benzo overdose
,For neutropenic pts - ANSWERS-no fresh flowers, fresh fruits or veggies and no milk
for phobias - ANSWERS-use systematic desensitization
Glasgow coma scale - ANSWERS-eyes, verbal,
motor Max- 15 pts, below 8= coma
Glaucoma - ANSWERS-No atropine!
glaucoma - ANSWERS-painful vision loss. tunnel vision. halo
Glaucoma patients lose - ANSWERS-peripheral vision.
Glomuloneprhitis - ANSWERS-the most important assessment is blood pressure
acute inflammation of the kidneys
Glucagon increases the effects of? - ANSWERS-anticoagulants
Grave's Disease/ hyperthyroidism - ANSWERS-accelerated physical and mental
function. Sensitivity to heat. Fine/soft hair.
Gullian -Barre syndrome - ANSWERS-ascending paralysis. watch for respiratory
problems.
Gullian-barre syndrome - ANSWERS-ascending muscle weakness and tingling in your
extremities. immune system attacks the nerves
Guthrie test - ANSWERS-Tests for PKU. Baby should have eaten protein first
Haldol - ANSWERS-*schizophrenia and prevents vomiting*
1. monitor for akathsia
2. causes sedation
Head Injury - ANSWERS-elevate HOB 30 degrees to decrease ICP
Head injury or skull fx - ANSWERS-no nasotracheal suctioning
Heart Failure - ANSWERS-1. high fowler's position
2. Diuretics: decrease preload
3. Ace inhibs: reduce after load (contra if have renal failure)
4. angiotension receptor blockers (Cozaar): reduce after load (contra if have renal
failure)
5. Inotropic agents (digoxin, dopamine, dobutamine, and milronone): increase
contractility therefore increase cardiac output
, 6. Vasodilators (nitro, Imdur): *prevent coronary artery vasospasm and reduce preload
and afterload, decreasing myocardial oxygen demand*
7. Anticoagulants (heparin)
heat/cold - ANSWERS-hot for chronic pain; cold for accute pain (sprain etc)
hemophilia is x linked - ANSWERS-passed from mother to son
Heparin - ANSWERS-*inhibits blood clotting*
1. APTT and PTT to monitor
2. Anecdote: protamine sulfate
Hepatitis A - ANSWERS-Ends in a vowel, comes from the bowel
Hepatitis B - ANSWERS-B= blood and body fluids (hep c is the same)
Heroin withdrawal neonate - ANSWERS-irritable, poor sucking
Hiatial Hernia - ANSWERS-occult bleeding is common
-expect changes in Hgb and Hct
Hirschprung's - ANSWERS-diagnosed with rectal biopsy. S/S infant-failure to pass
meconium and later the classic ribbon-like/foul smelling stools
Hodgkin's disease - ANSWERS-cancer of the lymph. very curable in early stages
hungtington's - ANSWERS-50% genetic autosomal dominanat disorder.. s/s
uncontrolled muscle movements of face, limbs and body. no cure
Hyper reflexes
absent reflexes - ANSWERS-upper motor neuron issue (your reflexes are over the top)
Lower motor neuron issue
Hyper-parathyroid - ANSWERS-fatigue, muscle weakness, renal calculi, back and joint
pain (increased calcium) give a low calcium high phosphorous diet
Hypercalcemia - ANSWERS-muscle weakness, lack of coordination, abdominal pain,
confusion, absent tendon reflexes, shallow respirations, emergency!
Hyperkalemia - ANSWERS-MURDER Muscle weakness, Urine (olig, anuria) Resp
depression, decreased cardiac contractility, ECG changes, reflexes
Hypermagnesium - ANSWERS-depresses the CNS. Hypotension, facial flushing,
muscle weakness, absent deep tendon reflexes, shallow respirations. EMERGENCY
