FUNDAMENTALS ATI PROCTORED EXAM 2026
COMPREHENSIVE EXAM
◉ Bowlby 4 stages of grief. Answer: Numbness of protest,
disequilibrium, disorganized/despair, reorganization
◉ Engel: 5 stages. Answer: Shock and disbelief, developing
awareness, restitution(culture/religion), resolution of loss, recovery
◉ Worden 4 tasks. Answer: Task 1: accepting
2: processing
3:adjusting
4. finding/enduring connection to loss
◉ Delayed or inhibited grief
*Distorted or exaggerated grief: somatic manifestations
*Chronic or prolonged grief: remain in the denial stage. Answer:
◉ Crisis: 4-6 weeks
*Situational/external: Job loss, severe physical illness
*Maturational/internal: Marriage
,*Adventitious: Natural disasters. Not apart of everyday life i.e. rape
or tornados. Answer:
◉ Phases of crisis:. Answer: Phase 1: Escalating anxiety
Phase 2: Trial and error attempts
Phase 3: Severe to panic levels of anxiety
Phase 4: Feelings of powerlessness and being overwhelmed
dissociative disorder
◉ Rape trauma reactions:
Expressed: Overt. Emotional outbursts (crying, hysteria, anger,
laughing)
Controlled reaction: Ambiguous. Can appear calm and have blunted
affect but can also be confused and unable to make decisions
Somatic reaction: Muscle tension, GI and GU.. Answer:
◉ Luminal (seizures). Answer: long half life: take once a day
◉ trough blood draw. Answer: immediately before next dose
◉ peak blood draw. Answer: IV - 30 minutes after completion
,◉ meds have to bind with.... Answer: receptors
◉ med dosages meed to be decreased.... Answer: if in liver failure or
concurrent use of meds metabolized by the same pathway
◉ eye drop administration. Answer: surgical aseptic technique
◉ nurse legal responsibilites. Answer: skill competency
monitor adverse effects
safe guard meds
◉ patient refuses meds. Answer: determine reason
provide info of the risks
notify MD
document
◉ nurse notes MD has doubled previous dose. Answer: check w/MD
◉ meds given on regular schedule. Answer: routine order
◉ red line on affected extremity
palpable, hard mass or band on insertion site
, pain at site. Answer: phlebitis
◉ catheter embolism. Answer: small portion of catheter breaks off
and enter venous system
◉ minimize risk of catheter embolism. Answer: once in vein, never
put stylet back through the catheter
◉ symptoms of fluid overload. Answer: shortness of breath
crackles in lungs
distended neck veins
◉ concurrent use of coumadin and aspirin...... Answer: increases risk
of bleeding
◉ first dose of penicillin, client says rash developed last time they
took it..... Answer: withhold and notify MD
◉ when administering antihypertensives, teach the client,,,. Answer:
change positions slowly (orthostatic hypotension)
◉ fewer protein-binding sites (infant).... Answer: medication effects
will be increase w/greater potential of toxicity
COMPREHENSIVE EXAM
◉ Bowlby 4 stages of grief. Answer: Numbness of protest,
disequilibrium, disorganized/despair, reorganization
◉ Engel: 5 stages. Answer: Shock and disbelief, developing
awareness, restitution(culture/religion), resolution of loss, recovery
◉ Worden 4 tasks. Answer: Task 1: accepting
2: processing
3:adjusting
4. finding/enduring connection to loss
◉ Delayed or inhibited grief
*Distorted or exaggerated grief: somatic manifestations
*Chronic or prolonged grief: remain in the denial stage. Answer:
◉ Crisis: 4-6 weeks
*Situational/external: Job loss, severe physical illness
*Maturational/internal: Marriage
,*Adventitious: Natural disasters. Not apart of everyday life i.e. rape
or tornados. Answer:
◉ Phases of crisis:. Answer: Phase 1: Escalating anxiety
Phase 2: Trial and error attempts
Phase 3: Severe to panic levels of anxiety
Phase 4: Feelings of powerlessness and being overwhelmed
dissociative disorder
◉ Rape trauma reactions:
Expressed: Overt. Emotional outbursts (crying, hysteria, anger,
laughing)
Controlled reaction: Ambiguous. Can appear calm and have blunted
affect but can also be confused and unable to make decisions
Somatic reaction: Muscle tension, GI and GU.. Answer:
◉ Luminal (seizures). Answer: long half life: take once a day
◉ trough blood draw. Answer: immediately before next dose
◉ peak blood draw. Answer: IV - 30 minutes after completion
,◉ meds have to bind with.... Answer: receptors
◉ med dosages meed to be decreased.... Answer: if in liver failure or
concurrent use of meds metabolized by the same pathway
◉ eye drop administration. Answer: surgical aseptic technique
◉ nurse legal responsibilites. Answer: skill competency
monitor adverse effects
safe guard meds
◉ patient refuses meds. Answer: determine reason
provide info of the risks
notify MD
document
◉ nurse notes MD has doubled previous dose. Answer: check w/MD
◉ meds given on regular schedule. Answer: routine order
◉ red line on affected extremity
palpable, hard mass or band on insertion site
, pain at site. Answer: phlebitis
◉ catheter embolism. Answer: small portion of catheter breaks off
and enter venous system
◉ minimize risk of catheter embolism. Answer: once in vein, never
put stylet back through the catheter
◉ symptoms of fluid overload. Answer: shortness of breath
crackles in lungs
distended neck veins
◉ concurrent use of coumadin and aspirin...... Answer: increases risk
of bleeding
◉ first dose of penicillin, client says rash developed last time they
took it..... Answer: withhold and notify MD
◉ when administering antihypertensives, teach the client,,,. Answer:
change positions slowly (orthostatic hypotension)
◉ fewer protein-binding sites (infant).... Answer: medication effects
will be increase w/greater potential of toxicity
