ATI Comp Predictor-Study Guide
Do not delegate -ANSWER-What you can EAT E-evaluate A-assess T-teach
Addison's & Cushings -ANSWER-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? -ANSWER-EleVate Veins, DAngle Arteries
APGAR -ANSWER-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 -ANSWER-My chicken hez tb (measles, chickenpox (varicella) Herpes
zoster/shingles TB
Airborne precautions protective equip -ANSWER-private room, neg pressure with 6-12 air
exchanges/hr mask N95 for TB
Droplet precautions -ANSWER-spiderman! sepsis, scarlet fever, streptococcal pharyngitis,
parvovirus, pneumonia, pertussis,
influenza,
diptheria,
epiglottitis,
rubella,
mumps, meningitis, mycoplasma or meningeal pneumonia, adeNovirus (Private room or cohort
mask!)
Contact precaution -ANSWER-MRS WEE
Multidrug resistant organism
Rresiratory infection
Skin infection
Wound infection
Enteric infection (C diff)
Eye infection (conjunctivitis)
Skin infection -ANSWER-VCHIPS
Varicella zoster
Cutaneous diptheria
Herpes simplez
Impetigo
Peduculosis
,Scabies
Air or Pulmonary Embolism -ANSWER-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) -ANSWER-(late decels, decreased variability, fetal
bradycardia, etc) Turn pt on Left side, give O2, stop pitocin, Increase IV fluids!
Tube feeding with decreased LOC -ANSWER-Pt on Right side (promotes emptying of the
stomach) Head of bed elevated (prevent aspiration)
After lumbar puncture and oil based myelogram -ANSWER-pt is flat SUPINE (prevent headache
and leaking of CSF)
Pt with heat stroke -ANSWER-flat with legs elevated
during Continuous Bladder Irrigation (CBI) -ANSWER-catheter is taped to the thigh. leg must
be kept straight.
After Myringotomy -ANSWER-position on the side of AFFECTED ear, allows drainage.
After Cateract surgery -ANSWER-pt sleep on UNAFFECTED side with a night shield for 1-4
weeks
after Thyroidectomy -ANSWER-low or semi-fowler's position, support head, neck and
shoulders.
Infant with Spina Bifida -ANSWER-Prone so that sac does not rupture
Buck's Traction (skin) -ANSWER-elevate foot of bed for counter traction
After total hip replacement -ANSWER-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 -ANSWER-Knee to chest or Trendelenburg
Cleft Lip -ANSWER-position on back or in infant seat to prevent trauma to the suture line. while
feeding hold in upright position.
To prevent dumping syndrome -ANSWER-(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) -ANSWER-elevate for first 24 hours on pillow. position prone
daily to maintain hip extension.
, BKA (below knee amputation) -ANSWER-foot of bed elevated for first 24 hours. position prone
to provide hip extension.
detached retina -ANSWER-area of detachment should be in the dependent position
administration of enema -ANSWER-pt should be left side lying (Sim's) with knee flexed.
After supratentorial surgery -ANSWER-(incision behind hairline on forhead) elevate HOB 30-40
degrees
After infratentorial surgery -ANSWER-(incision at the nape of neck) position pt flat and lateral
on either side.
During internal radiation -ANSWER-on bed rest while implant in place
Autonomic Dysreflexia/Hyperreflexia -ANSWER-S/S pounding headache, profuse sweating,
nasal congestion, chills, bradycardia, hypertension. Place client in sitting position (elevate HOB)
FIRST!
Shock -ANSWER-bedrest with extremities elevated 20 degrees. knees straight, head slightly
elevated (modified Trendelenberg)
Head Injury -ANSWER-elevate HOB 30 degrees to decrease ICP
Peritoneal Dialysis (when outflow is inadequate) -ANSWER-turn pt from side to side BEFORE
checking for kinks in tubing
Lumbar Puncture -ANSWER-After the procedure, the pt should be supine for 4-12 hours as
prescribed.
Myesthenia Gravis -ANSWER-worsens with exercise and improves with rest
Myesthenia Gravis -ANSWER-a positive reaction to Tensilon---will improve symptoms
Cholinergic Crisis -ANSWER-Caused by excessive medication ---stop giving Tensilon...will
make it worse.
Liver biopsy (prior) -ANSWER-must have lab results for prothrombin time
Myxedema/ hypothyroidism -ANSWER-slowed physical and mental function, sensitivity to
cold, dry skin and hair.
Grave's Disease/ hyperthyroidism -ANSWER-accelerated physical and mental function.
Sensitivity to heat. Fine/soft hair.
Do not delegate -ANSWER-What you can EAT E-evaluate A-assess T-teach
Addison's & Cushings -ANSWER-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? -ANSWER-EleVate Veins, DAngle Arteries
APGAR -ANSWER-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 -ANSWER-My chicken hez tb (measles, chickenpox (varicella) Herpes
zoster/shingles TB
Airborne precautions protective equip -ANSWER-private room, neg pressure with 6-12 air
exchanges/hr mask N95 for TB
Droplet precautions -ANSWER-spiderman! sepsis, scarlet fever, streptococcal pharyngitis,
parvovirus, pneumonia, pertussis,
influenza,
diptheria,
epiglottitis,
rubella,
mumps, meningitis, mycoplasma or meningeal pneumonia, adeNovirus (Private room or cohort
mask!)
Contact precaution -ANSWER-MRS WEE
Multidrug resistant organism
Rresiratory infection
Skin infection
Wound infection
Enteric infection (C diff)
Eye infection (conjunctivitis)
Skin infection -ANSWER-VCHIPS
Varicella zoster
Cutaneous diptheria
Herpes simplez
Impetigo
Peduculosis
,Scabies
Air or Pulmonary Embolism -ANSWER-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) -ANSWER-(late decels, decreased variability, fetal
bradycardia, etc) Turn pt on Left side, give O2, stop pitocin, Increase IV fluids!
Tube feeding with decreased LOC -ANSWER-Pt on Right side (promotes emptying of the
stomach) Head of bed elevated (prevent aspiration)
After lumbar puncture and oil based myelogram -ANSWER-pt is flat SUPINE (prevent headache
and leaking of CSF)
Pt with heat stroke -ANSWER-flat with legs elevated
during Continuous Bladder Irrigation (CBI) -ANSWER-catheter is taped to the thigh. leg must
be kept straight.
After Myringotomy -ANSWER-position on the side of AFFECTED ear, allows drainage.
After Cateract surgery -ANSWER-pt sleep on UNAFFECTED side with a night shield for 1-4
weeks
after Thyroidectomy -ANSWER-low or semi-fowler's position, support head, neck and
shoulders.
Infant with Spina Bifida -ANSWER-Prone so that sac does not rupture
Buck's Traction (skin) -ANSWER-elevate foot of bed for counter traction
After total hip replacement -ANSWER-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 -ANSWER-Knee to chest or Trendelenburg
Cleft Lip -ANSWER-position on back or in infant seat to prevent trauma to the suture line. while
feeding hold in upright position.
To prevent dumping syndrome -ANSWER-(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) -ANSWER-elevate for first 24 hours on pillow. position prone
daily to maintain hip extension.
, BKA (below knee amputation) -ANSWER-foot of bed elevated for first 24 hours. position prone
to provide hip extension.
detached retina -ANSWER-area of detachment should be in the dependent position
administration of enema -ANSWER-pt should be left side lying (Sim's) with knee flexed.
After supratentorial surgery -ANSWER-(incision behind hairline on forhead) elevate HOB 30-40
degrees
After infratentorial surgery -ANSWER-(incision at the nape of neck) position pt flat and lateral
on either side.
During internal radiation -ANSWER-on bed rest while implant in place
Autonomic Dysreflexia/Hyperreflexia -ANSWER-S/S pounding headache, profuse sweating,
nasal congestion, chills, bradycardia, hypertension. Place client in sitting position (elevate HOB)
FIRST!
Shock -ANSWER-bedrest with extremities elevated 20 degrees. knees straight, head slightly
elevated (modified Trendelenberg)
Head Injury -ANSWER-elevate HOB 30 degrees to decrease ICP
Peritoneal Dialysis (when outflow is inadequate) -ANSWER-turn pt from side to side BEFORE
checking for kinks in tubing
Lumbar Puncture -ANSWER-After the procedure, the pt should be supine for 4-12 hours as
prescribed.
Myesthenia Gravis -ANSWER-worsens with exercise and improves with rest
Myesthenia Gravis -ANSWER-a positive reaction to Tensilon---will improve symptoms
Cholinergic Crisis -ANSWER-Caused by excessive medication ---stop giving Tensilon...will
make it worse.
Liver biopsy (prior) -ANSWER-must have lab results for prothrombin time
Myxedema/ hypothyroidism -ANSWER-slowed physical and mental function, sensitivity to
cold, dry skin and hair.
Grave's Disease/ hyperthyroidism -ANSWER-accelerated physical and mental function.
Sensitivity to heat. Fine/soft hair.
