ATI COMPREHENSIVE EXIT EXAM
(NGN ATI)
1. Treat first any immediate threats to a patient's survival or safety.
Ex. obstructed airway, loss of consciousness, psychological episode or anxiety attack.
ABC's.
2. Next, treat actual problems. Ex. nausea, full bowel or bladder, comfort measures.
3. Then, treat relatively urgent actual or potential problems that the patient or family does not
recognize. Ex. Monitoring for post-op complications, anticipating teaching needs of a patient that
may be unaware of side effects of meds.
4. Lastly, treat actual or potential problems where help may be needed in the future.
Ex Teaching for self-care in the home.
Here are some great principles to help you as you prioritize:
,Systemic before local
Acute before chronic
Actual before potential
Listen don't assume
Recognize first then apply clinical knowledge
Maslow's Hierarchy of Needs:
Prioritize according to Maslow with physiological and safety issues before psychological esteem
issues.
Variant angina (Prinzmetal's angina)
Due to a coronary artery spasm, oftening occurring during periods of rest.
Unstable angina
Occurs with exercise or emotional stress, but it increases in occurrence, severity, and duration
over time.
Stable angina
Occurs with exercise or emotional stress and is relieved by rest or nitroglycerin (Nitrostat).
electrolyte imbalance manifestations:
hypocakelmia--> flat T waves on ECG
hypercalcemia--> decreased deep tendon reflexes (DTRs)
hypocalcemia--> tetany
hyperkalemia--> tall peaked T waves on ECG
Addison's disease
Decreased aldosterone and renin
Hypothyroidism
Decreased triiodothyronine (T3) and thyroxine
, Cushing's disease
Elevated cortisol
Diabetes Insipidus (DI)
Decreased urine specific gravity
Diabetes melitus
Elevated glycosylated hemoglobin (HbA1c)
Syndrome of Inappropriate Secretion of Antidiuretic Hormone
Increased urine osmolality
Cataract
Progressive and painless loss of vision
Angle-closure glaucoma
Rapid onset of elevated IOP
macular degeneration
Central loss of vision
Open-angle galucoma
Loss of peripheral vision
Retinal detachment
Sudden loss of vision without pain
Common disease's manifestations
Cholecystitis--> Murphy's sign
Pancreatitis--> Turner's sign
Peptic Ulcer Disease--> Upper epigastric pain 1-2 hours after meals
Appendicits--> Pain at McBurney's point
Decorticate
(NGN ATI)
1. Treat first any immediate threats to a patient's survival or safety.
Ex. obstructed airway, loss of consciousness, psychological episode or anxiety attack.
ABC's.
2. Next, treat actual problems. Ex. nausea, full bowel or bladder, comfort measures.
3. Then, treat relatively urgent actual or potential problems that the patient or family does not
recognize. Ex. Monitoring for post-op complications, anticipating teaching needs of a patient that
may be unaware of side effects of meds.
4. Lastly, treat actual or potential problems where help may be needed in the future.
Ex Teaching for self-care in the home.
Here are some great principles to help you as you prioritize:
,Systemic before local
Acute before chronic
Actual before potential
Listen don't assume
Recognize first then apply clinical knowledge
Maslow's Hierarchy of Needs:
Prioritize according to Maslow with physiological and safety issues before psychological esteem
issues.
Variant angina (Prinzmetal's angina)
Due to a coronary artery spasm, oftening occurring during periods of rest.
Unstable angina
Occurs with exercise or emotional stress, but it increases in occurrence, severity, and duration
over time.
Stable angina
Occurs with exercise or emotional stress and is relieved by rest or nitroglycerin (Nitrostat).
electrolyte imbalance manifestations:
hypocakelmia--> flat T waves on ECG
hypercalcemia--> decreased deep tendon reflexes (DTRs)
hypocalcemia--> tetany
hyperkalemia--> tall peaked T waves on ECG
Addison's disease
Decreased aldosterone and renin
Hypothyroidism
Decreased triiodothyronine (T3) and thyroxine
, Cushing's disease
Elevated cortisol
Diabetes Insipidus (DI)
Decreased urine specific gravity
Diabetes melitus
Elevated glycosylated hemoglobin (HbA1c)
Syndrome of Inappropriate Secretion of Antidiuretic Hormone
Increased urine osmolality
Cataract
Progressive and painless loss of vision
Angle-closure glaucoma
Rapid onset of elevated IOP
macular degeneration
Central loss of vision
Open-angle galucoma
Loss of peripheral vision
Retinal detachment
Sudden loss of vision without pain
Common disease's manifestations
Cholecystitis--> Murphy's sign
Pancreatitis--> Turner's sign
Peptic Ulcer Disease--> Upper epigastric pain 1-2 hours after meals
Appendicits--> Pain at McBurney's point
Decorticate
