ATI Comprehensive Practice Exam B
Focused Review
Above the knee amputation:
• Assist patient to prone position every 4 hours
• Wrap limb in distal to proximal direction
• Do not elevate after 48hrs to prevent flexion contractures
Aphasia
• Limits ability to communicate
• Does not affect swallowing and eating
Radiation therapy:
• Can wash irradiated area with mild soap and water
• Avoid applying lotion to irradiated area
• Diarrhea is an expected side effect
Oxygen therapy:
• Apply a water based lubricant to nares as needed
• Wear cotton clothes during oxygen therapy because do not cause
static electricity
• Check oxygen equipment daily for proper functioning
Stages of change:
• First educate staff members about problem
• Develop goals, encourage staff input, and do a trial run of new
system or change
Severe preeclampsia:
• Blurred vision
• Facial edema
• Proteinuria
TB:
• Will take medications for 6 months
• Diet should consist of good amount of iron, protein, and calories
• No mask needed while in public
Glomerulonephritis:
• Proteinuria
• Decreased GFR
• Causes increased nitrates in the blood (not urine)
Newborn apnea monitoring:
• Remove leads when not monitoring
, • Avoid co-sleeping with baby
• Do not adjust monitor
• Make sure alarms can be heard throughout the house
• Keep monitor outside of the crib
Newborn cold stress:
• Axillary temp under 36.5 (97.5)
Uric acid calculi diet:
• Oranges and other citric fruits
• Avoid chicken and organ meats
• Avoid alcohol
Opioids:
• Can cause urinary retention
• Decrease in vision at night due to constriction of pupils (miosis)
• Constipation
Heparin:
• Normal aPTT is 40 seconds
• Therapeutic dose can increase aPTT to 60-80 seconds
• Elevated aPTT- hold heparin
Anemia:
• Low hgb
• Low hct
• Dyspnea on exertion
• Decreased exercise tolerance
Oxygen toxicity:
• Bradypnea- RR decreases because body perceives it has enough
oxygen
Misoprostol:
• Reduces gastric acid secretions so ulcers can heal
• Take pregnancy test prior to starting med (can cause uterine
contractions)
Prevention of pressure ulcers:
• remind patient to shift weight in chair every 15 mins
• place client in 30 degree lateral position to minimize pressure on
sacral area
• Avoid massaging bony prominences
PICC lines:
• Use alcohol to cleanse port
• Prior to first use, confirm tip placement with a chest x-ray
• flush with heparin after administering medications
Blood glucose monitoring:
Focused Review
Above the knee amputation:
• Assist patient to prone position every 4 hours
• Wrap limb in distal to proximal direction
• Do not elevate after 48hrs to prevent flexion contractures
Aphasia
• Limits ability to communicate
• Does not affect swallowing and eating
Radiation therapy:
• Can wash irradiated area with mild soap and water
• Avoid applying lotion to irradiated area
• Diarrhea is an expected side effect
Oxygen therapy:
• Apply a water based lubricant to nares as needed
• Wear cotton clothes during oxygen therapy because do not cause
static electricity
• Check oxygen equipment daily for proper functioning
Stages of change:
• First educate staff members about problem
• Develop goals, encourage staff input, and do a trial run of new
system or change
Severe preeclampsia:
• Blurred vision
• Facial edema
• Proteinuria
TB:
• Will take medications for 6 months
• Diet should consist of good amount of iron, protein, and calories
• No mask needed while in public
Glomerulonephritis:
• Proteinuria
• Decreased GFR
• Causes increased nitrates in the blood (not urine)
Newborn apnea monitoring:
• Remove leads when not monitoring
, • Avoid co-sleeping with baby
• Do not adjust monitor
• Make sure alarms can be heard throughout the house
• Keep monitor outside of the crib
Newborn cold stress:
• Axillary temp under 36.5 (97.5)
Uric acid calculi diet:
• Oranges and other citric fruits
• Avoid chicken and organ meats
• Avoid alcohol
Opioids:
• Can cause urinary retention
• Decrease in vision at night due to constriction of pupils (miosis)
• Constipation
Heparin:
• Normal aPTT is 40 seconds
• Therapeutic dose can increase aPTT to 60-80 seconds
• Elevated aPTT- hold heparin
Anemia:
• Low hgb
• Low hct
• Dyspnea on exertion
• Decreased exercise tolerance
Oxygen toxicity:
• Bradypnea- RR decreases because body perceives it has enough
oxygen
Misoprostol:
• Reduces gastric acid secretions so ulcers can heal
• Take pregnancy test prior to starting med (can cause uterine
contractions)
Prevention of pressure ulcers:
• remind patient to shift weight in chair every 15 mins
• place client in 30 degree lateral position to minimize pressure on
sacral area
• Avoid massaging bony prominences
PICC lines:
• Use alcohol to cleanse port
• Prior to first use, confirm tip placement with a chest x-ray
• flush with heparin after administering medications
Blood glucose monitoring:
