lOMoARcPSD|26582732
1
ATI - Predictor Study Notes (updated 2025) – Rasmussen
College
ATI – NCLEX Pr edictor Rem ediation Stu dy
Notes
Ren al Calcu li - Pain : Flan k pain → Kidney or Ureter (if pain radiates → stones in
Ureter or bladder)
Per for m in g Ear Ir r igation : Sterile technique, warm meds, pull up & back, tilt
Toward affected ear
Thr om bolytic (Str oke) Reteplase recombinant (r tpa – clot bu ster )
Ther apy :
W/ in 4.5 hours of initial symptoms
Tr ach car e : Dressing ∆, inner cannula ½ hydrogen peroxide, & stoma □ knot
Head in ju r y Chan ges in
( LOC):
Length of time unconscious & GCS
Gen er al (post-op): ABC’s – full body assessment, Vitals every 15
an esthesia
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Minutes, Lateral position (if unresponsive or unconscious - monitor LOC),
Fluids/Electrolytes
Su per fi cial Bu r n s: Painful, pink, red, mild edema (3-6 day healing), damage to
Epidermis
Dialysis (r epor tin g u n expected : Temp of 100 degrees, ↓ BP, bleeding,
fi n din gs) 1 L of fluid = 1Kg, clotting, H/A,
Nausea, Disequilibrium syndrome (rapid ↓ BUN & Fluid volume), anemia, peritonitis, ↑
BG, ↑ cholesterol
Infection, hematoma, pneumothorax, hemo-thorax,
Pacem aker (com plication s ):
Arrhythmias, pacer spikes before P or QRS, hiccups /
muscle twitching
Magn esiu m (Mg) Su lfate
→ Increase Mg+ > 1.3 Mg/dl
↑ Mg foods = (Dairy, dark leafy greens veges)
↓ Mg causes → Hyper active deep ten don r efl exes
* Paresthesia’s, muscle tetany, positive chvostek’s & Tr ou sseau ’s sign ,
hypoactive bowels, constipation, abdominal distention, paralytic Ileus.
TPN (Total par en ter al -feeding that bypasses the GI
Adm in : n utr ition ) tract
.
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3
Fluids are given in to a vein to provide most of the nutrients the body needs. Given
when person cannot/ should not receive feedings or fluids by mouth.
Hyper ton ic (20-50% dextr ose ), Used in chronic pain, peritonitis, burns, Infection,
etc
No m or e than 10% hou r ly, ↑ in rate for body adjustment, check BG
Hyperglycemia, hypoglycemia, vitamin deficiencies, air embolism (clamp, place
in Trendelenburg pos., O2)
Fluid imbalance → Fluid volume excess
W ou n d Cu ltu r e specim en : Sterile field, press / rotate over wound surface inside
the wound (center) in drainage
Kidney damage d/t prolonged ↑ BG &
Diabetes Mellitu s Nephr opathy):
( Dehydration
Mon itor I & O, Cr eatin in e, B P
Avoid Soda, alcohol, acetaminophen/NSAIDS / 2 – 3 L fluid from food / beverages
K idn ey Post ):
B iopsy ( op
Monitor VS → Client receives sedation
Assess dressings & urinary output (hematuria-blood in urine)
Labs: hgb & Hct values, Admin PRN pain meds, Complications hemorrhage / infection
Thyr oidectom y (Post Op): Needs Thyroid hormone replacement
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4
Client in high fowler’s position, Respiratory (trach supplies) present, Check for
laryngeal nerve damage
Pain management, Hypocalcemia / Tetany can occur
Pr ior itization : Apply knowledge to Standards to determine priority action
Systemic before Local – “ Life befor e Lim b”
Acute before Chronic
Actual Problems before Potential Future
Listen carefully to clients & Don’t Assume
Recognize & Respond - Trends vs. Transient findings
Recognize indications - Emergencies vs. Expected
Delegate LPN :
Monitoring Findings, Reinforcing teaching, performing trach care,
to
Suctioning, checking NG tube patency, administer tube feedings,
inserting urinary catheter, administering meds (No IV )
Delegate A : adls, Bathing, Grooming, Dressing, toileting, Ambulating, feeding
to P W/out swallowing precautions, positioning, routine tasks, bed
making, specimen collection, I & O, VS for stable clients, monitoring After
initial
clinical manifestations RN assess/eval.
Par acen tesis (pr ep) - Take out fluid from (peritoneal fluid) Have clien t VOID
belly
– Semi fowlers, 6 small meals/day,
Downloaded by NELSON KIIRU ()
1
ATI - Predictor Study Notes (updated 2025) – Rasmussen
College
ATI – NCLEX Pr edictor Rem ediation Stu dy
Notes
Ren al Calcu li - Pain : Flan k pain → Kidney or Ureter (if pain radiates → stones in
Ureter or bladder)
Per for m in g Ear Ir r igation : Sterile technique, warm meds, pull up & back, tilt
Toward affected ear
Thr om bolytic (Str oke) Reteplase recombinant (r tpa – clot bu ster )
Ther apy :
W/ in 4.5 hours of initial symptoms
Tr ach car e : Dressing ∆, inner cannula ½ hydrogen peroxide, & stoma □ knot
Head in ju r y Chan ges in
( LOC):
Length of time unconscious & GCS
Gen er al (post-op): ABC’s – full body assessment, Vitals every 15
an esthesia
Downloaded by NELSON KIIRU ()
, lOMoARcPSD|26582732
2
Minutes, Lateral position (if unresponsive or unconscious - monitor LOC),
Fluids/Electrolytes
Su per fi cial Bu r n s: Painful, pink, red, mild edema (3-6 day healing), damage to
Epidermis
Dialysis (r epor tin g u n expected : Temp of 100 degrees, ↓ BP, bleeding,
fi n din gs) 1 L of fluid = 1Kg, clotting, H/A,
Nausea, Disequilibrium syndrome (rapid ↓ BUN & Fluid volume), anemia, peritonitis, ↑
BG, ↑ cholesterol
Infection, hematoma, pneumothorax, hemo-thorax,
Pacem aker (com plication s ):
Arrhythmias, pacer spikes before P or QRS, hiccups /
muscle twitching
Magn esiu m (Mg) Su lfate
→ Increase Mg+ > 1.3 Mg/dl
↑ Mg foods = (Dairy, dark leafy greens veges)
↓ Mg causes → Hyper active deep ten don r efl exes
* Paresthesia’s, muscle tetany, positive chvostek’s & Tr ou sseau ’s sign ,
hypoactive bowels, constipation, abdominal distention, paralytic Ileus.
TPN (Total par en ter al -feeding that bypasses the GI
Adm in : n utr ition ) tract
.
Downloaded by NELSON KIIRU ()
, lOMoARcPSD|26582732
3
Fluids are given in to a vein to provide most of the nutrients the body needs. Given
when person cannot/ should not receive feedings or fluids by mouth.
Hyper ton ic (20-50% dextr ose ), Used in chronic pain, peritonitis, burns, Infection,
etc
No m or e than 10% hou r ly, ↑ in rate for body adjustment, check BG
Hyperglycemia, hypoglycemia, vitamin deficiencies, air embolism (clamp, place
in Trendelenburg pos., O2)
Fluid imbalance → Fluid volume excess
W ou n d Cu ltu r e specim en : Sterile field, press / rotate over wound surface inside
the wound (center) in drainage
Kidney damage d/t prolonged ↑ BG &
Diabetes Mellitu s Nephr opathy):
( Dehydration
Mon itor I & O, Cr eatin in e, B P
Avoid Soda, alcohol, acetaminophen/NSAIDS / 2 – 3 L fluid from food / beverages
K idn ey Post ):
B iopsy ( op
Monitor VS → Client receives sedation
Assess dressings & urinary output (hematuria-blood in urine)
Labs: hgb & Hct values, Admin PRN pain meds, Complications hemorrhage / infection
Thyr oidectom y (Post Op): Needs Thyroid hormone replacement
Downloaded by NELSON KIIRU ()
, lOMoARcPSD|26582732
4
Client in high fowler’s position, Respiratory (trach supplies) present, Check for
laryngeal nerve damage
Pain management, Hypocalcemia / Tetany can occur
Pr ior itization : Apply knowledge to Standards to determine priority action
Systemic before Local – “ Life befor e Lim b”
Acute before Chronic
Actual Problems before Potential Future
Listen carefully to clients & Don’t Assume
Recognize & Respond - Trends vs. Transient findings
Recognize indications - Emergencies vs. Expected
Delegate LPN :
Monitoring Findings, Reinforcing teaching, performing trach care,
to
Suctioning, checking NG tube patency, administer tube feedings,
inserting urinary catheter, administering meds (No IV )
Delegate A : adls, Bathing, Grooming, Dressing, toileting, Ambulating, feeding
to P W/out swallowing precautions, positioning, routine tasks, bed
making, specimen collection, I & O, VS for stable clients, monitoring After
initial
clinical manifestations RN assess/eval.
Par acen tesis (pr ep) - Take out fluid from (peritoneal fluid) Have clien t VOID
belly
– Semi fowlers, 6 small meals/day,
Downloaded by NELSON KIIRU ()
