ATI LIVE Review Exam Prep With Complete Solutions
ATI LIVE Review Exam Prep With Complete
Solutions
MISC.
- Surgery
o Pre-op, includes prophy antibiotics within 60 mins of incision
o Post-op, anticoagulants, pain meds
o Highest risk for infection or thrombus emboli
o Laparoscopic, post-op abdominal pain/distention referring to the shoulder is normal
- Rheumatoid arthritis
o Treated with methotrexate, check pregnancy in women (-)
o Adverse effects: low WBC, low PLT, weight loss due to stomatitis, pancytopenia
o Vitamin replacement of folic acid is needed
- Urine specific gravity/osmolarity: focus on concentration, urine low = no call to hcp, diluted
ROLES
- LPN: cannot EAT or start/initiate IVs, can do drips, no IV push, given stable patient, data
collection, REINFORCE teaching
- UAP: ADLS, VS, weight, I/O, safety, cannot do anything sterile
- RN: given unstable patient, assess, teach, plan
- Epiglottitis: caused by H Influenza B
- POA trumps advance directives
- 8oz Ice is 120mL
- Newborn meds: eyes and thighs, 25 gauge (5/8th in)
o Okay to massage the area after the injection
o Vitamin K- in the thigh
- Diabetes Mellitus: blood sugar <70, hyper >250
o Goal: A1c <5.7%, 6.5% A1c to diagnose, if diagnosed the goal is <7%
o Type II: can be managed with oral DM
o Insulin
▪ Pump needed for short and rapid-acting
▪ Rapid-acting: “Rapid LAG” →Lispro, Aspart, Glulisine. Given 5-10 min before
a meal or while eating
▪ Short-acting:
▪ Long-acting: glargine, Levemir. Peaks in 6-8hrs, given before bedtime
▪ Mix: regular and NPH
▪ IV ONLY regular
▪ DKA – if BP is low, fluids first, then insulin, blood sugar should only be
lowered 50-75mg/dL/hr via an insulin pump. Keep anion gap <12
o Criteria for oral meds to insulin: pregnancy, non-compliance, or adherence
- Thyroid
o Hyperthyroidism: graves, weight loss, heat intolerance (sweating), tachycardia
▪ Methimazole/Propylthiouracil: monitor WBC
o Hypothyroidism: Hashimoto’s, constipation, brittle hair/nails, depression, weight
gain
ATI LIVE Review Exam Prep With Complete Solutions
,ATI LIVE Review Exam Prep With Complete Solutions
1
ATI LIVE Review Exam Prep With Complete Solutions
, ATI LIVE Review Exam Prep With Complete Solutions
▪ Levothyroxine: taken early AM, take on an empty stomach, dosage changes
over time based on age/weight
HEMATOLOGY
- Blood products
o Packed RBCs: severe or hemolytic anemia, hemoglobinopathy, erythroblastosis
fetalis
o Monitor Hgb, normal F: 12-16g/dL, M 14-18g/dL
o Second nurse needed to verify
o Stay with patient first 15-30mins
- Platelets
o Active bleeding, thrombocytopenia, aplastic anemia, bone marrow suppression
o Monitor platelets, normal 150,000-400,000mm3
- Albumin
o Expand vascular volume, hypovolemia, hypoalbuminemia, burns, severe nephrosis,
newborn hemolytic disease
o Monitor albumin 3.5-5g/dL
- FFP (fresh frozen plasma)
o Hemorrhage, burns, shock, thrombocytopenic purpura, bleeding from warfarin
o Prothrombin time, normal 11-12.5 seconds
Reactions:
- Hemolytic
o chills, fever, lower back pain, tachycardia, tachypnea, hypotension
o occurs during 50mL of infusion
o STOP infusion, maintain NS IV
o A feeling of “impending doom”
o DO NOT discontinue IV, only tubing
o Send tubing to the lab, collect a urine sample to test for RBCs and bilirubin
- Anaphylactic
o Anxiety, wheezing, urticaria shock, cardiac arrest
o STOP infusion, maintain NS IV
o CPR
o IM epi
- Febrile
o Increase of 1oC over 101.4F
MEDICATIONS
- Albuterol → lower airways, Nebulizer Epi → croup
- Medication monitoring
o Digoxin: potassium, interacts with medications, initial sign of toxicity GI
symptoms/nausea, Apical HR 60 adult, 70 children, G0 baby
o Acetaminophen: temperature, max adult dose is 4g
o Glipizide: blood glucose, causes hypoglycemia, given 30 min before meals
o Morphine: respiratory rate, blood pressure, itching is normal
2
ATI LIVE Review Exam Prep With Complete Solutions
ATI LIVE Review Exam Prep With Complete
Solutions
MISC.
- Surgery
o Pre-op, includes prophy antibiotics within 60 mins of incision
o Post-op, anticoagulants, pain meds
o Highest risk for infection or thrombus emboli
o Laparoscopic, post-op abdominal pain/distention referring to the shoulder is normal
- Rheumatoid arthritis
o Treated with methotrexate, check pregnancy in women (-)
o Adverse effects: low WBC, low PLT, weight loss due to stomatitis, pancytopenia
o Vitamin replacement of folic acid is needed
- Urine specific gravity/osmolarity: focus on concentration, urine low = no call to hcp, diluted
ROLES
- LPN: cannot EAT or start/initiate IVs, can do drips, no IV push, given stable patient, data
collection, REINFORCE teaching
- UAP: ADLS, VS, weight, I/O, safety, cannot do anything sterile
- RN: given unstable patient, assess, teach, plan
- Epiglottitis: caused by H Influenza B
- POA trumps advance directives
- 8oz Ice is 120mL
- Newborn meds: eyes and thighs, 25 gauge (5/8th in)
o Okay to massage the area after the injection
o Vitamin K- in the thigh
- Diabetes Mellitus: blood sugar <70, hyper >250
o Goal: A1c <5.7%, 6.5% A1c to diagnose, if diagnosed the goal is <7%
o Type II: can be managed with oral DM
o Insulin
▪ Pump needed for short and rapid-acting
▪ Rapid-acting: “Rapid LAG” →Lispro, Aspart, Glulisine. Given 5-10 min before
a meal or while eating
▪ Short-acting:
▪ Long-acting: glargine, Levemir. Peaks in 6-8hrs, given before bedtime
▪ Mix: regular and NPH
▪ IV ONLY regular
▪ DKA – if BP is low, fluids first, then insulin, blood sugar should only be
lowered 50-75mg/dL/hr via an insulin pump. Keep anion gap <12
o Criteria for oral meds to insulin: pregnancy, non-compliance, or adherence
- Thyroid
o Hyperthyroidism: graves, weight loss, heat intolerance (sweating), tachycardia
▪ Methimazole/Propylthiouracil: monitor WBC
o Hypothyroidism: Hashimoto’s, constipation, brittle hair/nails, depression, weight
gain
ATI LIVE Review Exam Prep With Complete Solutions
,ATI LIVE Review Exam Prep With Complete Solutions
1
ATI LIVE Review Exam Prep With Complete Solutions
, ATI LIVE Review Exam Prep With Complete Solutions
▪ Levothyroxine: taken early AM, take on an empty stomach, dosage changes
over time based on age/weight
HEMATOLOGY
- Blood products
o Packed RBCs: severe or hemolytic anemia, hemoglobinopathy, erythroblastosis
fetalis
o Monitor Hgb, normal F: 12-16g/dL, M 14-18g/dL
o Second nurse needed to verify
o Stay with patient first 15-30mins
- Platelets
o Active bleeding, thrombocytopenia, aplastic anemia, bone marrow suppression
o Monitor platelets, normal 150,000-400,000mm3
- Albumin
o Expand vascular volume, hypovolemia, hypoalbuminemia, burns, severe nephrosis,
newborn hemolytic disease
o Monitor albumin 3.5-5g/dL
- FFP (fresh frozen plasma)
o Hemorrhage, burns, shock, thrombocytopenic purpura, bleeding from warfarin
o Prothrombin time, normal 11-12.5 seconds
Reactions:
- Hemolytic
o chills, fever, lower back pain, tachycardia, tachypnea, hypotension
o occurs during 50mL of infusion
o STOP infusion, maintain NS IV
o A feeling of “impending doom”
o DO NOT discontinue IV, only tubing
o Send tubing to the lab, collect a urine sample to test for RBCs and bilirubin
- Anaphylactic
o Anxiety, wheezing, urticaria shock, cardiac arrest
o STOP infusion, maintain NS IV
o CPR
o IM epi
- Febrile
o Increase of 1oC over 101.4F
MEDICATIONS
- Albuterol → lower airways, Nebulizer Epi → croup
- Medication monitoring
o Digoxin: potassium, interacts with medications, initial sign of toxicity GI
symptoms/nausea, Apical HR 60 adult, 70 children, G0 baby
o Acetaminophen: temperature, max adult dose is 4g
o Glipizide: blood glucose, causes hypoglycemia, given 30 min before meals
o Morphine: respiratory rate, blood pressure, itching is normal
2
ATI LIVE Review Exam Prep With Complete Solutions
