2024/25|VIRTUAL ATI PREDICTOR (GREEN LIGHT)|2024-2025 LATEST VERSION 100% CORRECT AND UPDA, Exams of Medicine

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2024/25|VIRTUAL ATI PREDICTOR (GREEN

LIGHT)|2024-2025 LATEST VERSION 100% CORRECT

AND UPDATED!!!(GRADED A+)

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)

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!

Infant with Spina Bifida - ANSWER Prone so that sac does not rupture

Prolapsed cord - ANSWER Knee to chest or Trendelenburg oxygen 8 to 10 L

Cleft Lip - ANSWER position on back or in infant seat to prevent trauma to the suture line. while feeding hold in upright position.

FHR patterns for OB - ANSWER Think VEAL CHOP! V-variable decels; C- cord compression caused E-early decels; H- head compression caused A-accels; O-okay, no problem L- late decels; P- placental insufficiency, can't fill

what to check with pregnancy - ANSWER Never check the monitor or machine as a first action. Always assess the patient first. Ex.. listen to fetal heart tones with stethoscope.

Position of the baby by fetal heart sounds - ANSWER Posterior --heard at sides Anterior---midline by unbilicus and side Breech- high up in the fundus near umbilicus Vertex- by the symphysis pubis.

Heroin withdrawal neonate - ANSWER irritable, poor sucking

lead poisoning - ANSWER test at 12 months of age

pt with leukemia may have - ANSWER epistaxis due to low platelets

when a pt comes in and is in active labor - ANSWER first action of nurse is to listen to fetal heart tones/rate

Guthrie test - ANSWER Tests for PKU. Baby should have eaten protein first

Transesophageal fistula - ANSWER esophagus doesn't fully develop. This is a surgical emergency (3 signs in newborn: choking, coughing, cyanosis)

Stranger anxiety is greatest at what age? - ANSWER 7-9 months..separation anxiety peaks in toddlerhood

infants IM site - ANSWER Vastus lateralis

Toddler 18 months+ IM site - ANSWER Ventrogluteal

IM site for children - ANSWER deltoid and gluteus maximus

ECG - ANSWER no sleep the night before, meals allowed, no stimulants/tranquilizers for 24-48 hours before. may be asked to hyperventilate 3-4 min and watch a bright flashing light. watch for seizures after the procedure.

Myelogram - ANSWER NPO for 4-6 hours. allergy hx phenothiazines, cns depressants and stimulants withheld 48 hours prior. Table moved to various positions during test. Post--neuro assessment q2-4 hours, water soluble HOB UP. oil soluble HOB down. oralanalgesics for HA. No po fluids. assess for distended bladder. Inspect site

Liver biopsy - ANSWER administer Vitamin K, NPO morning of exam 6 hrs. Give sedative. Teach pt to expect to be asked to hold breath for 5-10 sec. supide position, lateral with upper arms elevated. Post--position on RIGHT side. frequent VS. report severe ab pain STAT. no heavy lifting 1 wk

Paracentesis - ANSWER semi fowler's or upright on edge of bed. Empty bladder. post VS--report elevated temp. watch for hypovolemia

laparoscopy - ANSWER CO2 used to enhance visual. general anesthesia. foley. post--ambulate to decrease CO2 buildup

PTB - ANSWER low grade afternoon fever

pneumonia - ANSWER rusty sputum

asthma - ANSWER wheezing on expiration

emphysema - ANSWER barrel chest

kawasaki syndrome - ANSWER strawberry tongue

pernicious anemia - ANSWER red beefy tongue

downs syndrome - ANSWER protruding tongue

cholera - ANSWER rice watery stool

malaria - ANSWER stepladder like fever--with chills

typhoid - ANSWER rose spots on the abdomen

diptheria - ANSWER pseudo membrane formation

NCLEX answer tips - ANSWER choose assessment first! (assess, collect, auscultate, monitor, palpate) only choose intervention in an emergency or stress situation. If the answer has an absolute, discard it. Give priority to the answers that deal with the patient's body, not machines, or equipment.

1 tsp - ANSWER 5 mL

1 oz - ANSWER 30 mL

1 cup - ANSWER 8 oz

1 quart - ANSWER 2 pints

1 pint - ANSWER 2 cups

1 g (gram) - ANSWER 1000 mg

1 kg - ANSWER 2.2 lbs

I lb - ANSWER 16 oz

measles - ANSWER koplick's spots

sle (systemic lupus) - ANSWER butterfly rash

ventriculoperitoneal shunt - ANSWER watch for abdominal distention. watch for s/s of ICP such as high pitch cry, irritability and bulging fontanels. In a toddler watch for loss of appetite and headache. After shunt is placed bed position is FLAT so fluid doesn't reduce too rapidly. If presenting s/s of ICP then raise the HOB 15-30 degrees

3-4 cups of milk a day for a child? - ANSWER NO too much milk can reduce the intake of other nutrients especially iron. Watch for ANEMIA

MMR and varicella immunizaions - ANSWER after 15 months!

cryptorchidism - ANSWER undescended testicles! risk factor for testicular cancer later in life. Teach self exam for boys around age 12--most cases occur in adolescence

CSF meningitis - ANSWER HIGH protein LOW glucose

Head injury or skull fx - ANSWER no nasotracheal suctioning

otitis media - ANSWER feed upright to avoid otitis media!

positioning for pneumonia - ANSWER lay on affected side, this will splint and reduce pain. However, if you are trying to reduce congestion, the sick lung goes up! (like when you have a stuffy nose and you lay with that side up, it clears!)

for neutropenic pts - ANSWER no fresh flowers, fresh fruits or veggies and no milk

antiplatelet drug hypersensitivity - ANSWER bronchospasm

bowel obstruction - ANSWER more important to maintain fluid balance than to establish a normal bowel pattern (they cant take in oral fluids)

Basophils reliease histamine - ANSWER during an allergic response

Iatragenic - ANSWER means it was caused by treatment, procedure or medication

Tamoxifen - ANSWER watch for visual changes--indicates toxicity

post spelectomy - ANSWER pneumovax 23 is administered to prevent pneumococcal sepsis

Alkalosis/ Acidosis and K+ - ANSWER ALKalosis=al K= low sis. Acidosis (K+ high)

No phenylalanine - ANSWER to a kid with PKU. No meat, dairy or aspartame

never give potassium - ANSWER to a pt who has low urine output!

nephrotic syndrome - ANSWER characterized by massive proteinuria caused by glomerular damage. corticosteroids are the mainstay

the first sign of ARDS - ANSWER increased respirations! followed by dyspnea and tachypnea

normal PCWC (pulmonary capillary wedge pressure) - ANSWER is 8-13 readings 18- are considered high

first sign of PE - ANSWER sudden chest pain followed by dyspnea and tachypnea

Digitalis - ANSWER increases ventricular irritability ----could convert a rhythm to v-fib following cardioversion

Cold stress and the newborn - ANSWER biggest concern resp. distress

Parathyroid relies on - ANSWER vitamin D to work

Glucagon increases the effects of? - ANSWER anticoagulants

Sucking stab wound - ANSWER cover wound and tape on 3 sides to allow air to escape. If you cover and occlude it--it could turn into a closed pneumo or tension pneumo!

chest tube pulled out? - ANSWER occlusive dressing

PE - ANSWER Needs O2!

DKA - ANSWER acetone and keytones increase! once treated expect postassium to drop! have K+ ready

Hirschprung's - ANSWER diagnosed with rectal biopsy. S/S infant-failure to pass meconium and later the classic ribbon-like/foul smelling stools

umbilical cord compression - ANSWER reposition side to side or knee-chest

short cord - ANSWER discontinue pictocin

TB - ANSWER A positive Mantoux test indicates pt developed an immune response to TB. Acid-fast bacilli smear and culture:(+suggests an active infection) the diagnosis is CONFIRM by a positive culture for M TB A chest x-ray may be ordered to detect active lesions in the lungs QuantiFERON-TB Gold: DIAGNOSTIC for infection, whether it is active or latent

Battery - ANSWER performing procedure without consent

Assault - ANSWER Threatening to give pt. medication putting another person in fear of a harmful or an offensive contact.

Imprisonment - ANSWER Telling the client you cannot leave the hospital

Defamation - ANSWER is a false communication or careless disregard for the truth that causes damage to someone's reputation. in writing(Libel) or Verbally(Slander)

Sprain or Strain - ANSWER RICE Rest Ice Compress Elevate

laboring mom's water breaks? - ANSWER first thing--worry about prolapsed cord!

Toddlers need to express - ANSWER independence!

Addison's - ANSWER causes sever hypotension!

pancreatitis - ANSWER first pain relief, second cough and deep breathe

CF chief concern? - ANSWER Respiratory problems