Download ATI Comprehensive Predictor 2024 new version and more Exams Nursing in PDF only on Docsity!
ATI Comprehensive Predictor 2024 new
version
Fontanel closing on newborns - Answer :: anterior 12-18 months posterior 1-2 months Best time to perform bladder scan - Answer :: immediately after void Cholecystitis Diet - Answer :: no cheese! low fat, no fatty/greasy food, low cholesterol, Increase fruit and veggies, Whole grain (Melon) Moro reflex - Answer :: startled; hit surface next to the newborn Position for suppository or enema administration - Answer :: - Sim's/left lateral/Rt. knee to chest Varicella contraindication - Answer :: corticosteroids Dtap contraindication - Answer :: Hx of inconsolable crying Newborn car seat safety - Answer :: Snug harness across axillary. Not across abdomen or neck. Ileostomy what pt expect on appearance - Answer :: - Initial drainage: dark green, odorless.
- Some initial bleeding normal
- Pink or red stoma color normal
- Initial swelling; decreases 2-3 weeks later delirium - Answer :: simple orientation and low stimuli Hep b contraindication - Answer :: Baker's yeast MMR contraindications - Answer :: pregnancy, recent blood transfusion
Anorexia nervosa - Answer :: increase in sodium, potassium, chloride, BUN, liver function, cholesterol Bulimia therapeutic nursing care - Answer :: offer small and frequent meals 89% postoperative - Answer :: change to another finger Non rebreather mask - Answer :: Ensure two "flaps" open during exhalation/close during inhalation. Venture mask - Answer :: ensure reservoir bag 2/3 full during inspiration and expiration Thoracentesis position - Answer :: sitting position, arms raised and resting overbed table Chlorpromazine (psychoses) - Answer :: adverse effect (SPASMS/TREMORS) treat benzo (COGENTIN) BENADRYL Variable deceleration - Answer :: cord compression Early decelerations - Answer :: safe Begin prior to peak of the contraction and end by the end of it. they are caused by head compression. no need for intervention if variability is within normal range (6-10) and the FHR is within normal range. Cystic fibrosis - Answer :: DNA mutant gene, sprinkle capsule on food Levothyroxine - Answer :: thyroid, caution with cardiac pts (TACHY ANXIETY) take in morning Levothyroxine toxicity - Answer :: anxiety, chest pain, tachy, hypertension Bucks traction - Answer :: immobilization, reposition q 2hrs, provide pin care, neuro checks Amputation - Answer :: apply prosthetic before ambulating
leukorrhea - Answer :: white discharge from the vagina during early pregnancy MRSA Contact Precautions - Answer :: - keep distance within 3 ft of client
- Private room or share with someone with similar infection (wound infection, herpes simplex)
- double bag dressing gauze.
- PPE: Gloves and Gowns. Metformin common side effect - Answer :: renal kidney failure drawing up insulin - Answer :: NR-RN regular NPH (Clear then cloudy) Interaction between SSRI and st johns warts - Answer :: hypertensions and increased heart rate that can become life threatening. diabetic foot care - Answer :: - Nailcare: Podiatrist, cut nail straight across.
- Wear Clean Cotton Socks/Closed Shoes
- Do not soak feet or wear ointments Used Opioid overdose - Answer :: Naloxone (Narcan) Contraindication during alcohol withdrawals - Answer :: Delirium, accompanied by hallucinations Pt education for amniocentesis - Answer :: supine or rolled towel under right hip, continue breathing normally as needle is inserted, rest 30 min after, increase fluids for 24 hrs after Indications for fluid depletion - Answer :: thread pulse, hypotensive, tachy, increased resp, cool, clammy, diaphoretic, decreased UOP, thirst
Type of stomas - Answer :: single one stoma, loop proximal active distal inactive, divided proximal digestive distal mucus, double barrel sutured together Documentation for ostomy care - Answer :: amount, color, consistency Priority for panic disorder - Answer :: Breathing Technique Education on meds - Answer :: digoxin- 2hrs of meals monitor pulse for 1 min, toxicity, sodium polystyrene- hypokalemia, restrict sodium, epogen- blood twice a week, monitor hypertension, ferrous sulfate-administer following dialysis with stool softner take with food, aluminum hydroxide gel- avoid pts with gi disorders, 2 hrs before/ after dig, Lasix- monitor i&o, bp, weight, report thirst cough Newborn water temp and room temp - Answer :: 120F 97.9-99F Bathing newborn technique - Answer :: Bathe from cleanest to dirtiest
- Eyes
- Face
- Head
- Chest
- Arms
- Legs
- Groin (last) Newborn reflex shown on day 1 - Answer :: hear voice Immunization recommended for postexposure protection - Answer :: Hep A
Osteoarthritis - Answer :: Alternate: Heat Therapy for Pain and Cold Therapy for Inflammation
- Use assistive devices (raised toilet to help not straining) Before bolus feedings - Answer :: check residual Pt complaints of cramping - Answer :: decrease infusion rate Location for drainage bag of catheters - Answer :: bed frame below level of bladder ventilator alarms - Answer :: low: disconnection high: kink, suction Glascow Coma Scale - Answer :: 15: Good 3: severe Pressure ulcer strategies - Answer :: reposition bed q 2hr, chair q 1hr, apply barrier cream and moisture absorbing pads Immunization: booster every 10 years - Answer :: DTP HPV vaccine - Answer :: 3 doses given starting at age 11- 12 How to measure Fundal Height - Answer :: top of symphysis pubis to top of fundus Calcular due date - Answer :: Day of LMP - 3 months + 1 yr & 7 days Contraindicated immunizations during pregnancy - Answer :: - Varicella
- Zoster
- MMR True labor vs False labor - Answer :: true- pain in lower back; regular rhythmic contractions; increased intensity with ambulation false-discomfort at abdomen; no lower back pain; contraction stop with ambulation or position change
Deceleration - Answer :: early head compression late uteroplacental insufficiency variable cord compression interventions in late variable deceleration - Answer :: left lateral side laying oxygen C-section Normal FHR - Answer :: 120- 160 Nursing car boggy uterus - Answer :: void, massage top of fundus with fingers reassess q 15 min Nursing care engorgement - Answer :: moist heat for 5 in before breastfeeding, ice compresses after feeding to reduce swelling and discomfort Nursing care mastitis - Answer :: continue breastfeeding and take antibiotics as prescribes Narcotic antidote - Answer :: Naloxone (Narcan) Anemia Lab - Answer :: RBC 4.20-4. BUN and creatinine - Answer :: 10-20, 0.9-10. sodium - Answer :: 136- 145 Potassium - Answer :: 3.5-5. Chloride - Answer :: 96- 106 Magnesium Sulfate Toxicity - Answer :: calcium gluconate Magnesium toxicity - Answer :: Absent or decreased deep tendon reflexes Respiratory depression Cardiac arrest
Variable decelerations - Answer :: cord compression, prep for c section, change position, d/c oxytocin Follow initial nursing action for late decelerations - Answer :: left lateral position Demerol - Answer :: best pain management post op cholecystectomy Do you report chlamydia - Answer :: mandated reporting to CDC w/out consent JP Drain - Answer :: empty 1/2 full Q 8 hrs clean with soap and water JP Drainage doubles in two hours - Answer :: think hemorrhage assess start cbc Notify MD Foods high in potassium - Answer :: • Avocado
- Bananas
- Cantaloupe
- Carrots
- Fish
- Mushrooms
- Oranges
- Potatoes
- Pork, Beef, Veal
- Raisins
- Spinach
- Strawberries
- Tomatoes MAOI Nardil - Answer :: avoid cheese food for hyponatremia - Answer :: cheese high in sodium and protein Drainage pin sites - Answer :: document COCA, leave crust pin care TID Phytoin SMZ-TMP - Answer :: command hallucination- phytoin toxicity Command hallucinations - Answer :: An individual hearing voices that direct the person to take action. without meds Methergine risk - Answer :: treats postpartum hemorrhage, risk for: hypertension, check bp, watch n/v headache 2 years of age presentation - Answer :: round soft abdomen 3 years immunizations - Answer :: dtap, ipv, mmr, varicells, influenza 3 year normal - Answer :: 2-3kg y, 2.5-3 in y, picky eaters, initiative vs guilt, imaginary friends, ride tricycle, jump off bottom step, stand on one foot for a few seconds First thing to do with newborn - Answer :: ABC, Dry off Terminally ill patient - Answer :: anticipatory Client involved in MVA severe internal bleeding - Answer :: 5% dextrose in LR Hypovolemic shock - Answer :: 5% Dextrose in LR Family asks to pray with you - Answer :: refer to spiritual services
3 month old - Answer :: graham crackers, flex and tuck Febrile cooling blanket - Answer :: shivering is adverse reaction Dig toxicity - Answer :: - 3.2 is possible Report in preterm labor - Answer :: severe headache; hypertensive crisis tuna - Answer :: high in protein and potassium anemic - Answer :: decrease milk increase iron craniotomy things to report - Answer :: aphasia, HOB increase 30 Prednisone - Answer :: not long term, risk for infection Losing 1lb in a week - Answer :: - 500 calories a day Bad sign with newborn - Answer :: disapproval diet glomerulonephritis - Answer :: low sodium, water restriction dehydrated peds - Answer :: do not give gingerale, fruit juice, or water postop colon resection - Answer :: monitor treat pain&evaluate pain relief, provide wound care using surgical aseptic technique, advise the client to use stool softners to prevent straining priority infection for amniotomy - Answer :: fever/infection stroke pt priority therapy - Answer :: speech/ABC's best to orient - Answer :: - follow nurse informed consent - Answer :: - parent of minor, spouse relative, court ordeed rep, legal guardian impaired nurse - Answer :: report to charge nurse
veracity - Answer :: med error
- PCA pump, PRN morphine - Answer :: walking talking pain management Singulair - Answer :: - once daily at bed time Peak gentamicin - Answer :: - 30 min after giving IM or after IV finished, trough before next dose Lithium level - Answer :: 0.4-1. Lithium toxicity - Answer :: slurs speech, NVD, thirst, polyuria, muscle weakness Central line push resistance - Answer :: do not push Pt with anthrax - Answer :: strip down Beta Blockers - Answer :: **** DO NOT give with ASTHMA, BRONCHIAL CONSTRICTIVE DISEASE!!!**** "LOL" Antenolol, metoprolol. labetolol Antihypertensive. Blocks beta-adrenergic receptors in heart, decreases excitability of the heart, reduces caridac workload and O2 consumption. Lowers BP. Check BP before giving (hypotension) *Orthostatic Hypotension
- Do not D/C abruptly (2wks)
trying to get pregnant - Answer :: after stops may take a while Chlamydia mom and baby - Answer :: Zithromax, amoxicillin and erythromycin Decontamination radiaton - Answer :: soap and water disposable towels insulin, rotate sites or no? - Answer :: do not rotate site Valproic acid - Answer :: Liver failure/ jaundice Implementing staff changes - Answer :: - investigate issue with task force Consent from ED to do surgery - Answer :: - get official interpreter Heavy lochia boggy fundus - Answer :: - give oxytocin Autism ati - Answer :: Lack of responsiveness Frequent variable decels - Answer :: turn on left side first Post EGD - Answer :: cool, clammy skin= perforation Cytoxan for neuroblastomas in toddlers - Answer :: hydrate liberally Risk for diabetes insipidus - Answer :: - monitor for polyuria Postpartum, immediate action - Answer :: boggy uterus, massage fundus Cushings Disease - Answer :: moon face, increased cortisol Memory Loss - Answer :: ICP Equation for calculating pulse pressure - Answer :: SBD-DBP = PP Trough - Answer :: 1 hour prior to next dose Overhydration - Answer :: tachycardia, bounding pulses, hypertension, tachypnea, increased CVP, confusion, muscle weakness, wt gain, ascites, dyspnea, crackles Hyponatremia - Answer :: hypothermia, tachycardia, rapid thread pulse, hypotension, ortho hypotension, headache, condusion, decreased DTR, hyperactive bowel sounds
Hypernatremia - Answer :: hyperthermia, tachycardia, rapid thread pulse ortho hypotension, restlessness, irritability, muscle twitching, reduced to absent DTR, hyperactive bowel sounds Hyperkalemia - Answer :: slow/irregular pulse, hypotension, restlessness, irritability, flaccid paralysis, N/V/D, hyperactive bowel sounds Hypokalemia - Answer :: hyperthermia, weak irregular pulse, hypotension, resp distress, muscle cramping, pvc's, bradycardia, decreased mobility Complications hypophysectomy - Answer :: bleeding and nasal drainage csf leak, assess nuero condition q hr for 24 hr and q 4hr after Nursing intervention for preventing delays in healing - Answer :: encourage fluid intake 2 - 3L increase protein, keep serum albumin level above 3. Meds for sinus tach - Answer :: amiodarone, adenosine, verapamil, cardioversion Hyperglycemia - Answer :: bg>250, thirst, polyuria, hunger, warm dry flushed skin, weakness, malaise, rapid weak pulse, hypotension deep rapid respirations Complications of pericarditis - Answer :: cardiac tamponade, hypotension, muffled heart sounds, JVD, paradoxical pulse Pericarditis - Answer :: follows a resp infection s/s pericarditis - Answer :: - chest pressure/pain
- friction rub
- SOB
- pain relieved when sitting and leaning forward fasting blood glucose - Answer :: post pone diabetic med after levels are drawn fasted for 8hr prior to blood drawn
- water bath(98.6-106F)
- tetanus What does glaucoma look like through patients eyes - Answer :: Google picture of tree Scoliosis Assessment - Answer :: - instruct pt to bed at the waist w arms reaching toward toes
- inspect and palpate down the spine using thumb and forefinger
- inspect the spine again with client standing
- Expected findings: no tenderness with spinal vertebrae that are midline To avoid contractures - Answer :: frequent position changes things to report during first trimester - Answer :: bleeding leakage of fluid contractions Preventing infection in immunocompromised pt - Answer :: - dont place stuff on floor
- dont shake linens
- clean least soiled area first
- use plastic bag for moist contaminated items
- empty all liquids used into drain Contraindication of acupuncture - Answer :: herpes zoster Primary Prevention - Answer ::
