ATI Comprehensive Exam WITH
QUESTIONS AND ANSWERS, Verified and 100%
Correct Answers)
For cataract extrac on surgery, what are the protocols? - -avoid taking aspirin
-use cool compress on eye before calling MD if itchy
-avoid bending at the waist b/c it can raise intraoccular pressure (BEND AT THE KNEES)
-don't li anything over 10 lbs
If a pa ent 24 hours p/o refuses to ambulate, what should you do first? - -assess pain
-THEN you can educate, turn pa ent, give PRN analgesic
What happens during true labor? - -cervix transi ons to anterior posi on
-contrac ons felt in low ab and back
-increases w/ ambula on
-cervix thins
What are common side effects of amitryp line (an depressant)? - -dry mouth and cons pa on
(eat fiber and chew gum) and BLURRED VISION
-take a night to minimize drowsiness
-lack of ability to sweat->avoid overhea ng
What should you do for diabetes insipidus? - -monitor increase urine output (polyuria->over 4
L/day)
,-monitor tachycardia
-orthosta c hypotension
-increased BUN
-monitor for hyperthermia d/t dehydra on
What should you do to minimize risk of increased ICP? - -place client in quiet environment
-spread out nursing ac vi es throughout the day
-keep head of bed no more than 25 degrees
What should you do for a client who recently got a stoma and can't afford it d/t lack of
insurance? - -arrange for social services
-refer to american cancer society
-refer to support groups
-refer to enterostomal therapist
-DO NOT delay discharge
What should you teach for myasthenia gravis pa ents? - -cut food into small bites and eat
slowly (SEMI-SOLID)
-keep HOB elevated 30-60 mins a er meal
-weigh self daily
-take an cholinesterase meds 45-60 mins before meals (NOT an cholinergics)
-choose snacks high in calories
-ANNUAL FLU VACCINE->avoid pulmonary disorders b/c compromised resp muscles
What should you do for clients who have rheumatoid arthri s and are in pain? - -allow frequent
rest periods throughout the day
-recommend warm showers, not baths to prevent falls
, -apply ice to reduce inflamma on
-don't do morning ADLs un l pain meds are given
-don't take more than 4 g of acetaminophen/day
-encourage high iron, protein and vitamins
What should you give a toddler who has infec ous gastroenteri s? - -ini ate oral rehydra on
therapy
-DONT give BRAT (bananas, rice, applesauce, toast) diet because it doesn't have electrolytes
What should you do if the client vomits on a reusable BP cuff? - -send it off in a labeled bag for
contamina on
-DONT throw it away
-rinse in cold water immediately a er
-use chlorine bleach to clean blood spills
What does petechiae over the chest a er a lower leg injury mean? - -at risk for fat embolism
syndrome
-PRIORITY FINDING
What is important about newborn safety? - -set hot water heater temp at 120 degree F or
below
-DONT sleep with blanket
-make sure crib slats are no more than 2.5 in apart
-place baby's car seat rear facing un l 2
What is within the LVN scope? Assis ve personnel? - -LVN: insert NG tube
-AP scope: prepare bed, obtain stool sample
QUESTIONS AND ANSWERS, Verified and 100%
Correct Answers)
For cataract extrac on surgery, what are the protocols? - -avoid taking aspirin
-use cool compress on eye before calling MD if itchy
-avoid bending at the waist b/c it can raise intraoccular pressure (BEND AT THE KNEES)
-don't li anything over 10 lbs
If a pa ent 24 hours p/o refuses to ambulate, what should you do first? - -assess pain
-THEN you can educate, turn pa ent, give PRN analgesic
What happens during true labor? - -cervix transi ons to anterior posi on
-contrac ons felt in low ab and back
-increases w/ ambula on
-cervix thins
What are common side effects of amitryp line (an depressant)? - -dry mouth and cons pa on
(eat fiber and chew gum) and BLURRED VISION
-take a night to minimize drowsiness
-lack of ability to sweat->avoid overhea ng
What should you do for diabetes insipidus? - -monitor increase urine output (polyuria->over 4
L/day)
,-monitor tachycardia
-orthosta c hypotension
-increased BUN
-monitor for hyperthermia d/t dehydra on
What should you do to minimize risk of increased ICP? - -place client in quiet environment
-spread out nursing ac vi es throughout the day
-keep head of bed no more than 25 degrees
What should you do for a client who recently got a stoma and can't afford it d/t lack of
insurance? - -arrange for social services
-refer to american cancer society
-refer to support groups
-refer to enterostomal therapist
-DO NOT delay discharge
What should you teach for myasthenia gravis pa ents? - -cut food into small bites and eat
slowly (SEMI-SOLID)
-keep HOB elevated 30-60 mins a er meal
-weigh self daily
-take an cholinesterase meds 45-60 mins before meals (NOT an cholinergics)
-choose snacks high in calories
-ANNUAL FLU VACCINE->avoid pulmonary disorders b/c compromised resp muscles
What should you do for clients who have rheumatoid arthri s and are in pain? - -allow frequent
rest periods throughout the day
-recommend warm showers, not baths to prevent falls
, -apply ice to reduce inflamma on
-don't do morning ADLs un l pain meds are given
-don't take more than 4 g of acetaminophen/day
-encourage high iron, protein and vitamins
What should you give a toddler who has infec ous gastroenteri s? - -ini ate oral rehydra on
therapy
-DONT give BRAT (bananas, rice, applesauce, toast) diet because it doesn't have electrolytes
What should you do if the client vomits on a reusable BP cuff? - -send it off in a labeled bag for
contamina on
-DONT throw it away
-rinse in cold water immediately a er
-use chlorine bleach to clean blood spills
What does petechiae over the chest a er a lower leg injury mean? - -at risk for fat embolism
syndrome
-PRIORITY FINDING
What is important about newborn safety? - -set hot water heater temp at 120 degree F or
below
-DONT sleep with blanket
-make sure crib slats are no more than 2.5 in apart
-place baby's car seat rear facing un l 2
What is within the LVN scope? Assis ve personnel? - -LVN: insert NG tube
-AP scope: prepare bed, obtain stool sample
