1
ATI COMPREHENSIVE EXIT EXAM 2025/26 LATEST
VERSION STUDY GUIDE
WITH COMPLETE SOLUTION
propafenone interactions ANS -may slow metabolism and cause an
increase in the levels of digoxin, anticoagulants, and propranolol; quinidine and
amiodarone increase toxicity, monitor ECG, bradycardia hypotension
propranolol interactions ANS -verapamil, dilitiazem have additive
cardiosuprression effects, careful w/ diabetic patients; instruct clients to take
apical pulse and notify provider of changes
amiodarone interactions ANS -increase plasma levels, cholestyramine decreases
levels of amiodarone, use cautiously w/ diuretics, beta blockers, verapamil, no
grapefruit juice. may increase digoxinn toxicity- highly toxic
Verapamil interactions ANS --lol may increase med, may potentiate
carbamazapine and digoxin, may cause heart failure; may cause OH- report
edema or SOB
Adenosine interactions ANS -methyxanthines block receptors, dipridamole
uptake in inhibited, short half life- so adverse are mild and last for less than one
minute.
digoxin interactions ANS -antacids and metoclopramide decrease digoxin,
amiodarone, quinidine, verapamil, diltiazem, propafenone, flecainide increase
digoxin levers, cortico, diuretics, thiazides, amphotericin B may decrease K levels-
monitor HR- report is less than 60, eat high K diet
Endometiral infection usually occurs ANS -with a prolonged rupture of
membranes, not vacuum-assisted births.
Intenstinal gas is a common side effect of ANS -clients following a cesarean birth
Cervical lacerations are common complications from ANS -vacuum-assisted
birth are rare but can include perineal, vaginal, or cervical lacerations
When a client is experiencing a wound evisceration... ANS -the nurse should
initially stay with the client and call for help. Next, the nurse should place saline-
soaked gauze on the exposed bowels to keep the internal organs moist. The
,2
nurse should then place the client in a supine position with his hips and knees
bent to relieve pressure from the open wound. Last, the nurse should take the
client's vital signs to assess for changes in hemodynamics.
Valproic acid can cause ANS -hepatic toxicity
continuous passive motion (CPM) machine ANS -Turn of the CPM machine
during meals to promote comfort and dietary intake.
,3
-The affected extremity should maintain neutral alignment.
Heparin ANS -is an anticoagulant that inhibits the conversation of prothrombin
to thrombin. Patients on an anticoagulant drug such as heparin are at an
increased risk of bleeding.
-Signs of bleeding: ecchymoses, tarry stools, mucosal bleeding, and pink/ red-
tinged urine.
Correct method for walking upstairs with crutches ANS -1. Hold to rail with one
hand and crutches with the other hand.
2. Push down on the stair rail and the crutches and step up with the "unaffected" leg.
3. If not allowed to place weight on the "affected" leg, hop up with the "unaffected"
leg.
4. Bring the "affected" leg and the crutches up beside the "unaffected"
leg. 5.Remember, the "unaffected" leg goes up first and the crutches
move with the "affected" leg.
Droplet precautions ANS -DROPLET: "SPIDERMAn"
-Sepsis
-Scarlet Fever
-Strep
-Pertussis
-Pneumonia
-Parvovirus
-Influenza
-Diphtheria
-Epiglottitis
-Rubella
-Mumps
-Adenovirus
Management: Private room/mask
-A private room a rom with other clients with the same infectious disease.
-Masks for providers and visitors
Airborne precautions: ANS -AIRBORNE: "My Chicken Hez TB"
-Measles
, 4
-Chicken pox
-Herpes zoster
-TB
Management: neg. pressure room, private room, mask, n-95 for TB.
ATI COMPREHENSIVE EXIT EXAM 2025/26 LATEST
VERSION STUDY GUIDE
WITH COMPLETE SOLUTION
propafenone interactions ANS -may slow metabolism and cause an
increase in the levels of digoxin, anticoagulants, and propranolol; quinidine and
amiodarone increase toxicity, monitor ECG, bradycardia hypotension
propranolol interactions ANS -verapamil, dilitiazem have additive
cardiosuprression effects, careful w/ diabetic patients; instruct clients to take
apical pulse and notify provider of changes
amiodarone interactions ANS -increase plasma levels, cholestyramine decreases
levels of amiodarone, use cautiously w/ diuretics, beta blockers, verapamil, no
grapefruit juice. may increase digoxinn toxicity- highly toxic
Verapamil interactions ANS --lol may increase med, may potentiate
carbamazapine and digoxin, may cause heart failure; may cause OH- report
edema or SOB
Adenosine interactions ANS -methyxanthines block receptors, dipridamole
uptake in inhibited, short half life- so adverse are mild and last for less than one
minute.
digoxin interactions ANS -antacids and metoclopramide decrease digoxin,
amiodarone, quinidine, verapamil, diltiazem, propafenone, flecainide increase
digoxin levers, cortico, diuretics, thiazides, amphotericin B may decrease K levels-
monitor HR- report is less than 60, eat high K diet
Endometiral infection usually occurs ANS -with a prolonged rupture of
membranes, not vacuum-assisted births.
Intenstinal gas is a common side effect of ANS -clients following a cesarean birth
Cervical lacerations are common complications from ANS -vacuum-assisted
birth are rare but can include perineal, vaginal, or cervical lacerations
When a client is experiencing a wound evisceration... ANS -the nurse should
initially stay with the client and call for help. Next, the nurse should place saline-
soaked gauze on the exposed bowels to keep the internal organs moist. The
,2
nurse should then place the client in a supine position with his hips and knees
bent to relieve pressure from the open wound. Last, the nurse should take the
client's vital signs to assess for changes in hemodynamics.
Valproic acid can cause ANS -hepatic toxicity
continuous passive motion (CPM) machine ANS -Turn of the CPM machine
during meals to promote comfort and dietary intake.
,3
-The affected extremity should maintain neutral alignment.
Heparin ANS -is an anticoagulant that inhibits the conversation of prothrombin
to thrombin. Patients on an anticoagulant drug such as heparin are at an
increased risk of bleeding.
-Signs of bleeding: ecchymoses, tarry stools, mucosal bleeding, and pink/ red-
tinged urine.
Correct method for walking upstairs with crutches ANS -1. Hold to rail with one
hand and crutches with the other hand.
2. Push down on the stair rail and the crutches and step up with the "unaffected" leg.
3. If not allowed to place weight on the "affected" leg, hop up with the "unaffected"
leg.
4. Bring the "affected" leg and the crutches up beside the "unaffected"
leg. 5.Remember, the "unaffected" leg goes up first and the crutches
move with the "affected" leg.
Droplet precautions ANS -DROPLET: "SPIDERMAn"
-Sepsis
-Scarlet Fever
-Strep
-Pertussis
-Pneumonia
-Parvovirus
-Influenza
-Diphtheria
-Epiglottitis
-Rubella
-Mumps
-Adenovirus
Management: Private room/mask
-A private room a rom with other clients with the same infectious disease.
-Masks for providers and visitors
Airborne precautions: ANS -AIRBORNE: "My Chicken Hez TB"
-Measles
, 4
-Chicken pox
-Herpes zoster
-TB
Management: neg. pressure room, private room, mask, n-95 for TB.
