ATI COMPREHENSIVE EXIT EXAM –STUDY GUIDE (Complete)

ATI COMPREHENSIVE EXIT EXAM – STUDY GUIDE (Complete) 1) Xerostomia, what isit & how do you treat it? feeling of oral dryness - treat with sugarless candy or gum 2) Labs to check for pernicious anemia B12 3. Sign of mild anxiety Extreme focus 4. What is remote memory loss? Inability to remember things from YEARS ago 5. Heart failure dietary teaching Low sodium & fluid restriction 6. Diverticulitis dietary teaching Low fiber 7. Diverticulosis dietary teaching High fiber 8. IBS dietary teaching High fiber 9. Parents nervous about how their 3-year-old will act when newborn arrives. What can theydo? Provide gift from the infant to the sibling 10. Methylprednisolone sodium succinate lab to watch for? Serum glucose (because glucocorticoids cause hyperglycemia) 11. At 14 weeks' gestation, what should the patient report to the MD Swelling of the face (sign of preeclampsia) 12. Change of shift report should include The blood lost 13. Patient teaching for colostomy care The patient doesn't need to change the bag every day (only needs to be changed every 4-7days) 14. Scoliosis manifestation Lateral curvature of the spin & asymmetrical hips/ribs 15. Lab values that are elevated for Cushing's disease Cortisol, sodium & glucose 16. Administering medications through an NG tube *Administer medsseparately *DO NOT mix with enteral feedings *Dissolve crushed tablets in 15-30mL of water *Flush tubing before & after each medication with 10-30mL of water 17. Tobramycin adverse reaction *Ototoxicity (hearing damage & loss of balance) *Cloudy/bloody urine (nephrotoxicity 18. Amniocentesis patient teaching Have them empty bladder before the procedure 19. Expected finding during cardiac catheterization Patient will feel warmth and flushed when dye isinserted 20. What action should you instruct the patient to do prior to postural drainage Administer a bronchodilator or nebulizer prior to treatment, postural drainage should be done 1hour before meals or two hours after meals (perform twice daily) 21. IV phlebitis has occurred, what should the nurse do Discontinue IV & apply a warm/moist compress 22. When a patient is receiving mannitol, what should the nurse monitor for? Hypovolemia 23. Co-worker isimpaired, what do you do? Report it to the charge nurse 24. How do you draw blood out of a PICC line? Draw 10mL of blood and discard it, then draw another 10mL of blood for sample, and then flushwith 10mL of 0.9% sodium chloride 25. IV is infiltrated, what should the nurse do? Discontinue and apply a cool compress 26. A patient may have a latex allergy if they have a sensitivity to what food? Bananas 27. Parent teaching for a child with positional plagiocephaly Child will wear a molded helmet for 23 hours a day 28. During pregnancy, women should eat more of what to prevent neural defects Folate/folic acid 29. caregiver states they are becoming tired when caring for their parent with Alzheimer'sdisease, what can the nurse suggest Respite care (care to give caregivers a break) 30. Cleft palate teaching for feeding *Don't use a spoon *Position infant upright while cradling head & burp them frequently 31. A wound that would heal by primary intention A surgical incision 32. Sign of glaucoma is loss of Peripheral vision loss 33. Radiation implant precautions *Private room with radiation sign *Wear dosimeter film badge *Limit visitors to 30 min and to remain 6ft away from the patient *Keep lead container in room and tongs *No pregnant ladies or anyone under the age of 16 should come into contact with the patient 34. Discharge teaching for a patient who is going home with HIV/AIDS *Good hygiene & frequent hand washing *Avoid crowds *Avoid cleaning litter boxes *Avoid raw foods such as veggies or meats 35. Adolescent nutrition 1300mg of calcium 36. Priority nursing care for a patient who has been sexually assaulted Assess their anxiety 37. Identifying a need for hearing evaluation *Absence of talking by 7 months *Uses gestures rather than talking by 15 months *Speaks in monotone *Speaks loudly for the situation 38. How should you confirm the placement of an NG tube Aspirate gastric contents (pH lessthan 4) 39. Methylphenidate patient teaching It's Ritalin, so take once daily in the morning 40. Simvastatin reaction that you report to the MD Muscle aches/pain (rhabdomyolysis) 41. Diabetic foot care patient teaching Cut toe nailsstraight across No lotion between toes Wear clean socks made of cotton or wool 42. Where should you insert a peripheral catheter Distal veins in the non-dominant hand 43. Losartan adverse effect Angioedema 44. Patient teaching for dabigatran Report bleeding (it's an anticoagulant) 45. Pacemaker teaching Take pulse at same time each day & report if HR is less than 5bpm below the pacemaker rateReport dizzy, fatigue, hiccups or palpitations 46. EKG that has no P wave, has a wavy baseline and increased HR Atrial fibrillation 47. Newborn genetic screening