ATI comprehensive predictor
Addison's & Cushings Correct Answer: Addison's = down down down up down
Cushings= up up up down up
hypo/hypernatremia, hypo/hypertension, blood volume, hypo/hyperkalemia, hypo/hyperglycemia
Better peripheral perfusion? Correct Answer: EleVate Veins, DAngle Arteries
APGAR Correct 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)
Airborne precautions Correct Answer: MTV or My chicken hez tb measles, chickenpox
(varicella) Herpes zoster/shingles TB
Airborne precautions protective equip Correct Answer: private room, neg pressure with 6-12 air
exchanges/hr mask & respirator N95 for TB
Droplet precautions Correct Answer: spiderman! sepsis, scarlet fever, streptococcal pharyngitis,
parvovirus, pneumonia, pertussis,
influenza,
diptheria,
epiglottitis,
rubella,
mumps, meningitis, mycoplasma or meningeal pneumonia, adeNovirus
(Private room and mask)
Contact precaution Correct Answer: MRS WHISE
protect visitors & caregivers when 3 ft of the pt.
Multidrug-resistant organisms
RSV, Shigella, Wound infections, Herpes simplex, Impetigo, Scabies, Enteric diseases caused by
micro-organisms (C diff),
Gloves and gowns worn by the caregivers and visitors
Disposal of infectious dressing material into a single, nonporous bag without touching the
outside of the bag
PMGG= Private room/ share same illness, mask, gown and gloves
Skin infection Correct Answer: VCHIPS
Varicella zoster
Cutaneous diptheria
Herpes simplez
Impetigo
,Peduculosis
Scabies
Air or Pulmonary Embolism Correct Answer: S/S chest pain, dyspnea, tachycardia,
pale/cyanotic, sense of impending doom. (turn pt to LEFT side and LOWER the head of bed.)
Woman in labor (un-reassuring FHR) Correct Answer: (late decels, decreased variability, fetal
bradycardia, etc) Turn pt on Left side, give O2, stop pitocin, Increase IV fluids!
Tube feeding with decreased LOC Correct Answer: Pt on Right side (promotes emptying of the
stomach) Head of bed elevated (prevent aspiration)
After lumbar puncture and oil based myelogram Correct Answer: pt is flat SUPINE (prevent
headache and leaking of CSF)
Pt with heat stroke Correct Answer: flat with legs elevated
during Continuous Bladder Irrigation (CBI) Correct Answer: catheter is taped to the thigh. leg
must be kept straight.
After Myringotomy Correct Answer: position on the side of AFFECTED ear, allows drainage.
After Cateract surgery Correct Answer: pt sleep on UNAFFECTED side with a night shield for
1-4 weeks
after Thyroidectomy Correct Answer: low or semi-fowler's position, support head, neck and
shoulders.
Infant with Spina Bifida Correct Answer: Prone so that sac does not rupture
Buck's Traction (skin) Correct Answer: elevate foot of bed for counter traction
After total hip replacement Correct Answer: don't sleep on side of surgery, don't flex hip more
than 45-60 degress, don't elevate Head Of Bed more than 45 degrees. Maintain hip abduction by
separating thighs with pillows.
Prolapsed cord Correct Answer: Knee to chest or Trendelenburg
oxygen 8 to 10 L
Cleft Lip Correct Answer: position on back or in infant seat to prevent trauma to the suture line.
while feeding hold in upright position.
To prevent dumping syndrome Correct Answer: (post operative ulcer/stomach surgeries) eat in
reclining position. Lie down after meals for 20-30 min. also restrict fluids during meals, low
CHO and fiber diet. small, frequent meals.
, AKA (above knee amputation) Correct Answer: elevate for first 24 hours on pillow. position
prone daily to maintain hip extension.
BKA (below knee amputation) Correct Answer: foot of bed elevated for first 24 hours. position
prone to provide hip extension.
detached retina Correct Answer: area of detachment should be in the dependent position
administration of enema Correct Answer: pt should be left side lying (Sim's) with knee flexed.
After supratentorial surgery Correct Answer: (incision behind hairline on forhead) elevate HOB
30-40 degrees
After infratentorial surgery Correct Answer: (incision at the nape of neck) position pt flat and
lateral on either side.
During internal radiation Correct Answer: on bed rest while implant in place
Autonomic Dysreflexia/Hyperreflexia Correct Answer: S/S pounding headache, profuse
sweating, nasal congestion, chills, bradycardia, hypertension. Place client in sitting position
(elevate HOB) FIRST!
Shock Correct Answer: bedrest with extremities elevated 20 degrees. knees straight, head
slightly elevated (modified Trendelenberg)
Head Injury Correct Answer: elevate HOB 30 degrees to decrease ICP
Peritoneal Dialysis (when outflow is inadequate) Correct Answer: turn pt from side to side
BEFORE checking for kinks in tubing
Lumbar Puncture Correct Answer: After the procedure, the pt should be supine for 4-12 hours as
prescribed.
Myesthenia Gravis Correct Answer: worsens with exercise and improves with rest
Myesthenia Gravis Correct Answer: a positive reaction to Tensilon---will improve symptoms
Cholinergic Crisis Correct Answer: Caused by excessive medication ---stop giving
Tensilon...will make it worse.
Liver biopsy (prior) Correct Answer: must have lab results for prothrombin time
Myxedema/ hypothyroidism Correct Answer: slowed physical and mental function, sensitivity
to cold, dry skin and hair.
Addison's & Cushings Correct Answer: Addison's = down down down up down
Cushings= up up up down up
hypo/hypernatremia, hypo/hypertension, blood volume, hypo/hyperkalemia, hypo/hyperglycemia
Better peripheral perfusion? Correct Answer: EleVate Veins, DAngle Arteries
APGAR Correct 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)
Airborne precautions Correct Answer: MTV or My chicken hez tb measles, chickenpox
(varicella) Herpes zoster/shingles TB
Airborne precautions protective equip Correct Answer: private room, neg pressure with 6-12 air
exchanges/hr mask & respirator N95 for TB
Droplet precautions Correct Answer: spiderman! sepsis, scarlet fever, streptococcal pharyngitis,
parvovirus, pneumonia, pertussis,
influenza,
diptheria,
epiglottitis,
rubella,
mumps, meningitis, mycoplasma or meningeal pneumonia, adeNovirus
(Private room and mask)
Contact precaution Correct Answer: MRS WHISE
protect visitors & caregivers when 3 ft of the pt.
Multidrug-resistant organisms
RSV, Shigella, Wound infections, Herpes simplex, Impetigo, Scabies, Enteric diseases caused by
micro-organisms (C diff),
Gloves and gowns worn by the caregivers and visitors
Disposal of infectious dressing material into a single, nonporous bag without touching the
outside of the bag
PMGG= Private room/ share same illness, mask, gown and gloves
Skin infection Correct Answer: VCHIPS
Varicella zoster
Cutaneous diptheria
Herpes simplez
Impetigo
,Peduculosis
Scabies
Air or Pulmonary Embolism Correct Answer: S/S chest pain, dyspnea, tachycardia,
pale/cyanotic, sense of impending doom. (turn pt to LEFT side and LOWER the head of bed.)
Woman in labor (un-reassuring FHR) Correct Answer: (late decels, decreased variability, fetal
bradycardia, etc) Turn pt on Left side, give O2, stop pitocin, Increase IV fluids!
Tube feeding with decreased LOC Correct Answer: Pt on Right side (promotes emptying of the
stomach) Head of bed elevated (prevent aspiration)
After lumbar puncture and oil based myelogram Correct Answer: pt is flat SUPINE (prevent
headache and leaking of CSF)
Pt with heat stroke Correct Answer: flat with legs elevated
during Continuous Bladder Irrigation (CBI) Correct Answer: catheter is taped to the thigh. leg
must be kept straight.
After Myringotomy Correct Answer: position on the side of AFFECTED ear, allows drainage.
After Cateract surgery Correct Answer: pt sleep on UNAFFECTED side with a night shield for
1-4 weeks
after Thyroidectomy Correct Answer: low or semi-fowler's position, support head, neck and
shoulders.
Infant with Spina Bifida Correct Answer: Prone so that sac does not rupture
Buck's Traction (skin) Correct Answer: elevate foot of bed for counter traction
After total hip replacement Correct Answer: don't sleep on side of surgery, don't flex hip more
than 45-60 degress, don't elevate Head Of Bed more than 45 degrees. Maintain hip abduction by
separating thighs with pillows.
Prolapsed cord Correct Answer: Knee to chest or Trendelenburg
oxygen 8 to 10 L
Cleft Lip Correct Answer: position on back or in infant seat to prevent trauma to the suture line.
while feeding hold in upright position.
To prevent dumping syndrome Correct Answer: (post operative ulcer/stomach surgeries) eat in
reclining position. Lie down after meals for 20-30 min. also restrict fluids during meals, low
CHO and fiber diet. small, frequent meals.
, AKA (above knee amputation) Correct Answer: elevate for first 24 hours on pillow. position
prone daily to maintain hip extension.
BKA (below knee amputation) Correct Answer: foot of bed elevated for first 24 hours. position
prone to provide hip extension.
detached retina Correct Answer: area of detachment should be in the dependent position
administration of enema Correct Answer: pt should be left side lying (Sim's) with knee flexed.
After supratentorial surgery Correct Answer: (incision behind hairline on forhead) elevate HOB
30-40 degrees
After infratentorial surgery Correct Answer: (incision at the nape of neck) position pt flat and
lateral on either side.
During internal radiation Correct Answer: on bed rest while implant in place
Autonomic Dysreflexia/Hyperreflexia Correct Answer: S/S pounding headache, profuse
sweating, nasal congestion, chills, bradycardia, hypertension. Place client in sitting position
(elevate HOB) FIRST!
Shock Correct Answer: bedrest with extremities elevated 20 degrees. knees straight, head
slightly elevated (modified Trendelenberg)
Head Injury Correct Answer: elevate HOB 30 degrees to decrease ICP
Peritoneal Dialysis (when outflow is inadequate) Correct Answer: turn pt from side to side
BEFORE checking for kinks in tubing
Lumbar Puncture Correct Answer: After the procedure, the pt should be supine for 4-12 hours as
prescribed.
Myesthenia Gravis Correct Answer: worsens with exercise and improves with rest
Myesthenia Gravis Correct Answer: a positive reaction to Tensilon---will improve symptoms
Cholinergic Crisis Correct Answer: Caused by excessive medication ---stop giving
Tensilon...will make it worse.
Liver biopsy (prior) Correct Answer: must have lab results for prothrombin time
Myxedema/ hypothyroidism Correct Answer: slowed physical and mental function, sensitivity
to cold, dry skin and hair.
