New update !! latest 2023 ATI
Comprehensive Predictor Updated
Version Study Guide
Do not delegate -------- Correct Answer -------- What you can *EAT*
*E*-evaluate
*A*-assess
* T-*teach
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, D-Angle
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- *VCHIPS* -------- Correct Answer -------- 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)
LOC -------- Correct Answer -------- Level of Consciousness
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.
Myringotomy -------- Correct Answer -------- surgical incision into the eardrum, to relieve
pressure or drain fluid.
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
dependent position -------- Correct Answer -------- supported
administration of enema -------- Correct Answer -------- pt should be left side lying (Sim's)
with knee flexed.
supratentorial -------- Correct Answer -------- (incision behind hairline on forhead) e
After supratentorial surgery -------- Correct Answer -------- elevate HOB 30-40 degrees
HOB -------- Correct Answer -------- head of bed
infratentorial -------- Correct Answer -------- (incision at the nape of neck)
After infratentorial surgery -------- Correct Answer -------- position pt flat and lateral on
either side.
Comprehensive Predictor Updated
Version Study Guide
Do not delegate -------- Correct Answer -------- What you can *EAT*
*E*-evaluate
*A*-assess
* T-*teach
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, D-Angle
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- *VCHIPS* -------- Correct Answer -------- 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)
LOC -------- Correct Answer -------- Level of Consciousness
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.
Myringotomy -------- Correct Answer -------- surgical incision into the eardrum, to relieve
pressure or drain fluid.
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
dependent position -------- Correct Answer -------- supported
administration of enema -------- Correct Answer -------- pt should be left side lying (Sim's)
with knee flexed.
supratentorial -------- Correct Answer -------- (incision behind hairline on forhead) e
After supratentorial surgery -------- Correct Answer -------- elevate HOB 30-40 degrees
HOB -------- Correct Answer -------- head of bed
infratentorial -------- Correct Answer -------- (incision at the nape of neck)
After infratentorial surgery -------- Correct Answer -------- position pt flat and lateral on
either side.
