ATI Exit exam review 2023 latest update
name the 3 components when a nurse uses and interpreter - answers 1. reason for
interpreter use
2. type of questions that will be asked
3. allow the interpreter time to be introduced
what type of terminology should be used when using an interpreter - answers laymans
terms
Who should NOT be used as an interpreter - answers family, friends, non-designated
employee
Put the steps for a home visit in order
1. Identify family needs interventions using the nursing process
2. Discuss plans for future visits with the family.
3. Contact the family to determine availability and readiness to make an appointment.
4. Clarify the reason for the referral with the provider's office.
5. Record information about the home visit according to agency policy - answers 43152
what is the Pao2 for a patient with ARDS - answers <50%
whats the Fio2 for a patient with ards - answers >60%
what are 3 manifestations of ards - answers SOB hyperpnea pulmonary edema
The lungs of an ARDS patient has _______________ - answers decreased pulmonary
compliance
How does the chest xray look for a patient with ARDs - answers bilateral pulmonary
infiltrates
,what are the 3 characteristic vital signs of shock - answers tachycardia tachypnea
hypotension
2 early signs of shock - answers restless hyperalert
3 later signs of shock - answers decreased alertness lethargy coma
how does the skin look when a patient is in shock (4 answers) - answers cold clammy
diaphoretic pale
how is the patient positioned if they are experiencing cardiogenic shock in the presence
of pulmonary edema - answers high fowler's with the legs down
placing a patient in high fowler's with the legs down during shock, does what ? -
answers decreases venous return to the left ventricle
a nurse finds a patient unresponsive in their room, put the steps in order:
1. position patient on cardiac board
2. initiate chest compressions
3. if no response, call a code or for help
4. ventilate with 100% O2
5. determine responsiveness: " are you alright ?" - answers 53142
name the 6 signs of fluid overload or excess fluid - answers dyspnea tachycardia
JVD
peripheral edema
pulmonary edema
weight gain
name the 6 symptoms of fluid deficit - answers decreased urine output
reduction in body weight
decreased skin turgor
dry mucous membranes
hypotension
tachycardia
if the patient has low potassium, they will also have low _________ - answers
magnesium
name the 2 treatments for hyponatremia - answers restrict fluids
administer fluids slowly
name 2 actions the nurse should take when a patient has hypernatremia - answers
restrict Na in diet
increase water intake
, how can a nurse assess renal status when a patient has hypokalemia - answers intake
& output
name 5 foods high in potassium - answers bananas oranges cantaloupes avocados
spinach
when a patient has hyperkalemia the nurse should administer ______________ with
_____________ - answers 50% glucose insulin
which medication can correct the cation exchange when a patient has hyperkalemia -
answers kayexelate
what is the first action a nurse should implement when a patient has hyperkalemia -
answers ECG monitoring
what characteristic are shown on a cardiac monitor for hyperkalemia - answers peaked
T waves
a nurse can give _______________ to help with hyperkalemia
(the other option, not kayexelate) - answers
what type of foods are high in calcium - answers dairy products
which 2 meds are used for hypercalcemia - answers calcitonin pamidronate
name 5 foods high in magnesium - answers meats nuts legumes fish vegetables
when a patient has hypermagnesemia they should avoid magnesium based
____________ and ______________ - answers antacids laxatives
give phosphates with _____________ to increase absorption for hypophosphatemia -
answers vitamin D
Give _________________ with meals to bind phosphate for hyperphosphatemia -
answers aluminum hydroxide
which 2 labs are affected during dehydration - answers BUN
creatinine
______________ and ______________- increase when a patient has dehydration -
answers urine osmolality specific gravity
what is the most common cause of acute kidney injury - answers volume depletion
what are 4 signs of acute kidney injury - answers fever tachycardia tachypnea
hypotension
name the 3 components when a nurse uses and interpreter - answers 1. reason for
interpreter use
2. type of questions that will be asked
3. allow the interpreter time to be introduced
what type of terminology should be used when using an interpreter - answers laymans
terms
Who should NOT be used as an interpreter - answers family, friends, non-designated
employee
Put the steps for a home visit in order
1. Identify family needs interventions using the nursing process
2. Discuss plans for future visits with the family.
3. Contact the family to determine availability and readiness to make an appointment.
4. Clarify the reason for the referral with the provider's office.
5. Record information about the home visit according to agency policy - answers 43152
what is the Pao2 for a patient with ARDS - answers <50%
whats the Fio2 for a patient with ards - answers >60%
what are 3 manifestations of ards - answers SOB hyperpnea pulmonary edema
The lungs of an ARDS patient has _______________ - answers decreased pulmonary
compliance
How does the chest xray look for a patient with ARDs - answers bilateral pulmonary
infiltrates
,what are the 3 characteristic vital signs of shock - answers tachycardia tachypnea
hypotension
2 early signs of shock - answers restless hyperalert
3 later signs of shock - answers decreased alertness lethargy coma
how does the skin look when a patient is in shock (4 answers) - answers cold clammy
diaphoretic pale
how is the patient positioned if they are experiencing cardiogenic shock in the presence
of pulmonary edema - answers high fowler's with the legs down
placing a patient in high fowler's with the legs down during shock, does what ? -
answers decreases venous return to the left ventricle
a nurse finds a patient unresponsive in their room, put the steps in order:
1. position patient on cardiac board
2. initiate chest compressions
3. if no response, call a code or for help
4. ventilate with 100% O2
5. determine responsiveness: " are you alright ?" - answers 53142
name the 6 signs of fluid overload or excess fluid - answers dyspnea tachycardia
JVD
peripheral edema
pulmonary edema
weight gain
name the 6 symptoms of fluid deficit - answers decreased urine output
reduction in body weight
decreased skin turgor
dry mucous membranes
hypotension
tachycardia
if the patient has low potassium, they will also have low _________ - answers
magnesium
name the 2 treatments for hyponatremia - answers restrict fluids
administer fluids slowly
name 2 actions the nurse should take when a patient has hypernatremia - answers
restrict Na in diet
increase water intake
, how can a nurse assess renal status when a patient has hypokalemia - answers intake
& output
name 5 foods high in potassium - answers bananas oranges cantaloupes avocados
spinach
when a patient has hyperkalemia the nurse should administer ______________ with
_____________ - answers 50% glucose insulin
which medication can correct the cation exchange when a patient has hyperkalemia -
answers kayexelate
what is the first action a nurse should implement when a patient has hyperkalemia -
answers ECG monitoring
what characteristic are shown on a cardiac monitor for hyperkalemia - answers peaked
T waves
a nurse can give _______________ to help with hyperkalemia
(the other option, not kayexelate) - answers
what type of foods are high in calcium - answers dairy products
which 2 meds are used for hypercalcemia - answers calcitonin pamidronate
name 5 foods high in magnesium - answers meats nuts legumes fish vegetables
when a patient has hypermagnesemia they should avoid magnesium based
____________ and ______________ - answers antacids laxatives
give phosphates with _____________ to increase absorption for hypophosphatemia -
answers vitamin D
Give _________________ with meals to bind phosphate for hyperphosphatemia -
answers aluminum hydroxide
which 2 labs are affected during dehydration - answers BUN
creatinine
______________ and ______________- increase when a patient has dehydration -
answers urine osmolality specific gravity
what is the most common cause of acute kidney injury - answers volume depletion
what are 4 signs of acute kidney injury - answers fever tachycardia tachypnea
hypotension
