ATI Comprehensive Questions 2024.
Air or Pulmonary Embolism - ANSWER S/S chest pain, dyspnea, tachycardia,
pale/cyanotic, sense of impending doom. (turn pt to LEFT side and LOWER the head of
bed.)
Tube feeding with decreased LOC - ANSWER Pt on Right side (promotes emptying of
the stomach) Head of bed elevated (prevent aspiration)
After lumbar puncture and oil based myelogram - ANSWER pt is flat SUPINE (prevent
headache and leaking of CSF)
Pt with heat stroke - ANSWER flat with legs elevated
during Continuous Bladder Irrigation (CBI) - ANSWER catheter is taped to the thigh. leg
must be kept straight.
After Myringotomy - ANSWER position on the side of AFFECTED ear, allows drainage.
After Cataract surgery - ANSWER pt sleep on UNAFFECTED side with a night shield
for 1-4 weeks
after Thyroidectomy - ANSWER low or semi-fowler's position, support head, neck and
shoulders.
Infant with Spina Bifida - ANSWER Prone so that sac does not rupture
Buck's Traction (skin) - ANSWER elevate foot of bed for counter traction
After total hip replacement - 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 - ANSWER Knee to chest or Trendelenburg
Cleft Lip - 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 - 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) - ANSWER elevate for first 24 hours on pillow. position
prone daily to maintain hip extension.
, BKA (below knee amputation) - ANSWER foot of bed elevated for first 24 hours.
position prone to provide hip extension.
detached retina - ANSWER area of detachment should be in the dependent position
administration of enema - ANSWER pt should be left side lying (Sim's) with knee flexed.
After infratentorial surgery - ANSWER (incision at the nape of neck) position pt flat and
lateral on either side.
Autonomic Dysreflexia/Hyperreflexia - ANSWER S/S pounding headache, profuse
sweating, nasal congestion, chills, bradycardia, hypertension. Place client in sitting
position (elevate HOB) FIRST!
Shock - ANSWER bedrest with extremities elevated 20 degrees. knees straight, head
slightly elevated (modified Trendelenberg)
Head Injury - ANSWER elevate HOB 30 degrees to decrease ICP
Peritoneal Dialysis (when outflow is inadequate) - ANSWER turn pt from side to side
BEFORE checking for kinks in tubing
Lumbar Puncture - ANSWER After the procedure, the pt should be supine for 4-12
hours as prescribed.
Myesthenia Gravis - ANSWER worsens with exercise and improves with rest
Myesthenia Gravis - ANSWER a positive reaction to Tensilon---will improve symptoms
Cholinergic Crisis - ANSWER Caused by excessive medication ---stop giving
Tensilon...will make it worse.
Liver biopsy (prior) - ANSWER must have lab results for prothrombin time
Myxedema/ hypothyroidism - ANSWER slowed physical and mental function, sensitivity
to cold, dry skin and hair.
Grave's Disease/ hyperthyroidism - ANSWER accelerated physical and mental function.
Sensitivity to heat. Fine/soft hair.
Thyroid storm - ANSWER increased temp, pulse and HTN
Post-Thyroidectomy - ANSWER semi-fowler's. Prevent neck flexion/hyperextension.
Trach at bedside
Air or Pulmonary Embolism - ANSWER S/S chest pain, dyspnea, tachycardia,
pale/cyanotic, sense of impending doom. (turn pt to LEFT side and LOWER the head of
bed.)
Tube feeding with decreased LOC - ANSWER Pt on Right side (promotes emptying of
the stomach) Head of bed elevated (prevent aspiration)
After lumbar puncture and oil based myelogram - ANSWER pt is flat SUPINE (prevent
headache and leaking of CSF)
Pt with heat stroke - ANSWER flat with legs elevated
during Continuous Bladder Irrigation (CBI) - ANSWER catheter is taped to the thigh. leg
must be kept straight.
After Myringotomy - ANSWER position on the side of AFFECTED ear, allows drainage.
After Cataract surgery - ANSWER pt sleep on UNAFFECTED side with a night shield
for 1-4 weeks
after Thyroidectomy - ANSWER low or semi-fowler's position, support head, neck and
shoulders.
Infant with Spina Bifida - ANSWER Prone so that sac does not rupture
Buck's Traction (skin) - ANSWER elevate foot of bed for counter traction
After total hip replacement - 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 - ANSWER Knee to chest or Trendelenburg
Cleft Lip - 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 - 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) - ANSWER elevate for first 24 hours on pillow. position
prone daily to maintain hip extension.
, BKA (below knee amputation) - ANSWER foot of bed elevated for first 24 hours.
position prone to provide hip extension.
detached retina - ANSWER area of detachment should be in the dependent position
administration of enema - ANSWER pt should be left side lying (Sim's) with knee flexed.
After infratentorial surgery - ANSWER (incision at the nape of neck) position pt flat and
lateral on either side.
Autonomic Dysreflexia/Hyperreflexia - ANSWER S/S pounding headache, profuse
sweating, nasal congestion, chills, bradycardia, hypertension. Place client in sitting
position (elevate HOB) FIRST!
Shock - ANSWER bedrest with extremities elevated 20 degrees. knees straight, head
slightly elevated (modified Trendelenberg)
Head Injury - ANSWER elevate HOB 30 degrees to decrease ICP
Peritoneal Dialysis (when outflow is inadequate) - ANSWER turn pt from side to side
BEFORE checking for kinks in tubing
Lumbar Puncture - ANSWER After the procedure, the pt should be supine for 4-12
hours as prescribed.
Myesthenia Gravis - ANSWER worsens with exercise and improves with rest
Myesthenia Gravis - ANSWER a positive reaction to Tensilon---will improve symptoms
Cholinergic Crisis - ANSWER Caused by excessive medication ---stop giving
Tensilon...will make it worse.
Liver biopsy (prior) - ANSWER must have lab results for prothrombin time
Myxedema/ hypothyroidism - ANSWER slowed physical and mental function, sensitivity
to cold, dry skin and hair.
Grave's Disease/ hyperthyroidism - ANSWER accelerated physical and mental function.
Sensitivity to heat. Fine/soft hair.
Thyroid storm - ANSWER increased temp, pulse and HTN
Post-Thyroidectomy - ANSWER semi-fowler's. Prevent neck flexion/hyperextension.
Trach at bedside
