ATI Comprehensive Predictor Review
Do not delegate - ANS What you can EAT E-evaluate A-assess T-teach
Cushings - ANS hyper-everything, hypokalemia, hirsutism, moon-face & buffalo hump. heat
intolerance (too hot)
Addison's - ANS hypo-everything, hyperkalemia, bronze skin
Better peripheral perfusion? - ANS EleVate Veins, DAngle Arteries
administration of enema - ANS pt should be left side lying (Sim's) with knee flexed.
APGAR - ANS 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 protective equip - ANS private room, neg pressure with 6-12 air
exchanges/hr mask & respirator N95 for TB
Air or Pulmonary Embolism - ANS 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 - ANS Pt on Right side (promotes emptying of the stomach)
Head of bed elevated (prevent aspiration)
After lumbar puncture and oil based myelogram - ANS pt is flat SUPINE (prevent headache and
leaking of CSF)
Pt with heat stroke - ANS flat with legs elevated
during Continuous Bladder Irrigation (CBI) - ANS catheter is taped to the thigh. leg must be kept
straight.
After Myringotomy - ANS position on the side of AFFECTED ear, allows drainage.
After Cataract surgery - ANS pt sleep on UNAFFECTED side with a night shield for 1-4 weeks
after Thyroidectomy - ANS low or semi-fowler's position, support head, neck and shoulders.
, Infant with Spina Bifida - ANS Prone so that sac does not rupture
Buck's Traction (skin) - ANS elevate foot of bed for counter traction
After total hip replacement - ANS 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 interventions - ANS Knee to chest or Trendelenburg
oxygen 8 to 10 L
Cleft Lip - ANS position on back or in infant seat to prevent trauma to the suture line. while
feeding hold in upright position.
AKA & BKA (above/below knee amputation) - ANS elevate for first 24 hours on pillow. position
prone daily to maintain hip extension.
To prevent dumping syndrome - ANS (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.
detached retina - ANS area of detachment should be in the dependent position
After supratentorial surgery - ANS (incision behind hairline on forhead) elevate HOB 30-40
degrees
After infratentorial surgery - ANS (incision at the nape of neck) position pt flat and lateral on
either side.
During internal radiation - ANS on bed rest while implant in place
Autonomic Dysreflexia/Hyperreflexia - ANS S/S pounding headache, profuse sweating, nasal
congestion, chills, bradycardia, hypertension. Place client in sitting position (elevate HOB)
FIRST!
Shock - ANS (modified Trendelenberg position) bedrest with extremities elevated 20 degrees.
knees straight, head slightly elevated
Head Injury - ANS elevate HOB 30 degrees to decrease ICP
Peritoneal Dialysis (when outflow is inadequate) - ANS turn pt from side to side BEFORE
checking for kinks in tubing
Do not delegate - ANS What you can EAT E-evaluate A-assess T-teach
Cushings - ANS hyper-everything, hypokalemia, hirsutism, moon-face & buffalo hump. heat
intolerance (too hot)
Addison's - ANS hypo-everything, hyperkalemia, bronze skin
Better peripheral perfusion? - ANS EleVate Veins, DAngle Arteries
administration of enema - ANS pt should be left side lying (Sim's) with knee flexed.
APGAR - ANS 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 protective equip - ANS private room, neg pressure with 6-12 air
exchanges/hr mask & respirator N95 for TB
Air or Pulmonary Embolism - ANS 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 - ANS Pt on Right side (promotes emptying of the stomach)
Head of bed elevated (prevent aspiration)
After lumbar puncture and oil based myelogram - ANS pt is flat SUPINE (prevent headache and
leaking of CSF)
Pt with heat stroke - ANS flat with legs elevated
during Continuous Bladder Irrigation (CBI) - ANS catheter is taped to the thigh. leg must be kept
straight.
After Myringotomy - ANS position on the side of AFFECTED ear, allows drainage.
After Cataract surgery - ANS pt sleep on UNAFFECTED side with a night shield for 1-4 weeks
after Thyroidectomy - ANS low or semi-fowler's position, support head, neck and shoulders.
, Infant with Spina Bifida - ANS Prone so that sac does not rupture
Buck's Traction (skin) - ANS elevate foot of bed for counter traction
After total hip replacement - ANS 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 interventions - ANS Knee to chest or Trendelenburg
oxygen 8 to 10 L
Cleft Lip - ANS position on back or in infant seat to prevent trauma to the suture line. while
feeding hold in upright position.
AKA & BKA (above/below knee amputation) - ANS elevate for first 24 hours on pillow. position
prone daily to maintain hip extension.
To prevent dumping syndrome - ANS (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.
detached retina - ANS area of detachment should be in the dependent position
After supratentorial surgery - ANS (incision behind hairline on forhead) elevate HOB 30-40
degrees
After infratentorial surgery - ANS (incision at the nape of neck) position pt flat and lateral on
either side.
During internal radiation - ANS on bed rest while implant in place
Autonomic Dysreflexia/Hyperreflexia - ANS S/S pounding headache, profuse sweating, nasal
congestion, chills, bradycardia, hypertension. Place client in sitting position (elevate HOB)
FIRST!
Shock - ANS (modified Trendelenberg position) bedrest with extremities elevated 20 degrees.
knees straight, head slightly elevated
Head Injury - ANS elevate HOB 30 degrees to decrease ICP
Peritoneal Dialysis (when outflow is inadequate) - ANS turn pt from side to side BEFORE
checking for kinks in tubing
