ATI EXIT EXAM
Sertraline adverse effect – ANSWER Dry cough
Patient understands teaching of sertraline when they state - ANSWER “It takes a few weeks for
it to take effect"
Cannot donate kidney if you have what? - ANSWER Hypertension
Combination oral contraceptives contraindication – ANSWER Hypertension
Pernicious anemia test? – ANSWER Schillings Test for B12 deficiency
Xerostomia - ANSWER feeling of oral dryness- treat with sugarless candy or gum
Impetigo – ANSWER highly contagious skin infection that causes red sores on the face
Sign of mild anxiety - ANSWER extreme focus
Diverticulitis dietary teaching - ANSWER low fiber diet
Diverticulosis - ANSWER high-fiber diet (pockets, need to bulk stool)
IBS diet - ANSWER high fiber
Parents nervous about how 3 year old will react with when newborn arrives - ANSWER provide
gift from the infant to the sibling (3 year old)
Methylprednisolone sodium succinate lab to watch for? - ANSWER serum glucose
(glucocorticoids cause hyperglycemia)
14 weeks gestation, what should the patient report to the MD - ANSWER Swelling of the face
(sign of preeclampsia)
Change of shift report should include? - ANSWER blood lost
Patient teaching for colostomy care - ANSWER patient doesn't need to change the bag every day
(needs changed every 4-7 days)
Scoliosis manifestations - ANSWER lateral curvature of the spine & asymmetrical
hips/ribs/shoulders
, Biohazard material spill – ANSWER
a. Doxorubicin hydrochloride
b. Phenytoin
c. Metronidazole
d. Ampicillin
Methylergonovine – ANSWER Contraindicated in pregnancy, Category C
Administered orally for a maximum of 1 week postpartum to control uterine bleeding. Do not
breastfeed
Elevated lab values for Cushing's disease - ANSWER Cortisol, sodium & glucose
Administering medications through a NG tube – ANSWER
Administer meds separately
Do NOT mix with enteral feedings
Dissolve crushed tablets in 15-30 mL
Flush tubing before & before each medications with 10-30mL of water
Tobramycin adverse reaction - ANSWER Ototoxicity (hearing damage/loss of balance)
Nephrotoxicity (cloudy/bloody urine)
Amniocentesis patient teaching - ANSWER Empty bladder before procedure
Expected finding during cardiac catheterization - ANSWER patient will feel warmth & flushed
when dye is inserted
Postural drainage – ANSWER Bronchodilator or nebulizer PRIOR to treatment
Should be done 1 hour before meals or 2 hours after
Perform twice daily*
IV phlebitis - ANSWER discontinue IV & apply a warm/moist compress
When receiving mannitol, monitor for? - ANSWER hypovolemia (decreased volume of
circulating blood in system)
Co-worker impaired, what do you do? - ANSWER
Assess the Situation
Document Specific Concerns
Approach with Sensitivity
Report the Concern to a Supervisor or HR
Ensure Safety
Maintain Confidentiality
Follow Up
How to draw blood out of PICC line – ANSWER Draw 10mL then discard it
Draw another 10mL for sample
Sertraline adverse effect – ANSWER Dry cough
Patient understands teaching of sertraline when they state - ANSWER “It takes a few weeks for
it to take effect"
Cannot donate kidney if you have what? - ANSWER Hypertension
Combination oral contraceptives contraindication – ANSWER Hypertension
Pernicious anemia test? – ANSWER Schillings Test for B12 deficiency
Xerostomia - ANSWER feeling of oral dryness- treat with sugarless candy or gum
Impetigo – ANSWER highly contagious skin infection that causes red sores on the face
Sign of mild anxiety - ANSWER extreme focus
Diverticulitis dietary teaching - ANSWER low fiber diet
Diverticulosis - ANSWER high-fiber diet (pockets, need to bulk stool)
IBS diet - ANSWER high fiber
Parents nervous about how 3 year old will react with when newborn arrives - ANSWER provide
gift from the infant to the sibling (3 year old)
Methylprednisolone sodium succinate lab to watch for? - ANSWER serum glucose
(glucocorticoids cause hyperglycemia)
14 weeks gestation, what should the patient report to the MD - ANSWER Swelling of the face
(sign of preeclampsia)
Change of shift report should include? - ANSWER blood lost
Patient teaching for colostomy care - ANSWER patient doesn't need to change the bag every day
(needs changed every 4-7 days)
Scoliosis manifestations - ANSWER lateral curvature of the spine & asymmetrical
hips/ribs/shoulders
, Biohazard material spill – ANSWER
a. Doxorubicin hydrochloride
b. Phenytoin
c. Metronidazole
d. Ampicillin
Methylergonovine – ANSWER Contraindicated in pregnancy, Category C
Administered orally for a maximum of 1 week postpartum to control uterine bleeding. Do not
breastfeed
Elevated lab values for Cushing's disease - ANSWER Cortisol, sodium & glucose
Administering medications through a NG tube – ANSWER
Administer meds separately
Do NOT mix with enteral feedings
Dissolve crushed tablets in 15-30 mL
Flush tubing before & before each medications with 10-30mL of water
Tobramycin adverse reaction - ANSWER Ototoxicity (hearing damage/loss of balance)
Nephrotoxicity (cloudy/bloody urine)
Amniocentesis patient teaching - ANSWER Empty bladder before procedure
Expected finding during cardiac catheterization - ANSWER patient will feel warmth & flushed
when dye is inserted
Postural drainage – ANSWER Bronchodilator or nebulizer PRIOR to treatment
Should be done 1 hour before meals or 2 hours after
Perform twice daily*
IV phlebitis - ANSWER discontinue IV & apply a warm/moist compress
When receiving mannitol, monitor for? - ANSWER hypovolemia (decreased volume of
circulating blood in system)
Co-worker impaired, what do you do? - ANSWER
Assess the Situation
Document Specific Concerns
Approach with Sensitivity
Report the Concern to a Supervisor or HR
Ensure Safety
Maintain Confidentiality
Follow Up
How to draw blood out of PICC line – ANSWER Draw 10mL then discard it
Draw another 10mL for sample
