ATI Comprehensive Exam
Home safety - Answers -unplug appliances by grasping the plug rather than cord, set
water heater at 120 F (49 C), avoid throw rugs, have grasp bars installed around the
bathtub and toilet, shower
Normal urine specific gravity - Answers -1.000-1.030
Normal sodium - Answers -135-145, hypotonic dehydration= sodium <130
Resuscitation phase of burn injury - Answers -hyponatremia- the nurse expect the client
to have a decrease in sodium levels because sodium s drawn to the edematous burn
area and lost through plasma leakage
Lithium toxicity - Answers -increased thirst, vomiting, diarrhea or tremors, dehydration,
sweating, confusion, ECG changes, sedation, blurred vision
Crohn's disease - Answers -consume a low fiber diet to reduce residue and decrease
exacerbations, increase potassium, protein and calories
chlorpromazine - Answers -antipsychotic medication administered to decrease
hallucinations
Thoracentesis - Answers -avoid deep breathing
AP Delegation - Answers -can't measure VS from a patient who returns to PACU
Therapeutic aPTT (Heparin) - Answers -60-80 is therapeutic, expected 30-40
Valproic acid - Answers -watch out for hepatic toxicity, assess serum liver enzyme
levels, jaundice
MAOIs - Answers -avoid tyramine because hypertension
Pneumonia - Answers -droplet precautions
Airborne - Answers -varicella zoster or measles
Granulocyte colony-stimulating factor - Answers -promotes production of granulocytes
in the bone marrow to help fight infection
amoxicillin/cluvalanate suspension - Answers -shake the medication bottle well before
each dose is given, store in refrigerator, report diarrhea.
, ginger tea - Answers -helps with nausea
phenelzine - Answers -eat broccoli, yogurt and cream cheese, avoid tyramine
sublimation - Answers -channeling negative feelings over the loss of her job into a new
hobby
non weight bearing - Answers -3 point gait
Albumin & Potassium - Answers -3.5-4.5
Conduction - Answers -loss of hear bw the newborn's skin and the cooler surfaces
beneath it
detached retina - Answers -floating dark spots due to bulges, folds or holes in the
affected retina
Romberg test - Answers -preformed with eyes open then closes, assess balance and
motor function. feet together, arms at side, nurse standing close
Albuterol - Answers -rescue inhaler, take the medication 15 min before playing sports,
peak in 30-60 min, wait 1 minute, clean the mouthpiece with water and soap, take a
long inhalation
Hyper-magnesemia >2.5 - Answers -The nurse should initiate continuous cardiac
monitoring because a
Nageles rule - Answers -subtract 3 days add 7 days
Adult with pneumonia symptoms - Answers -acute confusion, fatigue, lethargy and
anorexia
Compartment syndrome - Answers -increased pain, edema, pallor, paresthesias from
increased edema
Chvostek's sign - Answers -tapping the client's facial nerve in front of the tragus of the
ear, facial twitching is a positive finding that indicates hypocalcemia
Epinephrine - Answers -anaphylactic reaction- chest pain, increases cardiac workload
and oxygen demand, which can result in agina
Ginseng - Answers -Timolol decreases the effectiveness of ginseng
Clonidine Side Effects - Answers -constipation, dry mouth, rashes, pruritus and edema,
alterations in taste
Home safety - Answers -unplug appliances by grasping the plug rather than cord, set
water heater at 120 F (49 C), avoid throw rugs, have grasp bars installed around the
bathtub and toilet, shower
Normal urine specific gravity - Answers -1.000-1.030
Normal sodium - Answers -135-145, hypotonic dehydration= sodium <130
Resuscitation phase of burn injury - Answers -hyponatremia- the nurse expect the client
to have a decrease in sodium levels because sodium s drawn to the edematous burn
area and lost through plasma leakage
Lithium toxicity - Answers -increased thirst, vomiting, diarrhea or tremors, dehydration,
sweating, confusion, ECG changes, sedation, blurred vision
Crohn's disease - Answers -consume a low fiber diet to reduce residue and decrease
exacerbations, increase potassium, protein and calories
chlorpromazine - Answers -antipsychotic medication administered to decrease
hallucinations
Thoracentesis - Answers -avoid deep breathing
AP Delegation - Answers -can't measure VS from a patient who returns to PACU
Therapeutic aPTT (Heparin) - Answers -60-80 is therapeutic, expected 30-40
Valproic acid - Answers -watch out for hepatic toxicity, assess serum liver enzyme
levels, jaundice
MAOIs - Answers -avoid tyramine because hypertension
Pneumonia - Answers -droplet precautions
Airborne - Answers -varicella zoster or measles
Granulocyte colony-stimulating factor - Answers -promotes production of granulocytes
in the bone marrow to help fight infection
amoxicillin/cluvalanate suspension - Answers -shake the medication bottle well before
each dose is given, store in refrigerator, report diarrhea.
, ginger tea - Answers -helps with nausea
phenelzine - Answers -eat broccoli, yogurt and cream cheese, avoid tyramine
sublimation - Answers -channeling negative feelings over the loss of her job into a new
hobby
non weight bearing - Answers -3 point gait
Albumin & Potassium - Answers -3.5-4.5
Conduction - Answers -loss of hear bw the newborn's skin and the cooler surfaces
beneath it
detached retina - Answers -floating dark spots due to bulges, folds or holes in the
affected retina
Romberg test - Answers -preformed with eyes open then closes, assess balance and
motor function. feet together, arms at side, nurse standing close
Albuterol - Answers -rescue inhaler, take the medication 15 min before playing sports,
peak in 30-60 min, wait 1 minute, clean the mouthpiece with water and soap, take a
long inhalation
Hyper-magnesemia >2.5 - Answers -The nurse should initiate continuous cardiac
monitoring because a
Nageles rule - Answers -subtract 3 days add 7 days
Adult with pneumonia symptoms - Answers -acute confusion, fatigue, lethargy and
anorexia
Compartment syndrome - Answers -increased pain, edema, pallor, paresthesias from
increased edema
Chvostek's sign - Answers -tapping the client's facial nerve in front of the tragus of the
ear, facial twitching is a positive finding that indicates hypocalcemia
Epinephrine - Answers -anaphylactic reaction- chest pain, increases cardiac workload
and oxygen demand, which can result in agina
Ginseng - Answers -Timolol decreases the effectiveness of ginseng
Clonidine Side Effects - Answers -constipation, dry mouth, rashes, pruritus and edema,
alterations in taste
