5/7/24,y10:38yPM ATIyCapstoneystudyyguide
@FrontlineRNyEtsyyShop
ATIyCapstoneyContentyReviewyTipsyofyth
eyWeek
Laboratoryy Values
Understandingy they differencey betweeny ATIyAsse
ssmentsyandyyouryUnityExams: Whileylab yvaluesyvaryyslightlyyaccordingytoytheysou
Inynursingyschoolyyouy havey beeny givenyexaminati rce,yknowingyanyaverageyrangeyforythey followingyco
onsytoy“examine”yhowymuchyyouyhad ylearnedyfrom mmonylabytestsywillybeyveryyhelpfulyonytoyyouywh
ythe yspecific ymaterialythatywas ytheoreticallyypresent enyansweringyquestions.
edytoyyouyinylecture,yreading, yskillsy labs,y clinical,y
etc.y Youry scorey wasy basedy onythey100%yscaley&yy Sodiumy 136-145y mEq/L
ouywereyprobablyyexpectedytoyscoreyanywhereyfro
myaroundy75%ytoy100%yoverythatymaterialyinyorder Potassiumy3.5-
ytoypass.
5.0ymEq/LyTotalyCalciumy 9.0
Now— -10.5ymg/dLyMagnesiumy1.3-
thereyisyNOyWAYythatyanyynursingyprogramycanyt
eachyeverythingythereyisytoyknowyaboutynursingyiny 2.1ymg/dL
ay2-
4yyearyprogram.yInyfact,yoneyofy myycolleagues yalw Phosphorusy 3.0y –4.5y mg/dL
aysysaidythatynursingyschoolyisysoytoughybecauseyst
udentsyareyexpectedyto ylearnyiny2- BUNy 10-20y mg/dL
4yyearsywhatymedystudentsyhavey6+ yyearsytoylearn!!
yTherefore, yeachyprogramyhas yaybitydifferentyfocus y Creatininey0.6y –y 1.2mg/dLy males,y0.5y –
&yusesydifferentytextbooksy&ymaterialsybasedyonyth y 1.1y mg/dLyfemales
eiryfocus.
Glucosey 70y -105y mg/dL
ThisyisywhereyATIyassessments ycomeyiny- HgbA1cy<6.5%yWBC5
ythese yassessments yare ybroad y&yare yusedy toy“asse
ss”ywhatyyouyknowyinycomparisonytoytheyexityexa ,000-10,000/mm3
myand yultimatelyytheyNCLEXyblueprint.yTherefor
eyyouryscore— RBCy Meny 4.7-6.1y million/mm3,y Womeny 4.2-
whileystillybasedyonythey100%yscale— 5.4ymillion/mm3
isynotylookedyatyinytheysameywayyityisyaytypicalyex
am.yItywouldybeytotallyyunreasonable yto yexpectyyo Hemoglobiny Meny 14-18g/100y mL,y Womeny 12-
uytoyscorey75- 16yg/100ymL
100%yovery materialythatyyouymayyhaveyneveryeve
nyseenybefore!! Hematocrity Meny 42-52%,Womeny 37-47%
Platelet150,000-
So—whenyyouy takey they ATIyassessments—
thinkyofythemyasyaymeansytoyidentifyyareasythatyyo 400,000/mm3ypHy7.35-7.45
uymightyseeyonyyouryexityexamyandyultimatelyyNCL
EX. pC02y35yto45ymmyHgyp
Throughyreviewy&yremediationythatyyouycomplete, y
youywillybeyprepared. 02y80-
Useytheytipsyandystrategiesy(seeybelow)yeachyweeky 100ymmHgyHCO3y 21-
inythey modulesytoyhelpyyouyprepareytheycontentyrev
iewyandyassessment. 26mmol/L
1
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NormalyPTy=y 11-12.5ysec,y NormalyINRy=y 0.7- Crutchy walking:
1.8y(TherapeuticyINRy2-3)
Rememberytheyphasey“stepyup”ywhenypicturingyayp
NormalyPTTy=y30-40ysecy(Therapeuticy PTTy1.5y– ersonygoingyupystairsywithycrutches. yTheygoodylegy
y 2yxynormalyorycontrolyvalues) goesyupyfirstyfollowedybyytheycrutches yandytheybad
yleg. yThe yopposite yhappens ygoingydownythe ystairs
Digoxiny 0.5y toy 2.0ng/mLyLithiu ….ORy“upytoyheaven…downytoyhell”
my0.8ytoy1.4ymEq/L
Dilantiny10-
20ymcg/mLyTheophylliney10yto Delegation:
y 20mcg/mL RNs yDOyNOTydelegateywhatytheyycanyEAT--
yevaluate, yassess, yteach
Latexy Allergies:
Helpfuly tooly toy remembery Isolationy Precautions:yA
Noteythatyclientsyallergicytoybananas, yapricots,ycher
ries,ygrapes,ykiwis,ypassionyfruit, yavocados, ychestn IRBORNE:y "MyyChickenyHezyTB"
uts,ytomatoes, yand/orypeaches y mayy experienceylatex
yallergies yas ywell. -Measles
-Chickeny pox
Ordery ofy assessment: -Herpesy zoster
-TB
I-
Management:y neg.y pressurey room,y privatey room,y
inspectionyP mask,yn-95yforyTB.
- DROPLET:y "SPIDERMAn"
palpationyP-
-Sepsis
percussion -Scarlety Fever
-Strep
A-auscultation -Pertussis
-Pneumonia
ExceptywithyabdomenyityisyIAPP- -Parvovirus
inspect,yauscultate,ypercussyandypalpate. -Influenza
-Diphtheria
Caney walking: -Epiglottitis
-Rubella
C-cane -Mumps
-Adenovirus
O- 2
oppositeyA
-
affectedyL-
leg
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Notyfeelingywell,yfeveryorychills
Complicationy ofy severey preeclampsia— Stringy missing
y"HELLP"ysyndrome
Hemolysis
Newborny assessmenty components—"APGAR"
ElevatedyLiveryenzymesyLo
Appearancey
wyPlateletycount
PulseyGrim
aceyActivit
Dystocia:y generaly aspectsy (maternal)—"4P's"
y
PowersyPas
Respiratoryyeffort
sagewayyPas
senger yPsyc
Obstetricy (maternity)y history—"GTPAL"
h
Graviday
TermyP
Infectionsy duringy pregnancy—"TORCH"
reterm
Toxoplasmosis
Abortions y (SAB,yTAB)
Othery(hepatitisyB,ysyphilis,ygroupyBybetaystrep)y
Livingy children
Rubella
CytomegalovirusyHerp
Oraly contraceptives:y Signsy ofy potentialyproblems
esysimplexyvirus —"ACHES"
Abdominalypainy(possibleyliveryorygallbladderyproble
m)
IUD:y potentialy problemsy withy use—
Chestypainyoryshortnessyofybreathy(possibleypulmon
"PAINS"yPeriody(menstrual:ylate,yspotting,yblee aryyembolus)
ding)yAbdominalypain,ydyspareunia Headachey (possible y hypertension, y brainy attack)
Infectiony (abnormaly vaginaly discharge) Eyeyproblemsy(possibleyhypertensionyoryvascularyacci
dent)
4
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ATIyCapstoneyContentyReviewyTipsyofyth
eyWeek
Laboratoryy Values
Understandingy they differencey betweeny ATIyAsse
ssmentsyandyyouryUnityExams: Whileylab yvaluesyvaryyslightlyyaccordingytoytheysou
Inynursingyschoolyyouy havey beeny givenyexaminati rce,yknowingyanyaverageyrangeyforythey followingyco
onsytoy“examine”yhowymuchyyouyhad ylearnedyfrom mmonylabytestsywillybeyveryyhelpfulyonytoyyouywh
ythe yspecific ymaterialythatywas ytheoreticallyypresent enyansweringyquestions.
edytoyyouyinylecture,yreading, yskillsy labs,y clinical,y
etc.y Youry scorey wasy basedy onythey100%yscaley&yy Sodiumy 136-145y mEq/L
ouywereyprobablyyexpectedytoyscoreyanywhereyfro
myaroundy75%ytoy100%yoverythatymaterialyinyorder Potassiumy3.5-
ytoypass.
5.0ymEq/LyTotalyCalciumy 9.0
Now— -10.5ymg/dLyMagnesiumy1.3-
thereyisyNOyWAYythatyanyynursingyprogramycanyt
eachyeverythingythereyisytoyknowyaboutynursingyiny 2.1ymg/dL
ay2-
4yyearyprogram.yInyfact,yoneyofy myycolleagues yalw Phosphorusy 3.0y –4.5y mg/dL
aysysaidythatynursingyschoolyisysoytoughybecauseyst
udentsyareyexpectedyto ylearnyiny2- BUNy 10-20y mg/dL
4yyearsywhatymedystudentsyhavey6+ yyearsytoylearn!!
yTherefore, yeachyprogramyhas yaybitydifferentyfocus y Creatininey0.6y –y 1.2mg/dLy males,y0.5y –
&yusesydifferentytextbooksy&ymaterialsybasedyonyth y 1.1y mg/dLyfemales
eiryfocus.
Glucosey 70y -105y mg/dL
ThisyisywhereyATIyassessments ycomeyiny- HgbA1cy<6.5%yWBC5
ythese yassessments yare ybroad y&yare yusedy toy“asse
ss”ywhatyyouyknowyinycomparisonytoytheyexityexa ,000-10,000/mm3
myand yultimatelyytheyNCLEXyblueprint.yTherefor
eyyouryscore— RBCy Meny 4.7-6.1y million/mm3,y Womeny 4.2-
whileystillybasedyonythey100%yscale— 5.4ymillion/mm3
isynotylookedyatyinytheysameywayyityisyaytypicalyex
am.yItywouldybeytotallyyunreasonable yto yexpectyyo Hemoglobiny Meny 14-18g/100y mL,y Womeny 12-
uytoyscorey75- 16yg/100ymL
100%yovery materialythatyyouymayyhaveyneveryeve
nyseenybefore!! Hematocrity Meny 42-52%,Womeny 37-47%
Platelet150,000-
So—whenyyouy takey they ATIyassessments—
thinkyofythemyasyaymeansytoyidentifyyareasythatyyo 400,000/mm3ypHy7.35-7.45
uymightyseeyonyyouryexityexamyandyultimatelyyNCL
EX. pC02y35yto45ymmyHgyp
Throughyreviewy&yremediationythatyyouycomplete, y
youywillybeyprepared. 02y80-
Useytheytipsyandystrategiesy(seeybelow)yeachyweeky 100ymmHgyHCO3y 21-
inythey modulesytoyhelpyyouyprepareytheycontentyrev
iewyandyassessment. 26mmol/L
1
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NormalyPTy=y 11-12.5ysec,y NormalyINRy=y 0.7- Crutchy walking:
1.8y(TherapeuticyINRy2-3)
Rememberytheyphasey“stepyup”ywhenypicturingyayp
NormalyPTTy=y30-40ysecy(Therapeuticy PTTy1.5y– ersonygoingyupystairsywithycrutches. yTheygoodylegy
y 2yxynormalyorycontrolyvalues) goesyupyfirstyfollowedybyytheycrutches yandytheybad
yleg. yThe yopposite yhappens ygoingydownythe ystairs
Digoxiny 0.5y toy 2.0ng/mLyLithiu ….ORy“upytoyheaven…downytoyhell”
my0.8ytoy1.4ymEq/L
Dilantiny10-
20ymcg/mLyTheophylliney10yto Delegation:
y 20mcg/mL RNs yDOyNOTydelegateywhatytheyycanyEAT--
yevaluate, yassess, yteach
Latexy Allergies:
Helpfuly tooly toy remembery Isolationy Precautions:yA
Noteythatyclientsyallergicytoybananas, yapricots,ycher
ries,ygrapes,ykiwis,ypassionyfruit, yavocados, ychestn IRBORNE:y "MyyChickenyHezyTB"
uts,ytomatoes, yand/orypeaches y mayy experienceylatex
yallergies yas ywell. -Measles
-Chickeny pox
Ordery ofy assessment: -Herpesy zoster
-TB
I-
Management:y neg.y pressurey room,y privatey room,y
inspectionyP mask,yn-95yforyTB.
- DROPLET:y "SPIDERMAn"
palpationyP-
-Sepsis
percussion -Scarlety Fever
-Strep
A-auscultation -Pertussis
-Pneumonia
ExceptywithyabdomenyityisyIAPP- -Parvovirus
inspect,yauscultate,ypercussyandypalpate. -Influenza
-Diphtheria
Caney walking: -Epiglottitis
-Rubella
C-cane -Mumps
-Adenovirus
O- 2
oppositeyA
-
affectedyL-
leg
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Notyfeelingywell,yfeveryorychills
Complicationy ofy severey preeclampsia— Stringy missing
y"HELLP"ysyndrome
Hemolysis
Newborny assessmenty components—"APGAR"
ElevatedyLiveryenzymesyLo
Appearancey
wyPlateletycount
PulseyGrim
aceyActivit
Dystocia:y generaly aspectsy (maternal)—"4P's"
y
PowersyPas
Respiratoryyeffort
sagewayyPas
senger yPsyc
Obstetricy (maternity)y history—"GTPAL"
h
Graviday
TermyP
Infectionsy duringy pregnancy—"TORCH"
reterm
Toxoplasmosis
Abortions y (SAB,yTAB)
Othery(hepatitisyB,ysyphilis,ygroupyBybetaystrep)y
Livingy children
Rubella
CytomegalovirusyHerp
Oraly contraceptives:y Signsy ofy potentialyproblems
esysimplexyvirus —"ACHES"
Abdominalypainy(possibleyliveryorygallbladderyproble
m)
IUD:y potentialy problemsy withy use—
Chestypainyoryshortnessyofybreathy(possibleypulmon
"PAINS"yPeriody(menstrual:ylate,yspotting,yblee aryyembolus)
ding)yAbdominalypain,ydyspareunia Headachey (possible y hypertension, y brainy attack)
Infectiony (abnormaly vaginaly discharge) Eyeyproblemsy(possibleyhypertensionyoryvascularyacci
dent)
4
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