ATI RN Comprehensive Predictor Exam 2023/2024 (D
m m m m m m
etail Solutions and Resource for the test)
m m m m m m
AgingmProcess
NewbornmAssessment:mExpectedmFindings
● NormalmAssessmentmFindingsmformHead:mShouldmbem2-
3mcmmlargermthanmchest.
● Anteriormfontanelmshouldmbempalpatedmandmapproximatelym5mcmm
onmaveragemandmdiamondmshaped.
● Posteriormfontanelmismsmallermandmtriangle-
shaped.mShouldmbemsoftmandmflat.mMoldingmofmsuturesmismnormal.
PsychosocialmIntegrity
CrisismIntervention
SexualmAssault:mPrioritymIntervention
● Providemamprivatemenvironmentmandmlimitmpersonnelmwhomexaminemthemclient.
● Assessmclientmemotionsmandmprovidemsupport
● Assess,mtreat,mandmdocumentmallminjuries
● Usemamnonmjudgementalmandmempatheticmapproach
Abuse/Neglect
PsychosocialmIssuesmofmInfants,mChildren,mandmAdolescents:mCaringmformamChildmWho
,ReportsmSexualmAbuse
● Removemthemchildmfrommthemsituation
● Mandatorymreportingmformallmhealthmcaremworkers;mtheremaremcivilma
ndmcriminalmpenaltiesmformnotmreporting
● AssessmformunusualmbruisingmonmABD,mbackmandmbuttocks
,Sensory/PerceptualmAlterations
EffectivemCommunication:mRespondingmtomamClientmWhomIsmObesemandmIsmCryingmPsy
choticmDisorders:mCaringmFormamClientmWhomIsmExperiencingmDelusions
● Askmthemclientmdirectlymaboutmhallucinations.mThemnursemshouldmnotmarguemormor
agreemwithmthemclient’smviewmofmthemsituation.
● Domnotmarguemwithmamclient’smdelusions,mbutmfocusmonmthemclient’smfeelingsm
andmpossiblymoffermreasonablemexplanations.
● Assessmthemclientmformparanoidmdelusions,mwhichmcanmincreasemthemriskmfor
violencemagainstmothers.
BasicmCaremandmComfort
Elimination
PostpartummPhysiologicalmAdaptations:mInterventionsmtomPromotemVoiding
● Assistmwithmfrequentmurination
● Providemnoninvasivemmeasuresmtompromotemurination
● Performmbladdermscan
NutritionmandmOralmHydration
Burns:mSupportingmNutritionalmRequirements
● Clientmwithmamlargemburnminjurymwillmbeminmamhypermetabolicmstatemandm
maymexceedm5,000mcalories/day
● Increasemproteinmintakemtompreventmtissuembreakdownmandmpromotemhealing
● EnteralmormtotalmparenteralmtherapymismoftenmnecessarymMedica
tionsmformDepressivemDisorders:mFoodmandmMedicationmInteraction
● MAOIs-mavoidmfoodsmcontainingmtyraminem(meats,mcheeses,malcohol)
● SSRIm&mSNRI-mavoidmalcohol
● Tricyclic-mdomnotmadministermwithmMAOIsmormSt.mJohn'smWart
, RenalmDisorders:mTeachingmamClientmWhomHasmChronicmKidneymDisease
● StrictmI&Os
m m m m m m
etail Solutions and Resource for the test)
m m m m m m
AgingmProcess
NewbornmAssessment:mExpectedmFindings
● NormalmAssessmentmFindingsmformHead:mShouldmbem2-
3mcmmlargermthanmchest.
● Anteriormfontanelmshouldmbempalpatedmandmapproximatelym5mcmm
onmaveragemandmdiamondmshaped.
● Posteriormfontanelmismsmallermandmtriangle-
shaped.mShouldmbemsoftmandmflat.mMoldingmofmsuturesmismnormal.
PsychosocialmIntegrity
CrisismIntervention
SexualmAssault:mPrioritymIntervention
● Providemamprivatemenvironmentmandmlimitmpersonnelmwhomexaminemthemclient.
● Assessmclientmemotionsmandmprovidemsupport
● Assess,mtreat,mandmdocumentmallminjuries
● Usemamnonmjudgementalmandmempatheticmapproach
Abuse/Neglect
PsychosocialmIssuesmofmInfants,mChildren,mandmAdolescents:mCaringmformamChildmWho
,ReportsmSexualmAbuse
● Removemthemchildmfrommthemsituation
● Mandatorymreportingmformallmhealthmcaremworkers;mtheremaremcivilma
ndmcriminalmpenaltiesmformnotmreporting
● AssessmformunusualmbruisingmonmABD,mbackmandmbuttocks
,Sensory/PerceptualmAlterations
EffectivemCommunication:mRespondingmtomamClientmWhomIsmObesemandmIsmCryingmPsy
choticmDisorders:mCaringmFormamClientmWhomIsmExperiencingmDelusions
● Askmthemclientmdirectlymaboutmhallucinations.mThemnursemshouldmnotmarguemormor
agreemwithmthemclient’smviewmofmthemsituation.
● Domnotmarguemwithmamclient’smdelusions,mbutmfocusmonmthemclient’smfeelingsm
andmpossiblymoffermreasonablemexplanations.
● Assessmthemclientmformparanoidmdelusions,mwhichmcanmincreasemthemriskmfor
violencemagainstmothers.
BasicmCaremandmComfort
Elimination
PostpartummPhysiologicalmAdaptations:mInterventionsmtomPromotemVoiding
● Assistmwithmfrequentmurination
● Providemnoninvasivemmeasuresmtompromotemurination
● Performmbladdermscan
NutritionmandmOralmHydration
Burns:mSupportingmNutritionalmRequirements
● Clientmwithmamlargemburnminjurymwillmbeminmamhypermetabolicmstatemandm
maymexceedm5,000mcalories/day
● Increasemproteinmintakemtompreventmtissuembreakdownmandmpromotemhealing
● EnteralmormtotalmparenteralmtherapymismoftenmnecessarymMedica
tionsmformDepressivemDisorders:mFoodmandmMedicationmInteraction
● MAOIs-mavoidmfoodsmcontainingmtyraminem(meats,mcheeses,malcohol)
● SSRIm&mSNRI-mavoidmalcohol
● Tricyclic-mdomnotmadministermwithmMAOIsmormSt.mJohn'smWart
, RenalmDisorders:mTeachingmamClientmWhomHasmChronicmKidneymDisease
● StrictmI&Os
