ATI Comprehensive Final Quiz,
RNComprehensive Predictor A, RN
Comprehensive Predictor Form B and C
Questions And Answers
Patient education on how to use an albuterol metered dose inhaler - ANSWER 1.
Remove the cap
2. Shake the canister
3. Hold the mouthpiece 2 to 4 cm or 1 to 2 inches from the mouth
4. Tilt your head back slightly and open your mouth wide
5. Depress the medication canister I'll taking a slow deep breath to facilitate delivery of
the medication through the airway
6. Hold your breath for 10 seconds, then resume usual breathing pattern
What protective equipment is necessary when entering a patient's room who has MRSA
infection? - ANSWER Contact precautions- gown, gloves, mask/goggles (if secretions
from
the infected individual could spray into the personnels face), use of hand sanitizer when
entering and exiting patient room
When in direct contact with the patient a personnel must wear a gown
When not in direct contact with the patient but still in contact with the patients
environment, personnel should don gloves and use hand sanitizer when entering and
exiting
pancreatitis - ANSWER Lab results:
Elevated amylase within 12 to 24 hours and remains elevated for 2 to 3 days
Hypomagnesia
Hypocalcemia
Increased WBC count, indication of inflammation
Nursing interventions: first pain relief, second cough and deep breathe
Discharge teaching on performance of intermittent urinary self catheterization at home -
ANSWER Might initially require self-catheterization every 2 to 3 hours, with the
frequency eventually going to every 4 to 6 hours; longer interval between
catheterization can result in bladder distention and increased risk of UTI
,Should empty bladder completely with each catheterization, to decrease risk of UTI
No need for sterile technique; Home use of clean technique shows no greater risk for
infection due to acclamation to the bacterial environment of the home
Drink at least 2 to 2.5 L of fluid daily
Hypovolemic shock lab values and S&S - ANSWER Decreased BUN (<10)
Elevated hematocrit (>47% in F; >52% in M)
Increased urine specific gravity (>1.030)
Other indications of hypervolemia: weak pulse, tachycardia, orthostatic hypotension,
tackypnea, decreased urinary output, slow capillary refill
Phenelzine (Nardil) - ANSWER MAOIs
Restrict foods containing tyramine: processed meats,lunch meats, aged cheeses,
sourdough, alcoholic beverages, overripe fruits, fava beans or fermented soybeans
Possible food options: chicken salad, whole wheat enriched bread or crackers, cereals,
fish or poultry, sweet potato or white potato, fresh or frozen fruits and vegetables, eggs
Nursing actions prior to initiating feeding via gastrostomy tube for a patient who had a
stroke - ANSWER Priority action: Elevate the head of the bed because of increased
risk of aspiration
Formula should be at room temperature
Nurse should flush the tube with water before initiating to ensure patency of the tube
Verify the gastric pH is within proper range for placement in the stomach (1.5-3.5)
Zidovudine (Retrovir) - ANSWER Antiretroviral, AIDS
Early Adverse effects: Gi upset, fatigue headache, fever, rash.
Late adverse effects: anemia, neutropenia, neuropathy, myopathy
Other adverse effects: decreased appetite, anxiety, decreased hemoglobin* (anemia
and neutropenia can occur d/t bone marrow suppression)
,Priority nursing action: monitor hemoglobin levels
Tolvaptan (Samsca) - ANSWER Tx SIADH
Promotes excretion of water which helps correct the flute in balance and patient to have
SIADH
Vasopressin (ADH) - ANSWER Exogenous form of antidiuretic hormone secreted by
the
pituitary gland
Stimulates water reabsorption in the kidneys
Tx Diabetes Insipidus
Contraindicated: pts w/ SIADH because it worsens manifestations
Desmopressin acetate (DDAVP) - ANSWER Synthetic form of antidiuretic hormone
Medicine used to treat hyposecretion of ADH
Contraindicated: patients with SIADH because it worsens manifestations
Chlorpropamide (Diabinese) - ANSWER (Used less often today)
Antidiabetic agents that also has antidiuretic affects
Tx of Diabetes Inipidus
Contraindicated: patient with SIADH because it worsens manifestations
Adverse effects: Gastrointestinal, Cutaneous reactions, Hypoglycemia, Dermatitis,
eczema
Skin lesions that indicate Malignant melanoma - ANSWER Irregularly shaped lesions
w/
hues of blue, white and red tones
Commonly start an exposed skin areas like the back, scale, face, neck and
metastasizes readily to other areas
Pharmacological treatment of chronic phantom limb pain - ANSWER Amitriptyline:
tricyclic
, antidepressant
Gabapentin: anti-epileptic
Propranolol and other beta blockers: can reduce the persistent doll, burning sensations
of chronic phantom limo pain
Preoperative teaching for a patient who is to undergo LASIK eye surgery - ANSWER
Type
of we Factive laser eye surgery to correct myopia, hyperopia, astigmatism, which are
most common causes of nearsightedness
Overcorrection or under correction can occur so some patients will need prescription
eyeglasses after the surgery
Patient might receive sedation prior to the procedure and may have blurry vision,
tearing, and hyper sensitivity to light postoperatively; should not drive afterwards
Should not wear soft contact lenses for 2 to 3 weeks or hard contact lenses for four
weeks prior to surgery because it limits oxygenation to the cornea which can slow
postop healing
Some patients will have clear vision an hour after surgery but it can take up to four
weeks for complete healing in optimal vision to occur
Nursing interventions for a patient receiving a transfusion of packed RBCs that is
exhibiting manifestations of a hypervolemic reaction - ANSWER Hypervolemic rxn due
to circulatory overload
If the blood transfusion is to rapid for the patient size/status this will occur
Priority nursing action: use a transfusion pump to regulate and maintain the transfusion
at a slower rate
Administration of insulin glargine (Lantus ) and NPH insulin - ANSWER Do not mix
insulin
glargine with any other insulin- use separate syringes for administering both types of
insulin
Lantus (insulin glargine) - ANSWER Long-
acting
T1DM, T2DM
Can administer at anytime of the day, administered only once in a 24 hour period
RNComprehensive Predictor A, RN
Comprehensive Predictor Form B and C
Questions And Answers
Patient education on how to use an albuterol metered dose inhaler - ANSWER 1.
Remove the cap
2. Shake the canister
3. Hold the mouthpiece 2 to 4 cm or 1 to 2 inches from the mouth
4. Tilt your head back slightly and open your mouth wide
5. Depress the medication canister I'll taking a slow deep breath to facilitate delivery of
the medication through the airway
6. Hold your breath for 10 seconds, then resume usual breathing pattern
What protective equipment is necessary when entering a patient's room who has MRSA
infection? - ANSWER Contact precautions- gown, gloves, mask/goggles (if secretions
from
the infected individual could spray into the personnels face), use of hand sanitizer when
entering and exiting patient room
When in direct contact with the patient a personnel must wear a gown
When not in direct contact with the patient but still in contact with the patients
environment, personnel should don gloves and use hand sanitizer when entering and
exiting
pancreatitis - ANSWER Lab results:
Elevated amylase within 12 to 24 hours and remains elevated for 2 to 3 days
Hypomagnesia
Hypocalcemia
Increased WBC count, indication of inflammation
Nursing interventions: first pain relief, second cough and deep breathe
Discharge teaching on performance of intermittent urinary self catheterization at home -
ANSWER Might initially require self-catheterization every 2 to 3 hours, with the
frequency eventually going to every 4 to 6 hours; longer interval between
catheterization can result in bladder distention and increased risk of UTI
,Should empty bladder completely with each catheterization, to decrease risk of UTI
No need for sterile technique; Home use of clean technique shows no greater risk for
infection due to acclamation to the bacterial environment of the home
Drink at least 2 to 2.5 L of fluid daily
Hypovolemic shock lab values and S&S - ANSWER Decreased BUN (<10)
Elevated hematocrit (>47% in F; >52% in M)
Increased urine specific gravity (>1.030)
Other indications of hypervolemia: weak pulse, tachycardia, orthostatic hypotension,
tackypnea, decreased urinary output, slow capillary refill
Phenelzine (Nardil) - ANSWER MAOIs
Restrict foods containing tyramine: processed meats,lunch meats, aged cheeses,
sourdough, alcoholic beverages, overripe fruits, fava beans or fermented soybeans
Possible food options: chicken salad, whole wheat enriched bread or crackers, cereals,
fish or poultry, sweet potato or white potato, fresh or frozen fruits and vegetables, eggs
Nursing actions prior to initiating feeding via gastrostomy tube for a patient who had a
stroke - ANSWER Priority action: Elevate the head of the bed because of increased
risk of aspiration
Formula should be at room temperature
Nurse should flush the tube with water before initiating to ensure patency of the tube
Verify the gastric pH is within proper range for placement in the stomach (1.5-3.5)
Zidovudine (Retrovir) - ANSWER Antiretroviral, AIDS
Early Adverse effects: Gi upset, fatigue headache, fever, rash.
Late adverse effects: anemia, neutropenia, neuropathy, myopathy
Other adverse effects: decreased appetite, anxiety, decreased hemoglobin* (anemia
and neutropenia can occur d/t bone marrow suppression)
,Priority nursing action: monitor hemoglobin levels
Tolvaptan (Samsca) - ANSWER Tx SIADH
Promotes excretion of water which helps correct the flute in balance and patient to have
SIADH
Vasopressin (ADH) - ANSWER Exogenous form of antidiuretic hormone secreted by
the
pituitary gland
Stimulates water reabsorption in the kidneys
Tx Diabetes Insipidus
Contraindicated: pts w/ SIADH because it worsens manifestations
Desmopressin acetate (DDAVP) - ANSWER Synthetic form of antidiuretic hormone
Medicine used to treat hyposecretion of ADH
Contraindicated: patients with SIADH because it worsens manifestations
Chlorpropamide (Diabinese) - ANSWER (Used less often today)
Antidiabetic agents that also has antidiuretic affects
Tx of Diabetes Inipidus
Contraindicated: patient with SIADH because it worsens manifestations
Adverse effects: Gastrointestinal, Cutaneous reactions, Hypoglycemia, Dermatitis,
eczema
Skin lesions that indicate Malignant melanoma - ANSWER Irregularly shaped lesions
w/
hues of blue, white and red tones
Commonly start an exposed skin areas like the back, scale, face, neck and
metastasizes readily to other areas
Pharmacological treatment of chronic phantom limb pain - ANSWER Amitriptyline:
tricyclic
, antidepressant
Gabapentin: anti-epileptic
Propranolol and other beta blockers: can reduce the persistent doll, burning sensations
of chronic phantom limo pain
Preoperative teaching for a patient who is to undergo LASIK eye surgery - ANSWER
Type
of we Factive laser eye surgery to correct myopia, hyperopia, astigmatism, which are
most common causes of nearsightedness
Overcorrection or under correction can occur so some patients will need prescription
eyeglasses after the surgery
Patient might receive sedation prior to the procedure and may have blurry vision,
tearing, and hyper sensitivity to light postoperatively; should not drive afterwards
Should not wear soft contact lenses for 2 to 3 weeks or hard contact lenses for four
weeks prior to surgery because it limits oxygenation to the cornea which can slow
postop healing
Some patients will have clear vision an hour after surgery but it can take up to four
weeks for complete healing in optimal vision to occur
Nursing interventions for a patient receiving a transfusion of packed RBCs that is
exhibiting manifestations of a hypervolemic reaction - ANSWER Hypervolemic rxn due
to circulatory overload
If the blood transfusion is to rapid for the patient size/status this will occur
Priority nursing action: use a transfusion pump to regulate and maintain the transfusion
at a slower rate
Administration of insulin glargine (Lantus ) and NPH insulin - ANSWER Do not mix
insulin
glargine with any other insulin- use separate syringes for administering both types of
insulin
Lantus (insulin glargine) - ANSWER Long-
acting
T1DM, T2DM
Can administer at anytime of the day, administered only once in a 24 hour period
