ATI COMPREHENSIVE EXIT EXAM (NGN ATI)

ATI COMPREHENSIVE EXIT EXAM
(NGN ATI)

1. Treat43first43any43immediate43threats43to43a43patient's43survival43or43safety.

Ex.43obstructed43airway,43loss43of43consciousness,43psychological43episode43or43anxiety43att

ack.43ABC's.

2. Next,43treat43actual43problems.43Ex.43nausea,43full43bowel43or43bladder,43comfort43measures.

3. Then,43treat43relatively43urgent43actual43or43potential43problems43that43the43patient43or43family
43does43not43recognize.43Ex.43Monitoring43for43post-

op43complications,43anticipating43teaching43needs43of43a43patient43that43may43be43unaware43of43si
de43effects43of43meds.

4. Lastly,43treat43actual43or43potential43problems43where43help43may43be43needed43in43the43future.

Ex43Teaching43for43self-care43in43the43home.

Here43are43some43great43principles43to43help43you43as43you43prioritize:

,Systemic43before43local43

Acute43before43chronic43

Actual43before43potential43

Listen43don't43assume

Recognize43first43then43apply43clinical43knowledge43M

aslow's43Hierarchy43of43Needs:

Prioritize43according43to43Maslow43with43physiological43and43safety43issues43before43psychologic
al43esteem43issues.

Variant43angina43(Prinzmetal's43angina)
Due43to43a43coronary43artery43spasm,43oftening43occurring43during43periods43of43rest.

Unstable43angina
Occurs43with43exercise43or43emotional43stress,43but43it43increases43in43occurrence,43severity,43and4
3duration43over43time.



Stable43angina
Occurs43with43exercise43or43emotional43stress43and43is43relieved43by43rest43or43nitroglycerin43(Nit
rostat).

electrolyte43imbalance43manifestations
:43hypocakelmia--
>43flat43T43waves43on43ECG

hypercalcemia--

>43decreased43deep43tendon43reflexes43(DTRs)43hypocalce

mia-->43tetany

hyperkalemia-->43tall43peaked43T43waves43on43ECG

Addison's43disease
Decreased43aldosterone43and43renin

Hypothyroidism
Decreased43triiodothyronine43(T3)43and43thyroxine

,Cushing's43diseas
e43Elevated43cort
isol

Diabetes43Insipidus43(DI)43Decre
ased43urine43specific43gravity

Diabetes43melitus
Elevated43glycosylated43hemoglobin43(HbA1c)

Syndrome43of43Inappropriate43Secretion43of43Antidiuretic43Hormon
e43Increased43urine43osmolality

Cataract
Progressive43and43painless43loss43of43vision

Angle-
closure43glaucoma43Rapid43on
set43of43elevated43IOP

macular43degeneratio
n43Central43loss43of43
vision

Open-
angle43galucoma43Loss43o
f43peripheral43vision

Retinal43detachment
Sudden43loss43of43vision43without43pain

Common43disease's43manifestatio
ns43Cholecystitis--
>43Murphy's43sign

Pancreatitis-->43Turner's43sign

Peptic43Ulcer43Disease-->43Upper43epigastric43pain431-

243hours43after43meals43Appendicits--

, >43Pain43at43McBurney's43point

Decorticate