lOMoARcPSD|25973474
ATI Exit Exam - .ATI exit exam
comprehensive
Nursing (Texas A&M University - Central Texas)
,
, Proctored Nursing School Exit Exam Study Notes
Renal Calculi - Pain: Flank pain C Kidney or Ureter (if pain radiates C stones in ureter or bladder)
Performing Ear Irrigation: Sterile technique, warm meds, pull up & back, tilt toward affected ear
Thrombolytic Therapy (Stroke): Reteplase recombinant (rTPA 3 clot buster) w/ in 4.5 hours of initial
symptoms
Trach care: Dressing &, inner cannula ½ hydrogen peroxide, & stoma ¥ knot
Head injury (changes in LOC): Length of time unconscious & GCS
General anesthesia (post-op): ABC9s 3 full body assessment, Vitals every 15 minutes, Lateral position (if
unresponsive or unconscious - monitor LOC), Fluids/Electrolytes
Superficial Burns: Painful, pink, red, mild edema (3-6 day healing), damage to epidermis
Dialysis (reporting unexpected findings): Temp of 100 degrees, M BP, bleeding, 1 L of fluid = 1Kg, clotting,
H/A, Nausea, Disequilibrium syndrome (rapid M BUN & Fluid volume), anemia, peritonitis, ± BG, ±
cholesterol
Pacemaker (complications): Infection, hematoma, pneumothorax, hemo-thorax, arrhythmias, pacer spikes
before P or QRS, hiccups / muscle twitching
Magnesium (Mg) Sulfate C Increase Mg+ > 1.3 Mg/dL
± Mg foods = (Dairy, dark leafy greens veges)
M Mg causes ³ Hyperactive deep tendon reflexes
* Paresthesia9s, muscle tetany, positive chvostek9s & Trousseau9s sign, hypoactive bowels,
constipation, abdominal distention, paralytic Ileus.
TPN Admin: (Total parenteral nutrition) -feeding that bypasses the GI tract. Fluids are given into a vein to
provide most of the nutrients the body needs. Given when person cannot/ should not receive feedings or
fluids by mouth.
Hypertonic (20-50% dextrose), Used in chronic pain, peritonitis, burns, Infection, etc
No more than 10% hourly, ± in rate for body adjustment, check BG
Hyperglycemia, hypoglycemia, vitamin deficiencies, air embolism (clamp, place in Trendelenburg pos.,
O2)
Fluid imbalance C Fluid volume excess
1
, Wound Culture specimen: Sterile field, press / rotate over wound surface inside the wound (center) in
drainage
Diabetes Mellitus (Nephropath ): Kidney damage d/t prolonged ± BG & dehydration
Monitor I &yO, Creatinine, BP
Avoid Soda, alcohol, acetaminophen/NSAIDS / 2 3 3 L fluid from food / beverages
Kidney Biopsy (Post op):
Monitor VS C Client receives sedation
Assess dressings & urinary output (hematuria-blood in urine)
Labs: HgB & Hct values, Admin PRN pain meds, Complications hemorrhage / infection
Thyroidectomy (Post Op): Needs Thyroid hormone replacement
Client in high fowler9s position, Respiratory (trach supplies) present, Check for laryngeal nerve damage
Pain management, Hypocalcemia / Tetany can occur
Prioritization: Apply knowledge to Standards to determine priority action
Systemic before Local 3 <Life before Limb=
Acute before Chronic
Actual Problems before Potential Future
Listen carefully to clients & Don9t Assume
Recognize & Respond - Trends vs. Transient findings
Recognize indications - Emergencies vs. Expected
Delegate to LPN: Monitoring Findings, Reinforcing teaching, performing trach care, suctioning, checking NG
tube patency, administer tube feedings, inserting urinary catheter, administering meds (No IV)
Delegate to AP: ADLs, Bathing, Grooming, Dressing, toileting, Ambulating, feeding w/out swallowing
precautions, positioning, routine tasks, bed making, specimen collection, I & O, VS for stable clients,
monitoring clinical manifestations after initial RN assess/eval.
Paracentesis (prep) - take out fluid from belly (peritoneal fluid) Have client VOID
Bariatric Surgery: (weight loss surgery) 3 Semi fowlers, 6 small meals/day, liquid/pureed food for first 6 weeks
(not to exceed 1cup), Vitamin / mineral supplements, & 2 servings of protein daily.
Ostomy (in small intestine) Avoid odorous & gas foods (dark green veges, dairy, fish, eggs, beans, corn),
yogurt M gas
Avoid ± fiber foods for first 2 months, ± fluid intake
ATI Exit Exam - .ATI exit exam
comprehensive
Nursing (Texas A&M University - Central Texas)
,
, Proctored Nursing School Exit Exam Study Notes
Renal Calculi - Pain: Flank pain C Kidney or Ureter (if pain radiates C stones in ureter or bladder)
Performing Ear Irrigation: Sterile technique, warm meds, pull up & back, tilt toward affected ear
Thrombolytic Therapy (Stroke): Reteplase recombinant (rTPA 3 clot buster) w/ in 4.5 hours of initial
symptoms
Trach care: Dressing &, inner cannula ½ hydrogen peroxide, & stoma ¥ knot
Head injury (changes in LOC): Length of time unconscious & GCS
General anesthesia (post-op): ABC9s 3 full body assessment, Vitals every 15 minutes, Lateral position (if
unresponsive or unconscious - monitor LOC), Fluids/Electrolytes
Superficial Burns: Painful, pink, red, mild edema (3-6 day healing), damage to epidermis
Dialysis (reporting unexpected findings): Temp of 100 degrees, M BP, bleeding, 1 L of fluid = 1Kg, clotting,
H/A, Nausea, Disequilibrium syndrome (rapid M BUN & Fluid volume), anemia, peritonitis, ± BG, ±
cholesterol
Pacemaker (complications): Infection, hematoma, pneumothorax, hemo-thorax, arrhythmias, pacer spikes
before P or QRS, hiccups / muscle twitching
Magnesium (Mg) Sulfate C Increase Mg+ > 1.3 Mg/dL
± Mg foods = (Dairy, dark leafy greens veges)
M Mg causes ³ Hyperactive deep tendon reflexes
* Paresthesia9s, muscle tetany, positive chvostek9s & Trousseau9s sign, hypoactive bowels,
constipation, abdominal distention, paralytic Ileus.
TPN Admin: (Total parenteral nutrition) -feeding that bypasses the GI tract. Fluids are given into a vein to
provide most of the nutrients the body needs. Given when person cannot/ should not receive feedings or
fluids by mouth.
Hypertonic (20-50% dextrose), Used in chronic pain, peritonitis, burns, Infection, etc
No more than 10% hourly, ± in rate for body adjustment, check BG
Hyperglycemia, hypoglycemia, vitamin deficiencies, air embolism (clamp, place in Trendelenburg pos.,
O2)
Fluid imbalance C Fluid volume excess
1
, Wound Culture specimen: Sterile field, press / rotate over wound surface inside the wound (center) in
drainage
Diabetes Mellitus (Nephropath ): Kidney damage d/t prolonged ± BG & dehydration
Monitor I &yO, Creatinine, BP
Avoid Soda, alcohol, acetaminophen/NSAIDS / 2 3 3 L fluid from food / beverages
Kidney Biopsy (Post op):
Monitor VS C Client receives sedation
Assess dressings & urinary output (hematuria-blood in urine)
Labs: HgB & Hct values, Admin PRN pain meds, Complications hemorrhage / infection
Thyroidectomy (Post Op): Needs Thyroid hormone replacement
Client in high fowler9s position, Respiratory (trach supplies) present, Check for laryngeal nerve damage
Pain management, Hypocalcemia / Tetany can occur
Prioritization: Apply knowledge to Standards to determine priority action
Systemic before Local 3 <Life before Limb=
Acute before Chronic
Actual Problems before Potential Future
Listen carefully to clients & Don9t Assume
Recognize & Respond - Trends vs. Transient findings
Recognize indications - Emergencies vs. Expected
Delegate to LPN: Monitoring Findings, Reinforcing teaching, performing trach care, suctioning, checking NG
tube patency, administer tube feedings, inserting urinary catheter, administering meds (No IV)
Delegate to AP: ADLs, Bathing, Grooming, Dressing, toileting, Ambulating, feeding w/out swallowing
precautions, positioning, routine tasks, bed making, specimen collection, I & O, VS for stable clients,
monitoring clinical manifestations after initial RN assess/eval.
Paracentesis (prep) - take out fluid from belly (peritoneal fluid) Have client VOID
Bariatric Surgery: (weight loss surgery) 3 Semi fowlers, 6 small meals/day, liquid/pureed food for first 6 weeks
(not to exceed 1cup), Vitamin / mineral supplements, & 2 servings of protein daily.
Ostomy (in small intestine) Avoid odorous & gas foods (dark green veges, dairy, fish, eggs, beans, corn),
yogurt M gas
Avoid ± fiber foods for first 2 months, ± fluid intake
