Download ATI PN Comprehensive Predictor Review Part 1 Question and Answers Latest Update and more Exams Nursing in PDF only on Docsity!
ATI PN Comprehensive Predictor Review
Part 1 Question and Answers Latest
Update
Addison's & Cushings - Answer -Addison's = down down down up down Cushings= up up up down up hypo/hypernatremia, hypo/hypertension, blood volume, hypo/hyperkalemia, hypo/hyperglycemia Better peripheral perfusion? - Answer -Elevate veins, D- Angle Arteries APGAR - Answer -Appearance (all pink, pink and blue, blue (pale) Pulse (>100, <100, absent) Grimace (cough, grimace, no response) Activity (flexed, flaccid, limp) Respirations (strong cry, weak cry, absent) Airborne precautions - Answer -MTV or My chicken hez tb measles, chickenpox (varicella) Herpes zoster/shingles TB Airborne precautions protective equip - Answer -private room, neg pressure with 6-12 air exchanges/hr mask & respirator N95 for TB
Droplet precautions - Answer -spiderman! sepsis, scarlet fever, streptococcal pharyngitis, parvovirus, pneumonia, pertussis, influenza, diptheria, epiglottitis, rubella, mumps, meningitis, mycoplasma or meningeal pneumonia, adeNovirus (Private room and mask) Contact precaution - Answer -MRS WHISE protect visitors & caregivers when 3 ft of the pt. Multidrug-resistant organisms RSV, Shigella, Wound infections, Herpes simplex, Impetigo, Scabies, Enteric diseases caused by micro- organisms (C diff), Gloves and gowns worn by the caregivers and visitors Disposal of infectious dressing material into a single, nonporous bag without touching the outside of the bag PMGG= Private room/ share same illness, mask, gown and gloves Skin infection- VCHIPS - Answer -Varicella zoster Cutaneous diptheria Herpes simplez Impetigo Peduculosis Scabies
after Thyroidectomy - Answer -low or semi-fowler's position, support head, neck and shoulders. Infant with Spina Bifida - Answer -Prone so that sac does not rupture Buck's Traction (skin) - Answer -elevate foot of bed for counter traction After total hip replacement - Answer -don't sleep on side of surgery, don't flex hip more than 45-60 degress, don't elevate Head Of Bed more than 45 degrees. Maintain hip abduction by separating thighs with pillows. Prolapsed cord - Answer -Knee to chest or Trendelenburg oxygen 8 to 10 L Cleft Lip - Answer -position on back or in infant seat to prevent trauma to the suture line. while feeding hold in upright position. To prevent dumping syndrome - Answer -(post operative ulcer/stomach surgeries) eat in reclining position. Lie down after meals for 20-30 min. also restrict fluids during meals, low CHO and fiber diet. small, frequent meals. AKA (above knee amputation) - Answer -elevate for first 24 hours on pillow. position prone daily to maintain hip extension.
BKA (below knee amputation) - Answer -foot of bed elevated for first 24 hours. position prone to provide hip extension. detached retina - Answer -area of detachment should be in the dependent position dependent position - Answer -supported administration of enema - Answer -pt should be left side lying (Sim's) with knee flexed. supratentorial - Answer -(incision behind hairline on forhead) e After supratentorial surgery - Answer -elevate HOB 30- degrees HOB - Answer -head of bed infratentorial - Answer -(incision at the nape of neck) After infratentorial surgery - Answer -position pt flat and lateral on either side. During internal radiation - Answer -on bed rest while implant in place Autonomic Dysreflexia/Hyperreflexia - Answer -S/S pounding headache, profuse sweating, nasal congestion,
Grave's Disease/ hyperthyroidism - Answer -accelerated physical and mental function. Sensitivity to heat. Fine/soft hair. Thyroid storm - Answer -increased temp, pulse and HTN Post-Thyroidectomy - Answer -semi-fowler's. Prevent neck flexion/hyperextension. Trach at bedside Hypo-parathyroid - Answer -CATS---Convulsions, Arrhythmias, Tetany, Spasms, Stridor. (decreased calcium) give high calcium, low phosphorus diet Hyper-parathyroid - Answer -fatigue, muscle weakness, renal calculi, back and joint pain (increased calcium) give a low calcium high phosphorous diet Hypovolemia - Answer -increased temp, rapid/weak pulse, increase respiration, hypotension, anxiety. Urine specific gravity >1. Hypervolemia - Answer -bounding pulse, SOB, dyspnea, rales/crackles, peripheral edema, HTN, urine specific gravity <1.010. semi fowler's Diabetes insipidus (decreased ADH) - Answer -excessive urine output and thirst, dehydration, weakness, administer Pitressin
SIADH (increased ADH) - Answer -change in LOC, decreased deep tendon reflexes, tachycardia. N/V HA administer Declomycin, diuretics hypokalemia - Answer -muscle weakness, dysrhythmias, increase K (raisins, bananas, apricots, oranges, beans, potatoes, carrots, celery) Hyperkalemia - Answer -MURDER Muscle weakness, Urine (olig, anuria) Resp depression, decreased cardiac contractility, ECG changes, reflexes Hyponatremia - Answer -nausea, muscle cramps, increased ICP, muscular twitching, convulsions. give osmotic diuretics (Mannitol) and fluids Hypernatremia - Answer -increased temp, weakness, disorientation, dilusions, hypotension, tachycardia. give hypotonic solution. Hypocalcemia - Answer -CATS Convulsions, Arrythmias, Tetany, spasms and stridor Hypercalcemia - Answer -muscle weakness, lack of coordination, abdominal pain, confusion, absent tendon reflexes, shallow respirations, emergency! Hypo Mg - Answer -Tremors, tetany, seizures, dysthythmias, depression, confusion, dysphagia, (dig toxicity)
FHR patterns for OB - Answer -Think VEAL CHOP! V-variable decels; C- cord compression caused E-early decels; H- head compression caused A-accels; O-okay, no problem L- late decels; P- placental insufficiency, can't fill what to check with pregnancy - Answer -Never check the monitor or machine as a first action. Always assess the patient first. Ex.. listen to fetal heart tones with stethoscope. Position of the baby by fetal heart sounds - Answer - Posterior --heard at sides Anterior---midline by unbilicus and side Breech- high up in the fundus near umbilicus Vertex- by the symphysis pubis. Ventilatory alarms - Answer -HOLD High alarm--Obstruction due to secretions, kink, pt cough etc Low alarm--Disconnection, leak, etc ICP and Shock - Answer -ICP- Increased BP, decreased pulse, decreased resp Shock--Decreased BP, increased pulse, increased resp Cor pumonae - Answer -Right sided heart failure caused by left ventricular failure (edema, jugular vein distention)
Heroin withdrawal neonate - Answer -irritable, poor sucking brachial pulse - Answer -pulse area on an infant lead poisoning - Answer -test at 12 months of age Before starting IV antibiotics - Answer -obtain cultures! pt with leukemia may have - Answer -epistaxis due to low platelets when a pt comes in and is in active labor - Answer -first action of nurse is to listen to fetal heart tones/rate for phobias - Answer -use systematic desensitization NCLEX Answer tips - Answer -choose assessment first! (assess, collect, auscultate, monitor, palpate) only choose intervention in an emergency or stress situation. If the Answer has an absolute, discard it. Give priority to the Answer s that deal with the patient's body, not machines, or equipment. ARDS and DIC - Answer -are always secondary to another disease or trauma In an emergency - Answer -patients with a greater chance to live are treated first Cardinal sign of ARDS - Answer -hypoxemia
Chest tubes are placed - Answer -in the pleural space Preload/Afterload - Answer -Preload affects the amount of blood going into Right ventricle. Afterload is the systemic resistance after leaving the heart. CABG - Answer -Great Saphenous vein in leg is taken and turned inside out (because of valves inside). Used for bypass surgery of the heart. Unstable Angina - Answer -not relieved by nitro PVC's - Answer -can turn into V fib. 1 tsp - Answer -5 mL 1 oz - Answer -30 mL 1 cup - Answer -8 oz 1 quart - Answer -2 pints 1 pint - Answer -2 cups 1 g (gram) - Answer -1000 mg 1 kg - Answer -2.2 lbs I lb - Answer -16 oz
centigrade to Fahrenheit conversion - Answer -F= C+ multiply 5/9 and subtract 40 C=F+40 multiply 9/5 and subtract 40 Angiotenson II - Answer -In the lungs...potent vasodialator, aldosterone attracts sodium. Iron toxicity reversal - Answer -deferoxamine S3 sound - Answer -normal in CHF. Not normal in MI After endoscopy - Answer -check gag reflex TPN given in - Answer -subclavian line pain with diverticulitis - Answer -located in LLQ appendicitis pain - Answer -located in RLQ Trousseau and Chvostek's signs observed in - Answer - Hypocalcemia never give K+ in - Answer -IV push DKA is rare - Answer -in DM II (there is enough insulin to prevent fat breakdown) Glaucoma patients lose - Answer -peripheral vision.
birth weight - Answer -doubles by 6 months triples by 1 year if HR is <100 (children) - Answer -Hold Dig early sign of cystic fibrosis - Answer -meconium in ileus at birth Meningitis--check for - Answer -Kernig's/ brudinski's signs wilm's tumor - Answer -encapsulated above kidneys...causes flank pain hemophilia is x linked - Answer -passed from mother to son when phenylaline increases - Answer -brain problems occur buck's traction - Answer -knee immobility russell traction - Answer -femur or lower leg dunlap traction - Answer -skeletal or skin bryant's traction - Answer -children <3 y <35 lbs with femur fx eclampsia is - Answer -a seizure
perform amniocentesis - Answer -before 20 weeks to check for cardiac and pulmonary abnormalities Rh mothers receive Rhogam - Answer -to protect next baby anterior fontanelle closes by...posterior by.. - Answer - months, 6-8 weeks caput succedaneum - Answer -diffuse edema of the fetal scalp that crosses the suture lines. reabsorbes within 1 to 3 days pathological jaundice occurs: physiological jaundice occurs: - Answer -before 24 hours (lasts 7 days) after 24 hours placenta previa s/s placental abrution s/s - Answer -there is no pain, but there is bleeding there is pain, but no bleeding (board like abd) bethamethasone (celestone) - Answer -surfactant. premature babies five interventions for psych patients - Answer -safety setting limits establish trusting relationship meds least restrictive methods/environment
