ATI Comprehensive Exam Study Guide

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Awesome Study Guide, took from prep class. Includes everything from

basic nursing interventions, to specific diseases and lab values, to

conversion of metric system measurements.

Never give K+ in

- IV push

What to check with pregnancy?

- Never check the monitor or machine as a first action. Always assess the

patient first. Ex.. listen to fetal heart tones with stethoscope.

Stranger anxiety is greatest at what age?

- 7-9 months. Separation anxiety peaks in toddlerhood

When drawing an ABG

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- put in heparinized tube. Ice immediately, be sure there are no bubbles and

label if pt was on O2

Upstairs with crutches?

- Crutches first followed by good leg

The best indicator of dehydration?

- weight---and skin turgor 

Heat/cold

- hot for chronic pain; cold for acute pain (sprain etc.)

When pt is in distress.... medication administration

- is rarely a good choice

Laboring mom's water breaks?

- first thing--worry about prolapsed cord!

Before IV antibiotics?

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- check allergies (esp. penicillin) make sure cultures and sensitivity has been

done before first dose.

What to ask before flu shot?

- allergy to eggs

What to ask before MMR?

- allergy to eggs or neomycin

When on nitroprusside monitor:

- cyanide. normal value should be 1.

DKA is rare

- in DM II (there is enough insulin to prevent fat breakdown)

Glaucoma patients lose

- Peripheral vision. 

A nurse makes a mistake?

- take it to him/her first then take up the chain

Nitrazine paper

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- Turns blue with alkaline amniotic fluid. turns pink with other fluids

Glucagon increases the effects of?

- anticoagulants

Sucking stab wound

- cover wound and tape on 3 sides to allow air to escape. If you cover and

occlude it--it could turn into a closed pneumo or tension pneumo!

CF chief concern?

- Respiratory problems

Chest tube pulled out?

- occlusive dressing

Before starting IV antibiotics

- obtain cultures!

pt with leukemia may have

- epistaxis due to low platelets

When a pt comes in and is in active labor

- first action of nurse is to listen to fetal heart tones/rate 

3-4 cups of milk a day for a child?

- NO too much milk can reduce the intake of other nutrients especially iron.

Watch for ANEMIA

Autonomic dysreflexia

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- Patients with spinal cord injuries are at risk for developing autonomic

dysreflexia (T-7 or above)

Spinal shock occurs

- immediately after injury

Multiple sclerosis

- myelin sheath destruction. disruptions in nerve impulse conduction

Myasthenia gravis

- decrease in receptor sites for acetylcholine. weakness observed in muscles,

eyes mastication and pharyngeal muscles. watch for aspiration.

Guillain -Barre syndrome

- ascending paralysis. watch for respiratory problems.

TIA

- transient ischemic attack.... mini stroke, no dead tissue.

CVA

- cerebrovascular accident. brain tissue dies.

Hodgkin's disease

- cancer of the lymph. very curable in early stages

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