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ATI RN COMPREHENSIVE PREDICTOR 2024 NGN REAL EXAM 200 Q & A
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ATI RN COMPREHENSIVE PREDICTOR 2024 NGNREAL EXAM 200 Q & A
A 12 month old infant recently had a fever, runny nose, cough and white spots in the
mouth for 3 days. A rash developed that started on the face and spread to the whole
body. What should you suspect that the child has? - ans- Rubeola (Measles)
A big cue with lithium toxicity is what? - ans- If a pt complains of metallic taste in mouth.
Abruptio placentae - ans- Persistent uterine contractions
- Painful
- Placenta separates from the uterus
- Bleeding inside the uterus
- Life-threatening to the fetus
Ace Inhibitors - ans- Watch for dry cough (discontinue and report)
- Hypotension
- Increased K+ levels (can cause hyperkalemia)
- Common meds: Captopril, Enalapril (Ends in "pril")
Acetazolamide - ans- This is a med used for open angle glaucoma
- Adverse effect of this med is tingling of fingers and hyperglycemia
Active TB treatment duration? - ans- Active TB is usually treated with the simultaneous
administration of a combo of meds to which the organisms are susceptible. Such
therapy is continued until the disease is controlled. A 6-9 month regimen consisting of
two meds is frequently used.
Acupressure band - ans- These bands can be worn on the wrists and can help alleviate
nausea and vomiting.
- An alternative therapy option for pregnancy n/v.
Acute phase of Kawasakis - ans- Beginning stage
- Starts with high fever uncontrolled by antipyretics
- Tachycardia
- Irritability
- Strawberry tongue
- Conjunctival redness
Addison's Disease - ans- Is an endocrine disorder that occurs when the adrenal glands
do not produce enough of the hormone cortisol and in some cases, the hormone
aldosterone.
- The disease is characterized by weight loss, muscle weakness, fatigue, low BP and
hyperpigmentation (darkening) of the skin in both exposed and non-exposed parts of
the body.
Addison's Disease Treatment: - ans- High protein, high carb diet
,ATI RN COMPREHENSIVE PREDICTOR 2024 NGN
REAL EXAM 200 Q & A
- Weigh daily
- Injectable IV fast acting steroid may be ordered or indicated for a pt experiencing an
Addisonian crisis until the pt is no longer at risk for dehydration, hypotension and shock.
Addisons Disease - ans- Think of ADD as needs to add hormones
Adverse effects of glucocorticoids are? - ans- Osteoporosis, which needs to be
monitored regularly w/bone density scans
After a shunt placement, what is the bed position? - ans- Flat (so fluid doesn't reduce
too rapidly)
- If you see signs of increasing ICP, then raise the HOB to 15-30 degrees.
After cataract surgery - ans- Pt will sleep on UNAFFECTED side with a night shield for
1-4 weeks
Agoraphobia - ans- Fear of being in places in which help may not be available
Agranulocytosis - ansIs a rare adverse reaction to Clozapine (Clozaril) in which WBC's
drop causing pt to become susceptible to acute infections.
Air/Pulmonary Embolism - ansS/S: Chest pain, difficulty breathing, tachycardia,
pale/cyanotic, sense of impending doom, bloody sputum
Tx: Heaprin, d-dimer lab, O2
Airborne Precaution - ans**Think MTV**
M= Measles
T= TB
V= Varicella-Chicken pox/herpes Zoster-Shingles
Akathisia - ans- Motor restlessness, person needs to keep going
- Tx with antiparkinsons meds
- Can be mistaken for agitation
Albuterol - ans- Used for acute asthma attacks
Alendronate (Fosamax) - ans- This medication is used to prevent and treat
postmenopausal osteoporosis and Paget's Disease.
- Alendronate must be taken first thing in the morning on an empty stomach.
- The pt must be instructed to wait at least 30 minutes after taking Alendronate before
eating, drinking, or taking other medications.
Allupurinol - ans- Inhibits production of uric acid
,ATI RN COMPREHENSIVE PREDICTOR 2024 NGN
REAL EXAM 200 Q & A
- Used to treat gout and/or kidney stones of that nature
- Watch for kidney toxicity
- Contraindicated with Warfarin & oral hypoglycemic (increases effects of meds)
Alzheimer meds - ans- Memantine
- Donazepril
Aminoglycosides (Gentamycin and Tobramycin) - ans- Want to watch for nephron &
Otto toxicities
- They also interfere with diuretics, skeletal muscle relaxants and anticoagulant meds.
Amitriptyline - ans- Medication for tx of depression
- Pts should watch out for reactions like dry mouth & constipation
- Pts should avoid overheating because of the lack of an ability to sweat while taking
this med.
- Should take at night before bedtime.
Amniotic fluid is? - ans- Alkaline, it will turn nitrazine paper blue. Urine and normal
vaginal discharge are acidic and turn it pink.
Amoxicillin - ans- Watch for renal insufficiency
- Decreases contraceptives, warfarin
Amphojel - ans- Tx of GERD and kidney stones
- Watch out for constipation
Anectine - ans- Is used for short-term neuromuscular blocking agents for procedures
like intubation and ECT
Antacids should be given ? - ans- When mechanically ventilated
- With an NG tube if the pH of the aspirate is <5.0. Aspirate should be checked every 12
hrs.
Antidote for Magnesium Toxicity - ans- Calcium Gluconate
Antidote for Tylenol - ansMucomyst
Antiepileptic (seizure) medications - ans- Phenobarbital
- Phenytoin
- Carbamazepine
- Valproic acid
- Iamotrigine
- Gabapentin
**For status epilepticus (Diazepam, Lorazepam)**
, ATI RN COMPREHENSIVE PREDICTOR 2024 NGN
REAL EXAM 200 Q & A
Antifungals - ans- End in "zole"
- Also nystatin (used for mouth)
Antinuclear antibody (ANA) - ans- ANAs are frequently present in pts who have
systemic lupus erythematosus and other autoimmune disorders such as RA and
scleroderma.
Antipsychotics are incompatible with - ans- Caffeine and apple juice
Antisocial personality Disorder - ans- Will show lack of remorse
Aplastic Anemia - ans- Caused by a failure of the bone marrow to produce sufficient
number of RBC's.
Artane - ans- A med used for Prkinsons
- Sedative effect
Aspirin can cause what in children? - ans- Reye's Syndrome
Assault - ans- An intention tort
Ex: Is a threat to touch a person without consent
Ataxia - ansJerky movements of the extremities
Atorvastatin - ans- Watch for muscle pain (stop med & contact provider)
- Watch liver enzymes
Autonomic dysreflexia - ans- Potentially life threatening emergency
- Spinal cord injury @ T6 or higher
- Facial flushing, nasal congestion, severe headache
Tx: Elevate head of bed to 90 degrees, loosen constrictive clothing, assess for bladder
distention and bowel impaction, administer antihypertensive meds (as this may cause
stroke, MI, seizures)
Autonomy - ans- Is the right to independence and personal freedom, which leads to the
primacy of self-determination
Azithromycin - ans- Antibiotic: Macrolide
- No cross allergy with penicillins
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