Exam (elaborations)
ATI COMPREHENSIVE & MED SURG EXAM REVIEW QUESTIONS WITH COMPLETE ANSWERS
- Course
- Institution
ATI COMPREHENSIVE & MED SURG EXAM REVIEW QUESTIONS WITH COMPLETE ANSWERS
[Show more]
Content preview
ATI COMPREHENSIVE & MED SURGEXAM REVIEW QUESTIONS WITH
COMPLETE ANSWERS
Do not delegate - Answer-What you can EAT
E-evaluate A-assess T-teach
Better peripheral perfusion? - Answer-EleVate Veins, DAngle 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-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 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
or cohort mask!)
Contact precaution - Answer-MRS WEE
Multidrug resistant organism
Rresiratory infection
Skin infection
Wound infection
Enteric infection (C diff)
Eye infection (conjunctivitis)
Skin infection - Answer-VCHIPS
Varicella zoster
Cutaneous diptheria
Herpes simplez
Impetigo
Peduculosis
,Scabies
Air or Pulmonary Embolism - Answer-S/S chest pain, dyspnea, tachycardia,
pale/cyanotic, sense of impending doom. (turn pt to LEFT side and LOWER the head of
bed.)
Woman in labor (un-reassuring FHR) - Answer-(late decels, decreased variability, fetal
bradycardia, etc) Turn pt on Left side, give O2, stop pitocin, Increase IV fluids!
Tube feeding with decreased LOC - Answer-Pt on Right side (promotes emptying of the
stomach) Head of bed elevated (prevent aspiration)
After lumbar puncture and oil based myelogram - Answer-pt is flat SUPINE (prevent
headache and leaking of CSF)
Pt with heat stroke - Answer-flat with legs elevated
during Continuous Bladder Irrigation (CBI) - Answer-catheter is taped to the thigh. leg
must be kept straight.
After Myringotomy - Answer-position on the side of AFFECTED ear, allows drainage.
After Cateract surgery - Answer-pt sleep on UNAFFECTED side with a night shield for
1-4 weeks
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
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
administration of enema - Answer-pt should be left side lying (Sim's) with knee flexed.
After supratentorial surgery - Answer-(incision behind hairline on forhead) elevate HOB
30-40 degrees
After infratentorial surgery - Answer-(incision at the nape of neck) position pt flat and
lateral on either side.
During internal radiation - Answer-on bed rest while implant in place
Shock - Answer-bedrest with extremities elevated 20 degrees. knees straight, head
slightly elevated (modified Trendelenberg)
Head Injury - Answer-elevate HOB 30 degrees to decrease ICP
Peritoneal Dialysis (when outflow is inadequate) - Answer-turn pt from side to side
BEFORE checking for kinks in tubing
Lumbar Puncture - Answer-After the procedure, the pt should be supine for 4-12 hours
as prescribed.
Myesthenia Gravis - Answer-worsens with exercise and improves with rest
Myesthenia Gravis - Answer-a positive reaction to Tensilon---will improve symptoms
Cholinergic Crisis - Answer-Caused by excessive medication ---stop giving
Tensilon...will make it worse.
Liver biopsy (prior) - Answer-must have lab results for prothrombin time
hypothyroidism
aka? - Answer-Myxedema
slowed physical and mental function, sensitivity to cold, dry skin and hair.
hyperthyroidism
aka? - Answer-Grave's Disease
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 >1.030
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 (rasins 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
+Trosseaus
+Chovasteks
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)
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller biggdreamer. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $21.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67096 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now
