ATI RN COMPREHENSIVE EXIT EXAM Flashcards

• Diet for chronic renal failure: Low protein and potassium.
• Diabetes patient teaching: Change shoes, wash feet with soap and water.
• Pulse pressure: Subtract systolic value from diastolic value.
• Lantus: Never mix, long-lasting, no peak.
• Rhogam: Given at 28 weeks and 72 hours post-delivery when the mother is negative, and the baby is positive.
• Indication of baby dehydration improving: Smooth fontanelle.
• Patient with orthostatic hypotension: Place near the nursing station.
• Cleaning a wound: Clean to dirty, use bulb syringe.
• Peripheral arterial disease: Cramp in leg while walking, intermittent claudication.
• Seizure precautions: Supine position.
• 20 weeks gestation with urinary frequency: Urinalysis and culture.
• Reporting to a new nurse at shift change: Patient at X-ray.
• Signs of hemolytic blood transfusion reaction: Flank pain.
• Emergency room rape victim priority: Access anxiety.
• Nutrition: Carbs 45%, protein 10-15%.
• Latex allergy: Tape up cords.
• First ingredient on a food label: Most content.
• Thoracentesis: Painful breathing, place on the unaffected side for 1 hour or longer.
• Patient with IV sedation: Check level of consciousness, if unresponsive.
• Helping older brother get used to the baby: Get a gift for big brother.
• Early decelerations: Head compressions.
• Methergine contraindication: Hypertension.
• Delegate to AP: Monitor intake and output, heart failure, and weights.
• Location for peripheral line: Radial.
• Prioritizing care for multiple patients: Low flank pain.
• Ativan for seizures: Prescribed for control.
• Medication for diabetes insipidus: Desmopressin.
• Radiation tattoo care: Use mild soap and water.
• Uric acid stones diet: Eat low-fat yogurt.
• Antigout medication: Allopurinol decreases uric acid levels.
• Non-pharmacological pain management in labor: Hypnosis.
• Psychotic disorder assessment: Flat affect.
• Newborn withdrawal from heroin: Hypertonicity.
• Mitral valve location: 5th intercostal.
• Amniocentesis preparation: Empty bladder before the procedure.

• Total gastrectomy: Lack of B12.
• Takes 30-60 minutes to eat a meal: Encourage patience.
• Stoma color: Pink or red is normal.
• MAOI’s diet: No pepperoni, no tyramine, cottage cheese is okay.
• Give iron with: Orange juice.
• Statins contraindication: Grapefruit juice.
• Haldol: Lip smacking.
• Magnesium sulfate: Decreased urine output, decreased respirations, decreased pulmonary edema.
• Antidote for magnesium sulfate: Calcium gluconate.
• Clozaril interventions: Monitor WBC.
• Valproic acid: Monitor liver function.
• Thyroid medication effectiveness: Weight loss.
• Diuretics: Don’t skip doses.
• Digoxin adverse effects: Nausea, vomiting, headache.
• Prednisone: Take with milk.
• Hemodialysis/peritoneal dialysis patient teaching: Medical asepsis.
• Cranial nerve XI: Shoulder movement.
• Peripheral catheter insertion: Advance catheter when you see flashback of blood return.
• Dispose of insulin needles at home: In a coffee container.
• Confirmation of NG placement: X-ray.
• Swallowing difficulty referral: Speech therapy.
• Acarbose: Skip a meal, skip dose, give with first bite of food.
• Sprains and strains: RICE (Rest, Ice, Compression, Elevation).
• Patient DNR-CC and family asking questions: Use therapeutic communication.
• Delegating to AP about skeletal traction: Needs more teaching if AP places weight on the bed.
• Daughter feeling guilty about admitting parent into a long-term facility: Use a therapeutic response, rephrase what the daughter is feeling.
• How a good nurse plans her day: Rechecks her priorities halfway through her shift.
• Good nurse sets these when she works: Goals.
• Patient gets bad diagnosis and asks you not to tell her spouse: You have a right to privacy.
• Delegate to AP for CPR: Focus on compressions.
• Baby in contact precautions in a private room: Bring formula as needed to save hospital costs.
• How does a nurse properly manage her time mid-shift? Reevaluates goals.
• Which psych patient would you see first? Hallucinations.
• Dementia patient in ER with marks on coccyx and wrist, suspected abuse: Ask patient, conduct an interview.
• Psych patient yelling in front of a group and very agitated: Isolate patient.

• Charge nurse scheduling resolution between nurses: Nurse listens to both sides.
• Respite care: Gives family a break.
• Patient in seclusion documentation: Record what happened prior to seclusion that caused the need for it.
• Parkinson’s patient teaching nutrition: Thicken liquids.
• Patient receiving radiation: Wear a lead apron.
• Patient suffering from hyperthermia: Implement seizure precautions.
• Patient refuses last minute for a procedure he already consented for: It’s okay to stop the procedure.
• Signs of smallpox: Rash on tongue.
• Xerostomia: Use a humidifier.
• Vagina procedure for cervical cancer: Place a catheter.
• Lyme disease: Report it.
• Lice (pediculosis capitis): Can survive on surfaces for up to 48 hours.
• RSV (Respiratory Syncytial Virus): Keep the stethoscope in the room (droplet precautions).
• 16 weeks gestation: Can get AFP test done.
• Bacterial meningitis: Implement droplet precautions.
• When can a child return to school for chickenpox? When lesions are crusted over.
• Kicks a ball: Developmental stage at 24 months.
• Baby with cleft lip: Untie arms and perform range of motion exercises.
• Wrong ostomy care: Changing every day may lead to skin irritation.
• After male circumcision: Apply petroleum jelly with every diaper change.
• Breastfeeding with Hepatitis C: Don’t breastfeed if you have cracked nipples.
• Contraindication with oral contraceptives: Hypertension.
• Combination contraceptives contraindications: Patient with migraines.
• When percussing RUQ: Expect dullness.
• Dementia patient: Offer finger foods.
• Black males at greater risk for: CVA (Cerebrovascular Accident).
• Medication for alcohol withdrawal: Disulfiram (Antabuse).
• Better nutrition: Canola oil.
• Healthy eating: 45% carbs.
• To prevent neural tube defects: Folate.
• Preventing delays in healing: Ensure adequate protein and oxygen.