ATI RN COMPREHENSIVE EXIT EXAM
diet for chronic renal failure - ANSWER ==low protein & potassium
DM pt teaching - ANSWER ==change shoes,
... [Show More] wash bfeet w/soap & water
pulse pressure - ANSWER ==subtract systolic value from diastolic value
lantus - ANSWER ==never mix, long lasting, no peak
rhogam - ANSWER ==given @ 28 weeks & 72 hours post delivery
when mom is negative & baby positive
indication of baby dehydration improving - ANSWER ==smooth fontannel
pt w/orthostatic hypotension - ANSWER ==put near nursing station
cleaning a wound - ANSWER ==clean to dirty
use bulb syringe
peripheral arterial disease - ANSWER ==cramp in leg while walking
intermitment claudication
seizure precautions - ANSWER ==supine position
20 weeks gestation, having urinary frequency - ANSWER ==u/a & c/s
report to new nurse @ shift change - ANSWER ==pt @ xray
s/s of hemolytic blood transfusion - ANSWER ==flank pain
ER rape victim priority - ANSWER ==acess anxiety
nutrition - ANSWER ==carbs 45%, protein 10-15%
latex allergy - ANSWER ==tape up cords
first ingredient on a food label - ANSWER ==most content
thoracentesis, & painful w/breathing - ANSWER ==put pt on UNAFFECTED side for 1 hour or longer
pt w/IV sedation - ANSWER ==check LOC if not responsive
help older brother get used to baby - ANSWER ==get a gift for big brother
early decelerations - ANSWER ==head compressions
methergine contraindication - ANSWER ==HTN
delegate to AP - ANSWER ==I & O
HF monitoring - ANSWER ==weights
location for peripheral line - ANSWER ==radial
prioritizing care for multiple pt's - ANSWER ==low flank pain
ativan - ANSWER ==for seizures
med for diabetes insipidus - ANSWER ==desmopressin
radiation tatoo - ANSWER ==use mild soap & water
uric acid stones - ANSWER ==eat low fat yogurt
antigout med decreases uric acid level - ANSWER ==allopurinol
non-pharm relation technique for pain management in labor - ANSWER ==hypnosis
psychotic disorder assessment finding - ANSWER ==flat affect
newborn withdrawal from heroin (opioids) - ANSWER ==hypertonicity
mitral valve location - ANSWER ==5th intercostal
amniocentesis - ANSWER ==go pee before procedure
total gastrectomy - ANSWER ==lack b 12
takes 30-60 mins to eat a meal
stoma color - ANSWER ==pink or red is normal
MAOI's diet - ANSWER ==no pepperoni, no tyramine, COTTAGE CHEESE OKJ
give iron w/? - ANSWER ==OJ
statins contraindication - ANSWER ==Grapefruit juice
haldol - ANSWER ==lip smacking
mag sulfate - ANSWER ==decreased urine output
decreased respirations
decreased pulmonary edema
antidote for mag sulfate - ANSWER ==calcium gluconate
clozaril interventions - ANSWER ==monitor WBC
valproic acid - ANSWER ==liver function
thyroid med effectiveness - ANSWER ==weight loss
diuretics - ANSWER ==don't skip doses
DIG adverse effects - ANSWER ==N/V & HA
prednisone - ANSWER ==take with milk
hemo/peritoneal dialysis pt teaching - ANSWER ==medical asepsis
cranial nerve 11 - ANSWER ==shoulder
peripheral catheter insertion - ANSWER ==advance catheter when you see flash back of blood return
dispose of insulin needles @ home - ANSWER ==in coffee container
confirmation of ng placement - ANSWER ==x ray
swallowing difficulty referral - ANSWER ==speech therapy
acrabose - ANSWER ==skip a meal, skip dose, give w/1st bite of food
sprains & strains - ANSWER ==RICE
pt DNR-CC & family asking questions related to. therapeutic communication: THERAPEUTIC RESPONSE - ANSWER ==What did the dr tell you?
delegating to AP about skeletal traction: NEEDS MORE TEACHING - ANSWER ==AP places weight on bed
daughter feeling guilty about admitting parent into long-term facility: THERAPEUTIC RESPONSE - ANSWER ==rephrase what daughter is feeling
how good nurse plans her day - ANSWER ==rechecks her priorities half way through her shift
good nurse sets these when she works - ANSWER ==GOALS
pt gets bad dx, & asks you not to tell her spouse:YOUR RESPONSE - ANSWER ==you have a right to privacy
delegate to AP - ANSWER ==CPR
baby in contact precautions in a private room, what would you do to save hospital $? - ANSWER ==bring formula prn
how does a nurse properly manage her time mid-shift? - ANSWER ==reevaluates goals
which psych pt would you see first? - ANSWER ==hallucinations
dementia pt @ ER, w/marks on coccyx & wrist, suspected abuse. what do you do? - ANSWER ==ask pt. INTERVIEW HIM
psych pt yelling in front of group. very agitated, what do you do? - ANSWER ==isolate pt
charge nurse scheduling resolution between nurses - ANSWER ==nurse listens to both sides
respite care - ANSWER ==gives family a break
pt in seclusion documentation - ANSWER ==what happened prior to seclusion that caused for seclusion
parkinson's : pt teaching - ANSWER ==nutrition- thicken liquids
pt receiving radiation, what should you wear? - ANSWER ==lead apron
pt suffering from hyperthermia - ANSWER ==seizure precautions
pt refuses last minute for a procedure he already consented for - ANSWER ==okay to stop procedure
s/s of smallpox - ANSWER ==rash on tongue
xerostoma - ANSWER ==humidifier
vagina procedure, cervical cancer - ANSWER ==place catheter
Lyme disease - ANSWER ==report it
lice (pediculodis capitis) - ANSWER ==can survive on surfaces for up to 48 hours
RSV - ANSWER ==keep stethescope in room (droplet)
16 weeks gestation - ANSWER ==can get AFP test done
bacterial meningitis - ANSWER ==droplet precautions
when can kid return to school for chicken pox - ANSWER ==when lesions are crusted over
kicks a ball: developmental stage - ANSWER ==24 months
baby w/cleft lip - ANSWER ==untie arms & perform ROM
wrong ostomy care - ANSWER ==changing everyday may lead to skin irritation
after male circumcision - ANSWER ==apply petroleum jelly w/every diaper change
breastfeeding w/hep c - ANSWER ==don't breast feed if you have cracked nipples
contraindication w/oral contraceptives - ANSWER ==HTN
combination contraceptives contraindications - ANSWER ==pt w/migraines
when percussing RUQ, what should we feel - ANSWER ==dullness
dementia pt - ANSWER ==offer finger foods
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