ATI Comp Predictor-Study Guide
Do not delegate - ANSWhat you can EAT E-evaluate A-assess T-teach
Addison's & Cushings - ANSAddison's = down down down up down
Cushings= up up up down up
hypo/hypernatremia, hypo/hypertension, blood volume, hypo/hyperkalemia, hypo/hyperglycemia
Better peripheral perfusion? - ANSEleVate Veins, DAngle Arteries
APGAR - ANSAppearance (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 - ANSMy chicken hez tb (measles, chickenpox (varicella) Herpes
zoster/shingles TB
Airborne precautions protective equip - ANSprivate room, neg pressure with 6-12 air
exchanges/hr mask N95 for TB
Droplet precautions - ANSspiderman! 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 - ANSMRS WEE
Multidrug resistant organism
Rresiratory infection
Skin infection
Wound infection
Enteric infection (C diff)
Eye infection (conjunctivitis)
Skin infection - ANSVCHIPS
Varicella zoster
Cutaneous diptheria
,Herpes simplez
Impetigo
Peduculosis
Scabies
Air or Pulmonary Embolism - ANSS/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) - ANS(late decels, decreased variability, fetal bradycardia,
etc) Turn pt on Left side, give O2, stop pitocin, Increase IV fluids!
Tube feeding with decreased LOC - ANSPt on Right side (promotes emptying of the stomach)
Head of bed elevated (prevent aspiration)
After lumbar puncture and oil based myelogram - ANSpt is flat SUPINE (prevent headache and
leaking of CSF)
Pt with heat stroke - ANSflat with legs elevated
during Continuous Bladder Irrigation (CBI) - ANScatheter is taped to the thigh. leg must be kept
straight.
After Myringotomy - ANSposition on the side of AFFECTED ear, allows drainage.
After Cateract surgery - ANSpt sleep on UNAFFECTED side with a night shield for 1-4 weeks
after Thyroidectomy - ANSlow or semi-fowler's position, support head, neck and shoulders.
Infant with Spina Bifida - ANSProne so that sac does not rupture
Buck's Traction (skin) - ANSelevate foot of bed for counter traction
After total hip replacement - ANSdon'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 - ANSKnee to chest or Trendelenburg
Cleft Lip - ANSposition on back or in infant seat to prevent trauma to the suture line. while
feeding hold in upright position.
To prevent dumping syndrome - ANS(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) - ANSelevate for first 24 hours on pillow. position prone daily to
maintain hip extension.
BKA (below knee amputation) - ANSfoot of bed elevated for first 24 hours. position prone to
provide hip extension.
detached retina - ANSarea of detachment should be in the dependent position
administration of enema - ANSpt should be left side lying (Sim's) with knee flexed.
After supratentorial surgery - ANS(incision behind hairline on forhead) elevate HOB 30-40
degrees
After infratentorial surgery - ANS(incision at the nape of neck) position pt flat and lateral on
either side.
During internal radiation - ANSon bed rest while implant in place
Autonomic Dysreflexia/Hyperreflexia - ANSS/S pounding headache, profuse sweating, nasal
congestion, chills, bradycardia, hypertension. Place client in sitting position (elevate HOB)
FIRST!
Shock - ANSbedrest with extremities elevated 20 degrees. knees straight, head slightly elevated
(modified Trendelenberg)
Head Injury - ANSelevate HOB 30 degrees to decrease ICP
Peritoneal Dialysis (when outflow is inadequate) - ANSturn pt from side to side BEFORE
checking for kinks in tubing
Lumbar Puncture - ANSAfter the procedure, the pt should be supine for 4-12 hours as
prescribed.
Myesthenia Gravis - ANSworsens with exercise and improves with rest
Myesthenia Gravis - ANSa positive reaction to Tensilon---will improve symptoms
Cholinergic Crisis - ANSCaused by excessive medication ---stop giving Tensilon...will make it
worse.
Liver biopsy (prior) - ANSmust have lab results for prothrombin time
Do not delegate - ANSWhat you can EAT E-evaluate A-assess T-teach
Addison's & Cushings - ANSAddison's = down down down up down
Cushings= up up up down up
hypo/hypernatremia, hypo/hypertension, blood volume, hypo/hyperkalemia, hypo/hyperglycemia
Better peripheral perfusion? - ANSEleVate Veins, DAngle Arteries
APGAR - ANSAppearance (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 - ANSMy chicken hez tb (measles, chickenpox (varicella) Herpes
zoster/shingles TB
Airborne precautions protective equip - ANSprivate room, neg pressure with 6-12 air
exchanges/hr mask N95 for TB
Droplet precautions - ANSspiderman! 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 - ANSMRS WEE
Multidrug resistant organism
Rresiratory infection
Skin infection
Wound infection
Enteric infection (C diff)
Eye infection (conjunctivitis)
Skin infection - ANSVCHIPS
Varicella zoster
Cutaneous diptheria
,Herpes simplez
Impetigo
Peduculosis
Scabies
Air or Pulmonary Embolism - ANSS/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) - ANS(late decels, decreased variability, fetal bradycardia,
etc) Turn pt on Left side, give O2, stop pitocin, Increase IV fluids!
Tube feeding with decreased LOC - ANSPt on Right side (promotes emptying of the stomach)
Head of bed elevated (prevent aspiration)
After lumbar puncture and oil based myelogram - ANSpt is flat SUPINE (prevent headache and
leaking of CSF)
Pt with heat stroke - ANSflat with legs elevated
during Continuous Bladder Irrigation (CBI) - ANScatheter is taped to the thigh. leg must be kept
straight.
After Myringotomy - ANSposition on the side of AFFECTED ear, allows drainage.
After Cateract surgery - ANSpt sleep on UNAFFECTED side with a night shield for 1-4 weeks
after Thyroidectomy - ANSlow or semi-fowler's position, support head, neck and shoulders.
Infant with Spina Bifida - ANSProne so that sac does not rupture
Buck's Traction (skin) - ANSelevate foot of bed for counter traction
After total hip replacement - ANSdon'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 - ANSKnee to chest or Trendelenburg
Cleft Lip - ANSposition on back or in infant seat to prevent trauma to the suture line. while
feeding hold in upright position.
To prevent dumping syndrome - ANS(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) - ANSelevate for first 24 hours on pillow. position prone daily to
maintain hip extension.
BKA (below knee amputation) - ANSfoot of bed elevated for first 24 hours. position prone to
provide hip extension.
detached retina - ANSarea of detachment should be in the dependent position
administration of enema - ANSpt should be left side lying (Sim's) with knee flexed.
After supratentorial surgery - ANS(incision behind hairline on forhead) elevate HOB 30-40
degrees
After infratentorial surgery - ANS(incision at the nape of neck) position pt flat and lateral on
either side.
During internal radiation - ANSon bed rest while implant in place
Autonomic Dysreflexia/Hyperreflexia - ANSS/S pounding headache, profuse sweating, nasal
congestion, chills, bradycardia, hypertension. Place client in sitting position (elevate HOB)
FIRST!
Shock - ANSbedrest with extremities elevated 20 degrees. knees straight, head slightly elevated
(modified Trendelenberg)
Head Injury - ANSelevate HOB 30 degrees to decrease ICP
Peritoneal Dialysis (when outflow is inadequate) - ANSturn pt from side to side BEFORE
checking for kinks in tubing
Lumbar Puncture - ANSAfter the procedure, the pt should be supine for 4-12 hours as
prescribed.
Myesthenia Gravis - ANSworsens with exercise and improves with rest
Myesthenia Gravis - ANSa positive reaction to Tensilon---will improve symptoms
Cholinergic Crisis - ANSCaused by excessive medication ---stop giving Tensilon...will make it
worse.
Liver biopsy (prior) - ANSmust have lab results for prothrombin time
