ATI comprehensive Exit (Nclex
2023) /319 questions and answers
(A+)
Quiz :Do not delegate - √Answer :What you can EAT E-
evaluate A-assess T-teach
Quiz :Addison's & Cushings - √Answer :Addison's = down
down down up down
Cushings= up up up down up
hypo/hypernatremia, hypo/hypertension, blood volume,
hypo/hyperkalemia, hypo/hyperglycemia
Quiz :Addisons - √Answer :
Quiz :Better peripheral perfusion? - √Answer :EleVate Veins,
DAngle Arteries
Quiz :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)
Quiz :Airborne precautions - √Answer :MTV or My chicken hez
tbSmeasles(Rubeola), chickenpox (varicella) Herpes
zoster/shingles TB
Quiz :Airborne precautions protective equip - √Answer :private
room, neg pressure with 6-12 air exchanges/hr mask &
respirator N95 for TB
Quiz :Droplet precautions - √Answer :spiderman! sepsis,
scarlet fever, streptococcal pharyngitis, parvovirus, pneumonia,
pertussis,
,influenza,
diptheria,
epiglottitis,
rubella (German measles),
mumps, meningitis, mycoplasma or meningeal pneumonia,
adeNovirus
(Private room and mask)
Quiz :Contact precaution - √Answer :MRS WHISE
protect visitors & caregivers when 3 ft of the pt.
Multidrug-resistant organisms
RSV, Shigella, Wound infections, Herpes simplex, Impetigo,
Scabies, Enteric diseases caused by micro-organisms (C diff),
Gloves and gowns worn by the caregivers and visitors
Disposal of infectious dressing material into a single,
nonporous bag without touching the outside of the bag
PMGG= Private room/ share same illness, mask, gown and
gloves
Quiz :Skin infection - √Answer :VCHIPS
Varicella zoster
Cutaneous diptheria
Herpes simplez
Impetigo
Peduculosis
Scabies
Quiz :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.)
Quiz :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!
, Quiz :Tube feeding with decreased LOC - √Answer :Pt on Right
side (promotes emptying of the stomach) Head of bed elevated
(prevent aspiration)
Quiz :After lumbar puncture and oil based myelogram -
√Answer :pt is flat SUPINE (prevent headache and leaking of
CSF)
Quiz :Pt with heat stroke - √Answer :flat with legs elevated
Quiz :during Continuous Bladder Irrigation (CBI) -
√Answer :catheter is taped to the thigh. leg must be kept
straight.
Quiz :After Myringotomy - √Answer :position on the side of
AFFECTED ear, allows drainage.
Quiz :After Cateract surgery - √Answer :pt sleep on
UNAFFECTED side with a night shield for 1-4 weeks
Quiz :after Thyroidectomy - √Answer :low or semi-fowler's
position, support head, neck and shoulders.
Quiz :Infant with Spina Bifida - √Answer :Prone so that sac
does not rupture
Quiz :Buck's Traction (skin) - √Answer :elevate foot of bed for
counter traction
Quiz :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.
Quiz :Prolapsed cord - √Answer :Knee to chest or
Trendelenburg
oxygen 8 to 10 L