ATI RN COMPREHENSIVE EXAM
QUESTION AND ANSWERS
Flank--greyish blue. (turn around to see your flanks) Seen with pancreatitis
McBurney's point
Pain in RLQ with appendicitis
LLQ
Diverticulitis
RLQ
appendicitis watch for peritonitis
Guthrie test
Tests for PKU. Baby should have eaten protein first
shilling test
Test for pernicious anemia
Peritoneal dialysis
Its ok to have abd cramps, blood tinged outflow and leaking around site if the cath (tenkoff) was
placed in the last 1-2 weeks. Cloudy outflow is never ok
Hyper reflexes
absent reflexes
upper motor neuron issue (your reflexes are over the top)
Lower motor neuron issue
Latex allergies
assess for allergies to bananas, apricots, cherries, grapes, kiwis, passion fruit, avocados,
chestnuts, tomatoes and peaches
Tensilon
used in myesthenia gravis to confirm diagnosis
ALS
(amyotrophic lateral sclerosis) degeneration of motor neurons in both upper and lower motor
neuron systems
Transesophageal fistula
,esophagus doesn't fully develop. This is a surgical emergency (3 signs in newborn: choking,
coughing, cyanosis)
MMR
is given SQ not IM
codes for pt care
Red- unstable, ie.. occluded airway, actively bleeding...see first
Yellow--stable, can wait up to an hour for treatment
Green--stable can wait even longer to be seen---walking wounded
Black--unstable, probably will not make it, need comfort care
DOA--dead on arrival
Contraindication for Hep B vaccine
anaphylactic reaction to baker's yeast
what to ask before flu shot
allergy to eggs
what to ask before MMR
allergy to eggs or neomycin
when on nitroprusside monitor:
cyanide. normal value should be 1.
William's position
semi Fowler's with knees flexed to reduce low back pain
S/S of hip fx
External rotation, shortening adduction
Fat embolism
blood tinged sputum r/t inflammations. Increase ESR, respiratory alkalosis. Hypocalcemia,
increased serum lipids.
complications of mechanical ventilation
pneumothorax, ulcers
Paget's disease
,tinnitus, bone pain, elnargement of bone, thick bones
with allopurinol
no vitamin C or warfarin!
IVP requires
bowel prep so bladder can be visualized
acid ash diet
cheese, corn, cranberries, plums, prunes, meat, poultry, pastry, bread
alk ash diet
milk, veggies, rhubarb, salmon
orange tag in psych
is emergent psych
thyroid med side effects
insomnia. body metabolism increases
Tidal volume is
7-10 ml/kg
COPD patients and O2
2LNC or less. They are chronic CO2 retainers expect sats to be 90% or less
Kidney glucose threshold
180
Stranger anxiety is greatest at what age?
7-9 months..separation anxiety peaks in toddlerhood
when drawing an ABG
put in heparinized tube. Ice immediately, be sure there are no bubbles and label if pt was on O2
Munchausen syndrome vs munchausen by proxy
Munchausen will self inflict injury or illness to fabricate symptoms of physical or mental illness
to receive medical care or hospitalization. by proxy mother or other care taker fabricates illness
in child
, multiple sclerosis
motor s/s limb weakness, paralysis, slow speech. sensory s/s numbness, tingling, tinnitis cerebral
s/s nystagmus, atazia, dysphagia, dysarthia
hungtington's
50% genetic autosomal dominanat disorder.. s/s uncontrolled muscle movements of face, limbs
and body. no cure
WBC left shift
pt with pyelo. neutrophils kick in to fight infections
pancreatic enzymes are taken
with each meal!
infants IM site
Vastus lateralis
Toddler 18 months+ IM site
Ventrogluteal
IM site for children
deltoid and gluteus maximus
Thoracentesis:
position pt on side or over bed table. no more than 1000 cc removed at a time. Listen for bilateral
breath sounds, V.S, check leakage, sterile dressing
Cardiac cath
NPO 8-12 hours. empty bladder, pulses, tell pt may feel heat, palpitations or desire to cough with
injection of dye. Post: V.S.--keep leg straight. bedrest for 6-8 hr
Cerebral angio prep
well hydrated, lie flat, site shaved, pulses marked. Post--keep flat for 12-14 hr. check site, pulses,
force fluids.
lumbar puncture
fetal position. post-neuro assess q15-30 until stable. flat 2-3 hour. encourage fluids, oral
analgesics for headache.
