©JOSHCLAY 2024/2025. YEAR PUBLISHED, 2024.
ATI COMPREHENSIVE EXAM
Questions and Answers 100% Solved
How do you walk up stairs with crutches? - ✔✔Use railing if there is one;
lead with good leg, using crutches for support of bad leg
What are signs of compartment syndrome? - ✔✔MEDICAL
EMERGENCY! tingling, numbness, worsening pain, edema, pain on
passive movement, unequal pulses
What should you do for suspected compartment syndrome? - ✔✔Call
doctor immediately, loosen dressings, and prepare to assist with
fasciotomy
What interventions do you do for suspected enterocolitis? - ✔✔Assess
and measure abdominal girth, monitor/manage fluid, electrolyte, and blood
replacement, monitor for sepsis/peritonitis/shock, and give antibiotics
What are some signs and symptoms of Hirschsprung's disease? -
✔✔Newborn: failure to pass meconium in 24-48 hours, vomiting bile,
refusing to eat, abdominal distention; infant: FTT, vomiting, constipation;
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child: undernourished, anemic appearance, abdominal distention, visible
peristalsis, palpable fecal mass, constipation
What should you advise your patient of who has peripheral vascular
disease? - ✔✔Sleep with legs in a dependent position (hanging off the
bed) to reduce swelling and discomfort of legs; avoid crossing legs, avoid
restrictive clothing, and elevate legs but not above heart level; exercise and
eat low fat diet
What is intermittent claudication? - ✔✔Burning, cramping, and pain in
the legs during exercise; present in peripheral vascular disease
What are some expected findings of Peripheral Vascular Disease? -
✔✔bruit over femoral/aortic arteries, decreased capillary refill,
diminished pulses, loss of hair on ankle/calf/foot, dry/scaly/mottled skin,
thick toe nails, RUBOR!, cold/cyanotic extremity, and ulcers/gangrene of
toes
What is a cardiac stress test? - ✔✔Measures the patient's heart ability to
respond to external stress in a controlled clinical environment; patient will
exercise for 10-15 minutes; doctor will use an EKG, BP, HR and O2 level;
shows pumping ability; used in PVD
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What are expected findings of pulmonary edema? - ✔✔Crackles in
lungs, edema, cough with pink/frothy sputum, cyanosis, confusion/stupor,
tachycardia, tachypnea/dyspnea/orthopnea, anxiety, inability to sleep,
hypoxemia, decreased urine output
What would you advise a patient with pulmonary edema? - ✔✔Fluid
restriction and low sodium diet, high fowler's position, daily weights at same
time of day, effective breathing techniques, report SOB, swelling and
angina; stay compliant with meds even if patient starts to feel better!
Nursing interventions for pulmonary edema? - ✔✔High fowlers, vitals
q15 min, hourly urine output, monitor ABGs and electrolytes, monitor I & O,
hemodynamic status
Why might someone have pulmonary edema? - ✔✔Most common cause
is cardiogenic! Patient will have increased pulmonary vascular pressure;
patient may also be in opiate OD, inhaled irritants, too rapid of IV fluids,
head injury
What are some expected findings of cataracts? - ✔✔Blurry vision!
decreased visual acuity, diplopia (double vision), ABSENT RED REFLEX;
visual opacity; cloudy pupils
