EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED. FIRST PUBLISH OCTOBER 2024.
ATI comprehensive Exam Questions and
Answers
RBC - Answer✔✔-females 4.2-5.4 million
males 4.7-6.1 million
decrease RBC - Answer✔✔-anemia
WBC - Answer✔✔-5,000-10,000
elevated WBC - Answer✔✔-infection
decreased WBC - Answer✔✔-immunosuppression
Iron - Answer✔✔-females 60-160 mcg
males 80-180
elevated iron - Answer✔✔-hemochromatosis, iron excess
liver disorder, magaloblastic anemia
decreased iron - Answer✔✔-anemia or hemorrhage
platelets - Answer✔✔-150,000-4000,000
increased platelets - Answer✔✔-malignancy or polycythemia vera
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,EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED. FIRST PUBLISH OCTOBER 2024.
decreased platelets - Answer✔✔-autoimmune disease
bone marrow suppression or enlarged spleen
Hbg - Answer✔✔-females 12-16
males 14-18
decrease Hgb and Hct - Answer✔✔-anemia
Hct - Answer✔✔-females 37%-47%
males 42-52%
anemia in children
S & SX: - Answer✔✔-pallor, brittle spoon shaped nails
irritability, muscle weakness
systolic heart murmur, enlarged heart, HF
iron supplements - Answer✔✔-give 1 hr before or 2 hr after antacid to prevent malabsorpt
N/D and constipation common at start of therapy
use straw for liquid iron to prevent staining of teeth
aPTT - Answer✔✔-1.5-2X control range of 30-40 seconds
test clotting factors and monitor heparin therapy
increased aPTT - Answer✔✔-hemophilia
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,EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED. FIRST PUBLISH OCTOBER 2024.
disseminated intravascular coagulation DIC
liver disease
PT - Answer✔✔-11-12.5 seconds, 85-100%
increased PT time - Answer✔✔-evidence of deficiency or clotting
decreaed PT time - Answer✔✔-evidence of vit K excess= bleed out
acute hemolytic blood transfusion reactions - Answer✔✔-**low back pain, TACHYcardia,
HYPOtension
febrile reactions - Answer✔✔-30 min-6 hr after transfusion
-chills, fever, flushing, headache
use WBC filter, administer antipyretics
mild allergic reactions - Answer✔✔-during or up to 24hr after transfusion
- itching, urticarial, flushing
administer benadryl
anaphylactic shock - Answer✔✔-wheezing, dyspnea, cyanosis, hypotension
maintain airway, admin O2, IV fluids, antihistamines, corticosteroids and vasopressor
fluid overload - Answer✔✔-HYPERtension,
jugular vein distention, peripheral edema
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, EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED. FIRST PUBLISH OCTOBER 2024.
orthopnea, crackles at base of lungs
sudden anxiety
sepsis and septic shock - Answer✔✔--fever, N/V, abdominal pain, chills HYPOtension
administer antibiotics, blood cultures, vasopressor (dopamine)
if disseminated intravascular coagulation (DIC) - Answer✔✔-admin heparin in early stage
-blood products and clotting factors in late stage
PICA - Answer✔✔-eating things like soil, chalk, for at least 1 month
parenteral iron - Answer✔✔-given Z track
erythropoietin - epoetin alfa (epogen, Procrit) - Answer✔✔-used to increased production of RBC
monitor increase in BP, Hgb, Hct
folic acid - Answer✔✔-turn urine dark yellow
necessary for new RBC
hypovolemia causes - Answer✔✔-peritonitis, ascites, burns , NPO
causes of dehydration - Answer✔✔-hyperventilation
DKA
tube feeding without sufficient water intake
subjective and objective HYPOvolemia - Answer✔✔-Hyperthermia, Tachycardia, HYPOtension
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