ATI-RN Comprehensive Predictor EXIT EXAM 2023-2024

ATI-RN Comprehensive Predictor EXIT EXAM 2023 2024

• The correct answer for question number 1 is A.
• The correct answers for question number 2 are 1, 2, 3, 6, and 7.
• The correct answer for question number 3 is B.
• The correct answer for question number 4 is C.
• The correct answer for question number 5 is A.
• The correct answer for question number 6 is A.
• The possible complications of an infant with fetal alcohol syndrome include tachypnea and hypoglycemia.

Preterm Labor

• A patient presents with low back pain and pinkish vaginal discharge. Possible reasons: preterm labor, previous preterm birth
• A patient presenting with PROM (Premature Rupture of Membranes) and sepsis should be assessed for possible infection
• Preterm labor Assessment: Uterine contractions, cervical exam, low back pain, pinkish vaginal discharge
• Preterm labor Interventions: urine culture and antibiotics, phenazopyridine
• Preterm labor Monitoring: low back pain, vaginal discharge, contractions, burning with urination, platelets, blood pressure, WBC, temperature

Abdominal Pain

• A client presents with severe pain in the upper abdomen radiating into the back. The pain started 12 hours ago and is worse when supine or after eating. Other presenting symptoms: Sclera is yellow, abdomen is firm, bowel sounds are hypoactive.
• Possible Diagnosis: Peritonitis, hypbili, pancreatitis.
• Assessment: Guard's abdomen, grimaces during palpation, bloody stool
• Monitoring: WBC, Abdominal Pain, Lung Sounds, Temperature
• Interventions: anticipate pain medication, contraindicate antispasmodics, anticipate antacids, anticipate antiemetics

Pain Management

• The most important nursing action to prioritize: Assess the client for potential causes of pain.
• Important elements for pain assessment: Quality, location, intensity, duration, and onset

Endoscopy

• Patient presenting with recent GI bleed: prepare the patient for an endoscopy
• Necessary actions to take before endoscopy: Obtain IV access, prepare to administer IV
• Prioritization when preparing for endoscopy: ABC (Airway, Breathing, Circulation)
• Endoscopy Assessment (indicated): Assessment of ABCs, VS (Vital Signs), Level of consciousness, Pain assessment, Monitor for adverse reactions to medications.
• Endoscopy Assessment (not indicated): Assessing hematocrit and hemoglobin levels

Hypoglycemia Assessment

• Hypoglycemia Assessment: Assess blood sugar, assess LOC (Level Of Consciousness) , monitor for changes in mental status, assess skin for signs of diaphoresis, check for tachycardia, assess for tremors, assess for behavior changes, check peripheral pulses.

Nutrition

• Patient recovering from surgery: Assess their diet.
• Patient's diet after surgery: Advance to a regular diet as tolerated
• Patient is NPO: Assess for signs of dehydration.

Safety and Pain

• Patient with a history of assault: Assess for safety concerns, assess for bruises, abrasions and pain, assess for history of abuse, ask about potential triggers.
• Patient with history of assault: Assess for risk for financial exploitation and neglect.
• Patient with history of assault: Assess for signs of neglect, assess financial resources, assess risk for further assault.
• Patient with a history of assault: Assess potential for psychological abuse, assess for drug abuse or dependence.
• Safety Considerations: Assess the client's pain, Assess the client's safety.

Fluid and Electrolyte Assessment

• Patient with a history of diarrhea: Assess fluid volume status, assess electrolyte status, assess vital signs, monitor for signs of dehydration.

Cardiac Assessment

• Monitor cardiac status: Assess blood pressure, monitor for bradycardia, assess electrolytes, assess for EKG changes, assess for chest pain.
• Patient with a history of COPD: Assess respiratory status.

Pain Assessment

• Patient with a history of COPD: Assess respiratory status.
• Patient with a history of COPD: Assess pain, assess for tingling in the hand.

Wound Care Assessment

• Patient with a history of COPD: Assess respiratory status.
• Patient with a history of COPD: Assess pain, assess for tingling in the hand.

Gastrointestinal Assessment

• Patient with a history of COPD: Assess respiratory status.
• Patient with a history of COPD: Assess pain, assess for tingling in the hand.
• Patient with a history of COPD: Assess LOC (Level Of Consciousness), assess for changes in mental status.

Osteoarthritis

• Patient with Osteoarthritis: Monitor ESR (Erythrocyte Sedimentation Rate), monitor for Lymphadenopathy.
• Patient with Osteoarthritis: Apply heat or cold to the joints, apply topical analgesics.

Anorexia Nervosa

• Client with Anorexia Nervosa: Assess the patient's weight loss, assess for changes in eating habits.
• Anorexia Nervosa Interventions: Focus on feelings, monitor behavior after meals, monitor for complications with EKG.
• Important considerations for clients with Anorexia Nervosa: Monitor the client 15 minutes after meals.

Serotonin Syndrome

• Client presenting with Serotonin Syndrome: Assess for adverse effects of paroxetine, monitor for muscle rigidity.
• Patient presenting with a medical emergency: Administer oxygen, administer nitrates.

**DVT (Deep Vein Thrombosis) **

• Key assessment points: Assess for DVT using Doppler, assess PT/INR levels for bleeding, assess for Homans sign
• Key interventions: Anticoagulants

Mastitis

• Key assessment points:Assess for crackle nipples, assess for edema in breast tissues
• Key interventions: Antibiotics

Postpartum psychosis

• Key assessment points: Assess for changes in mood, assess for changes the client's ability to care for their infant, assess for changes in cognition
• Key interventions: Engage with the client several times a day, reduce stimuli in the environment, monitor for suicide risk.

Delirium

• Key assessment points: Assess for changes in alertness, assess for changes in cognition.
• Key interventions: Establish eye contact, give one direction, reinforce orientation.

Inflammatory Bowel Disease

• Key assessment points: Monitor for bloody stool, assess for abdominal pain
• Key interventions: Administer medication

This quiz covers key topics related to the ATI-RN Comprehensive Predictor Exit Exam for the academic years 2023-2024. It includes questions about fetal alcohol syndrome complications and assessment of preterm labor. Test your knowledge and preparation for nursing success!