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1. ATI PN Comprehensive Predictor Review

• comprehensive and verified study guide/ - BUN levels: 10-
  • 2. WBC levels: 5,000-10,
  • 3. Serum creatinine levels: males 0.6-1.2; females 0.5-1.
  • 4. Therapeutic digoxin levels: 0.8-2.
  • 6. Fasting glucose levels: 70- 5. HbA1c levels: 4%-6%
  • 7. HDL levels: males 35-65; females 35-
  • 8. Total serum cholesterol levels: less than
  • 9. LDL levels: less than
  • 10. ABG values [pH, PCO2, HCO3]: pH 7.35-7.45 PCO
  • 35-
  • HCO3 21-
  • 11. Phosphorus levels: 3-4.
  • 12. Platelet levels: 150,000-400,
  • 14. INR levels: 0.7-1. 13. aPTT levels; therapeutic level?: 30-40 seconds; therapeutic is 1.5 to 2 times the normal
  • 15. Therapeutic level for INR with anticoagulant therapy: 2-

16. PT levels; therapeutic level?: 11-12.5 seconds; therapeutic is 1.5 to 2 times the normal
17. Chloride levels: 98-
18. Calcium levels: 9-10.
19. Diseases that require airborne precautions: measles, TB, herpes zoster and varicella
20. Heparin antidote: protamine sulfate
21. Coumadin antidote: vitamin k
22. Digoxin antidote: digibind
23. Alcohol withdrawal antidote: librium (chlordiazepoxide)
24. Potassium levels: 3.5-
25. Sodium levels: 136-
26. Magnesium sulfate antidote: calcium gluconate
27. Magnesium levels: 1.3-2.
28. Diseases for droplet precautions [SPIDERMAN]: S - scarlet fever; sepsis P - pneumonia; pertussis I - influenza D - diphtheria E - epiglottitis R - rubella

M - mumps; meningitis AN

• adenovirus

29. Risk factors of metabolic alkalosis: ingestion of antacids; GI suction; hy- pokalemia; blood transfusion; prolonged vomiting; total parenteral nutrition
30. A cause of metabolic acidosis: diarrhea [acidosis - from the ass]; fever; hypox- ia; starvation; seizure; kidney failure; diabetic ketoacidosis; dehydration
31. Hemoglobin levels: males 14-18; females 12-
32. Hematocrit levels: males 42%-52%; females 37%-47%
33. ESR levels: less than 20
34. Glucose levels [urinalysis]: less than 0.5g/day
35. Specific gravity [urinalysis]: 1.005-1.
36. Therapeutic lithium levels: 0.4-1.4 37. 1mg = _mcg: 1,
37. 1g = _mg: 1,
38. 1kg = _g: 1,
39. 1kg = _lb: 2.
40. 30mL = _oz: 1 42. 1L = _mL: 1,
41. 5mL = _tsp: 1

44. 15mL = _tbsp: 1
45. 1tbsp = _tsp: 3
46. Common suffix for ACE inhibitors: -pril
47. Common suffix for anesthetics: -caine
48. Common suffix for beta blockers: -olol
49. Common suffix for bronchodilators: -phylline
50. Common suffix for anticoagulants: -arin
51. Common suffix for calcium channel blockers: -dipine
52. Common suffix for benzodiazephines: -pam; -lam
53. Common suffix for PPIs: -prazole
54. Common suffix for SSRIs: -pram; -ine
55. Common suffix for antibiotic: -floxacin; -mycin
56. Common suffix for thrombolytics: -ase
57. Common side effect with ACE inhibitors: persistent, non-productive cough; angioedema
58. Position of cane walking: cane opposite affected leg [COAL]
59. Don't give Metformin when ...: someone is having procedures with contrast dye; can cause acute renal failures
60. Diseases for contact precautions [Mrs. Wee]: M - multidrug resistant organ- ism

R - respiratory infections S - skin infections W -wound infections E - c.diff E - eye infection; conjuctivitis

61. Do not delegate to AP: assessment, teaching, medication, evaluation, and unstable patients
62. Immediate treatment for MI [MONA]: M - morphine O - oxygen N - nitroglycerin A - aspirin
63. Bleeding precautions [RANDI]: R - razor (electric) A - aspirin (NO!) N - needles (small gauge) D - decrease needle sticks I - injury (protect from)
64. Stomach pain in upper right quadret: gallstones, stomach ulcers, pancreatitis
65. Stomach pain in upper left quadret: stomach ulcer, duodenal ulcer, biliary colic, pancreatitis

66. Stomach pain in lower right quadret: appendicitis, constipation, pelvic pain, groin pain (inguinal hernia)
67. Stomach pain in lower left quadret: diverticular disease, pelvic pain, groin pain
68. Stomach pain in upper middle quadret: stomach ulcer, heartburn/indigestion, pancreatitis gallstones, epigastric hernia
69. Lab values for renal failure: low magnesium and high creatine
70. -tomy: the surgeon cut something
71. -ectomy: the surgeon cut something out
72. -ostomy: the surgeon made an opening
73. -plasty: the surgeon changes the shape of something
74. -pexy: the surgeon moved the organ to the right place
75. -rraphy: the surgen sewed something up
76. -desis: the surgeon made two things stick together
77. Vaccinations contraindicated in pregnant women: smallpox, measles, mumps, rubella, varicella
78. Don't give what food with MAOIs: tyramine (chocolate, alcohol, and fermented foods like cheese)
79. NEVER give _ in IV push: potassium
80. Do not give _ at bedtime: tetracycline; don't let them lie down b/c it might cause gastric reflux

81. S/S of LSHF: cyanosis, tachycardia, orthopnea, pulmonary congestion (cough, crackles, wheezes, blood-tinged sputum, tachypnea) restlessness, paroxysmal noc- turnal dyspnea
82. S/S of RSHF: edema, weight gain, ascites, distended jugular veins, fatigue, anorexia
83. Risk factors of respiratory acidosis: respiratory depression; pneumothorax; airway obstruction; inadequate ventilation
84. Risk factors of repiratory alkalosis: hyperventilation; hypoxemia; altitude sick- eness; asphyxiation; asthma; pneumonia
85. Response for fire [RACE]: R - rescue A - alarm C - contain E - extinguish
86. How often to remove restraints and check on client: every 2 hours
87. Characteristics that increase risk for falls: older age, cognitive/sensory im- pairment, impaired mobility, bowel and bladder dysfunction, side effects of medica- tions, and history of falls
88. Equipment at client's bedside for seizure precautions: oxygen, oral airway, and suction equipment
89. Description of semi-fowlers: head of bed elevated at 30 degrees
90. Description of fowlers: head of bed elevated to 45 degrees
91. Description of high-fowlers: head of bed elevated to 90 degrees

92. Description of supine: lying on back, head, and shoulders
93. Description of prone: lying on abdomen, legs extended, and head turned to side
94. Description of lithotomy: lying on the back with hips and knees flexed at righ angles and feet in stirrups
95. Description of sims: lying on left side with most of the body weight borne by the anterior aspect of the ilium, humerus, and clavicle (client is unconscious or receiving enema)
96. If patient isn't voiding, don't give ...: potassium
97. Manifestations of hypokalemia (low potassium): muscle weakness, cramp- ing, nausea, vomiting, decreased bowel motility, dysrhythmias, irritability
98. Manifestations of hyperkalemia (high potassium): peaked T waves, ventric- ular dysrhythmias, increased bowel motility
99. Addison's disease need to add ...: cortisol
100. Newborn vital signs: HR 100- R 40- BP 60-80 systolic; 40-50 diastolic

101. APGAR categories: HR, respiratory effort, muscle tone, reflex irritability, color
102. Motor skills of 1 month old: demonstrates head lag; strong palmar grasp reflux
103. Motor skills of 2 month old: lifts head off matress; holds hands
104. Motor skills of 3month old: raises head and shoulders off mattress; voluntary grasp present
105. Motor skills of 4 month old: rolls from back to side; places objects in mouth
106. Motor skills of 5 month old: rolls from front to back; strong palmar grasp
107. Motor skills of 6 month old: rolls from back to front; holds bottle
108. Motor skills of 7 month old: bears full weight on feet; moves objects from hand to hand
109. Motor skills of 8 month old: sits unsupported; begins using pincer grasp
110. Motor skills of 9 month old: pulls to a standing position; pincer grasp is more precises
111. Motor skills of 10 month old: changes from a prone to a sitting position; grasp rattle by its handle and picks up finger foods
112. Motor skills of 11 month old: walks while holding onto something; places objects into a container
113. Motor skills of 12 month old: sits down from a standing position without assistance; tries to build a two-block tower without success
114. Prevention of SIDS: place babies on their backs to sleep, breastfeeding may provide

some protection, and use of a pacifier when sleeping

115. Newborn's first BM: dark green and viscous
116. Contraction of hep A: contaminated water or food
117. Contraction of hep B: blood or bodily fluids of an infected person
118. Contraction of hep C: exposure to tainted blood; can transfer from mother to child during birth; tattooing, body piercing, and cocaine snorting are associated
119. Contraction of hep D: produces when hep B is present; can be prevented with hep B vaccine
120. Contraction of hep E: contaminated water supplies or in travelers returning from abroad
121. Type 2 diabetes and the flu: drink sugar-free liquids to prevent dehydration
122. Orthopnea position .... lung expansion: increase
123. Duration of precautions for varicella: until lesions crust over
124. S/S of meningitis: fever, headache, irritability, altered LOC, nuchal rigidity, increased ICP
125. Latex allergy manifestation: rhinorrhea (thin, watery discharge from the nose)

126. Foods to avoid when taking aldactone: salt substitutes and foods with high levels of potassium
127. Foods rich in vitamin A: liver, egg yolk, whole milk, butter, green and yellow veggies
128. Foods rich in vitamin D: fish oils, fortified milk and margarine, sunlight
129. Foods rich in vitamin K: egg yolk, liver, cheese, green leafy veggies
130. Foods rich in vitamin C: citrus fruits, tomatoes, broccoli, cabbage
131. Foods rich in vitamin B12: lean meats, kidneys, liver
132. Foods rich in thiamine: lean meats, whole grain cereals, leguems
133. Foods rich in riboflavin: milk, organ meats, enriched grains, green leafy veggies
134. Foods rich in niacin: meat, beans, peas, peanuts, enriches grains
135. Foods rich in folic acid: leafy green veggies, eggs, liver 136. Diabetics and foot care:
136. Diet management for Diverticulosis: high-fiber diet
137. Diet management for Diverticulitis: begin with clear liquids, then advance to low-fiber diet; low residue
138. Positioning for hip arthroplasy: keep abductor pillow in place while in bed; don't flex hip more than 90 degrees
139. Positioning for knee arthroplasty: maintain continue passive motion ma- chine to promote joint mobility

141. Nursing intervention for Addison's Disease: monitor and treat hypo- glycemia
142. Nursing intervention for Cushing's Disease: monitor and treat hyper- glycemia
143. Contributing factors to type 2 diabetes: family history, obesity, race/ethnicity, hypertension, history of gestational diabetes, and sedentary lifestyle
144. Position for spinal cord injuries: high-fowlers
145. Nursing interventions for radiation treatment: monitor condition of skin; clients should wear soft, loose clothing, and avoid exposure to sun
146. Foods rich in iron: fish, organ meats, green leafy veggies, enriched breads/cereal/macaroni, whole grain products, dried fruit like raisins and apricots, and egg yolk
147. Calculating delivery date: subtract 3 months and add 7 days to the first day of the last menstraul period
148. Five rights of delegation: right person, task, circumstances, direction and communication, and supervision and evaluation
149. Scope of practice for LPN: meets the health needs of clients, care for client whose condition is considered to be stable and/or chronic with an expected outcome,

performs reinforcement teaching, contributes to care plan (doesn't make them), administers IVPB medications, and monitors IV fluids

150. autonomy: the right to make one's own decision
151. beneficence: the obligation to do good for others
152. fidelity: the obligation to be faithful to an agreement and responsibility; to keep promises
153. nonmaleficence: the obligation not to harm others
154. veracity: the obligation to tell the truth
155. Buddhism dietary restrictions: vegetarian diet practiced by many; avoids alcohol
156. Catholicism dietary restrictions: some may abstain from eating meat on Ash Wednesday and on Fridays during Lent
157. Christian science dietary restictions: must abstain from alcohol
158. Hinduism dietary restrictions: vegetarian diet is encouraged; most abstain from beef and pork; right hand is used for eating and left hand for toileting and hygiene; several days a year are set aside for fasting
159. Islam dietary restrictions: food must be lawfaul; pork, alcohol, and some shellfish are prohibited; ramadan is a period of fasting during the ninth lunar month
160. Judaism dietary restrictions: food is required to be kosher; meat and dairy can't be on same plate; pork and shellfish prohibited; fasting required on yom kippur; lactose intolerance is common among Jews of European origin

161. Maximum IM injection dose for small infants: doesn't exceed 0.5mL
162. Maximum IM injection dose for small children: doesn't exceed 1mL
163. Average time for IV peak levels: 30 minutes
164. Average time for IM peak levels: 1 hour
165. Average time for oral peak levels: 1-2 hours
166. Digoxin toxicity s/s: GI effects - anorexia, nausea, vomiting, abdominal pain; CNS effects - fatigue, weakness, diplopia, blurred vision, yellow-green or white halos around objects
167. Long term use of glucocorticoid medications can cause ...: Cushing's disease
168. Only type of insulin that's given IV: regular insulin
169. Onset of rapid-acting: Lispro (Humalog): less than 15 minutes
170. Onset of short-acting: Regular (Humulin R): 0.5-1 hour
171. Onset of intermediate: NPH (Humulin N): 1-2 hours
172. Onset of long-acting: Insulin glargine (Lantus): 1 hour
173. Nursing interventions for fluid volume deficit: monitor VS, skin turgor (for older adults, check skin over sternum or forehead), and lab data; maintain strict I&O; daily weights; initiate fall precautions

174. Nursing interventions for fluid volume excess: monitor respiratory rate, symmetry, and effort; monitor lung sounds, edema, ascites (excess fluid in the peritoneal cavity), and VS; maintain strict I&O; daily weights
175. Risk factors for hypokalemia: body fluid loss (vomiting, diarrhea); kidney disease; dietary deficiency; excessive diaphoresis; medications (corticosteroids, diuretics, absue of laxatives); alkalosis
176. Risk factors for hyperkalemia: kidney failure; adrenal insufficiency; acidosis; excessive potassium intake; medications (potassium-sparing diuretics and ace in- hibitors)
177. Risk factors for hyponatremia: GI loss; adrenal insufficiency; water intoxa- tion; excessive diaphoresis; medications (diuretics, anti-convulsants, SSRIs, lithium)
178. Risk factors for hypernatremia: water deficit; GI loss; hypertonic tube feed- ings; diabetes insipidus; burns; heatstroke
179. Risk factors for hypocalcemia: hypoparathyroidism; hypomagnesemia; kid- ney failure; vitamin d insufficiency; inadequate intake; disease process (celiac, lactose intolerance, chrohn's, alcohol use disorder)
180. Risk for hypercalcemia: hyperparathyroidism; malignant disease; prolonged immobilization; vitamin d excess; thiazide diuretics; lithium; digoxin toxicity; overuse of calcium supplements
181. Diet for COPD: high-calorie

182. Manifestations of carbon dioxide toxicity: alteration in LOC; tachypnea; increased BP; tachycardia with dysrhythmias
183. Manifestations of PE: dyspnea; tachypnea; chest pain; tachycardia; anxiety; diaphoresis; decreased SaO2; pleural effusion; crackles and cough
184. Medical Asepsis (Clean Technique): perform hand hygiene frequently; use PPE as indicated; don't place items on the floor of client's room; don't shake linen; clean least soiled area first; place moist items in plastic bags; reinforce education with client and caregivers
185. Surgical Asepsis (Sterile Technique): avoid coughing, sneezing, and talking directly over field; only dry sterile items touch the field (1 inch border is nonsterile); keep all objects above the waist; wash hands and don sterile gloves to perform procedure
186. Nursing Interventions for Delirium: establish client's baseline LOC by in- terviewing family; monitor VS and perform neuro chekcs; monitor for acute onset and fluctuating LOC; maintain comfort measures; monitor ability to function in the immediate environment; determine physiologic reason delirum is occuring
187. Acceptable ways to ID patient: patient's name, DOB, assigned ID number, telephone number, or other person-specific identifier
188. Hot water heater setting for infant safety: 120.2F (49C) or lower

189. Bath water temp for infants: 97.9F (36.6C) to 99F (37.2C)
190. Where to test bath water: inner wrist
191. Time to feed newborns: every 2-3 hours
192. Stool during breastfeeding: loose, pale, and/or yellow
193. Number of wet and poopy diapers per day: 6-8 wet and 3-4 poopy
194. Cord care: keep cord dry; keep the top of the diaper folded underneath it; cord falls off around 10-14 days after birth; give sponge baths and avoid submerging newborn until cord falls off
195. Circumcision education: change diaper at least every 4 hours and clean with warm water; following clamp procedures, apply petroleum jelly each diaper changes fro at least 24 hours after to keep diaper from adhering to penis; apply diaper loosely; don't give tub bath; warm water should be trickled; avoid premoistened towelettes;
196. Never put these in a newborn's crib: pillows, large floppy toys, or loose plastic sheets; they can suffocate
197. Preventing food poisoning: hand hygiene; ensure meat and fish are cooked to the correct temp; check expiration dates; refrigerate perishable items
198. Precautions for Vancomycin-Resistant Enteroccoccus (VRE): stan- dard/contact precautions; hand hygiene and gloves; gown if in contact with contam- inated materials
199. Precautions for Staphylococcal Infection: standard/contact precautions; gloves, PPE including gown/mask if in contact with site of infections

200. Breastfeeding teaching: alternate breasts; feed every 2-3 hours (8-12 times in 24 hrs); place baby on back after feeding; breast milk can be stored at room temp for 4-6 hrs, refrigereated in sterile bottles for use withing 8 days, or frozen in steril containters for 3-6 months; thaw milk in refrigerated, under running lukewarm water, or placed in container of lukewarm water (microwaving can destroy immune factors and can lead to hot spots that can burn newborn); discard used portions of breast milk; avoid alcohol and limit caffeine 201. Folate and pregnancy:
201. Non-stress test interventions (pregnancy): seat client in a reclining chair or place in semi-fowler's or left lateral position; monitor response of fetal HR to fetal movement
202. Sodium recommendations: 1,500mg/day or less
203. Albumin levels: 3.5-
204. Total bilirubin: 0.1-
205. Total protein: 6-
206. Creatine clearance: males 90-139; females 80-
207. Toxic level of Digoxin: greater than 2.
208. Mixing insulin: clear (regular) before cloudy (HPN)

210. S/S of physical abuse: bruises, welts in various stages of healing; burns; fractures; lacerations; lack of emotional response; withdrawal; aggression
211. S/S of emotional neglect and abuse: failure to thrive; eating disorder; with- drawal; extreme behaviors; delayed development; attemtps suicide; sleep dister- bances
212. S/S of sexual abuse: bruises; lacerations; bleeding of genitalia, anus, or mouth; STI; difficulty walking or standing; UTI; withdrawn; personality changes; regressive behaviro
213. Medications for detoxification: chlordiazepoxie (Librium); diazepam (Vali- um); lorazepam (Ativan); oxazepam
214. Medications for smoking cessation: bupropion (Zyban); nicotine gum (Nicorette); nicotine patch (Nicotrol); nicotine nasal spray (Nicotrol NS); vareniciline (Chantix)
215. Psoriasis and vaccines: shouldn't receive any live vaccines while taking medication
216. Interventions for ICP: avoid extreme flexion, extension, or rotation of heat; elevate HOB at least 30 degrees; monitor fluid and electrolyte values (may restrict fluid to prevent increased cerebral edema); maintain seizure precautions; avoid coughing, sneezing, straining, and suctioning;
217. Postop interventions for TURP: monitor for shock and hemorrhage; avoid heavy lifting; monitor for continuous bladder irrigation (expect bloody drainage); encourage fluid intake (at least 3,000mL/day); teach Kegel exercises

218. S/S of fluid volume deficit: tachycardia; thready pulse; hypotension; orthosta- tic hypotension; fatigue; syncope; dizziness; confusion; increased R; thirst; weight loss; nausea; vomiting; oliguria (decreased production of urine); diminished cap refill; dry, scaly skin; dry mucous membranes with cracks; poor skin turgor
219. S/S of fluid volume excess: tachycardia; bounding pulse; hypertension; con- fusion; headache; crackles; weight gain; ascites; dependent edema; distended neck veins; pale skin
220. Tasks that can be delegated to AP: bathing; grooming; dressing; toileting; am- bulating; feeding (without swallow precautions); positioning; bed making; specimen collection; I&O; VS (on stable patient)