I need help ATI comprehensive predictor

[tdoan]

]I need help on ATI comprehensive predictor. I didn't do good on the first attempt. How do I study for the priority, which client should assess first?

[RunBabyRN]

Think about which patient is most likely to die on you first. Think about the ABCs, potential vs. actual risk, most immediate. Look at the score sheet to see what you missed, and let that guide your studying.

Good luck!

[Raviepoo]

Do you have access to the ATI study materials? If so, you want to remediate your comp predictor. You go into your results. Find your comp predictor. In the final column under the heading "Focused review" you will see the word, "Create." Click on that. It will bring you to the screen to create the focused review. Pick the topics you want to study. (The lower scoring ones are a nice place to start.) Then click "Create focused review." Use the material that pops up on your screen to study. Some of the videos won't help you much, but at least one of them addresses priorities really well.

Good luck to you! You can do it.

[Summer Days]

When presented with a priority question apply the following to guide you:

*Maslow's Hierarchy of Needs

* Nursing process

*ABCs

* Safety and risk reduction

* Least restrictive/least invasive

* Survival potential (national disasters)

* Acute vs chronic; urgent vs non-urgent; unstable vs unstable.

Now try this: you have two pts; one has a head injury with GSC of 11 and the other is an elderly client with a UTI and is confused, restless, and yelling. Who would you see first?

[Nienna Celebrindal]

LaCharity's priority, delegation book is worth it's weight in gold.

[pmabraham, BSN, RN]

Good day, Summer Days:

The NCLEX practice question above was in one of the FB groups I'm in, but I'm confused because of reading TRAUMA.ORG: Trauma Scoring: Glasgow Coma Score

Just stating GSC of 11 doesn't tell you anything, yet supposedly that's the guy you see first. Since GSC is a combined score where 15 is the highest, 11 doesn't seem too low, how do you interpret it without knowing the points for each of the scales?

Thank you.

[_firefly, BSN, RN, EMT-B]

A GCS of 8 or less indicates a need for a definitive airway regardless of how the score breaks down, but a GCS of 11 without additional information is meaningless (as stated on the trauma.org GCS score definition). 11 could be the patient's norm.

The priority strategies (Maslow's etc) listed previously are exactly what you need to focus on. They are the same ones discussed by ATI, Kaplan, etc. Read them over and over and keep drilling questions until you have it down. Try to find question banks that actually include rationales.

[Summer Days]

pmabraham, this is one of those very grey areas. It took the wind off me when I chose the confused elderly. We must keep in mind that real world nursing is different from text book nursing and as students must go with the latter. My understanding now is that we don't know how the GCS was scored and as such must assume the worst especially because we're dealing with a head injury. We must tend to this pt first because if we don't the GCS may drop. Tending to him means we keep a watchful eye for complications. Now compare this with the elderly scenario. We expect that an eldery with UTI may present with confusion and restlessness. Moreover, the fact that the client is yelling tells us the airway is intact. As a general rule pts presenting with respiratory distress, chest pain, trauma, or acute neurological changes must be given number one priority.

Oh the love of being a student nurse, falling for the wrong answer, lol.

Try this: pt with abdominal and chest pain following a large, spicy meal and a child with a one-inch bleeding laceration on the chin but otherwise well after falling while jumping on his bed. Who would you see first?

[pmabraham, BSN, RN]

Hi Summer Days:

Thank you for taking the time to provide a detailed and reasonable explanation. For "try this," I would go with the first patient more so for the chest pain, then the child. Is that thought process on target?

Thank you.

[loveofrn, BSN, RN]

Hi Summer Days:

Thank you for taking the time to provide a detailed and reasonable explanation. For "try this," I would go with the first patient more so for the chest pain, then the child. Is that thought process on target?

Thank you.

Correct and why did you prioritize like that?.

According to my professor, you must give a rationale why you choose an answer

[pmabraham, BSN, RN]

Chest pain due to possible cardiac issues.

[Summer Days]

Yes you will see the chest pain pt first. But we don't know what's causing the chest pain and this is even more the reason why we are seing this pt first so we can't assume it's cardiac related and neither can we brush it off just because we think the large spicy meal may have caused it. Like loveofrn mentioned, have a rationale for why an answer choice is right or wrong.