ATI COMPREHENSIVE PREDICTOR TESTED
QUESTIONS AND COMPLETE SOLUTIONS
◉ Hypo Mg
Answer: Tremors, tetany, seizures, dysthythmias, depression,
confusion, dysphagia, (dig toxicity)
◉ Hyper Mg
Answer: depresses the CNS. Hypotension, facial flushing, muscle
weakness, absent deep tendon reflexes, shallow respirations.
EMERGENCY
◉ Addison's
Answer: Hypo Na, Hyper K, Hypoglycemia, dark pigmentation,
decreased resistance to stress fx, alopecia, weight loss. GI stress.
◉ Cushings
Answer: Hyper Na, Hypo K, hyperglycemia, prone to infection,
muscle wasting, weakness, edema, HTN, hirsutism,
moonface/buffalo hump
◉ Addesonian crisis
Answer: N/V confusion, abdominal pain, extreme weakness,
hypoglycemia, dehydration, decreased BP
,◉ Pheochromocytoma
Answer: hypersecretion of epi/norepi. persistent HTN, increased
HR, hyperglycemia, diaphoresis, tremor, pounding HA; avoid
stress, frequent bathing and rest breaks, avoid cold and
stimulating foods (surgery to remove tumor)
◉ Tetrology of Fallot
Answer: DROP (Defect, septal, Right ventricular hypertrophy,
Overriding aortas, Pulmonary stenosis)
◉ Autonomic Dysreflexia
Answer: (potentially life threatening emergency!) HOB elevate 90
degrees, loosen constrictive clothing, assess for full bladder or
bowel impaction, (trigger) administer antihypertensives (may
cause stroke, MI, seizure)
◉ FHR patterns for OB
Answer: Think VEAL CHOP!
V-variable decels; C- cord compression caused
E-early decels; H- head compression caused
A-accels; O-okay, no problem
L- late decels; P- placental insufficiency, can't fill
◉ what to check with pregnancy
,Answer: Never check the monitor or machine as a first action.
Always assess the patient first. Ex.. listen to fetal heart tones with
stethoscope.
◉ Position of the baby by fetal heart sounds
Answer: Posterior --heard at sides
Anterior---midline by unbilicus and side
Breech- high up in the fundus near umbilicus
Vertex- by the symphysis pubis.
◉ Ventilatory alarms
Answer: HOLD
High alarm--Obstruction due to secretions, kink, pt cough etc
Low alarm--Disconnection, leak, etc
◉ ICP and Shock
Answer: ICP- Increased BP, decreased pulse, decreased resp
Shock--Decreased BP, increased pulse, increased resp
◉ Cor pumonae
Answer: Right sided heart failure caused by left ventricular failure
(edema, jugular vein distention)
◉ Heroin withdrawal neonate
, Answer: irritable, poor sucking
◉ brachial pulse
Answer: pulse area on an infant
◉ lead poisoning
Answer: test at 12 months of age
◉ Before starting IV antibiotics
Answer: obtain cultures!
◉ pt with leukemia may have
Answer: epistaxis due to low platelets
◉ when a pt comes in and is in active labor
Answer: first action of nurse is to listen to fetal heart tones/rate
◉ for phobias
Answer: use systematic desensitization
◉ NCLEX answer tips
Answer: choose assessment first! (assess, collect, auscultate,
monitor, palpate) only choose intervention in an emergency or
stress situation. If the answer has an absolute, discard it. Give
QUESTIONS AND COMPLETE SOLUTIONS
◉ Hypo Mg
Answer: Tremors, tetany, seizures, dysthythmias, depression,
confusion, dysphagia, (dig toxicity)
◉ Hyper Mg
Answer: depresses the CNS. Hypotension, facial flushing, muscle
weakness, absent deep tendon reflexes, shallow respirations.
EMERGENCY
◉ Addison's
Answer: Hypo Na, Hyper K, Hypoglycemia, dark pigmentation,
decreased resistance to stress fx, alopecia, weight loss. GI stress.
◉ Cushings
Answer: Hyper Na, Hypo K, hyperglycemia, prone to infection,
muscle wasting, weakness, edema, HTN, hirsutism,
moonface/buffalo hump
◉ Addesonian crisis
Answer: N/V confusion, abdominal pain, extreme weakness,
hypoglycemia, dehydration, decreased BP
,◉ Pheochromocytoma
Answer: hypersecretion of epi/norepi. persistent HTN, increased
HR, hyperglycemia, diaphoresis, tremor, pounding HA; avoid
stress, frequent bathing and rest breaks, avoid cold and
stimulating foods (surgery to remove tumor)
◉ Tetrology of Fallot
Answer: DROP (Defect, septal, Right ventricular hypertrophy,
Overriding aortas, Pulmonary stenosis)
◉ Autonomic Dysreflexia
Answer: (potentially life threatening emergency!) HOB elevate 90
degrees, loosen constrictive clothing, assess for full bladder or
bowel impaction, (trigger) administer antihypertensives (may
cause stroke, MI, seizure)
◉ FHR patterns for OB
Answer: Think VEAL CHOP!
V-variable decels; C- cord compression caused
E-early decels; H- head compression caused
A-accels; O-okay, no problem
L- late decels; P- placental insufficiency, can't fill
◉ what to check with pregnancy
,Answer: Never check the monitor or machine as a first action.
Always assess the patient first. Ex.. listen to fetal heart tones with
stethoscope.
◉ Position of the baby by fetal heart sounds
Answer: Posterior --heard at sides
Anterior---midline by unbilicus and side
Breech- high up in the fundus near umbilicus
Vertex- by the symphysis pubis.
◉ Ventilatory alarms
Answer: HOLD
High alarm--Obstruction due to secretions, kink, pt cough etc
Low alarm--Disconnection, leak, etc
◉ ICP and Shock
Answer: ICP- Increased BP, decreased pulse, decreased resp
Shock--Decreased BP, increased pulse, increased resp
◉ Cor pumonae
Answer: Right sided heart failure caused by left ventricular failure
(edema, jugular vein distention)
◉ Heroin withdrawal neonate
, Answer: irritable, poor sucking
◉ brachial pulse
Answer: pulse area on an infant
◉ lead poisoning
Answer: test at 12 months of age
◉ Before starting IV antibiotics
Answer: obtain cultures!
◉ pt with leukemia may have
Answer: epistaxis due to low platelets
◉ when a pt comes in and is in active labor
Answer: first action of nurse is to listen to fetal heart tones/rate
◉ for phobias
Answer: use systematic desensitization
◉ NCLEX answer tips
Answer: choose assessment first! (assess, collect, auscultate,
monitor, palpate) only choose intervention in an emergency or
stress situation. If the answer has an absolute, discard it. Give
