ATI Comprehensive Predictor -Virtual Exam Questions Answers Verified 100% Correct

ATI Comprehensive Predictor -Virtual Exam Questions Answers Verified 100% Correct Thyroid storm - ANSWER increased temp, pulse and HTN Post-Thyroidectomy - ANSWER semi-fowler's. Prevent neck flexion/hyperextension. Trach at bedside Hypo-parathyroid - ANSWER CATS---Convulsions, Arrhythmias, Tetany, Spasms, Stridor. (decreased calcium) give high calcium, low phosphorus diet Hyper-parathyroid - ANSWER fatigue, muscle weakness, renal calculi, back and joint pain (increased calcium) give a low calcium high phosphorous diet Hypovolemia - ANSWER increased temp, rapid/weak pulse, increase respiration, hypotension, anxiety. Urine specific gravity >1.030 Hypervolemia - ANSWER bounding pulse, SOB, dyspnea, rales/crackles, peripheral edema, HTN, urine specific gravity <1.010. semi fowler's Diabetes insipidus (decreased ADH) - ANSWER excessive urine output and thirst, dehydration, weakness, administer Pitressin SIADH (increased ADH) - ANSWER change in LOC, decreased deep tendon reflexes, tachycardia. N/V HA administer Declomycin, diuretics hypokalemia - ANSWER muscle weakness, dysrhythmias, increase K (rasins bananas apricots, oranges, beans, potatoes, carrots, celery) Hyperkalemia - ANSWER MURDER Muscle weakness, Urine (olig, anuria) Resp depression, decreased cardiac contractility, ECG changes, reflexes Hyponatremia - ANSWER nausea, muscle cramps, increased ICP, muscular twitching, convulsions. give osmotic diuretics (Mannitol) and fluids Hypernatremia - ANSWER increased temp, weakness, disorientation, dilusions, hypotension, tachycardia. give hypotonic solution. Hypocalcemia - ANSWER CATS Convulsions, Arrythmias, Tetany, spasms and stridor Hypercalcemia - ANSWER muscle weakness, lack of coordination, abdominal pain, confusion, absent tendon reflexes, shallow respirations, emergency! 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 priority to the ANSWERs that deal with the patient's body, not machines, or equipment. ARDS and DIC - ANSWER are always secondary to another disease or trauma In an emergency - ANSWER patients with a greater chance to live are treated first Cardinal sign of ARDS - ANSWER hypoxemia Edema is located - ANSWER in the interstitial space, not the cardiovascular space (outside of the circulatory system) the best indicator of dehydration? - ANSWER weight---and skin turgor heat/cold - ANSWER hot for chronic pain; cold for accute pain (sprain etc)