PN COMPREHENSIVE PREDICTOR 2026 EXAM
SCRIPT WITH NGN, COMP, VATI AND VERIFIED
SOLUTIONS
◉ detached retina. Answer: area of detachment should be in the
dependent position
◉ dependent position. Answer: supported
◉ administration of enema. Answer: pt should be left side lying
(Sim's) with knee flexed.
◉ supratentorial. Answer: (incision behind hairline on forhead) e
◉ After supratentorial surgery. Answer: elevate HOB 30-40 degrees
◉ HOB. Answer: head of bed
◉ infratentorial. Answer: (incision at the nape of neck)
◉ After infratentorial surgery. Answer: position pt flat and lateral on
either side.
,◉ During internal radiation. Answer: on bed rest while implant in
place
◉ Autonomic Dysreflexia/Hyperreflexia. Answer: S/S pounding
headache, profuse sweating, nasal congestion, chills, bradycardia,
hypertension. Place client in sitting position (elevate HOB) FIRST!
◉ Shock. Answer: bedrest with extremities elevated 20 degrees.
knees straight, head slightly elevated (modified Trendelenberg)
◉ Head Injury. Answer: elevate HOB 30 degrees to decrease ICP
◉ Peritoneal Dialysis (when outflow is inadequate). Answer: turn pt
from side to side BEFORE checking for kinks in tubing
◉ Lumbar Puncture. Answer: After the procedure, the pt should be
supine for 4-12 hours as prescribed.
◉ Myesthenia Gravis. Answer: worsens with exercise and improves
with rest
◉ Myesthenia Gravis. Answer: a positive reaction to Tensilon---will
improve symptoms
, ◉ Cholinergic Crisis. Answer: Caused by excessive medication ---
stop giving Tensilon...will make it worse.
◉ Liver biopsy (prior). Answer: must have lab results for
prothrombin time
◉ Myxedema/ hypothyroidism. Answer: slowed physical and mental
function, sensitivity to cold, dry skin and hair.
◉ Grave's Disease/ hyperthyroidism. Answer: accelerated physical
and mental function. Sensitivity to heat. Fine/soft hair.
◉ 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
SCRIPT WITH NGN, COMP, VATI AND VERIFIED
SOLUTIONS
◉ detached retina. Answer: area of detachment should be in the
dependent position
◉ dependent position. Answer: supported
◉ administration of enema. Answer: pt should be left side lying
(Sim's) with knee flexed.
◉ supratentorial. Answer: (incision behind hairline on forhead) e
◉ After supratentorial surgery. Answer: elevate HOB 30-40 degrees
◉ HOB. Answer: head of bed
◉ infratentorial. Answer: (incision at the nape of neck)
◉ After infratentorial surgery. Answer: position pt flat and lateral on
either side.
,◉ During internal radiation. Answer: on bed rest while implant in
place
◉ Autonomic Dysreflexia/Hyperreflexia. Answer: S/S pounding
headache, profuse sweating, nasal congestion, chills, bradycardia,
hypertension. Place client in sitting position (elevate HOB) FIRST!
◉ Shock. Answer: bedrest with extremities elevated 20 degrees.
knees straight, head slightly elevated (modified Trendelenberg)
◉ Head Injury. Answer: elevate HOB 30 degrees to decrease ICP
◉ Peritoneal Dialysis (when outflow is inadequate). Answer: turn pt
from side to side BEFORE checking for kinks in tubing
◉ Lumbar Puncture. Answer: After the procedure, the pt should be
supine for 4-12 hours as prescribed.
◉ Myesthenia Gravis. Answer: worsens with exercise and improves
with rest
◉ Myesthenia Gravis. Answer: a positive reaction to Tensilon---will
improve symptoms
, ◉ Cholinergic Crisis. Answer: Caused by excessive medication ---
stop giving Tensilon...will make it worse.
◉ Liver biopsy (prior). Answer: must have lab results for
prothrombin time
◉ Myxedema/ hypothyroidism. Answer: slowed physical and mental
function, sensitivity to cold, dry skin and hair.
◉ Grave's Disease/ hyperthyroidism. Answer: accelerated physical
and mental function. Sensitivity to heat. Fine/soft hair.
◉ 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
