NGN ATI PN COMPREHENSIVE PREDICTOR 2023-2024|180 QUESTIONS AND
ANSWERS ALREADY VERIFIED
Lumbar Puncture - After the procedure, the pt should be supine for 4-12 hours as
prescribed.
Myesthenia Gravis - worsens with exercise and improves with rest
Myesthenia Gravis - a positive reaction to Tensilon---will improve symptoms
Cholinergic Crisis - Caused by excessive medication ---stop giving Tensilon...will make
it worse.
Liver biopsy (prior) - must have lab results for prothrombin time
Myxedema/ hypothyroidism - slowed physical and mental function, sensitivity to cold,
dry skin and hair.
Grave's Disease/ hyperthyroidism - accelerated physical and mental function. Sensitivity
to heat. Fine/soft hair.
Thyroid storm - increased temp, pulse and HTN
Post-Thyroidectomy - semi-fowler's. Prevent neck flexion/hyperextension. Trach at
bedside
Hypo-parathyroid - CATS---Convulsions, Arrhythmias, Tetany, Spasms, Stridor.
(decreased calcium) give high calcium, low phosphorus diet
Hyper-parathyroid - fatigue, muscle weakness, renal calculi, back and joint pain
(increased calcium) give a low calcium high phosphorous diet
Hypovolemia - increased temp, rapid/weak pulse, increase respiration, hypotension,
anxiety. Urine specific gravity >1.030
Hypervolemia - bounding pulse, SOB, dyspnea, rales/crackles, peripheral edema, HTN,
urine specific gravity <1.010. semi fowler's
Diabetes insipidus (decreased ADH) - excessive urine output and thirst, dehydration,
weakness, administer Pitressin
SIADH (increased ADH) - change in LOC, decreased deep tendon reflexes,
tachycardia. N/V HA administer Declomycin, diuretics
, hypokalemia - muscle weakness, dysrhythmias, increase K (raisins, bananas, apricots,
oranges, beans, potatoes, carrots, celery)
Hyperkalemia - MURDER Muscle weakness, Urine (olig, anuria) Resp depression,
decreased cardiac contractility, ECG changes, reflexes
Hyponatremia - nausea, muscle cramps, increased ICP, muscular twitching,
convulsions. give osmotic diuretics (Mannitol) and fluids
Hypernatremia - increased temp, weakness, disorientation, dilusions, hypotension,
tachycardia. give hypotonic solution.
Hypocalcemia - CATS Convulsions, Arrythmias, Tetany, spasms and stridor
Hypercalcemia - muscle weakness, lack of coordination, abdominal pain, confusion,
absent tendon reflexes, shallow respirations, emergency!
Hypo Mg - Tremors, tetany, seizures, dysthythmias, depression, confusion, dysphagia,
(dig toxicity)
Hyper Mg - depresses the CNS. Hypotension, facial flushing, muscle weakness, absent
deep tendon reflexes, shallow respirations. EMERGENCY
Addison's - Hypo Na, Hyper K, Hypoglycemia, dark pigmentation, decreased resistance
to stress fx, alopecia, weight loss. GI stress.
Cushings - Hyper Na, Hypo K, hyperglycemia, prone to infection, muscle wasting,
weakness, edema, HTN, hirsutism, moonface/buffalo hump
Addesonian crisis - N/V confusion, abdominal pain, extreme weakness, hypoglycemia,
dehydration, decreased BP
Pheochromocytoma - 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 - DROP (Defect, septal, Right ventricular hypertrophy, Overriding
aortas, Pulmonary stenosis)
Autonomic Dysreflexia - (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 - Think VEAL CHOP!
V-variable decels; C- cord compression caused
ANSWERS ALREADY VERIFIED
Lumbar Puncture - After the procedure, the pt should be supine for 4-12 hours as
prescribed.
Myesthenia Gravis - worsens with exercise and improves with rest
Myesthenia Gravis - a positive reaction to Tensilon---will improve symptoms
Cholinergic Crisis - Caused by excessive medication ---stop giving Tensilon...will make
it worse.
Liver biopsy (prior) - must have lab results for prothrombin time
Myxedema/ hypothyroidism - slowed physical and mental function, sensitivity to cold,
dry skin and hair.
Grave's Disease/ hyperthyroidism - accelerated physical and mental function. Sensitivity
to heat. Fine/soft hair.
Thyroid storm - increased temp, pulse and HTN
Post-Thyroidectomy - semi-fowler's. Prevent neck flexion/hyperextension. Trach at
bedside
Hypo-parathyroid - CATS---Convulsions, Arrhythmias, Tetany, Spasms, Stridor.
(decreased calcium) give high calcium, low phosphorus diet
Hyper-parathyroid - fatigue, muscle weakness, renal calculi, back and joint pain
(increased calcium) give a low calcium high phosphorous diet
Hypovolemia - increased temp, rapid/weak pulse, increase respiration, hypotension,
anxiety. Urine specific gravity >1.030
Hypervolemia - bounding pulse, SOB, dyspnea, rales/crackles, peripheral edema, HTN,
urine specific gravity <1.010. semi fowler's
Diabetes insipidus (decreased ADH) - excessive urine output and thirst, dehydration,
weakness, administer Pitressin
SIADH (increased ADH) - change in LOC, decreased deep tendon reflexes,
tachycardia. N/V HA administer Declomycin, diuretics
, hypokalemia - muscle weakness, dysrhythmias, increase K (raisins, bananas, apricots,
oranges, beans, potatoes, carrots, celery)
Hyperkalemia - MURDER Muscle weakness, Urine (olig, anuria) Resp depression,
decreased cardiac contractility, ECG changes, reflexes
Hyponatremia - nausea, muscle cramps, increased ICP, muscular twitching,
convulsions. give osmotic diuretics (Mannitol) and fluids
Hypernatremia - increased temp, weakness, disorientation, dilusions, hypotension,
tachycardia. give hypotonic solution.
Hypocalcemia - CATS Convulsions, Arrythmias, Tetany, spasms and stridor
Hypercalcemia - muscle weakness, lack of coordination, abdominal pain, confusion,
absent tendon reflexes, shallow respirations, emergency!
Hypo Mg - Tremors, tetany, seizures, dysthythmias, depression, confusion, dysphagia,
(dig toxicity)
Hyper Mg - depresses the CNS. Hypotension, facial flushing, muscle weakness, absent
deep tendon reflexes, shallow respirations. EMERGENCY
Addison's - Hypo Na, Hyper K, Hypoglycemia, dark pigmentation, decreased resistance
to stress fx, alopecia, weight loss. GI stress.
Cushings - Hyper Na, Hypo K, hyperglycemia, prone to infection, muscle wasting,
weakness, edema, HTN, hirsutism, moonface/buffalo hump
Addesonian crisis - N/V confusion, abdominal pain, extreme weakness, hypoglycemia,
dehydration, decreased BP
Pheochromocytoma - 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 - DROP (Defect, septal, Right ventricular hypertrophy, Overriding
aortas, Pulmonary stenosis)
Autonomic Dysreflexia - (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 - Think VEAL CHOP!
V-variable decels; C- cord compression caused
