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)
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)
