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ATI Comprehensive Exit Exam with NGN Questions and Revised Correct Answers & Rationales

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Latest ATI Comprehensive Exit Exam with Next Generation NCLEX (NGN) questions. Covers prioritization, delegation, pharmacology, medical-surgical nursing, mental health, maternal-newborn, pediatrics, and leadership. Includes revised correct answers and detailed rationales. Essential for nursing students preparing for the NCLEX-RN.

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ATI Comprehensive
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ATI Comprehensive

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@studova




ATI COMPREHENSIVE EXIT EXAM

with NGN Questions and Correct Answers ()

100% Guarantee pass

This Tests Consists Of 148 Questions And Answers




1. NGN:What assessment findings are consistent with Crohn's disease, ulcer- ative colitis, or
peritonitis?


Temperature (100F) Weight (-9.7

lbs)

Albumin level (2.4)

WBC (14)

Bowel pattern (freq. loose stools) Abdominal pain

location (RLQ)

Heart rate (105): Ans> Temperature: Crohn's, UC & peritonitis.

-Elevation can occur with all three due to inflammation and infection.


Weight: Crohn's & UC.

,@studova


-Unintended weight loss can occur due to malabsorption in the GI tract.


Bowel pattern: Crohn's.

-If the patient reported there was blood in the stool, it would be UC. Crohn's doesn't cause tarry stools.


WBC: Crohn's, UC & peritonitis.

-Elevation can occur due to inflammation and infection.


Heart rate: peritonitis.

-Tachycardia can occur due to inflammation, infection, and dehydration.


Albumin level: Crohn's & UC.

-Because of the malabsorption in the GI tract, the body isn't receiving enough protein.


Abdominal pain location: Crohn's.

-Because it is in the RLQ, it is more consistent with Crohn's. With patients that have peritonitis, they experience

generalized abd. pain that radiates to the shoulder and back.

2. NGN: What assessment findings can indicate a transfusion reaction in a patient receiving
blood?


Urine output (150mL of clear, yellow) Skin (pale, cool

and dry)

Anxiety

,@studova



Vital signs (within normal range) Headache

Back pain: Ans> Back pain, headache & anxiety.


Hemolytic reaction S/S: back pain, headache, anxiety, fever, chills, chest pain, tachycardia, dyspnea,

hypotension.

3. NGN: Patient arrives with palpitations, difficulty breathing, and reports feel- ing faint. Reports

constipation and joint pain for x2 days. In childhood, patient experienced physical abuse, and

emotionally detached parents. Reports ner- vousness and only leaving home when necessary.

PMH: freq. hospital visits due to headaches and GI distress.


Bowtie:: Ans> Condition: somatic symptom disorder

-due to physical inactivity & joint pain


Interventions: Monitor physical manifestations & assess for presence of 2nd gains from their illness

-disorder is characterized by the presence of other real manifestations like dizziness, nausea, back pain, and joint

pain.


Monitor: Vital signs & pain.

4. NGN: What actions should the nurse take when her pedi patient is exhibiting symptoms of an allergic
reaction?


Administer 0.9% NS IV Administer

epi IM

Monitor urine output q2hrs DC

supplemental oxygen Monitor vital

signs frequently

DC IV medication: Ans> Administer 0.9% NS IV

, @studova


Administer epi IM

Monitor vital signs frequently DC IV

medication


-Nurse should DC the Rocephin and give IV NS to help restore fluids because fluid shifts can occur quickly

during a reaction. Administering epi IM is the first line of therapy for anaphylactic reactions because it constricts

blood vessels and dilates bronchioles. Monitoring vital sings frequently will allow the nurse to monitor for signs of

shock.

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Institution
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Course
ATI Comprehensive

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Uploaded on
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Written in
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