RN Comp Practice Questions with 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): Temperature: Crohn's, UC & peritonitis.
-Elevation can occur with all three due to inflammation and infection.
Weight: Crohn's & UC.
-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
Vital signs (within normal range)
Headache
Back pain: 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:: 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: Administer 0.9% NS IV
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.
5. NGN: What 5 actions should the nurse plan to take with a patient experienc- ing
hallucinations, following alcohol withdrawal?
Administer thiamine
Maintain a low-stimulation environment
Administer chlordiazepoxide
Initiate seizure precautions
Perform a CIWA-Ar
Administer disulfiram: Administer thiamine
Maintain a low-stimulation environment Administer
chlordiazepoxide
Initiate seizure precautions
Perform a CIWA-Ar
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): Temperature: Crohn's, UC & peritonitis.
-Elevation can occur with all three due to inflammation and infection.
Weight: Crohn's & UC.
-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
Vital signs (within normal range)
Headache
Back pain: 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:: 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: Administer 0.9% NS IV
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.
5. NGN: What 5 actions should the nurse plan to take with a patient experienc- ing
hallucinations, following alcohol withdrawal?
Administer thiamine
Maintain a low-stimulation environment
Administer chlordiazepoxide
Initiate seizure precautions
Perform a CIWA-Ar
Administer disulfiram: Administer thiamine
Maintain a low-stimulation environment Administer
chlordiazepoxide
Initiate seizure precautions
Perform a CIWA-Ar
