ATI RN COMPREHENSIVE EXIT EXAM
180 NGN QUESTIONS AND VERIFIED ANSWERS WELLGRA
DED,
1. NGN:What assessment findings are consistent wi
thCrohn's disease, ulcer- ative colitis, or peritonitis?
Temperature (100F)
Weight (-9.7 lbs)
Albumin level (2.4)
WBC (14)
Bowel pattern (freq. loos
estools) Abdominal pain l
ocation (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.
-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.Croh
n'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 patie
nts that have peritonitis, they experience generalized abd. pain that r
adiates 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 norma
lrange) Headache
Back pain:
Ans>> Back pain, headache &anxi
ety.
Hemolytic reaction S/S: back pain, headache, anxiety, fever, chi
lls, chest pain, tachycardia, dyspnea, hypotension.
3. NGN: Patient arrives with palpitations, difficulty breathing, a
nd reports feel-
ing faint. Reports constipation and joint pain for x2 days. In c
hildhood, 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 of2
nd gains from their illness
-
disorder is characterized by the presence of other real manifestationsli
ke dizziness, nausea, back pain, and joint pain.
180 NGN QUESTIONS AND VERIFIED ANSWERS WELLGRA
DED,
1. NGN:What assessment findings are consistent wi
thCrohn's disease, ulcer- ative colitis, or peritonitis?
Temperature (100F)
Weight (-9.7 lbs)
Albumin level (2.4)
WBC (14)
Bowel pattern (freq. loos
estools) Abdominal pain l
ocation (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.
-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.Croh
n'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 patie
nts that have peritonitis, they experience generalized abd. pain that r
adiates 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 norma
lrange) Headache
Back pain:
Ans>> Back pain, headache &anxi
ety.
Hemolytic reaction S/S: back pain, headache, anxiety, fever, chi
lls, chest pain, tachycardia, dyspnea, hypotension.
3. NGN: Patient arrives with palpitations, difficulty breathing, a
nd reports feel-
ing faint. Reports constipation and joint pain for x2 days. In c
hildhood, 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 of2
nd gains from their illness
-
disorder is characterized by the presence of other real manifestationsli
ke dizziness, nausea, back pain, and joint pain.
