RN Comp Practice 2023 A (Questions
With Correct Answers)
NGN: bWhat bassessment bfindings bare bconsistent bwith bCrohn's bdisease, bulcerative
bcolitis, bor bperitonitis?
Temperature b(100F)
Weight b(-9.7 blbs)
Albumin blevel b(2.4)
WBC b(14)
Bowel bpattern b(freq. bloose bstools)
Abdominal bpain blocation b(RLQ)
Heart brate b(105) b- bcorrect banswers✔✔Temperature: bCrohn's, bUC b& bperitonitis. b
-Elevation bcan boccur bwith ball bthree bdue bto binflammation band binfection. b
Weight: bCrohn's b& bUC. b
-Unintended bweight bloss bcan boccur bdue bto bmalabsorption bin bthe bGI btract. b
Bowel bpattern: bCrohn's.
-If bthe bpatient breported bthere bwas bblood bin bthe bstool, bit bwould bbe bUC. bCrohn's
bdoesn't bcause btarry bstools. b
WBC: bCrohn's, bUC b& bperitonitis.
-Elevation bcan boccur bdue bto binflammation band binfection. b
Heart brate: bperitonitis. b
-Tachycardia bcan boccur bdue bto binflammation, binfection, band bdehydration. b
Albumin blevel: bCrohn's b& bUC. b
-Because bof bthe bmalabsorption bin bthe bGI btract, bthe bbody bisn't breceiving benough
bprotein. b
Abdominal bpain blocation: bCrohn's. b
-Because bit bis bin bthe bRLQ, bit bis bmore bconsistent bwith bCrohn's. bWith bpatients bthat
bhave bperitonitis, bthey bexperience bgeneralized babd. bpain bthat bradiates bto bthe
bshoulder band bback.
,NGN: bWhat bassessment bfindings bcan bindicate ba btransfusion breaction bin ba bpatient
breceiving bblood?
Urine boutput b(150mL bof bclear, byellow)
Skin b(pale, bcool band bdry)
Anxiety
Vital bsigns b(within bnormal brange)
Headache
Back bpain b- bcorrect banswers✔✔Back bpain, bheadache b& banxiety. b
Hemolytic breaction bS/S: bback bpain, bheadache, banxiety, bfever, bchills, bchest bpain,
btachycardia, bdyspnea, bhypotension.
NGN: bPatient barrives bwith bpalpitations, bdifficulty bbreathing, band breports bfeeling
bfaint. bReports bconstipation band bjoint bpain bfor bx2 bdays. bIn bchildhood, bpatient
bexperienced bphysical babuse, band bemotionally bdetached bparents. bReports
bnervousness band bonly bleaving bhome bwhen bnecessary. b
PMH: bfreq. bhospital bvisits bdue bto bheadaches band bGI bdistress. b
Bowtie: b- bcorrect banswers✔✔Condition: bsomatic bsymptom bdisorder b
-due bto bphysical binactivity b& bjoint bpain
Interventions: bMonitor bphysical bmanifestations b& bassess bfor bpresence bof b2nd bgains
bfrom btheir billness
-disorder bis bcharacterized bby bthe bpresence bof bother breal bmanifestations blike
bdizziness, bnausea, bback bpain, band bjoint bpain. b
Monitor: bVital bsigns b& bpain.
NGN: bWhat bactions bshould bthe bnurse btake bwhen bher bpedi bpatient bis bexhibiting
bsymptoms bof ban ballergic breaction?
Administer b0.9% bNS bIV
Administer bepi bIM
Monitor burine boutput bq2hrs
DC bsupplemental boxygen
Monitor bvital bsigns bfrequently
DC bIV bmedication b- bcorrect banswers✔✔Administer b0.9% bNS bIV
Administer bepi bIM
Monitor bvital bsigns bfrequently
DC bIV bmedication
-Nurse bshould bDC bthe bRocephin band bgive bIV bNS bto bhelp brestore bfluids bbecause
bfluid bshifts bcan boccur bquickly bduring ba breaction. bAdministering bepi bIM bis bthe bfirst
bline bof btherapy bfor banaphylactic breactions bbecause bit bconstricts bblood bvessels band
,bdilates bbronchioles. bMonitoring bvital bsings bfrequently bwill ballow bthe bnurse bto
bmonitor bfor bsigns bof bshock.
NGN: bWhat b5 bactions bshould bthe bnurse bplan bto btake bwith ba bpatient bexperiencing
bhallucinations, bfollowing balcohol bwithdrawal?
Administer bthiamine
Maintain ba blow-stimulation benvironment b
Administer bchlordiazepoxide
Initiate bseizure bprecautions
Perform ba bCIWA-Ar
Administer bdisulfiram b- bcorrect banswers✔✔Administer bthiamine
Maintain ba blow-stimulation benvironment b
Administer bchlordiazepoxide
Initiate bseizure bprecautions
Perform ba bCIWA-Ar
-Nurse bshould bplan binterventions bthat bkeep bthe bpatient bsafe band btreat bthe
bphysical bmanifestations bof bwithdrawal. bUse bthe bCIWA-Ar bto bdetermine bthe
bseverity bof bthe bwithdrawal. bWithdrawal bseizures bcan boccur b12-24hrs bafter
bcessation bof balcohol buse, btherefore binitiate bseizure bprecautions bto bprevent binjury.
bAdminister bchlordiazepoxide b(a bbenzodiazepine) band bplace bpatient bin ba blow-stim
benvironment bto bdecrease bagitation band bthe brisk bfor bseizures. bAdministering
bthiamine bcan bprevent bWernicke bsyndrome.
NGN: bA bpost-op bpatient bis bexperiencing bright blower bextremity bpain band bitching,
bfollowing ban bemergent bappy. bReports bright blower bextremity bpain bthat bhas bbeen
bintermittent bfor bx2 bmonths. b
Assessment: bBilat blower bextremities bwarm bto btouch, bpedal bpulses b2+ bbilat. bSpider
bveins bnoted. bDistended bveins bnoted bon bright blower bextremity. bVital bsigns bare
bwithin bnormal blimits. b
Bowtie: b- bcorrect banswers✔✔Condition: bVaricose bveins.
-due bto bedema b& bpruritis b
Interventions: bElevate bextremity b& bapply bcompression bstockings
-to bpromote bvenous breturn b& bcirculation
Monitor: bPruritis b& bedema
NGN: bWhich bassessment bfindings brequire ban bimmediate bfollow-up bin ba
bschizophrenic bpatient?
Hyperactive bbowel bsounds bx4
Last bHCP bappointment bwas b6 bmonths bago
, Client bAO bx2
Agitated
Speech bdisorganized
Involuntary btongue bmovement band bfoot btremor
Increase bin burination band bone bepisode bof bincontinence
Family bc/o bincreased bagitation band bdelusions b- bcorrect banswers✔✔Involuntary
btongue bmovement band bfoot btremor
Frequent burination band bincontinence
Increase bin bagitation
-Patient bis bexperiencing btardive bdyskinesia
A bhome bhealth bnurse bis bevaluation ba bschool-age bchild bwho bhas bcystic bfibrosis.
bThe bnurse bshould binitiate ba brequest bfor ba bhigh-frequency bchest bcompression bvest
bin bresponse bto bwhich bof bthe bfollowing bparent bstatements?
A. b"My bchild bdoesn't blike bto bsit bstill bfor bnebulizer btreatments."
B. b"I bthink bthat bmy bchild bhas bbeen brunning ba bfever bover bthe blast bcouple bof
bdays."
C. b"My bchild bonly bhas ba bsmall bamount bof bmucus bafter bpercussion btherapy."
D. b"I bam bconcerned babout bmy bchild's bfuture bparticipation bin bteam bsports." b-
bcorrect banswers✔✔C. b"My bchild bhas bonly ba bsmall bamount bof bmucus bafter
bpercussion btherapy."
-The bnurse bshould brecommend ba bhigh-frequency bvest bfor ba bchild bwho bhas
binadequate bresults bfrom bother bairway bclearance btherapy btechniques. bOlder
bchildren boften brequire bother btechniques bin baddition bto bpercussion band bpostural
bdrainage bto bachieve badequate bmucus bexpectoration.
-The bnurse bshould bteach bthe bparent btechniques bfor badministration bfor bnebulizer
btreatments bto bthe bchild. b
-The bnurse bshould bfollow-up bon breports bof bfever, bas bthis bcould bindicate ba
bpulmonary binfection.
-The bnurse bshould bdiscuss bparticipation bin bsports bactivities bin brelation bto bthe
bchild's bcurrent bphysical band bpulmonary bhealth.
NGN: bA bpatient bwho bis bx2 bpost-op, bfollowing ba bsurgical brepair bof ba bleft bhip
bfracture, bis bc/o bof bintermittent babdominal bpain. bRates b5/10 bon bleft bside bof
babdomen. bPain bbegan bafter beating bdinner. bLast bbowel bmovement bwas b5 bdays
bprior. bReports busual bpattern bis bx1 bdaily. b
Assessment: bAbdomen bdistended, bdull bto bpercussion, bfirm band bnon-tender bon
bpalpation. bHypoactive bbowel bsounds bx4. bVital bsigns bare bwithin bnormal blimits. b
With Correct Answers)
NGN: bWhat bassessment bfindings bare bconsistent bwith bCrohn's bdisease, bulcerative
bcolitis, bor bperitonitis?
Temperature b(100F)
Weight b(-9.7 blbs)
Albumin blevel b(2.4)
WBC b(14)
Bowel bpattern b(freq. bloose bstools)
Abdominal bpain blocation b(RLQ)
Heart brate b(105) b- bcorrect banswers✔✔Temperature: bCrohn's, bUC b& bperitonitis. b
-Elevation bcan boccur bwith ball bthree bdue bto binflammation band binfection. b
Weight: bCrohn's b& bUC. b
-Unintended bweight bloss bcan boccur bdue bto bmalabsorption bin bthe bGI btract. b
Bowel bpattern: bCrohn's.
-If bthe bpatient breported bthere bwas bblood bin bthe bstool, bit bwould bbe bUC. bCrohn's
bdoesn't bcause btarry bstools. b
WBC: bCrohn's, bUC b& bperitonitis.
-Elevation bcan boccur bdue bto binflammation band binfection. b
Heart brate: bperitonitis. b
-Tachycardia bcan boccur bdue bto binflammation, binfection, band bdehydration. b
Albumin blevel: bCrohn's b& bUC. b
-Because bof bthe bmalabsorption bin bthe bGI btract, bthe bbody bisn't breceiving benough
bprotein. b
Abdominal bpain blocation: bCrohn's. b
-Because bit bis bin bthe bRLQ, bit bis bmore bconsistent bwith bCrohn's. bWith bpatients bthat
bhave bperitonitis, bthey bexperience bgeneralized babd. bpain bthat bradiates bto bthe
bshoulder band bback.
,NGN: bWhat bassessment bfindings bcan bindicate ba btransfusion breaction bin ba bpatient
breceiving bblood?
Urine boutput b(150mL bof bclear, byellow)
Skin b(pale, bcool band bdry)
Anxiety
Vital bsigns b(within bnormal brange)
Headache
Back bpain b- bcorrect banswers✔✔Back bpain, bheadache b& banxiety. b
Hemolytic breaction bS/S: bback bpain, bheadache, banxiety, bfever, bchills, bchest bpain,
btachycardia, bdyspnea, bhypotension.
NGN: bPatient barrives bwith bpalpitations, bdifficulty bbreathing, band breports bfeeling
bfaint. bReports bconstipation band bjoint bpain bfor bx2 bdays. bIn bchildhood, bpatient
bexperienced bphysical babuse, band bemotionally bdetached bparents. bReports
bnervousness band bonly bleaving bhome bwhen bnecessary. b
PMH: bfreq. bhospital bvisits bdue bto bheadaches band bGI bdistress. b
Bowtie: b- bcorrect banswers✔✔Condition: bsomatic bsymptom bdisorder b
-due bto bphysical binactivity b& bjoint bpain
Interventions: bMonitor bphysical bmanifestations b& bassess bfor bpresence bof b2nd bgains
bfrom btheir billness
-disorder bis bcharacterized bby bthe bpresence bof bother breal bmanifestations blike
bdizziness, bnausea, bback bpain, band bjoint bpain. b
Monitor: bVital bsigns b& bpain.
NGN: bWhat bactions bshould bthe bnurse btake bwhen bher bpedi bpatient bis bexhibiting
bsymptoms bof ban ballergic breaction?
Administer b0.9% bNS bIV
Administer bepi bIM
Monitor burine boutput bq2hrs
DC bsupplemental boxygen
Monitor bvital bsigns bfrequently
DC bIV bmedication b- bcorrect banswers✔✔Administer b0.9% bNS bIV
Administer bepi bIM
Monitor bvital bsigns bfrequently
DC bIV bmedication
-Nurse bshould bDC bthe bRocephin band bgive bIV bNS bto bhelp brestore bfluids bbecause
bfluid bshifts bcan boccur bquickly bduring ba breaction. bAdministering bepi bIM bis bthe bfirst
bline bof btherapy bfor banaphylactic breactions bbecause bit bconstricts bblood bvessels band
,bdilates bbronchioles. bMonitoring bvital bsings bfrequently bwill ballow bthe bnurse bto
bmonitor bfor bsigns bof bshock.
NGN: bWhat b5 bactions bshould bthe bnurse bplan bto btake bwith ba bpatient bexperiencing
bhallucinations, bfollowing balcohol bwithdrawal?
Administer bthiamine
Maintain ba blow-stimulation benvironment b
Administer bchlordiazepoxide
Initiate bseizure bprecautions
Perform ba bCIWA-Ar
Administer bdisulfiram b- bcorrect banswers✔✔Administer bthiamine
Maintain ba blow-stimulation benvironment b
Administer bchlordiazepoxide
Initiate bseizure bprecautions
Perform ba bCIWA-Ar
-Nurse bshould bplan binterventions bthat bkeep bthe bpatient bsafe band btreat bthe
bphysical bmanifestations bof bwithdrawal. bUse bthe bCIWA-Ar bto bdetermine bthe
bseverity bof bthe bwithdrawal. bWithdrawal bseizures bcan boccur b12-24hrs bafter
bcessation bof balcohol buse, btherefore binitiate bseizure bprecautions bto bprevent binjury.
bAdminister bchlordiazepoxide b(a bbenzodiazepine) band bplace bpatient bin ba blow-stim
benvironment bto bdecrease bagitation band bthe brisk bfor bseizures. bAdministering
bthiamine bcan bprevent bWernicke bsyndrome.
NGN: bA bpost-op bpatient bis bexperiencing bright blower bextremity bpain band bitching,
bfollowing ban bemergent bappy. bReports bright blower bextremity bpain bthat bhas bbeen
bintermittent bfor bx2 bmonths. b
Assessment: bBilat blower bextremities bwarm bto btouch, bpedal bpulses b2+ bbilat. bSpider
bveins bnoted. bDistended bveins bnoted bon bright blower bextremity. bVital bsigns bare
bwithin bnormal blimits. b
Bowtie: b- bcorrect banswers✔✔Condition: bVaricose bveins.
-due bto bedema b& bpruritis b
Interventions: bElevate bextremity b& bapply bcompression bstockings
-to bpromote bvenous breturn b& bcirculation
Monitor: bPruritis b& bedema
NGN: bWhich bassessment bfindings brequire ban bimmediate bfollow-up bin ba
bschizophrenic bpatient?
Hyperactive bbowel bsounds bx4
Last bHCP bappointment bwas b6 bmonths bago
, Client bAO bx2
Agitated
Speech bdisorganized
Involuntary btongue bmovement band bfoot btremor
Increase bin burination band bone bepisode bof bincontinence
Family bc/o bincreased bagitation band bdelusions b- bcorrect banswers✔✔Involuntary
btongue bmovement band bfoot btremor
Frequent burination band bincontinence
Increase bin bagitation
-Patient bis bexperiencing btardive bdyskinesia
A bhome bhealth bnurse bis bevaluation ba bschool-age bchild bwho bhas bcystic bfibrosis.
bThe bnurse bshould binitiate ba brequest bfor ba bhigh-frequency bchest bcompression bvest
bin bresponse bto bwhich bof bthe bfollowing bparent bstatements?
A. b"My bchild bdoesn't blike bto bsit bstill bfor bnebulizer btreatments."
B. b"I bthink bthat bmy bchild bhas bbeen brunning ba bfever bover bthe blast bcouple bof
bdays."
C. b"My bchild bonly bhas ba bsmall bamount bof bmucus bafter bpercussion btherapy."
D. b"I bam bconcerned babout bmy bchild's bfuture bparticipation bin bteam bsports." b-
bcorrect banswers✔✔C. b"My bchild bhas bonly ba bsmall bamount bof bmucus bafter
bpercussion btherapy."
-The bnurse bshould brecommend ba bhigh-frequency bvest bfor ba bchild bwho bhas
binadequate bresults bfrom bother bairway bclearance btherapy btechniques. bOlder
bchildren boften brequire bother btechniques bin baddition bto bpercussion band bpostural
bdrainage bto bachieve badequate bmucus bexpectoration.
-The bnurse bshould bteach bthe bparent btechniques bfor badministration bfor bnebulizer
btreatments bto bthe bchild. b
-The bnurse bshould bfollow-up bon breports bof bfever, bas bthis bcould bindicate ba
bpulmonary binfection.
-The bnurse bshould bdiscuss bparticipation bin bsports bactivities bin brelation bto bthe
bchild's bcurrent bphysical band bpulmonary bhealth.
NGN: bA bpatient bwho bis bx2 bpost-op, bfollowing ba bsurgical brepair bof ba bleft bhip
bfracture, bis bc/o bof bintermittent babdominal bpain. bRates b5/10 bon bleft bside bof
babdomen. bPain bbegan bafter beating bdinner. bLast bbowel bmovement bwas b5 bdays
bprior. bReports busual bpattern bis bx1 bdaily. b
Assessment: bAbdomen bdistended, bdull bto bpercussion, bfirm band bnon-tender bon
bpalpation. bHypoactive bbowel bsounds bx4. bVital bsigns bare bwithin bnormal blimits. b
