RN Comp Practice 2024 A Questions with Answers

RN Comp Practice 2024 A Questions
with Answers
NGN:AWhatAassessmentAfindingsAareAconsistentAwithACrohn'sAdisease,AulcerativeAcolitis,A
orAperitonitis?

TemperatureA(100F)
WeightA(-9.7Albs)
AlbuminAlevelA(2.4)
WBCA(14)
BowelApatternA(freq.AlooseAstools)
AbdominalApainAlocationA(RLQ)
HeartArateA(105)A-AcorrectAanswers-Temperature:ACrohn's,AUCA&Aperitonitis.A
-ElevationAcanAoccurAwithAallAthreeAdueAtoAinflammationAandAinfection.A

Weight:ACrohn'sA&AUC.A
-UnintendedAweightAlossAcanAoccurAdueAtoAmalabsorptionAinAtheAGIAtract.A

BowelApattern:ACrohn's.
-
IfAtheApatientAreportedAthereAwasAbloodAinAtheAstool,AitAwouldAbeAUC.ACrohn'sAdoesn'tAcaus
eAtarryAstools.A

WBC:ACrohn's,AUCA&Aperitonitis.
-ElevationAcanAoccurAdueAtoAinflammationAandAinfection.A

HeartArate:Aperitonitis.A
-TachycardiaAcanAoccurAdueAtoAinflammation,Ainfection,AandAdehydration.A

AlbuminAlevel:ACrohn'sA&AUC.A
-BecauseAofAtheAmalabsorptionAinAtheAGIAtract,AtheAbodyAisn'tAreceivingAenoughAprotein.A

AbdominalApainAlocation:ACrohn's.A
-
BecauseAitAisAinAtheARLQ,AitAisAmoreAconsistentAwithACrohn's.AWithApatientsAthatAhaveAperit
onitis,AtheyAexperienceAgeneralizedAabd.ApainAthatAradiatesAtoAtheAshoulderAandAback.
NGN:AWhatAassessmentAfindingsAcanAindicateAaAtransfusionAreactionAinAaApatientAreceivin
gAblood?

UrineAoutputA(150mLAofAclear,Ayellow)
SkinA(pale,AcoolAandAdry)
Anxiety

,VitalAsignsA(withinAnormalArange)
Headache
BackApainA-AcorrectAanswers-BackApain,AheadacheA&Aanxiety.A

HemolyticAreactionAS/S:AbackApain,Aheadache,Aanxiety,Afever,Achills,AchestApain,Atachycar
dia,Adyspnea,Ahypotension.
NGN:APatientAarrivesAwithApalpitations,AdifficultyAbreathing,AandAreportsAfeelingAfaint.ARep
ortsAconstipationAandAjointApainAforAx2Adays.AInAchildhood,ApatientAexperiencedAphysicalAa
buse,AandAemotionallyAdetachedAparents.AReportsAnervousnessAandAonlyAleavingAhomeA
whenAnecessary.A
PMH:Afreq.AhospitalAvisitsAdueAtoAheadachesAandAGIAdistress.A

Bowtie:A-AcorrectAanswers-Condition:AsomaticAsymptomAdisorderA
-dueAtoAphysicalAinactivityA&AjointApain

Interventions:AMonitorAphysicalAmanifestationsA&AassessAforApresenceAofA2ndAgainsAfromAt
heirAillness
-
disorderAisAcharacterizedAbyAtheApresenceAofAotherArealAmanifestationsAlikeAdizziness,Ana
usea,AbackApain,AandAjointApain.A

Monitor:AVitalAsignsA&Apain.
NGN:AWhatAactionsAshouldAtheAnurseAtakeAwhenAherApediApatientAisAexhibitingAsymptomsA
ofAanAallergicAreaction?

AdministerA0.9%ANSAIV
AdministerAepiAIM
MonitorAurineAoutputAq2hrs
DCAsupplementalAoxygen
MonitorAvitalAsignsAfrequently
DCAIVAmedicationA-AcorrectAanswers-AdministerA0.9%ANSAIV
AdministerAepiAIM
MonitorAvitalAsignsAfrequently
DCAIVAmedication

-
NurseAshouldADCAtheARocephinAandAgiveAIVANSAtoAhelpArestoreAfluidsAbecauseAfluidAshifts
AcanAoccurAquicklyAduringAaAreaction.AAdministeringAepiAIMAisAtheAfirstAlineAofAtherapyAforAa

naphylacticAreactionsAbecauseAitAconstrictsAbloodAvesselsAandAdilatesAbronchioles.AMonit
oringAvitalAsingsAfrequentlyAwillAallowAtheAnurseAtoAmonitorAforAsignsAofAshock.
NGN:AWhatA5AactionsAshouldAtheAnurseAplanAtoAtakeAwithAaApatientAexperiencingAhallucina
tions,AfollowingAalcoholAwithdrawal?

AdministerAthiamine
MaintainAaAlow-stimulationAenvironmentA
AdministerAchlordiazepoxide

,InitiateAseizureAprecautions
PerformAaACIWA-Ar
AdministerAdisulfiramA-AcorrectAanswers-AdministerAthiamine
MaintainAaAlow-stimulationAenvironmentA
AdministerAchlordiazepoxide
InitiateAseizureAprecautions
PerformAaACIWA-Ar

-
NurseAshouldAplanAinterventionsAthatAkeepAtheApatientAsafeAandAtreatAtheAphysicalAmanife
stationsAofAwithdrawal.AUseAtheACIWA-
ArAtoAdetermineAtheAseverityAofAtheAwithdrawal.AWithdrawalAseizuresAcanAoccurA12-
24hrsAafterAcessationAofAalcoholAuse,AthereforeAinitiateAseizureAprecautionsAtoApreventAinju
ry.AAdministerAchlordiazepoxideA(aAbenzodiazepine)AandAplaceApatientAinAaAlow-
stimAenvironmentAtoAdecreaseAagitationAandAtheAriskAforAseizures.AAdministeringAthiamine
AcanApreventAWernickeAsyndrome.

NGN:AAApost-
opApatientAisAexperiencingArightAlowerAextremityApainAandAitching,AfollowingAanAemergentA
appy.AReportsArightAlowerAextremityApainAthatAhasAbeenAintermittentAforAx2Amonths.A

Assessment:ABilatAlowerAextremitiesAwarmAtoAtouch,ApedalApulsesA2+Abilat.ASpiderAveinsAn
oted.ADistendedAveinsAnotedAonArightAlowerAextremity.AVitalAsignsAareAwithinAnormalAlimits.
A




Bowtie:A-AcorrectAanswers-Condition:AVaricoseAveins.
-dueAtoAedemaA&ApruritisA

Interventions:AElevateAextremityA&AapplyAcompressionAstockings
-toApromoteAvenousAreturnA&Acirculation

Monitor:APruritisA&Aedema
NGN:AWhichAassessmentAfindingsArequireAanAimmediateAfollow-
upAinAaAschizophrenicApatient?

HyperactiveAbowelAsoundsAx4
LastAHCPAappointmentAwasA6AmonthsAago
ClientAAOAx2
Agitated
SpeechAdisorganized
InvoluntaryAtongueAmovementAandAfootAtremor
IncreaseAinAurinationAandAoneAepisodeAofAincontinence
FamilyAc/oAincreasedAagitationAandAdelusionsA-AcorrectAanswers-
InvoluntaryAtongueAmovementAandAfootAtremor
FrequentAurinationAandAincontinence
IncreaseAinAagitation

-PatientAisAexperiencingAtardiveAdyskinesia

, AAhomeAhealthAnurseAisAevaluationAaAschool-
ageAchildAwhoAhasAcysticAfibrosis.ATheAnurseAshouldAinitiateAaArequestAforAaAhigh-
frequencyAchestAcompressionAvestAinAresponseAtoAwhichAofAtheAfollowingAparentAstatemen
ts?

A.A"MyAchildAdoesn'tAlikeAtoAsitAstillAforAnebulizerAtreatments."
B.A"IAthinkAthatAmyAchildAhasAbeenArunningAaAfeverAoverAtheAlastAcoupleAofAdays."
C.A"MyAchildAonlyAhasAaAsmallAamountAofAmucusAafterApercussionAtherapy."
D.A"IAamAconcernedAaboutAmyAchild'sAfutureAparticipationAinAteamAsports."A-
AcorrectAanswers-

C.A"MyAchildAhasAonlyAaAsmallAamountAofAmucusAafterApercussionAtherapy."

-TheAnurseAshouldArecommendAaAhigh-
frequencyAvestAforAaAchildAwhoAhasAinadequateAresultsAfromAotherAairwayAclearanceAthera
pyAtechniques.AOlderAchildrenAoftenArequireAotherAtechniquesAinAadditionAtoApercussionAan
dAposturalAdrainageAtoAachieveAadequateAmucusAexpectoration.

-
TheAnurseAshouldAteachAtheAparentAtechniquesAforAadministrationAforAnebulizerAtreatment
sAtoAtheAchild.A

-TheAnurseAshouldAfollow-
upAonAreportsAofAfever,AasAthisAcouldAindicateAaApulmonaryAinfection.

-
TheAnurseAshouldAdiscussAparticipationAinAsportsAactivitiesAinArelationAtoAtheAchild'sAcurrent
AphysicalAandApulmonaryAhealth.

NGN:AAApatientAwhoAisAx2Apost-
op,AfollowingAaAsurgicalArepairAofAaAleftAhipAfracture,AisAc/oAofAintermittentAabdominalApain.A
RatesA5/10AonAleftAsideAofAabdomen.APainAbeganAafterAeatingAdinner.ALastAbowelAmoveme
ntAwasA5AdaysAprior.AReportsAusualApatternAisAx1Adaily.A

Assessment:AAbdomenAdistended,AdullAtoApercussion,AfirmAandAnon-
tenderAonApalpation.AHypoactiveAbowelAsoundsAx4.AVitalAsignsAareAwithinAnormalAlimits.A

Bowtie:A-AcorrectAanswers-Condition:AIntestinalAobstruction
-bowelAsoundsAhypoactiveAx4,AlastABMAwasA5AdaysAprior,AintermittentAtoAconstantApain.A

Interventions:AAssistApatientAinAsemi-Fowler'sA&AprepareAtoAadministerAIVAfluids.
-
toArelieveAtheApressureAfromAtheAdistentionAandAreduceAriskAofAdevelopingAfluid/electrolyteA
imbalance.A

Monitor:ABowelAsoundsA&AurineAoutput.