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ATI COMPREHENSIVE EXIT EXAM
with NGN Questions and Correct Answers ()
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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.
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-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.
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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
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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