RN COMP PRACTICE 2023 A
QUESTIONS WITH COMPLETE
ANSWERS
NGN: nnWhat nnassessment nnfindings nnare nnconsistent nnwith nnCrohn's nndisease,
nnulcerative nncolitis, nnor nnperitonitis?
Temperature nn(100F)
Weight nn(-9.7 nnlbs)
Albumin nnlevel nn(2.4)
WBC nn(14)
Bowel nnpattern nn(freq. nnloose nnstools)
Abdominal nnpain nnlocation nn(RLQ)
Heart nnrate nn(105) nn- nnANS-Temperature: nnCrohn's, nnUC nn& nnperitonitis. nn
-Elevation nncan nnoccur nnwith nnall nnthree nndue nnto nninflammation nnand nninfection. nn
Weight: nnCrohn's nn& nnUC. nn
-Unintended nnweight nnloss nncan nnoccur nndue nnto nnmalabsorption nnin nnthe nnGI nntract.
nn
Bowel nnpattern: nnCrohn's.
-If nnthe nnpatient nnreported nnthere nnwas nnblood nnin nnthe nnstool, nnit nnwould nnbe nnUC.
nnCrohn's nndoesn't nncause nntarry nnstools. nn
WBC: nnCrohn's, nnUC nn& nnperitonitis.
-Elevation nncan nnoccur nndue nnto nninflammation nnand nninfection. nn
Heart nnrate: nnperitonitis. nn
-Tachycardia nncan nnoccur nndue nnto nninflammation, nninfection, nnand nndehydration. nn
Albumin nnlevel: nnCrohn's nn& nnUC. nn
-Because nnof nnthe nnmalabsorption nnin nnthe nnGI nntract, nnthe nnbody nnisn't nnreceiving
nnenough nnprotein. nn
,Abdominal nnpain nnlocation: nnCrohn's. nn
-Because nnit nnis nnin nnthe nnRLQ, nnit nnis nnmore nnconsistent nnwith nnCrohn's. nnWith
nnpatients nnthat nnhave nnperitonitis, nnthey nnexperience nngeneralized nnabd. nnpain nnthat
nnradiates nnto nnthe nnshoulder nnand nnback.
NGN: nnWhat nnassessment nnfindings nncan nnindicate nna nntransfusion nnreaction nnin nna
nnpatient nnreceiving nnblood?
Urine nnoutput nn(150mL nnof nnclear, nnyellow)
Skin nn(pale, nncool nnand nndry)
Anxiety
Vital nnsigns nn(within nnnormal nnrange)
Headache
Back nnpain nn- nnANS-Back nnpain, nnheadache nn& nnanxiety. nn
Hemolytic nnreaction nnS/S: nnback nnpain, nnheadache, nnanxiety, nnfever, nnchills, nnchest
nnpain, nntachycardia, nndyspnea, nnhypotension.
NGN: nnPatient nnarrives nnwith nnpalpitations, nndifficulty nnbreathing, nnand nnreports
nnfeeling nnfaint. nnReports nnconstipation nnand nnjoint nnpain nnfor nnx2 nndays. nnIn
nnchildhood, nnpatient nnexperienced nnphysical nnabuse, nnand nnemotionally nndetached
nnparents. nnReports nnnervousness nnand nnonly nnleaving nnhome nnwhen nnnecessary. nn
PMH: nnfreq. nnhospital nnvisits nndue nnto nnheadaches nnand nnGI nndistress. nn
Bowtie: nn- nnANS-Condition: nnsomatic nnsymptom nndisorder nn
-due nnto nnphysical nninactivity nn& nnjoint nnpain
Interventions: nnMonitor nnphysical nnmanifestations nn& nnassess nnfor nnpresence nnof
nn2nd nngains nnfrom nntheir nnillness
-disorder nnis nncharacterized nnby nnthe nnpresence nnof nnother nnreal nnmanifestations
nnlike nndizziness, nnnausea, nnback nnpain, nnand nnjoint nnpain. nn
Monitor: nnVital nnsigns nn& nnpain.
NGN: nnWhat nnactions nnshould nnthe nnnurse nntake nnwhen nnher nnpedi nnpatient nnis
nnexhibiting nnsymptoms nnof nnan nnallergic nnreaction?
Administer nn0.9% nnNS nnIV
Administer nnepi nnIM
Monitor nnurine nnoutput nnq2hrs
DC nnsupplemental nnoxygen
Monitor nnvital nnsigns nnfrequently
DC nnIV nnmedication nn- nnANS-Administer nn0.9% nnNS nnIV
Administer nnepi nnIM
Monitor nnvital nnsigns nnfrequently
DC nnIV nnmedication
,-Nurse nnshould nnDC nnthe nnRocephin nnand nngive nnIV nnNS nnto nnhelp nnrestore nnfluids
nnbecause nnfluid nnshifts nncan nnoccur nnquickly nnduring nna nnreaction. nnAdministering
nnepi nnIM nnis nnthe nnfirst nnline nnof nntherapy nnfor nnanaphylactic nnreactions nnbecause nnit
nnconstricts nnblood nnvessels nnand nndilates nnbronchioles. nnMonitoring nnvital nnsings
nnfrequently nnwill nnallow nnthe nnnurse nnto nnmonitor nnfor nnsigns nnof nnshock.
NGN: nnWhat nn5 nnactions nnshould nnthe nnnurse nnplan nnto nntake nnwith nna nnpatient
nnexperiencing nnhallucinations, nnfollowing nnalcohol nnwithdrawal?
Administer nnthiamine
Maintain nna nnlow-stimulation nnenvironment nn
Administer nnchlordiazepoxide
Initiate nnseizure nnprecautions
Perform nna nnCIWA-Ar
Administer nndisulfiram nn- nnANS-Administer nnthiamine
Maintain nna nnlow-stimulation nnenvironment nn
Administer nnchlordiazepoxide
Initiate nnseizure nnprecautions
Perform nna nnCIWA-Ar
-Nurse nnshould nnplan nninterventions nnthat nnkeep nnthe nnpatient nnsafe nnand nntreat nnthe
nnphysical nnmanifestations nnof nnwithdrawal. nnUse nnthe nnCIWA-Ar nnto nndetermine nnthe
nnseverity nnof nnthe nnwithdrawal. nnWithdrawal nnseizures nncan nnoccur nn12-24hrs nnafter
nncessation nnof nnalcohol nnuse, nntherefore nninitiate nnseizure nnprecautions nnto nnprevent
nninjury. nnAdminister nnchlordiazepoxide nn(a nnbenzodiazepine) nnand nnplace nnpatient
nnin nna nnlow-stim nnenvironment nnto nndecrease nnagitation nnand nnthe nnrisk nnfor
nnseizures. nnAdministering nnthiamine nncan nnprevent nnWernicke nnsyndrome.
NGN: nnA nnpost-op nnpatient nnis nnexperiencing nnright nnlower nnextremity nnpain nnand
nnitching, nnfollowing nnan nnemergent nnappy. nnReports nnright nnlower nnextremity nnpain
nnthat nnhas nnbeen nnintermittent nnfor nnx2 nnmonths. nn
Assessment: nnBilat nnlower nnextremities nnwarm nnto nntouch, nnpedal nnpulses nn2+ nnbilat.
nnSpider nnveins nnnoted. nnDistended nnveins nnnoted nnon nnright nnlower nnextremity.
nnVital nnsigns nnare nnwithin nnnormal nnlimits. nn
Bowtie: nn- nnANS-Condition: nnVaricose nnveins.
-due nnto nnedema nn& nnpruritis nn
Interventions: nnElevate nnextremity nn& nnapply nncompression nnstockings
-to nnpromote nnvenous nnreturn nn& nncirculation
Monitor: nnPruritis nn& nnedema
, NGN: nnWhich nnassessment nnfindings nnrequire nnan nnimmediate nnfollow-up nnin nna
nnschizophrenic nnpatient?
Hyperactive nnbowel nnsounds nnx4
Last nnHCP nnappointment nnwas nn6 nnmonths nnago
Client nnAO nnx2
Agitated
Speech nndisorganized
Involuntary nntongue nnmovement nnand nnfoot nntremor
Increase nnin nnurination nnand nnone nnepisode nnof nnincontinence
Family nnc/o nnincreased nnagitation nnand nndelusions nn- nnANS-Involuntary nntongue
nnmovement nnand nnfoot nntremor
Frequent nnurination nnand nnincontinence
Increase nnin nnagitation
-Patient nnis nnexperiencing nntardive nndyskinesia
A nnhome nnhealth nnnurse nnis nnevaluation nna nnschool-age nnchild nnwho nnhas nncystic
nnfibrosis. nnThe nnnurse nnshould nninitiate nna nnrequest nnfor nna nnhigh-frequency nnchest
nncompression nnvest nnin nnresponse nnto nnwhich nnof nnthe nnfollowing nnparent
nnstatements?
A. nn"My nnchild nndoesn't nnlike nnto nnsit nnstill nnfor nnnebulizer nntreatments."
B. nn"I nnthink nnthat nnmy nnchild nnhas nnbeen nnrunning nna nnfever nnover nnthe nnlast
nncouple nnof nndays."
C. nn"My nnchild nnonly nnhas nna nnsmall nnamount nnof nnmucus nnafter nnpercussion
nntherapy."
D. nn"I nnam nnconcerned nnabout nnmy nnchild's nnfuture nnparticipation nnin nnteam nnsports."
nn- nnANS-C. nn"My nnchild nnhas nnonly nna nnsmall nnamount nnof nnmucus nnafter
nnpercussion nntherapy."
-The nnnurse nnshould nnrecommend nna nnhigh-frequency nnvest nnfor nna nnchild nnwho
nnhas nninadequate nnresults nnfrom nnother nnairway nnclearance nntherapy nntechniques.
nnOlder nnchildren nnoften nnrequire nnother nntechniques nnin nnaddition nnto nnpercussion
nnand nnpostural nndrainage nnto nnachieve nnadequate nnmucus nnexpectoration.
-The nnnurse nnshould nnteach nnthe nnparent nntechniques nnfor nnadministration nnfor
nnnebulizer nntreatments nnto nnthe nnchild. nn
-The nnnurse nnshould nnfollow-up nnon nnreports nnof nnfever, nnas nnthis nncould nnindicate
nna nnpulmonary nninfection.
-The nnnurse nnshould nndiscuss nnparticipation nnin nnsports nnactivities nnin nnrelation nnto
nnthe nnchild's nncurrent nnphysical nnand nnpulmonary nnhealth.
QUESTIONS WITH COMPLETE
ANSWERS
NGN: nnWhat nnassessment nnfindings nnare nnconsistent nnwith nnCrohn's nndisease,
nnulcerative nncolitis, nnor nnperitonitis?
Temperature nn(100F)
Weight nn(-9.7 nnlbs)
Albumin nnlevel nn(2.4)
WBC nn(14)
Bowel nnpattern nn(freq. nnloose nnstools)
Abdominal nnpain nnlocation nn(RLQ)
Heart nnrate nn(105) nn- nnANS-Temperature: nnCrohn's, nnUC nn& nnperitonitis. nn
-Elevation nncan nnoccur nnwith nnall nnthree nndue nnto nninflammation nnand nninfection. nn
Weight: nnCrohn's nn& nnUC. nn
-Unintended nnweight nnloss nncan nnoccur nndue nnto nnmalabsorption nnin nnthe nnGI nntract.
nn
Bowel nnpattern: nnCrohn's.
-If nnthe nnpatient nnreported nnthere nnwas nnblood nnin nnthe nnstool, nnit nnwould nnbe nnUC.
nnCrohn's nndoesn't nncause nntarry nnstools. nn
WBC: nnCrohn's, nnUC nn& nnperitonitis.
-Elevation nncan nnoccur nndue nnto nninflammation nnand nninfection. nn
Heart nnrate: nnperitonitis. nn
-Tachycardia nncan nnoccur nndue nnto nninflammation, nninfection, nnand nndehydration. nn
Albumin nnlevel: nnCrohn's nn& nnUC. nn
-Because nnof nnthe nnmalabsorption nnin nnthe nnGI nntract, nnthe nnbody nnisn't nnreceiving
nnenough nnprotein. nn
,Abdominal nnpain nnlocation: nnCrohn's. nn
-Because nnit nnis nnin nnthe nnRLQ, nnit nnis nnmore nnconsistent nnwith nnCrohn's. nnWith
nnpatients nnthat nnhave nnperitonitis, nnthey nnexperience nngeneralized nnabd. nnpain nnthat
nnradiates nnto nnthe nnshoulder nnand nnback.
NGN: nnWhat nnassessment nnfindings nncan nnindicate nna nntransfusion nnreaction nnin nna
nnpatient nnreceiving nnblood?
Urine nnoutput nn(150mL nnof nnclear, nnyellow)
Skin nn(pale, nncool nnand nndry)
Anxiety
Vital nnsigns nn(within nnnormal nnrange)
Headache
Back nnpain nn- nnANS-Back nnpain, nnheadache nn& nnanxiety. nn
Hemolytic nnreaction nnS/S: nnback nnpain, nnheadache, nnanxiety, nnfever, nnchills, nnchest
nnpain, nntachycardia, nndyspnea, nnhypotension.
NGN: nnPatient nnarrives nnwith nnpalpitations, nndifficulty nnbreathing, nnand nnreports
nnfeeling nnfaint. nnReports nnconstipation nnand nnjoint nnpain nnfor nnx2 nndays. nnIn
nnchildhood, nnpatient nnexperienced nnphysical nnabuse, nnand nnemotionally nndetached
nnparents. nnReports nnnervousness nnand nnonly nnleaving nnhome nnwhen nnnecessary. nn
PMH: nnfreq. nnhospital nnvisits nndue nnto nnheadaches nnand nnGI nndistress. nn
Bowtie: nn- nnANS-Condition: nnsomatic nnsymptom nndisorder nn
-due nnto nnphysical nninactivity nn& nnjoint nnpain
Interventions: nnMonitor nnphysical nnmanifestations nn& nnassess nnfor nnpresence nnof
nn2nd nngains nnfrom nntheir nnillness
-disorder nnis nncharacterized nnby nnthe nnpresence nnof nnother nnreal nnmanifestations
nnlike nndizziness, nnnausea, nnback nnpain, nnand nnjoint nnpain. nn
Monitor: nnVital nnsigns nn& nnpain.
NGN: nnWhat nnactions nnshould nnthe nnnurse nntake nnwhen nnher nnpedi nnpatient nnis
nnexhibiting nnsymptoms nnof nnan nnallergic nnreaction?
Administer nn0.9% nnNS nnIV
Administer nnepi nnIM
Monitor nnurine nnoutput nnq2hrs
DC nnsupplemental nnoxygen
Monitor nnvital nnsigns nnfrequently
DC nnIV nnmedication nn- nnANS-Administer nn0.9% nnNS nnIV
Administer nnepi nnIM
Monitor nnvital nnsigns nnfrequently
DC nnIV nnmedication
,-Nurse nnshould nnDC nnthe nnRocephin nnand nngive nnIV nnNS nnto nnhelp nnrestore nnfluids
nnbecause nnfluid nnshifts nncan nnoccur nnquickly nnduring nna nnreaction. nnAdministering
nnepi nnIM nnis nnthe nnfirst nnline nnof nntherapy nnfor nnanaphylactic nnreactions nnbecause nnit
nnconstricts nnblood nnvessels nnand nndilates nnbronchioles. nnMonitoring nnvital nnsings
nnfrequently nnwill nnallow nnthe nnnurse nnto nnmonitor nnfor nnsigns nnof nnshock.
NGN: nnWhat nn5 nnactions nnshould nnthe nnnurse nnplan nnto nntake nnwith nna nnpatient
nnexperiencing nnhallucinations, nnfollowing nnalcohol nnwithdrawal?
Administer nnthiamine
Maintain nna nnlow-stimulation nnenvironment nn
Administer nnchlordiazepoxide
Initiate nnseizure nnprecautions
Perform nna nnCIWA-Ar
Administer nndisulfiram nn- nnANS-Administer nnthiamine
Maintain nna nnlow-stimulation nnenvironment nn
Administer nnchlordiazepoxide
Initiate nnseizure nnprecautions
Perform nna nnCIWA-Ar
-Nurse nnshould nnplan nninterventions nnthat nnkeep nnthe nnpatient nnsafe nnand nntreat nnthe
nnphysical nnmanifestations nnof nnwithdrawal. nnUse nnthe nnCIWA-Ar nnto nndetermine nnthe
nnseverity nnof nnthe nnwithdrawal. nnWithdrawal nnseizures nncan nnoccur nn12-24hrs nnafter
nncessation nnof nnalcohol nnuse, nntherefore nninitiate nnseizure nnprecautions nnto nnprevent
nninjury. nnAdminister nnchlordiazepoxide nn(a nnbenzodiazepine) nnand nnplace nnpatient
nnin nna nnlow-stim nnenvironment nnto nndecrease nnagitation nnand nnthe nnrisk nnfor
nnseizures. nnAdministering nnthiamine nncan nnprevent nnWernicke nnsyndrome.
NGN: nnA nnpost-op nnpatient nnis nnexperiencing nnright nnlower nnextremity nnpain nnand
nnitching, nnfollowing nnan nnemergent nnappy. nnReports nnright nnlower nnextremity nnpain
nnthat nnhas nnbeen nnintermittent nnfor nnx2 nnmonths. nn
Assessment: nnBilat nnlower nnextremities nnwarm nnto nntouch, nnpedal nnpulses nn2+ nnbilat.
nnSpider nnveins nnnoted. nnDistended nnveins nnnoted nnon nnright nnlower nnextremity.
nnVital nnsigns nnare nnwithin nnnormal nnlimits. nn
Bowtie: nn- nnANS-Condition: nnVaricose nnveins.
-due nnto nnedema nn& nnpruritis nn
Interventions: nnElevate nnextremity nn& nnapply nncompression nnstockings
-to nnpromote nnvenous nnreturn nn& nncirculation
Monitor: nnPruritis nn& nnedema
, NGN: nnWhich nnassessment nnfindings nnrequire nnan nnimmediate nnfollow-up nnin nna
nnschizophrenic nnpatient?
Hyperactive nnbowel nnsounds nnx4
Last nnHCP nnappointment nnwas nn6 nnmonths nnago
Client nnAO nnx2
Agitated
Speech nndisorganized
Involuntary nntongue nnmovement nnand nnfoot nntremor
Increase nnin nnurination nnand nnone nnepisode nnof nnincontinence
Family nnc/o nnincreased nnagitation nnand nndelusions nn- nnANS-Involuntary nntongue
nnmovement nnand nnfoot nntremor
Frequent nnurination nnand nnincontinence
Increase nnin nnagitation
-Patient nnis nnexperiencing nntardive nndyskinesia
A nnhome nnhealth nnnurse nnis nnevaluation nna nnschool-age nnchild nnwho nnhas nncystic
nnfibrosis. nnThe nnnurse nnshould nninitiate nna nnrequest nnfor nna nnhigh-frequency nnchest
nncompression nnvest nnin nnresponse nnto nnwhich nnof nnthe nnfollowing nnparent
nnstatements?
A. nn"My nnchild nndoesn't nnlike nnto nnsit nnstill nnfor nnnebulizer nntreatments."
B. nn"I nnthink nnthat nnmy nnchild nnhas nnbeen nnrunning nna nnfever nnover nnthe nnlast
nncouple nnof nndays."
C. nn"My nnchild nnonly nnhas nna nnsmall nnamount nnof nnmucus nnafter nnpercussion
nntherapy."
D. nn"I nnam nnconcerned nnabout nnmy nnchild's nnfuture nnparticipation nnin nnteam nnsports."
nn- nnANS-C. nn"My nnchild nnhas nnonly nna nnsmall nnamount nnof nnmucus nnafter
nnpercussion nntherapy."
-The nnnurse nnshould nnrecommend nna nnhigh-frequency nnvest nnfor nna nnchild nnwho
nnhas nninadequate nnresults nnfrom nnother nnairway nnclearance nntherapy nntechniques.
nnOlder nnchildren nnoften nnrequire nnother nntechniques nnin nnaddition nnto nnpercussion
nnand nnpostural nndrainage nnto nnachieve nnadequate nnmucus nnexpectoration.
-The nnnurse nnshould nnteach nnthe nnparent nntechniques nnfor nnadministration nnfor
nnnebulizer nntreatments nnto nnthe nnchild. nn
-The nnnurse nnshould nnfollow-up nnon nnreports nnof nnfever, nnas nnthis nncould nnindicate
nna nnpulmonary nninfection.
-The nnnurse nnshould nndiscuss nnparticipation nnin nnsports nnactivities nnin nnrelation nnto
nnthe nnchild's nncurrent nnphysical nnand nnpulmonary nnhealth.
