RN Comp Practice 2025 A Exam, (2024 / 2025) Questions And Correct Verified Answers, 100% Guaranteed Pass ||Complete A+ Guide

RN Comp Practice 2025 A Exam, ()

Questions And Correct Verified Answers, 100%

Guaranteed Pass ||Complete A+ Guide


1. NGN:WhatassessmentfindingsareconsistentwithCrohn'sdisease,ulcer- ative colitis, or
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peritonitis?
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Temperature(100F) Weight (-9.7 s s s




lbs)
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Albumin level (2.4) s s




WBC (14) s




Bowelpattern(freq.loosestools) Abdominal pain
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location (RLQ)
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Heartrate (105):Temperature:Crohn's, UC & peritonitis.
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-Elevation can occur with all three due to inflammation and infection.
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Weight:Crohn's & UC. s s s




-Unintended weight loss can occur due to malabsorption in the GI tract.
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Bowel pattern:Crohn's.
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-Ifthepatient reported therewasblood inthestool,itwouldbeUC.Crohn'sdoesn't cause tarry stools.
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WBC:Crohn's, UC & peritonitis.
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,-Elevation can occur due to inflammation and infection.
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Heart rate:peritonitis.
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-Tachycardia can occur due to inflammation, infection, and dehydration.
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Albuminlevel:Crohn's & UC.
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-Because of the malabsorption in the GI tract, the body isn't receiving enough protein.
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Abdominal pain location:Crohn's.s s s




-Because it is in the RLQ, it is more consistent with Crohn's. With patients that have peritonitis, they
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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
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blood?
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Urineoutput(150mLofclear,yellow) Skin (pale, cool
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and dry)
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Anxiety

,Vitalsigns (within normal range) Headache
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Back pain:Back pain, headache & anxiety.
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HemolyticreactionS/S:backpain,headache,anxiety,fever,chills,chestpain, tachycardia, dyspnea,
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hypotension.
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3. NGN: Patient arrives with palpitations, difficulty breathing, and reports feel- s s s s s s s s s




ing faint.Reports constipation and joint pain for x2 days.In childhood, patient experienced physical
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abuse, and emotionally detached parents. Reports ner- vousness and only leaving home when
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necessary.
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PMH:freq.hospital visits due to headaches and GI distress.
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Bowtie::Condition:somatic symptom disorder s s s s




-due to physical inactivity & joint pain
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Interventions:Monitor physical manifestations & assess for presence of 2nd gains from their illness s s s s s s s s s s s s s




-disorderischaracterizedbythepresenceofotherrealmanifestationslikedizziness, nausea, back pain, and
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joint pain.
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Monitor:Vital signs & pain. s s s s




4. NGN: What actions should the nurse take when her pedi patient is exhibiting symptoms of an
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allergic reaction?
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Administer0.9%NSIV s s s




Administer epi IM
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Monitor urine output q2hrs DC s s s s




supplemental oxygen Monitorvital
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signsfrequently
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DC IV medication:Administer 0.9% NS IV Administer
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epi IM
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Monitorvitalsignsfrequently DC IV s s s s s




medication
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-Nurse should DC the Rocephin and give IV NS to help restore fluids because fluid shifts can occur quickly
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during a reaction.Administering epi IM is the first line of therapy for anaphylactic reactions because it
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constricts blood vessels and dilates
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bronchioles.Monitoringvitalsingsfrequentlywillallowthenursetomonitorforsigns of shock.
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, 5. NGN:What5actionsshouldthenurseplantotakewithapatientexperienc- ing hallucinations,
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following alcohol withdrawal?
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Administer thiamine s




Maintainalow-stimulationenvironment Administer s s s s




chlordiazepoxide
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Initiateseizureprecautions Perform a
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CIWA-Ar
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Administerdisulfiram:Administerthiamine Maintain a low- s s s s s s




stimulation environment Administer chlordiazepoxide s s s




Initiateseizureprecautions Perform
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a CIWA-Ar
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-Nurse should plan interventions that keep the patient safe and treat the physical manifestations of
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withdrawal.Use the CIWA-Ar to determine the severity of the withdrawal.Withdrawalseizures can occur
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12-24hrs after cessation of alcohol use, therefore initiate seizure precautions to prevent injury.Administer
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chlordiazepox- ide (a benzodiazepine) and place patient in a low-stim environment to decrease agitation
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and the risk for seizures.Administering thiamine can prevent Wernicke syndrome.
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6. NGN: A post-op patient is experiencing right lower extremity pain and itching,following an
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emergent appy.Reports right lowerextremity pain that has been intermittent for x2 months.
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Assessment: Bilat lower extremities warm to touch, pedal pulses 2+ bilat. Spiderveins s s s s s s s s s s s s




noted.Distendedveinsnotedonrightlowerextremity.Vitalsigns are within normal limits.
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Bowtie::Condition:Varicoseveins. s s s




-due to edema & pruritis
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Interventions:Elevate extremity & apply compression stockings s s s s s s




-to promote venous return & circulation
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Monitor:Pruritis & edema s s s




7. NGN:Whichassessmentfindingsrequireanimmediatefollow-upinaschiz- ophrenic patient?
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