1
RN COMP PRACTICE 2023 A FINAL EXAM
WITH NGN
NEWLY FORMATTED DOCUMENT
Temperature: Crohn's, UC & peritonitis.
-Elevation can occur with all three due to
inflammation and infection.
Weight: Crohn's & UC.
-Unintended weight loss can occur due to
malabsorption in the GI tract.
NGN: What assessment
findings are consistent Bowel pattern: Crohn's.
-If the patient reported there was blood in the stool,
with Crohn's disease,
it would be UC. Crohn's doesn't cause tarry stools.
ulcerative colitis, or
peritonitis?
WBC: Crohn's, UC & peritonitis.
-Elevation can occur due to inflammation and infection.
Temperature (100F)
Weight (-9.7 lbs)
Heart rate: peritonitis.
Albumin level (2.4)
-Tachycardia can occur due to inflammation,
WBC (14)
Bowel pattern (freq. loose infection, and dehydration.
stools)
Albumin level: Crohn's & UC.
Abdominal pain location
-Because of the malabsorption in the GI tract, the
(RLQ) Heart rate (105)
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
,2
the shoulder and back.
,3
NGN: What assessment Back pain, headache & anxiety.
findings can indicate a
transfusion reaction in a Hemolytic reaction S/S: back pain, headache, anxiety,
patient receiving blood? fever, chills, chest pain, tachycardia, dyspnea,
hypotension.
Urine output (150mL of
clear, yellow)
Skin (pale, cool and
dry) Anxiety
Vital signs (within normal
range) Headache
Back pain
NGN: Patient arrives Condition: somatic symptom disorder
with palpitations, difficulty -due to physical inactivity & joint pain
breathing, and reports
feeling faint. Interventions: Monitor physical manifestations &
Reports constipation and assess for presence of 2nd gains from their illness
joint pain for x2 days. In -disorder is characterized by the presence of
childhood, patient other real manifestations like dizziness, nausea, back
experienced physical pain, and joint pain.
abuse, and
Monitor: Vital signs & pain.
emotionally detached
parents. Reports
nervousness and only
leaving home when
necessary.
PMH: freq. hospital visits
due to headaches and GI
distress.
Bowtie:
, 4
NGN: What actions Administer 0.9% NS IV
should the nurse take Administer epi IM
when her pedi patient is Monitor vital signs
exhibiting symptoms of frequently DC IV
an allergic reaction? medication
Administer 0.9% NS IV -Nurse should DC the Rocephin and give IV NS to
Administer epi IM help restore fluids because fluid shifts can occur
Monitor urine output quickly during a reaction. Administering epi IM is
q2hrs DC the first line of therapy for anaphylactic reactions
supplemental oxygen because it constricts blood vessels and dilates
Monitor vital signs bronchioles. Monitoring vital sings frequently will
frequently DC IV allow the nurse to monitor for signs of shock.
medication
Administer thiamine
NGN: What 5 actions Maintain a low-stimulation environment
should the nurse plan to Administer chlordiazepoxide
take with a patient Initiate seizure
experiencing precautions Perform a
hallucinations, following CIWA-Ar
alcohol withdrawal?
-Nurse should plan interventions that keep the
Administer thiamine patient safe and treat the physical manifestations of
Maintain a low- withdrawal. Use the CIWA-Ar to determine the
stimulation severity of the withdrawal. Withdrawal seizures can
environment occur 12-24hrs after cessation of alcohol use,
Administer therefore initiate seizure precautions to prevent
chlordiazepoxide Initiate injury. Administer chlordiazepoxide (a
seizure precautions benzodiazepine) and place patient in a low- stim
Perform a CIWA-Ar environment to decrease agitation and the risk for
Administer disulfiram seizures. Administering thiamine can prevent
Wernicke syndrome.
RN COMP PRACTICE 2023 A FINAL EXAM
WITH NGN
NEWLY FORMATTED DOCUMENT
Temperature: Crohn's, UC & peritonitis.
-Elevation can occur with all three due to
inflammation and infection.
Weight: Crohn's & UC.
-Unintended weight loss can occur due to
malabsorption in the GI tract.
NGN: What assessment
findings are consistent Bowel pattern: Crohn's.
-If the patient reported there was blood in the stool,
with Crohn's disease,
it would be UC. Crohn's doesn't cause tarry stools.
ulcerative colitis, or
peritonitis?
WBC: Crohn's, UC & peritonitis.
-Elevation can occur due to inflammation and infection.
Temperature (100F)
Weight (-9.7 lbs)
Heart rate: peritonitis.
Albumin level (2.4)
-Tachycardia can occur due to inflammation,
WBC (14)
Bowel pattern (freq. loose infection, and dehydration.
stools)
Albumin level: Crohn's & UC.
Abdominal pain location
-Because of the malabsorption in the GI tract, the
(RLQ) Heart rate (105)
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
,2
the shoulder and back.
,3
NGN: What assessment Back pain, headache & anxiety.
findings can indicate a
transfusion reaction in a Hemolytic reaction S/S: back pain, headache, anxiety,
patient receiving blood? fever, chills, chest pain, tachycardia, dyspnea,
hypotension.
Urine output (150mL of
clear, yellow)
Skin (pale, cool and
dry) Anxiety
Vital signs (within normal
range) Headache
Back pain
NGN: Patient arrives Condition: somatic symptom disorder
with palpitations, difficulty -due to physical inactivity & joint pain
breathing, and reports
feeling faint. Interventions: Monitor physical manifestations &
Reports constipation and assess for presence of 2nd gains from their illness
joint pain for x2 days. In -disorder is characterized by the presence of
childhood, patient other real manifestations like dizziness, nausea, back
experienced physical pain, and joint pain.
abuse, and
Monitor: Vital signs & pain.
emotionally detached
parents. Reports
nervousness and only
leaving home when
necessary.
PMH: freq. hospital visits
due to headaches and GI
distress.
Bowtie:
, 4
NGN: What actions Administer 0.9% NS IV
should the nurse take Administer epi IM
when her pedi patient is Monitor vital signs
exhibiting symptoms of frequently DC IV
an allergic reaction? medication
Administer 0.9% NS IV -Nurse should DC the Rocephin and give IV NS to
Administer epi IM help restore fluids because fluid shifts can occur
Monitor urine output quickly during a reaction. Administering epi IM is
q2hrs DC the first line of therapy for anaphylactic reactions
supplemental oxygen because it constricts blood vessels and dilates
Monitor vital signs bronchioles. Monitoring vital sings frequently will
frequently DC IV allow the nurse to monitor for signs of shock.
medication
Administer thiamine
NGN: What 5 actions Maintain a low-stimulation environment
should the nurse plan to Administer chlordiazepoxide
take with a patient Initiate seizure
experiencing precautions Perform a
hallucinations, following CIWA-Ar
alcohol withdrawal?
-Nurse should plan interventions that keep the
Administer thiamine patient safe and treat the physical manifestations of
Maintain a low- withdrawal. Use the CIWA-Ar to determine the
stimulation severity of the withdrawal. Withdrawal seizures can
environment occur 12-24hrs after cessation of alcohol use,
Administer therefore initiate seizure precautions to prevent
chlordiazepoxide Initiate injury. Administer chlordiazepoxide (a
seizure precautions benzodiazepine) and place patient in a low- stim
Perform a CIWA-Ar environment to decrease agitation and the risk for
Administer disulfiram seizures. Administering thiamine can prevent
Wernicke syndrome.
