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ATI RN COMPREHENSIVE EXIT EXAM
WITH NGN QS AND AS
• 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.
,2
Weight: Crohn's & UC.
-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.
• 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
,3
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.
• 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 pain.
Monitor: Vital signs & pain.
ATI RN COMPREHENSIVE EXIT EXAM
WITH NGN QS AND AS
• 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.
,2
Weight: Crohn's & UC.
-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.
• 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
,3
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.
• 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 pain.
Monitor: Vital signs & pain.
