ATI RN COMPREHENSIVE EXIT EXAM
180 NGN QUESTIONS AND VERIFIED ANSWERS GRADED
A+
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.
-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.
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,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.
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
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.
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, 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 pain.
Monitor: Vital signs & pain.
4. NGN:What actions should the nurse take when her pedi
patient is exhibiting symptoms of an allergic reaction?
Administer
0.9% NS IV
Administer
epi IM
Monitor urine
output q2hrs DC
supplemental
3|Page
180 NGN QUESTIONS AND VERIFIED ANSWERS GRADED
A+
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.
-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.
1|Page
,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.
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
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.
2|Page
, 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 pain.
Monitor: Vital signs & pain.
4. NGN:What actions should the nurse take when her pedi
patient is exhibiting symptoms of an allergic reaction?
Administer
0.9% NS IV
Administer
epi IM
Monitor urine
output q2hrs DC
supplemental
3|Page
