ATI COMPREHENSIVE EXIT EXAM
with NGN Questions and Correct Answers (
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 (105CORRECT ANSWERTemperature: 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.
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: CORRECT ANSWER Back pain, headache & anxiety.
Hemolytic reaction S/S: back pain, headache, anxiety, fever, chills, chest pain,
tachycardia, dyspnea, hypotension.
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:: CORRECT ANSWER 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.
with NGN Questions and Correct Answers (
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 (105CORRECT ANSWERTemperature: 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.
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: CORRECT ANSWER Back pain, headache & anxiety.
Hemolytic reaction S/S: back pain, headache, anxiety, fever, chills, chest pain,
tachycardia, dyspnea, hypotension.
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:: CORRECT ANSWER 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.
