ATI COMPREHENSIVE EXIT EXAM
with NGN Questions and Correct Answers ()
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This Tests Consists Of 148 Questions And 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 (105): Ans> Temperature: Crohn's, UC & peritonitis.
-Elevation can occur with all three due to inflammation and infection.
Weight: Crohn's & UC.
,@studova
-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
,@studova
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.
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 oxygen Monitor vital
signs frequently
DC IV medication: Ans> Administer 0.9% NS IV
, @studova
Administer epi IM
Monitor vital signs frequently DC IV
medication
-Nurse should DC the Rocephin and give IV NS to help restore fluids because fluid shifts can occur quickly
during a reaction. Administering epi IM is the first line of therapy for anaphylactic reactions because it constricts
blood vessels and dilates bronchioles. Monitoring vital sings frequently will allow the nurse to monitor for signs of
shock.