ATI RN Comprehensive Exit Exam 180 NGN 2025/2026 with Solution

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ATI RN COMPREHENSIVE EXIT
EXAM 180 NGN



NGN: What assessment findings are consistent with Crohn's disease,
ulcerative 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)



Answer:
Temperature: Crohn's, UC & peritonitis.

-Elevation can occur with all three due to inflammation and infection.


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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.



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-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

Vital signs (within normal range)

Headache

Back pain



Answer:
Back pain, headache & anxiety.



Hemolytic reaction S/S: back pain, headache, anxiety, fever, chills, chest
pain, tachycardia, dyspnea, hypotension.




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NGN: Patient arrives with palpitations, difficulty breathing, and reports
feeling faint. Reports constipation and joint pain for x2 days. In childhood,
patient experienced physical abuse, and emotionally detached parents.
Reports nervousness and only leaving home when necessary.

PMH: freq. hospital visits due to headaches and GI distress.



Bowtie:



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.




pg. 4
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