ATI RN Comprehensive 2023 with NGN Exam Questions and Answers Graded A+

NGN: Condition Most Likely Experiencing Action to Take Parameters to Monitor Answer: Condition Most Likely * Anorexia nervosa Actions to Take:*Provide a structured meal environment - Helps the client feel secure and reduces anxiety around eating.D. Encourage the client to limit fasting - Regular meals help stabilize nutrition and reduce the effects of prolonged fasting. Parameters to Monitor:A. Weight on a daily basis - Monitoring weight is crucial for tracking progress and re-feeding.C. Cardiac function with ECG - Important due to risks of arrhythmias from malnutrition and electrolyte imbalances. -Correct Answer A nurse is caring for a recently admitted 18-year-old client. Nurses' Notes: 1000: Client admitted to behavioral health unit for prolonged weight loss and refusal to eat. Client collapsed at school. The client's parents were called. They contacted the primary care provider, who arranged for a direct admission. Weight 37.2 kg (82 lb). Height 157.5 cm (62 inches). BMI 15. 1200: Client observed during noon meal. Client pushed food around the plate. Intake 10% of meal. Offered nutritional supplement. Client declined. Reports feeling anxious due to admission and mealtime. Client states, "I cannot eat this with you watching me.". 1500:. Snack provided. Client observed throwing snack into the trash can. When realized they had been observed, they admitted to their action and asked for a second snack. Client ate 10% of their snack. Laboratory Results : 1130: Sodium 145 mEq/L (136 to 145 mEq/L) Potassium 2.8 mEq/L (3.5 to 5.0 mEq/L) Chloride 110 mEq/L (98 to 106 mEq/L) BUN 20 mg/dL (10 to 20 mg/dL) Magnesium 1.2 mEq/L (1.3 to 2.1 mEq/L) Total calcium 9.5 mg/dL (9.0 to 10.5 mg/dL) Phosphate 3.2 mg/dL (3.0 to 4.5 mg/dL) Glucose 74 mg/dL (74 to 106 mg/dL) Total protein 4.8 g/dL (6.4 to 8.3 g/dL) Albumin 2.7 g/dL (3.5 to 5.0 g/dL) Admission Assessment: Skin dry and flakey, lanugo. Lips dry and chapped. Hair thin and dull, buccal mucosa dry. Diminished bowel sounds. Abdomen swollen and bloated. Lungs clear to auscultation. Respirations regular and unlabored. Heart rate regular 50/min. Client reports no menstrual cycle for past 3 months. Client reports feeling depressed. Reports starting diet 6 months ago because they "felt fat" compared to the "popular kids at school.". Vital Signs: 1000:. T 36.1° C (97° F). P 50/min. R 16/min. BP 90/62 mm Hg. O2: 98% room air. 1400: T 36.2° C (97.2° F). P 48/min. R 16/min. BP 88/60 mm Hg. NGN A nurse is caring for a 36 hr old infant. Newborn is alert & active when awake. Respirations easy and unlabored. Buccal membranes jaundiced. Newborn nursing every 2 to 4 hr. Passed meconium stool. Small amount of urine noted in diaper. Bilirubin 10 mg/dL 36 hr of age: Newborn sleeping on birthing parent's chest. Birthing parent reports difficulty keeping newborn awake during feedings. Bilirubin 15.5 mg/dL Etc... The nurse is preparing the infant for phototherapy. For each nursing action, click to specify if the action is indicated or contraindicated for the newborn. -Correct Answer Supplement feeding with sterile water - Contraindicated Dress in only a diaper - Indicated Cover newborn's eyes with a shield - Indicated Apply lotion to skin every 4 hr. - Contraindicated Breastfeed every 2 to 3 hr - Indicated Complete the following sentence by using the lists of options. The client is at risk for developing Select an option : psychosis mania serotonin syndrome due to Select an option : anxiety feelings of hopelessness adverse effects of paroxetine Submit Answer The client is at risk for developing serotonin syndrome due to the adverse effects of paroxetine. Explanation: *Serotonin syndrome is a potentially life-threatening condition caused by excessive serotonin, often due to medication changes or interactions (like with SSRIs such as paroxetine). *The symptoms of restlessness, abdominal pain, disorientation, fever, and sleep disturbances align with serotonin syndrome. -Correct Answer Client presents to the clinic with reports of restlessness, abdominal pain, disorientation, and fever for the past 12 hr. States, "I don't know what is wrong with me." Client denies recent illness. Denies fatigue and chills. Reports falling yesterday but didn't hit their head. Reports taking ibuprofen for muscle soreness. Client reports continued sleep disturbances, feelings of hopelessness, and a disinterest in activities. Complete the following sentence by using the lists of options. The client is at risk for developing Select an option (psychosis/mania/serotonin syndrome ) due to Select an option (anxiety/feelings of hopelessness/adverse effects of paroxetine) Submit Answer Select words from the choices below : To further evaluate the client, the nurse anticipates the client will need Select an option (A nasopharyngeal swab/A Mantoux test/A pulmonary function test/Blood cultures) and Select an option ( A pulmonary