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RN Comp Practice 2023 A Questions And Answers
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NGN: ‘aWhat ‘aassessment ‘afindings ‘aare ‘aconsistent ‘awith ‘aCrohn's ‘adisease, ‘aulcerative ‘acolitis, ‘aor ‘aperitonitis? Temperature ‘a(100F) Weight ‘a(-9.7 ‘albs) Albumin ‘alevel ‘a(2.4) WBC ‘a(14) Bowel ‘apattern ‘a(freq. �...

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  • August 23, 2024
  • 52
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • rn comp practice 2023 a questions and answers

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RN Comp Practice 2023 A Questions And
Answers

NGN: ‘aWhat ‘aassessment ‘afindings ‘aare ‘aconsistent ‘awith ‘aCrohn's ‘adisease,
‘aulcerative ‘acolitis, ‘aor ‘aperitonitis?



Temperature ‘a(100F)
Weight ‘a(-9.7 ‘albs)
Albumin ‘alevel ‘a(2.4)
WBC ‘a(14)
Bowel ‘apattern ‘a(freq. ‘aloose ‘astools)
Abdominal ‘apain ‘alocation ‘a(RLQ)
Heart ‘arate ‘a(105) ‘a- ‘aCorrect ‘a ‘aAnswer ‘a- ‘aTemperature: ‘aCrohn's, ‘aUC ‘a& ‘aperitonitis.
‘a

-Elevation ‘acan ‘aoccur ‘awith ‘aall ‘athree ‘adue ‘ato ‘ainflammation ‘aand ‘ainfection. ‘a

Weight: ‘aCrohn's ‘a& ‘aUC. ‘a
-Unintended ‘aweight ‘aloss ‘acan ‘aoccur ‘adue ‘ato ‘amalabsorption ‘ain ‘athe ‘aGI ‘atract. ‘a

Bowel ‘apattern: ‘aCrohn's.
-If ‘athe ‘apatient ‘areported ‘athere ‘awas ‘ablood ‘ain ‘athe ‘astool, ‘ait ‘awould ‘abe ‘aUC.
‘aCrohn's ‘adoesn't ‘acause ‘atarry ‘astools. ‘a



WBC: ‘aCrohn's, ‘aUC ‘a& ‘aperitonitis.
-Elevation ‘acan ‘aoccur ‘adue ‘ato ‘ainflammation ‘aand ‘ainfection. ‘a

Heart ‘arate: ‘aperitonitis. ‘a
-Tachycardia ‘acan ‘aoccur ‘adue ‘ato ‘ainflammation, ‘ainfection, ‘aand ‘adehydration. ‘a

Albumin ‘alevel: ‘aCrohn's ‘a& ‘aUC. ‘a
-Because ‘aof ‘athe ‘amalabsorption ‘ain ‘athe ‘aGI ‘atract, ‘athe ‘abody ‘aisn't ‘areceiving
‘aenough ‘aprotein. ‘a



Abdominal ‘apain ‘alocation: ‘aCrohn's. ‘a
-Because ‘ait ‘ais ‘ain ‘athe ‘aRLQ, ‘ait ‘ais ‘amore ‘aconsistent ‘awith ‘aCrohn's. ‘aWith ‘apatients
‘athat ‘ahave ‘aperitonitis, ‘athey ‘aexperience ‘ageneralized ‘aabd. ‘apain ‘athat ‘aradiates ‘ato

‘athe ‘ashoulder ‘aand ‘aback.



NGN: ‘aWhat ‘aassessment ‘afindings ‘acan ‘aindicate ‘aa ‘atransfusion ‘areaction ‘ain ‘aa
‘apatient ‘areceiving ‘ablood?

,Urine ‘aoutput ‘a(150mL ‘aof ‘aclear, ‘ayellow)
Skin ‘a(pale, ‘acool ‘aand ‘adry)
Anxiety
Vital ‘asigns ‘a(within ‘anormal ‘arange)
Headache
Back ‘apain ‘a- ‘aCorrect ‘a ‘aAnswer ‘a- ‘aBack ‘apain, ‘aheadache ‘a& ‘aanxiety. ‘a

Hemolytic ‘areaction ‘aS/S: ‘aback ‘apain, ‘aheadache, ‘aanxiety, ‘afever, ‘achills, ‘achest ‘apain,
‘atachycardia, ‘adyspnea, ‘ahypotension.



NGN: ‘aPatient ‘aarrives ‘awith ‘apalpitations, ‘adifficulty ‘abreathing, ‘aand ‘areports ‘afeeling
‘afaint. ‘aReports ‘aconstipation ‘aand ‘ajoint ‘apain ‘afor ‘ax2 ‘adays. ‘aIn ‘achildhood, ‘apatient

‘aexperienced ‘aphysical ‘aabuse, ‘aand ‘aemotionally ‘adetached ‘aparents. ‘aReports

‘anervousness ‘aand ‘aonly ‘aleaving ‘ahome ‘awhen ‘anecessary. ‘a

PMH: ‘afreq. ‘ahospital ‘avisits ‘adue ‘ato ‘aheadaches ‘aand ‘aGI ‘adistress. ‘a

Bowtie: ‘a- ‘aCorrect ‘a ‘aAnswer ‘a- ‘aCondition: ‘asomatic ‘asymptom ‘adisorder ‘a
-due ‘ato ‘aphysical ‘ainactivity ‘a& ‘ajoint ‘apain

Interventions: ‘aMonitor ‘aphysical ‘amanifestations ‘a& ‘aassess ‘afor ‘apresence ‘aof ‘a2nd
‘agains ‘afrom ‘atheir ‘aillness

-disorder ‘ais ‘acharacterized ‘aby ‘athe ‘apresence ‘aof ‘aother ‘areal ‘amanifestations ‘alike
‘adizziness, ‘anausea, ‘aback ‘apain, ‘aand ‘ajoint ‘apain. ‘a



Monitor: ‘aVital ‘asigns ‘a& ‘apain.

NGN: ‘aWhat ‘aactions ‘ashould ‘athe ‘anurse ‘atake ‘awhen ‘aher ‘apedi ‘apatient ‘ais ‘aexhibiting
‘asymptoms ‘aof ‘aan ‘aallergic ‘areaction?



Administer ‘a0.9% ‘aNS ‘aIV
Administer ‘aepi ‘aIM
Monitor ‘aurine ‘aoutput ‘aq2hrs
DC ‘asupplemental ‘aoxygen
Monitor ‘avital ‘asigns ‘afrequently
DC ‘aIV ‘amedication ‘a- ‘aCorrect ‘a ‘aAnswer ‘a- ‘aAdminister ‘a0.9% ‘aNS ‘aIV
Administer ‘aepi ‘aIM
Monitor ‘avital ‘asigns ‘afrequently
DC ‘aIV ‘amedication

-Nurse ‘ashould ‘aDC ‘athe ‘aRocephin ‘aand ‘agive ‘aIV ‘aNS ‘ato ‘ahelp ‘arestore ‘afluids
‘abecause ‘afluid ‘ashifts ‘acan ‘aoccur ‘aquickly ‘aduring ‘aa ‘areaction. ‘aAdministering ‘aepi

‘aIM ‘ais ‘athe ‘afirst ‘aline ‘aof ‘atherapy ‘afor ‘aanaphylactic ‘areactions ‘abecause ‘ait ‘aconstricts

‘ablood ‘avessels ‘aand ‘adilates ‘abronchioles. ‘aMonitoring ‘avital ‘asings ‘afrequently ‘awill

‘aallow ‘athe ‘anurse ‘ato ‘amonitor ‘afor ‘asigns ‘aof ‘ashock.

,NGN: ‘aWhat ‘a5 ‘aactions ‘ashould ‘athe ‘anurse ‘aplan ‘ato ‘atake ‘awith ‘aa ‘apatient
‘aexperiencing ‘ahallucinations, ‘afollowing ‘aalcohol ‘awithdrawal?



Administer ‘athiamine
Maintain ‘aa ‘alow-stimulation ‘aenvironment ‘a
Administer ‘achlordiazepoxide
Initiate ‘aseizure ‘aprecautions
Perform ‘aa ‘aCIWA-Ar
Administer ‘adisulfiram ‘a- ‘aCorrect ‘a ‘aAnswer ‘a- ‘aAdminister ‘athiamine
Maintain ‘aa ‘alow-stimulation ‘aenvironment ‘a
Administer ‘achlordiazepoxide
Initiate ‘aseizure ‘aprecautions
Perform ‘aa ‘aCIWA-Ar

-Nurse ‘ashould ‘aplan ‘ainterventions ‘athat ‘akeep ‘athe ‘apatient ‘asafe ‘aand ‘atreat ‘athe
‘aphysical ‘amanifestations ‘aof ‘awithdrawal. ‘aUse ‘athe ‘aCIWA-Ar ‘ato ‘adetermine ‘athe

‘aseverity ‘aof ‘athe ‘awithdrawal. ‘aWithdrawal ‘aseizures ‘acan ‘aoccur ‘a12-24hrs ‘aafter

‘acessation ‘aof ‘aalcohol ‘ause, ‘atherefore ‘ainitiate ‘aseizure ‘aprecautions ‘ato ‘aprevent

‘ainjury. ‘aAdminister ‘achlordiazepoxide ‘a(a ‘abenzodiazepine) ‘aand ‘aplace ‘apatient ‘ain ‘aa

‘alow-stim ‘aenvironment ‘ato ‘adecrease ‘aagitation ‘aand ‘athe ‘arisk ‘afor ‘aseizures.

‘aAdministering ‘athiamine ‘acan ‘aprevent ‘aWernicke ‘asyndrome.



NGN: ‘aA ‘apost-op ‘apatient ‘ais ‘aexperiencing ‘aright ‘alower ‘aextremity ‘apain ‘aand ‘aitching,
‘afollowing ‘aan ‘aemergent ‘aappy. ‘aReports ‘aright ‘alower ‘aextremity ‘apain ‘athat ‘ahas

‘abeen ‘aintermittent ‘afor ‘ax2 ‘amonths. ‘a



Assessment: ‘aBilat ‘alower ‘aextremities ‘awarm ‘ato ‘atouch, ‘apedal ‘apulses ‘a2+ ‘abilat.
‘aSpider ‘aveins ‘anoted. ‘aDistended ‘aveins ‘anoted ‘aon ‘aright ‘alower ‘aextremity. ‘aVital

‘asigns ‘aare ‘awithin ‘anormal ‘alimits. ‘a



Bowtie: ‘a- ‘aCorrect ‘a ‘aAnswer ‘a- ‘aCondition: ‘aVaricose ‘aveins.
-due ‘ato ‘aedema ‘a& ‘apruritis ‘a

Interventions: ‘aElevate ‘aextremity ‘a& ‘aapply ‘acompression ‘astockings
-to ‘apromote ‘avenous ‘areturn ‘a& ‘acirculation

Monitor: ‘aPruritis ‘a& ‘aedema

NGN: ‘aWhich ‘aassessment ‘afindings ‘arequire ‘aan ‘aimmediate ‘afollow-up ‘ain ‘aa
‘aschizophrenic ‘apatient?



Hyperactive ‘abowel ‘asounds ‘ax4
Last ‘aHCP ‘aappointment ‘awas ‘a6 ‘amonths ‘aago
Client ‘aAO ‘ax2
Agitated
Speech ‘adisorganized

, Involuntary ‘atongue ‘amovement ‘aand ‘afoot ‘atremor
Increase ‘ain ‘aurination ‘aand ‘aone ‘aepisode ‘aof ‘aincontinence
Family ‘ac/o ‘aincreased ‘aagitation ‘aand ‘adelusions ‘a- ‘aCorrect ‘a ‘aAnswer ‘a- ‘aInvoluntary
‘atongue ‘amovement ‘aand ‘afoot ‘atremor

Frequent ‘aurination ‘aand ‘aincontinence
Increase ‘ain ‘aagitation

-Patient ‘ais ‘aexperiencing ‘atardive ‘adyskinesia

A ‘ahome ‘ahealth ‘anurse ‘ais ‘aevaluation ‘aa ‘aschool-age ‘achild ‘awho ‘ahas ‘acystic
‘afibrosis. ‘aThe ‘anurse ‘ashould ‘ainitiate ‘aa ‘arequest ‘afor ‘aa ‘ahigh-frequency ‘achest

‘acompression ‘avest ‘ain ‘aresponse ‘ato ‘awhich ‘aof ‘athe ‘afollowing ‘aparent ‘astatements?



A. ‘a"My ‘achild ‘adoesn't ‘alike ‘ato ‘asit ‘astill ‘afor ‘anebulizer ‘atreatments."
B. ‘a"I ‘athink ‘athat ‘amy ‘achild ‘ahas ‘abeen ‘arunning ‘aa ‘afever ‘aover ‘athe ‘alast ‘acouple ‘aof
‘adays."

C. ‘a"My ‘achild ‘aonly ‘ahas ‘aa ‘asmall ‘aamount ‘aof ‘amucus ‘aafter ‘apercussion ‘atherapy."
D. ‘a"I ‘aam ‘aconcerned ‘aabout ‘amy ‘achild's ‘afuture ‘aparticipation ‘ain ‘ateam ‘asports." ‘a-
‘aCorrect ‘a ‘aAnswer ‘a- ‘aC. ‘a"My ‘achild ‘ahas ‘aonly ‘aa ‘asmall ‘aamount ‘aof ‘amucus ‘aafter

‘apercussion ‘atherapy."



-The ‘anurse ‘ashould ‘arecommend ‘aa ‘ahigh-frequency ‘avest ‘afor ‘aa ‘achild ‘awho ‘ahas
‘ainadequate ‘aresults ‘afrom ‘aother ‘aairway ‘aclearance ‘atherapy ‘atechniques. ‘aOlder

‘achildren ‘aoften ‘arequire ‘aother ‘atechniques ‘ain ‘aaddition ‘ato ‘apercussion ‘aand ‘apostural

‘adrainage ‘ato ‘aachieve ‘aadequate ‘amucus ‘aexpectoration.



-The ‘anurse ‘ashould ‘ateach ‘athe ‘aparent ‘atechniques ‘afor ‘aadministration ‘afor ‘anebulizer
‘atreatments ‘ato ‘athe ‘achild. ‘a



-The ‘anurse ‘ashould ‘afollow-up ‘aon ‘areports ‘aof ‘afever, ‘aas ‘athis ‘acould ‘aindicate ‘aa
‘apulmonary ‘ainfection.



-The ‘anurse ‘ashould ‘adiscuss ‘aparticipation ‘ain ‘asports ‘aactivities ‘ain ‘arelation ‘ato ‘athe
‘achild's ‘acurrent ‘aphysical ‘aand ‘apulmonary ‘ahealth.



NGN: ‘aA ‘apatient ‘awho ‘ais ‘ax2 ‘apost-op, ‘afollowing ‘aa ‘asurgical ‘arepair ‘aof ‘aa ‘aleft ‘ahip
‘afracture, ‘ais ‘ac/o ‘aof ‘aintermittent ‘aabdominal ‘apain. ‘aRates ‘a5/10 ‘aon ‘aleft ‘aside ‘aof

‘aabdomen. ‘aPain ‘abegan ‘aafter ‘aeating ‘adinner. ‘aLast ‘abowel ‘amovement ‘awas ‘a5 ‘adays

‘aprior. ‘aReports ‘ausual ‘apattern ‘ais ‘ax1 ‘adaily. ‘a



Assessment: ‘aAbdomen ‘adistended, ‘adull ‘ato ‘apercussion, ‘afirm ‘aand ‘anon-tender ‘aon
‘apalpation. ‘aHypoactive ‘abowel ‘asounds ‘ax4. ‘aVital ‘asigns ‘aare ‘awithin ‘anormal ‘alimits. ‘a



Bowtie: ‘a- ‘aCorrect ‘a ‘aAnswer ‘a- ‘aCondition: ‘aIntestinal ‘aobstruction
-bowel ‘asounds ‘ahypoactive ‘ax4, ‘alast ‘aBM ‘awas ‘a5 ‘adays ‘aprior, ‘aintermittent ‘ato
‘aconstant ‘apain. ‘a

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