NGN 2024/2025 RN VATI Comprehensive Predictor Exam With
Questions And Correct Answers (Verified Answers), 100%
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1. NGN: What assessment findings are consistent with Crohn's disease, ulcer-
m m m m m m m m m
ative colitis, or peritonitis?
m m m m
Temperature (100F) m
Weight (-9.7 lbs)
m m m
Albumin level (2.4) m m
WBC (14)
m
Bowel pattern (freq. loose stools)
m m m m
Abdominal pain location (RLQ)
m m m m
Heart rate (105)
m m
…Answer… Temperature: Crohn's, UC & peritonitis.
m m m m m
-Elevation can occur with all three due to inflammation and infection.
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Weight: Crohn's & UC.
m m m
-Unintended weight loss can occur due to malabsorption in the GI tract.
m m m m m m m m m m m
1 m/ m
109
,Bowel pattern: Crohn's.
m m
-If the patient reported there was blood in the stool, it would be UC. Crohn's doesn't
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cause tarry stools.
m m m
WBC: Crohn's, UC & peritonitis.
m m m m
-Elevation can occur due to inflammation and infection.
m m m m m m m
Heart rate: peritonitis.
m m
-Tachycardia can occur due to inflammation, infection, and dehydration.
m m m m m m m m
Albumin level: Crohn's & UC.
m m m m
-Because of the malabsorption in the GI tract, the body isn't receiving enough
m m m m m m m m m m m m
protein.
m
Abdominal pain location: Crohn's.m m m
-Because it is in the RLQ, it is more consistent with Crohn's. With patients that have
m m m m m m m m m m m m m m m
peritonitis, they experience generalized abd. pain that radiates to the shoulder and
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back.
m
2. NGN: What assessment findings can indicate a transfusion reaction in a
m m m m m m m m m m
m patient receiving blood?
m m
Urine output (150mL of clear, yellow)
m m m m m
m Skin (pale, cool and dry)
m m m m
Anxiety
2 m/ m
109
,Vital signs (within normal range)
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m Headache
Back pain m
…Answer… Back pain, headache & anxiety.mm m m m m
Hemolytic reaction S/S: back pain, headache, anxiety, fever, chills, chest pain,
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mtachycardia, dyspnea, hypotension. m m
3. NGN: Patient arrives with palpitations, difficulty breathing, and reports feel-
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m ing faint. Reports constipation and joint pain for x2 days. In childhood, patient
m m m m m m m m m m m m
m experienced physical abuse, and emotionally detached parents. Reports ner-
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m vousness and only leaving home when necessary.
m m m m m m
PMH: freq. hospital visits due to headaches and GI distress.
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Bowtie
…Answer… Condition: somatic symptom disorder
mm m m m
-due to physical inactivity & joint pain
m m m m m m
Interventions: Monitor physical manifestations & assess for presence of 2nd gains
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mfrom their illness
m m
-disorder is characterized by the presence of other real manifestations like dizziness,
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mnausea, back pain, and joint pain.
m m m m m
Monitor: Vital signs & pain.
m m m m
3 m/ m
109
, 4. NGN: What actions should the nurse take when her pedi patient is exhibiting
m m m m m m m m m m m m
m symptoms of an allergic reaction? m m m m
Administer 0.9% NS IV m m m
m Administer epi IM m m
Monitor urine output q2hrs m m m
m DC supplemental oxygen
m m
m Monitor vital signs frequently m m m
DC IV medication
m m
…Answer… Administer 0.9% NS IV mm m m m
m Administer epi IM m m
Monitor vital signs frequently m m m
m DC IV medication
m m
-Nurse should DC the Rocephin and give IV NS to help restore fluids because fluid
m m m m m m m m m m m m m m
m shifts can occur quickly during a reaction. Administering epi IM is the first line of
m m m m m m m m m m m m m m
m therapy for anaphylactic reactions because it constricts blood vessels and dilates
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m bronchioles. Monitoring vital sings frequently will allow the nurse to monitor for signs
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m of shock.
m
4 m/ m
109
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