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RN Comprehensive Online Practice 2023 A & B with Questions and Verified Rationalized Answers, 100% Guarantee Pass

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Comprehensive NCLEX-RN

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Comprehensive NCLEX-RN

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RN Comprehensive Online Practice 2023 A & B
with NGN Questions and Verified Rationalized Answers
100% Guarantee Pass

(Each with 150 Questions and Answers)

RN Comprehensive Online Practice 2023 A

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.
-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'tcause
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 enoughprotein.

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 andback.

,2. NGN: What assessment findings can indicate a transfusion reaction in apatient
receiving blood?

Urine output (150mL of clear, yellow)
Skin (pale, cool and dry)
Anxiety

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 gainsfrom
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 IVAdminister epi IM
Monitor vital signs frequently
DC IV medication

-Nurse should DC the Rocephin and give IV NS to help restore fluids because fluidshifts
can occur quickly during a reaction. Administering epi IM is the first line of therapy for

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