RN COMPREHENSIVE PRACTICE
EXAM QUESTIONS WITH
VERIFIED SOLUTIONS
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 - ANS✔✔---Back pain, headache & anxiety.
,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.
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 IV
Administer epi IM
,Monitor vital signs
frequently DC IV medication
-Nurse should DC the Rocephin and give IV NS to help restore fluids
because fluid shifts can occur quickly during a reaction. Administering
epi IM is the first line of therapy for anaphylactic reactions because it
constricts blood vessels and dilates bronchioles. Monitoring vital sings
frequently will allow the nurse to monitor for signs of shock.
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) - 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'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.
EXAM QUESTIONS WITH
VERIFIED SOLUTIONS
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 - ANS✔✔---Back pain, headache & anxiety.
,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.
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 IV
Administer epi IM
,Monitor vital signs
frequently DC IV medication
-Nurse should DC the Rocephin and give IV NS to help restore fluids
because fluid shifts can occur quickly during a reaction. Administering
epi IM is the first line of therapy for anaphylactic reactions because it
constricts blood vessels and dilates bronchioles. Monitoring vital sings
frequently will allow the nurse to monitor for signs of shock.
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) - 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'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.
