RN Comp Practice 2023 QUESTIONS WITH VERIFIED SOLUTIONS.
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Course
RN COMP
Institution
RN COMP
RN Comp Practice 2023 QUESTIONS WITH VERIFIED SOLUTIONS.RN Comp Practice 2023 QUESTIONS WITH VERIFIED SOLUTIONS.RN Comp Practice 2023 QUESTIONS WITH VERIFIED SOLUTIONS.RN Comp Practice 2023 QUESTIONS WITH VERIFIED SOLUTIONS.RN Comp Practice 2023 QUESTIONS WITH VERIFIED SOLUTIONS.RN Comp Practice 20...
NGN: What assessment findings are consistent with Crohn's disease, ulcerative colitis, or
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peritonitis?
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Temperature (100F) r
Weight (-9.7 lbs) r r
Albumin level (2.4) r r
WBC (14) r
Bowel pattern (freq. loose stools)
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Abdominal pain location (RLQ) r r r
Heart rate (105) - Correct Answer - Temperature: Crohn's, UC & peritonitis.
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-Elevation can occur with all three due to inflammation and infection.
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Weight: Crohn's & UC. r r r r
-Unintended weight loss can occur due to malabsorption in the GI tract.
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Bowel pattern: Crohn's.
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-If the patient reported there was blood in the stool, it would be UC. Crohn's doesn't cause
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tarry stools.
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WBC: Crohn's, UC & peritonitis.
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-Elevation can occur due to inflammation and infection.
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Heart rate: peritonitis.
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-Tachycardia can occur due to inflammation, infection, and dehydration.
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Albumin level: Crohn's & UC. r r r r r
-Because of the malabsorption in the GI tract, the body isn't receiving enough protein.
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Abdominal pain location: Crohn's. r r r r
,-Because it is in the RLQ, it is more consistent with Crohn's. With patients that have
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peritonitis, they experience generalized abd. pain that radiates to the shoulder and back.
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NGN: What assessment findings can indicate a transfusion reaction in a patient receiving
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blood?
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Urine output (150mL of clear, yellow)
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Skin (pale, cool and dry)
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Anxiety
Vital signs (within normal range)
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Headache
Back pain - Correct Answer - Back pain, headache & anxiety.
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Hemolytic reaction S/S: back pain, headache, anxiety, fever, chills, chest pain,
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tachycardia, dyspnea, hypotension.
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NGN: Patient arrives with palpitations, difficulty breathing, and reports feeling faint.
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Reports constipation and joint pain for x2 days. In childhood, patient experienced physical
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abuse, and emotionally detached parents. Reports nervousness and only leaving home
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when necessary.
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PMH: freq. hospital visits due to headaches and GI distress.
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Bowtie: - Correct Answer - Condition: somatic symptom disorder
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-due to physical inactivity & joint pain
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Interventions: Monitor physical manifestations & assess for presence of 2nd gains from r r r r r r r r r r r
their illness
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-disorder is characterized by the presence of other real manifestations like dizziness,
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nausea, back pain, and joint pain.
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Monitor: Vital signs & pain. r r r r
NGN: What actions should the nurse take when her pedi patient is exhibiting symptoms of
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an allergic reaction?
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Administer 0.9% NS IV r r r
Administer epi IM r r
Monitor urine output q2hrs r r r
DC supplemental oxygen
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Monitor vital signs frequently r r r
DC IV medication - Correct Answer - Administer 0.9% NS IV
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Administer epi IM r r
Monitor vital signs frequently r r r
DC IV medication
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-Nurse should DC the Rocephin and give IV NS to help restore fluids because fluid shifts
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can occur quickly during a reaction. Administering epi IM is the first line of therapy for
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anaphylactic reactions because it constricts blood vessels and dilates bronchioles.
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Monitoring vital sings frequently will allow the nurse to monitor for signs of shock.
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,NGN: What 5 actions should the nurse plan to take with a patient experiencing
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hallucinations, following alcohol withdrawal?
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Administer thiamine r
Maintain a low-stimulation environment r r r r
Administer chlordiazepoxide r
Initiate seizure precautions
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Perform a CIWA-Ar r r
Administer disulfiram - Correct Answer - Administer thiamine r r r rr r r r
Maintain a low-stimulation environment r r r r
Administer chlordiazepoxide r
Initiate seizure precautions
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Perform a CIWA-Ar r r
-Nurse should plan interventions that keep the patient safe and treat the physical
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manifestations of withdrawal. Use the CIWA-Ar to determine the severity of the
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withdrawal. Withdrawal seizures can occur 12-24hrs after cessation of alcohol use,
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therefore initiate seizure precautions to prevent injury. Administer chlordiazepoxide (a
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benzodiazepine) and place patient in a low-stim environment to decrease agitation and
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the risk for seizures. Administering thiamine can prevent Wernicke syndrome.
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NGN: A post-op patient is experiencing right lower extremity pain and itching, following an
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emergent appy. Reports right lower extremity pain that has been intermittent for x2
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months.
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Assessment: Bilat lower extremities warm to touch, pedal pulses 2+ bilat. Spider veins
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noted. Distended veins noted on right lower extremity. Vital signs are within normal limits.
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Bowtie: - Correct Answer - Condition: Varicose veins.
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-due to edema & pruritis
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Interventions: Elevate extremity & apply compression stockings r r r r r r
-to promote venous return & circulation
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Monitor: Pruritis & edema r r r
NGN: Which assessment findings require an immediate follow-up in a schizophrenic
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patient?
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Hyperactive bowel sounds x4 r r r
Last HCP appointment was 6 months ago
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Client AO x2 r r
Agitated
Speech disorganized r
Involuntary tongue movement and foot tremor r r r r r
Increase in urination and one episode of incontinence
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Family c/o increased agitation and delusions - Correct Answer - Involuntary tongue
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movement and foot tremor
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, Frequent urination and incontinence r r r
Increase in agitation r r
-Patient is experiencing tardive dyskinesia r r r r
A home health nurse is evaluation a school-age child who has cystic fibrosis. The nurse
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should initiate a request for a high-frequency chest compression vest in response to
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which of the following parent statements?
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A. "My child doesn't like to sit still for nebulizer treatments."
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B. "I think that my child has been running a fever over the last couple of days."
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C. "My child only has a small amount of mucus after percussion therapy."
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D. "I am concerned about my child's future participation in team sports." - Correct Answer
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- C. "My child has only a small amount of mucus after percussion therapy."
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-The nurse should recommend a high-frequency vest for a child who has inadequate
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results from other airway clearance therapy techniques. Older children often require other
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techniques in addition to percussion and postural drainage to achieve adequate mucus
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expectoration.
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-The nurse should teach the parent techniques for administration for nebulizer treatments
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to the child.
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-The nurse should follow-up on reports of fever, as this could indicate a pulmonary
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infection.
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-The nurse should discuss participation in sports activities in relation to the child's current
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physical and pulmonary health.
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NGN: A patient who is x2 post-op, following a surgical repair of a left hip fracture, is c/o of
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intermittent abdominal pain. Rates 5/10 on left side of abdomen. Pain began after eating
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dinner. Last bowel movement was 5 days prior. Reports usual pattern is x1 daily.
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Assessment: Abdomen distended, dull to percussion, firm and non-tender on palpation. r r r r r r r r r r
Hypoactive bowel sounds x4. Vital signs are within normal limits.
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Bowtie: - Correct Answer - Condition: Intestinal obstruction
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-bowel sounds hypoactive x4, last BM was 5 days prior, intermittent to constant pain.
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Interventions: Assist patient in semi-Fowler's & prepare to administer IV fluids. r r r r r r r r r r
-to relieve the pressure from the distention and reduce risk of developing fluid/electrolyte
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imbalance.
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Monitor: Bowel sounds & urine output. r r r r r
A nurse is caring for a patient who has a new prescription for clonidine. The nurse should
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inform the patient that which of the following findings is an adverse effect of this
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medication?
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