NGN 2025 ATI PN COMPREHENSIVE
PREDICTOR FORM A QUESTIONS &
ANSWERS WITH RATIONALE|NGN 2025 ATI
PN COMPREHENSIVE PREDICTOR FORM
A[BRAND NEW]
1. A nurse is reinforcing teaching with a client about how to replace their two-piece
ostomypouching system. The client tells the nurse that removing the skin barrier
is painful. Which of the following strategies should the nurse suggest?
ANS: Hold the skin taut while removing the barrier
RATIONALE: Gently and gradually peeling the skin barrier away while
holding the skintaut minimizes discomfort and trauma to the peristomal skin
2. A nurse in an inpatient mental health facility is caring for a newly admitted
client whohas alcohol use disorder. During a therapy session, the client asks
about Alcoholics Anonymous (AA). Which of the following resposes should
the nurse make?
ANS: "What is your current understanding about the purpose of AA?"
RATIONALE: The nurse should identify the client's understanding about
the purpose ofAA to provide further information about the program and
meetings and to facilitate a referral if needed. For treatment to be successful, the
nurse should involve the client in the care decision-making process. This ensures
the treatment program meets the client's individual needs and demonstrates
caring by the nurse
3. A nurse is performing a dressing change for a client who is 3 days postoperative.
Whichof the following findings should the nurse report to the provider?
ANS: Yellow-green drainage at the incision line
RATIONALE: Yellow-green, purulent, or odorous drainage indicates
the wound isinfected. The nurse should report this finding to the provider
,4. A nurse is providing comfort to the partner of a client who has died.
Which of thefollowing statements should the nurse make?
ANS: "Journaling about your relationship might help with the grieving
process."
RATIONALE: Journaling provides a me ANS for the client to identify
thoughts and feelings and to recognize and come to terms with the positive and
negative aspects theclient's relationship with their partner
5. A nurse is assisting with an educational session for newly licensed nurses about
partnerviolence. Which of the following characteristics should the nurse
include as placing a vulnerable person at risk for partner violence?
ANS: Recent confirmation of pregnancy
RATIONALE: The nurse should include pregnancy as a characteristic
placing a vulnerable person at risk for partner violence. The perpetrator might
view the pregnancyas a threat to the relationship due to the attention the child
receives
6. A nurse in a provider's office is reviewing the medical record of a client who
requests aprescription for an oral contraceptive. Which of the following findings
should the nurseidentify as a contraindication for oral contraceptive use?
ANS: Coronary artery disease
RATIONALE: Coronary artery disease is a contraindication to oral
contraceptive use because it increases the client's risk for myocardial infarction.
Other contraindications forreceiving oral contraceptives include gallbladder
disease, breast cancer, and hypertension
7. A nurse is assisting with the care of a school-age child immediately following
surgery.The child weights 21.8 kg (48 lb) and has a chest tube applied to suction.
Which of thefollowing findings should the nurse report to the provider?
ANS: 250 mL of sanguineous drainage over the last 3 hr
, RATIONALE: The nurse should recognize that if more than 3 mL/kg/her
of sanguineousdrainage occurs for more than 3 consecutive hours following
surgery, it can indicate active hemorrhaging. Therefore, 250 mL of sanguineous
drainage from the child's chest tube is excessive and the nurse should report this
finding to the provider immediately
8. A nurse is collecting data from a client who is at 30 weeks of gestation and
has gestational diabetes. Which of the following findings should the nurse
report to theprovider as an indication of hyperglycemia?
ANS: Polyuria
RATIONALE: The nurse should identify polyuria as an expected
finding ofhyperglycemia and report this finding to the provider
9. A nurse is discussing home safety with a group of clients who have type 1
diabetes mellitus. Which of the following client statements indicates an
understanding of theteaching?
, ANS: "I will dispose of my needles in a plastic laundry detergent
container."
RATIONALE: The nurse should instruct the client to dispose of
needles in a puncture-proof container, such as a plastic laundry detergent
container.
10. A nurse is caring for a client who has Alzheimer's disease. Which of the
followingactions should the nurse take?
PREDICTOR FORM A QUESTIONS &
ANSWERS WITH RATIONALE|NGN 2025 ATI
PN COMPREHENSIVE PREDICTOR FORM
A[BRAND NEW]
1. A nurse is reinforcing teaching with a client about how to replace their two-piece
ostomypouching system. The client tells the nurse that removing the skin barrier
is painful. Which of the following strategies should the nurse suggest?
ANS: Hold the skin taut while removing the barrier
RATIONALE: Gently and gradually peeling the skin barrier away while
holding the skintaut minimizes discomfort and trauma to the peristomal skin
2. A nurse in an inpatient mental health facility is caring for a newly admitted
client whohas alcohol use disorder. During a therapy session, the client asks
about Alcoholics Anonymous (AA). Which of the following resposes should
the nurse make?
ANS: "What is your current understanding about the purpose of AA?"
RATIONALE: The nurse should identify the client's understanding about
the purpose ofAA to provide further information about the program and
meetings and to facilitate a referral if needed. For treatment to be successful, the
nurse should involve the client in the care decision-making process. This ensures
the treatment program meets the client's individual needs and demonstrates
caring by the nurse
3. A nurse is performing a dressing change for a client who is 3 days postoperative.
Whichof the following findings should the nurse report to the provider?
ANS: Yellow-green drainage at the incision line
RATIONALE: Yellow-green, purulent, or odorous drainage indicates
the wound isinfected. The nurse should report this finding to the provider
,4. A nurse is providing comfort to the partner of a client who has died.
Which of thefollowing statements should the nurse make?
ANS: "Journaling about your relationship might help with the grieving
process."
RATIONALE: Journaling provides a me ANS for the client to identify
thoughts and feelings and to recognize and come to terms with the positive and
negative aspects theclient's relationship with their partner
5. A nurse is assisting with an educational session for newly licensed nurses about
partnerviolence. Which of the following characteristics should the nurse
include as placing a vulnerable person at risk for partner violence?
ANS: Recent confirmation of pregnancy
RATIONALE: The nurse should include pregnancy as a characteristic
placing a vulnerable person at risk for partner violence. The perpetrator might
view the pregnancyas a threat to the relationship due to the attention the child
receives
6. A nurse in a provider's office is reviewing the medical record of a client who
requests aprescription for an oral contraceptive. Which of the following findings
should the nurseidentify as a contraindication for oral contraceptive use?
ANS: Coronary artery disease
RATIONALE: Coronary artery disease is a contraindication to oral
contraceptive use because it increases the client's risk for myocardial infarction.
Other contraindications forreceiving oral contraceptives include gallbladder
disease, breast cancer, and hypertension
7. A nurse is assisting with the care of a school-age child immediately following
surgery.The child weights 21.8 kg (48 lb) and has a chest tube applied to suction.
Which of thefollowing findings should the nurse report to the provider?
ANS: 250 mL of sanguineous drainage over the last 3 hr
, RATIONALE: The nurse should recognize that if more than 3 mL/kg/her
of sanguineousdrainage occurs for more than 3 consecutive hours following
surgery, it can indicate active hemorrhaging. Therefore, 250 mL of sanguineous
drainage from the child's chest tube is excessive and the nurse should report this
finding to the provider immediately
8. A nurse is collecting data from a client who is at 30 weeks of gestation and
has gestational diabetes. Which of the following findings should the nurse
report to theprovider as an indication of hyperglycemia?
ANS: Polyuria
RATIONALE: The nurse should identify polyuria as an expected
finding ofhyperglycemia and report this finding to the provider
9. A nurse is discussing home safety with a group of clients who have type 1
diabetes mellitus. Which of the following client statements indicates an
understanding of theteaching?
, ANS: "I will dispose of my needles in a plastic laundry detergent
container."
RATIONALE: The nurse should instruct the client to dispose of
needles in a puncture-proof container, such as a plastic laundry detergent
container.
10. A nurse is caring for a client who has Alzheimer's disease. Which of the
followingactions should the nurse take?
