ATI PN Comprehensive Predictor 2023 Exit Exam with NGN: 180
Questions & 100% Correct Answers | ATI PN Comprehensive Predictor
Exit Exam with NGN 180 Q & A: Latest Actual Exam Version Update
2026
,
,
, A nurse is caring for a client who is at 28 weeks of gestation. The client reports a sudden
gush of fluid from the vagina, denies pain or bleeding. Nitrazine paper test is blue,
ferning test is positive. What condition should the nurse identify?
• Placenta previa
• Preeclampsia
• Preterm labor without rupture
• Rupture of membranes
Correct answer: Rupture of membranes
Rationale: A sudden gush of fluid with positive nitrazine (turns blue with amniotic fluid)
and positive ferning (microscopic crystallization) confirms rupture of membranes.
Placenta previa presents with painless bleeding, not fluid. Preeclampsia involves
hypertension and proteinuria. Preterm labor may follow rupture but is not the primary
identification.
A nurse is caring for a client who is 1 hour postpartum. The uterus is boggy and
deviated to the right, lochia rubra with clots, perineal pad saturated in 15 minutes. What
is the priority condition?
• Retained placental fragments
• Bladder distention
• Vaginal laceration
• Uterine atony
Correct answer: Uterine atony
Rationale: A boggy uterus that deviates to the right suggests bladder distention
displacing the uterus, but the boggy texture indicates uterine atony as the cause of
hemorrhage. Bladder distention can contribute, but the immediate life-threatening
condition is uterine atony leading to postpartum hemorrhage. Retained fragments and
lacerations are less likely with a deviated boggy uterus.
A nurse is assessing a newborn who is 12 hours old. Jaundice present on face and chest.
Total serum bilirubin 12 mg/dL. Blood type A, Rh positive; mother blood type O, Rh
positive. What is the most likely condition?
Questions & 100% Correct Answers | ATI PN Comprehensive Predictor
Exit Exam with NGN 180 Q & A: Latest Actual Exam Version Update
2026
,
,
, A nurse is caring for a client who is at 28 weeks of gestation. The client reports a sudden
gush of fluid from the vagina, denies pain or bleeding. Nitrazine paper test is blue,
ferning test is positive. What condition should the nurse identify?
• Placenta previa
• Preeclampsia
• Preterm labor without rupture
• Rupture of membranes
Correct answer: Rupture of membranes
Rationale: A sudden gush of fluid with positive nitrazine (turns blue with amniotic fluid)
and positive ferning (microscopic crystallization) confirms rupture of membranes.
Placenta previa presents with painless bleeding, not fluid. Preeclampsia involves
hypertension and proteinuria. Preterm labor may follow rupture but is not the primary
identification.
A nurse is caring for a client who is 1 hour postpartum. The uterus is boggy and
deviated to the right, lochia rubra with clots, perineal pad saturated in 15 minutes. What
is the priority condition?
• Retained placental fragments
• Bladder distention
• Vaginal laceration
• Uterine atony
Correct answer: Uterine atony
Rationale: A boggy uterus that deviates to the right suggests bladder distention
displacing the uterus, but the boggy texture indicates uterine atony as the cause of
hemorrhage. Bladder distention can contribute, but the immediate life-threatening
condition is uterine atony leading to postpartum hemorrhage. Retained fragments and
lacerations are less likely with a deviated boggy uterus.
A nurse is assessing a newborn who is 12 hours old. Jaundice present on face and chest.
Total serum bilirubin 12 mg/dL. Blood type A, Rh positive; mother blood type O, Rh
positive. What is the most likely condition?
