ATI COMPREHENSIVE EXIT - NGN STYLE
EXAM
180 Original Case-Based Clinical Judgment Questions with Answers & Rationales
Comprehensive Application & Clinical Reasoning Review
180 180 MIN Q&A
QUESTIONS SUGGESTED TIME WITH RATIONALES
Original questions emphasize application, prioritization, interpretation, and safe decision-making
rather than simple recall.
Unofficial independent practice resource - 1
,TI COMPREHENSIVE EXIT - NGN PRACTICE TIMER
TYLE | 03:00:00
RACTICE REVIEW
Question 1 of 180
1. CASE 1: A pregnant or postpartum patient is being evaluated for postpartum
hemorrhage from uterine atony. Initial findings include heavy bleeding with a boggy
enlarged uterus after birth. Which nursing action should be prioritized first?
A. assess hydration, bleeding, and disease severity while giving anti-inflammatory therapy
B. control pain and assess for obstruction or infection
C. perform uterine massage and administer uterotonic therapy while supporting circulation
D. maintain NPO status and obtain surgical evaluation
REVIEW RESULT - CORRECT ANSWER
C. perform uterine massage and administer uterotonic therapy while supporting circulation
Rationale: The priority in postpartum hemorrhage from uterine atony is to perform uterine
massage and administer uterotonic therapy while supporting circulation.
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Unofficial independent practice resource - 2
,TI COMPREHENSIVE EXIT - NGN PRACTICE TIMER
TYLE | 02:59:00
RACTICE REVIEW
Question 2 of 180
2. CASE 1: A pregnant or postpartum patient is being evaluated for postpartum
hemorrhage from uterine atony. Initial findings include heavy bleeding with a boggy
enlarged uterus after birth. Which complication would require the most urgent
recognition?
A. hypovolemic shock
B. magnesium toxicity
C. falls, aspiration, or worsening medical illness
D. coronary artery aneurysm
REVIEW RESULT - CORRECT ANSWER
A. hypovolemic shock
Rationale: An important complication associated with postpartum hemorrhage from uterine atony
is hypovolemic shock.
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Unofficial independent practice resource - 3
,TI COMPREHENSIVE EXIT - NGN PRACTICE TIMER
TYLE | 02:58:00
RACTICE REVIEW
Question 3 of 180
3. CASE 1: A pregnant or postpartum patient is being evaluated for postpartum
hemorrhage from uterine atony. Initial findings include heavy bleeding with a boggy
enlarged uterus after birth. Which monitoring plan is most appropriate?
A. weight, hydration, chloride, potassium, and acid-base status
B. fundal tone, quantified blood loss, vital signs, and urine output
C. fever response and cardiac findings
D. temperature, ANC, cultures, and hemodynamics
REVIEW RESULT - CORRECT ANSWER
B. fundal tone, quantified blood loss, vital signs, and urine output
Rationale: Monitoring should focus on fundal tone, quantified blood loss, vital signs, and urine
output.
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Unofficial independent practice resource - 4
EXAM
180 Original Case-Based Clinical Judgment Questions with Answers & Rationales
Comprehensive Application & Clinical Reasoning Review
180 180 MIN Q&A
QUESTIONS SUGGESTED TIME WITH RATIONALES
Original questions emphasize application, prioritization, interpretation, and safe decision-making
rather than simple recall.
Unofficial independent practice resource - 1
,TI COMPREHENSIVE EXIT - NGN PRACTICE TIMER
TYLE | 03:00:00
RACTICE REVIEW
Question 1 of 180
1. CASE 1: A pregnant or postpartum patient is being evaluated for postpartum
hemorrhage from uterine atony. Initial findings include heavy bleeding with a boggy
enlarged uterus after birth. Which nursing action should be prioritized first?
A. assess hydration, bleeding, and disease severity while giving anti-inflammatory therapy
B. control pain and assess for obstruction or infection
C. perform uterine massage and administer uterotonic therapy while supporting circulation
D. maintain NPO status and obtain surgical evaluation
REVIEW RESULT - CORRECT ANSWER
C. perform uterine massage and administer uterotonic therapy while supporting circulation
Rationale: The priority in postpartum hemorrhage from uterine atony is to perform uterine
massage and administer uterotonic therapy while supporting circulation.
< Previous - Review Mode - Next >
Unofficial independent practice resource - 2
,TI COMPREHENSIVE EXIT - NGN PRACTICE TIMER
TYLE | 02:59:00
RACTICE REVIEW
Question 2 of 180
2. CASE 1: A pregnant or postpartum patient is being evaluated for postpartum
hemorrhage from uterine atony. Initial findings include heavy bleeding with a boggy
enlarged uterus after birth. Which complication would require the most urgent
recognition?
A. hypovolemic shock
B. magnesium toxicity
C. falls, aspiration, or worsening medical illness
D. coronary artery aneurysm
REVIEW RESULT - CORRECT ANSWER
A. hypovolemic shock
Rationale: An important complication associated with postpartum hemorrhage from uterine atony
is hypovolemic shock.
< Previous - Review Mode - Next >
Unofficial independent practice resource - 3
,TI COMPREHENSIVE EXIT - NGN PRACTICE TIMER
TYLE | 02:58:00
RACTICE REVIEW
Question 3 of 180
3. CASE 1: A pregnant or postpartum patient is being evaluated for postpartum
hemorrhage from uterine atony. Initial findings include heavy bleeding with a boggy
enlarged uterus after birth. Which monitoring plan is most appropriate?
A. weight, hydration, chloride, potassium, and acid-base status
B. fundal tone, quantified blood loss, vital signs, and urine output
C. fever response and cardiac findings
D. temperature, ANC, cultures, and hemodynamics
REVIEW RESULT - CORRECT ANSWER
B. fundal tone, quantified blood loss, vital signs, and urine output
Rationale: Monitoring should focus on fundal tone, quantified blood loss, vital signs, and urine
output.
< Previous - Review Mode - Next >
Unofficial independent practice resource - 4
