(NGN ATI)
(Detailed Exam Prep Solutions and
Resources for the test in 2024/2025)
1. AoonurseooisooteachingooaooclientooaboutooRho(D)ooimmunoglob
ulinoo(RhoGAM).ooWhichooofootheoofollowingoostatementsoobyoo
theooclientooindicatedooanoounderstandingooofootheooteaching?
a. IoowillooreceiveoothisoomedicationooifoomyoobabyooisooRh-negative
b. Ioowillooreceiveoothisoomedicationooatootimeooofoodelivery
c. Ioowillooneedooaoosecondoodoseooofoothisoomedicationoowhenoom
yoobabyooisoo6ooweeksooold
d. IoowillooneedoothisoomedicationooifooIoohaveooanooamniocen
tesis-
ooRecommendedoobecauseooofootheoopotentialooofoofetaloo
RBCsooenteringootheoomaternaloocirculation
2. Aoonurseooisoocaringooforooaooclientoowhoooisootoooreceiveoooxytocinoo(
Pitocin)ootoooaugmentooheroolabor.ooWhichooofootheoofollowingoocontr
aindicatesootheooinitiationooofootheoooxytocinooinfusionooandoorequire
soonotificationooofo o theooprovider?
a. Lateoodecelerations-
ooOxytocinooisoocontraindicatedoobasedooonoolateoodecelerati
onsoonotedooonoofetalooassessmentoofindingsoobecauseoothey
ooindicateoouteroplacentalooinsufficiency.
b. Baselineoovariability
c. Cessationooofoouterineoodilation
d. Prolongedooactiveoophaseooofoolabor
3. Aoonurseooonootheoonewbornoounitooisooplanningoodischargeooforoofo
urooclients.ooWhichooofootheoofollowingoowilloorequireoocareoobeyon
doothatooofooaoostandardoofollow-
upoovisitoowithootheooproviderooafteroodelivery?
, a. Aoonewbornoobeingoosentoohomeooafteroo22oohrooafteroobirth
-
ooScreeningootestsoomustoobeoorepeatedooifootheyoowereooperf
ormedoobeforeooheoonewbornoowasoo24oohr.ooold.
b. Aoonewbornooatoo38ooweeksooofoogestationalooage
c. Aoonewbornoowhoooisoobottleoofeeding
d. TwinoonewbornsoowithooApgarooscoresooofoo8ooandoo9
4. Aoonurseooisooassessingooaoonewbornoowhooohasooaooweakoocryooand
ooisoogrimacing.ooTheoonurseoonotesootheoonewbornoohasooaooheartoor
ateooofoo102/min,ooblueishooextremities,ooandooaooflaccidoomuscleoot
one.ooWhichooofootheoofollowingooreflectsootheooappropriateooAPG
ARooscore?
a.o o 4
b.o o 5
c.o o 6
d.o o 7
5. Aoonurseooisoocaringooforooaooclientoowhooohasooaoohistoryooofoorheu
maticoodisease,oobutoonooophysicaloosymptomsoopriorootooopregnan
cy.ooTheooclientoobeginsootoooexperienceoodyspnea,ooorthopnea,ooan
doopulmonaryooedema.ooWhichooofootheoofollowingoobiologicalooal
terationsooexplainsoothisoochange?
a. Increasedoomaternalooweight
b. Increasedoobloodoovolume-
ooIncreaseooinoobloodoovolumeooduringoopregnancyooincreaseo
otheooworkloadooofootheooheart,oowhichoocausesootheoosympto
ms
c. Changeooinoohematocritoolevels
d. Changeooinooheartoosize
6. Aoonurseooisooprovidingooteachingooaboutoononpharmacologicaloop
ainoomanagementooforooaoopostpartumooclientoowhoooisoobreastfeedo
oandoohasooengorgement.ooWhichooofootheoofollowingoomethodsoosh
ouldootheoonurseoorecommend?
a. Coldoocabbageooleaves-
ooApplicationooofoothisooisooanooeffectiveoononpharmacolog
icaloomethodootooorelieveoopainooassociatedoowithooengorg
ement
b. Modifiedoolanolinoocream
c. Aoobreastoobinder
d. Breastooshells
,7. Aoonurseooisooprovidingoodischargeooteachingootoooaooclientoowhoooi
soopostpartumooaboutooresumingoosexualooactivity.ooWhichooofoothe
oofollowingooinstructionsooshouldootheoonurseooincludeooinootheootea
ching?
a. Youooshouldoouseooaoowateroosolubleoogelooforoolubrication-
ooThisoowilloopreventoodiscomfort
b. Youoocanooresumeoosexualooactivityooinoo10oodays
c. Youroophysicalooreactionootooosexualoostimulationooilloon
otoobeooaltered
d. Youoowilloonotooovulateooforoo3oomonthsooafteroodelivery
8. Aoonurseooisooadmittingooaooclientoowhoooisooinoolabor.ooTheooclientoo
admitsootooorecentoococaineoouse.ooForoowhichooofootheoofollowingooc
omplicationsooshouldootheoonurseooassess?
a. Abruptioooplacenta-
ooCocainesooincreasesootheooriskooforoovasoconstricti
onooandoopossibleooabruptionooplacenta
b. Placentaooprevia
c. Preeclampsia
d. Maternaloobradycardia
9. Aoonurseooisooprovidingoodietaryooteachingoowithooaooclientoowhoooh
asoohyperemesisoogravidarum.ooWhichooofootheoofollowingoostatem
entsoobyootheooclientooindicatesooanoounderstandingooofootheooteachi
ng?
a. Iooshouldooeatootoootasteooinsteadooofootryingootooobalanceoomyoom
eals-
Eatootoootasteootoooavoidoonausea
b. Ioowillooavoidoohavingooaoosnackooatoobedtime
c. Ioowilloohaveoo8ooozooofoohotooteaoowithooeachoomeal
d. Iooshouldoopairoomyoosweetsoowithooaoostarchooinsteadooofoo
eatingoothemooalone
10. Aoonurseooisoopreparingootooocollectooaoobloodoospecimenoofro
mooaoonewbornooviaooaooheeloostick.ooWhichooofootheoofollowingoote
chniquesooshouldootheoonurseoouseootooohelpoominimizeootheoopainoo
ofootheooprocedureooforootheoonewborn?
a. Warmootheooheeloopriorootoootheoopuncture
b. RequestooaooprescriptionooforooIMooanalgesic
c. Useooaoomanualoolanceoobladeootooopierceootheooskin
d. Swaddleootheoonewbornooafterootheooheeloopuncture-
ooEffectiveootechniqueootooodiminishootheoopainooexperienceoof
orootheoonewborn.
, 11. Aoonurseooisooconductingooanooinitialooprenataloovisitooforooaoo
clientoowhoooisooatoo6ooweeksoogestation.ooWhichooofootheoofollowin
goolaboratoryootestsooshouldoobeooperformed?
a. 24oohouroourineooforooprotein
b. GroupooBoostreptococcusooculture
c. 3-hrooglucoseootolerance
d. Rubellaootiter-
ooObtainedooatootheooinitialooprenataloovisitootooodetermi
neooimmunityootooorubella
12. Aoonurseooisoocaringooforooaoonewbornoowhooowasootransferredoo
toootheoonurseryoo30oominooafteroodelivery.ooWhichooofootheoofollowi
ngooactionsooshouldootheoonurseootakeoofirst?
a. Confirmootheoonewborn’sooApgarooscore
b. Verifyootheoonewborn’sooidentification-
ooMandatoryootooocontinueooongoingooidentificationooofootheoo
newbornoowheneverootheoonewbornooisooremovedoofromootheoo
mother’soodirectoopresenceooandoocare.
c. AdministeroovitaminooKooIMootoootheoonewborn
d. Determineootheooobstetricalooriskoofactors
13. Aoonurseooisooassessingooaooyoungooadultooclientooinooaoowom
en’soohealthooclinicoowhoooasksooforooaoocontraceptive.ooTheooclient
ooreportsootoootheoonurseooaoofamilialoohistoryooofooosteoporosis.oo
Whichooofootheoofollowingoocontraceptiveoomethodsooisoocontrain
dicatedooforoothisooclient?
a. Combinedooestrogen-progestinoooraloocontraceptives
b. Anoointrauterineoodevice
c. Medroxyprogestroneooacetateoo(Depo-provera)-
oocausesooaoodecreaseooinooboneoomineraloodensityooandoopla
cesootheooclientooatooriskooforootheoodevelopmentooofooosteop
orosis
d. Norelgestromin/ethinylooestradioloo(OrthoooEvra)
14. Aoonurseooisooadmittingooaooclientootoootheoolaborooandoodeliver
yoounitoowhenootheooclientoostates,oo“myoowateroojustoobroke”,oowhi
chooofootheoofollowingooisootheoopriorityoointerventionooforootheoonur
seootoootake?
a. PerformooNitrazineootesting
b. Assessootheooamnioticoofluid
c. Checkoocervicaloodilation
d. Monitorootheoofetalooheartoorate-
ooRuptureooofootheoomembranesooplacesootheoofetusooatooris
kooforooumbilicaloocordooprolapse.