ATI PN COMPREHENSIVE 2024 EXAM WITH NGN
Question 1 of 150
A nurse is caring for a 72-year-old client admitted for community-acquired pneumonia.
Nurses' Notes:
0800:
Client reports shortness of breath, fatigue, and chest tightness.
Respirations are labored at 26 breaths per minute.
O2 saturation is 90% on room air.
Client has a productive cough with green sputum.
Crackles heard on auscultation of the lower lobes bilaterally.
Blood pressure: 138/84 mmHg.
Client reports, "I feel dizzy when I stand."
System Findings
General Client reports fatigue and dizziness when standing.
Respirations are 26/min, crackles heard in lower lobes, productive cough with
Respiratory
green sputum.
Cardiovascular BP 138/84 mmHg.
Affect Client reports feeling dizzy when standing.
Which finding requires immediate follow-up?
1. Crackles heard in lower lobes bilaterally
2. Blood pressure 138/84 mmHg
3. O2 saturation of 90% on room air
4. Client reports feeling dizzy when standing
Correct Answer: 3. O2 saturation of 90% on room air
Question 2 of 150
A nurse is assessing a 55-year-old client with a history of type 2 diabetes who reports feeling
"off" today.
Nurses' Notes:
,0900:
Client reports nausea, vomiting, and confusion.
Capillary blood glucose reads 340 mg/dL.
Client is drowsy but responds to voice.
Skin is cool to touch, and diaphoretic.
Blood pressure: 110/68 mmHg.
Client has poor skin turgor and dry mucous membranes.
Pulse is 108 bpm.
System Findings
General Client reports nausea, vomiting, and confusion.
Integumentary Skin is cool and diaphoretic, poor skin turgor, dry mucous membranes.
Cardiovascular BP 110/68 mmHg, pulse 108 bpm.
Metabolic Capillary blood glucose is 340 mg/dL.
Affect Client is drowsy but responds to voice.
Which finding requires immediate follow-up?
1. Capillary blood glucose of 340 mg/dL
2. Client reports nausea and vomiting
3. Skin is cool and diaphoretic
4. Client is drowsy but responds to voice
Correct Answer: 1. Capillary blood glucose of 340 mg/dL
Question 3 of 150
A nurse is caring for a 65-year-old client with heart failure who is on diuretic therapy.
Nurses' Notes:
1000:
Client reports sudden weight gain of 4 lbs over the past 48 hours.
Mild edema observed in bilateral lower extremities.
Client has dyspnea on exertion and a dry cough.
Blood pressure is 150/95 mmHg.
Heart rate: 92 bpm.
O2 saturation: 94% on room air.
The client reports, “I feel more tired than usual today.”
, System Findings
General Client reports feeling more tired than usual.
Cardiovascular BP 150/95 mmHg, HR 92 bpm.
Respiratory Dyspnea on exertion, dry cough.
Musculoskeletal Edema in bilateral lower extremities.
Affect The client reports sudden weight gain.
Which finding requires immediate follow-up?
1. Mild edema in bilateral lower extremities
2. Dyspnea on exertion
3. Sudden weight gain of 4 lbs in 48 hours
4. Blood pressure of 150/95 mmHg
Correct Answer: 3. Sudden weight gain of 4 lbs in 48 hours
Question 4 of 150
A nurse is assessing a client with acute appendicitis.
Nurses' Notes:
1100:
Client reports sharp pain in the right lower quadrant.
The abdomen is rigid and distended.
Temperature: 101.5°F (38.6°C).
Blood pressure: 130/76 mmHg.
Client reports nausea and vomiting.
Heart rate: 102 bpm.
Rebound tenderness noted in the right lower quadrant.
System Findings
General Client reports nausea and vomiting.
Gastrointestinal Rebound tenderness in the right lower quadrant, rigid and distended abdomen.
Cardiovascular BP 130/76 mmHg, HR 102 bpm.
Integumentary Temperature 101.5°F.
Affect Client reports sharp pain in the right lower quadrant.
, Which finding requires immediate follow-up?
1. Rebound tenderness in the right lower quadrant
2. Rigid and distended abdomen
3. Heart rate of 102 bpm
4. Temperature of 101.5°F
Correct Answer: 2. Rigid and distended abdomen
Question 5 of 150
A nurse is caring for a 50-year-old client post-op from a knee replacement surgery.
Nurses' Notes:
1230:
Client reports pain in the surgical leg rated at 8/10.
Surgical dressing is intact, with minimal serous drainage noted.
Left leg is pale and cool to the touch.
Client has difficulty moving the left foot.
Pedal pulse is faintly palpable.
Blood pressure: 118/72 mmHg.
Client reports tingling in the left foot.
System Findings
General Client reports pain 8/10 and tingling in the left foot.
Left leg pale and cool to touch, difficulty moving left foot, faintly palpable
Musculoskeletal
pedal pulse.
Integumentary Surgical dressing intact with minimal serous drainage.
Cardiovascular BP 118/72 mmHg.
Affect Client reports tingling in the left foot.
Which finding requires immediate follow-up?
1. Left leg pale and cool to touch
2. Faintly palpable pedal pulse
3. Client reports pain rated 8/10
4. Surgical dressing intact with minimal serous drainage
Correct Answer: 1. Left leg pale and cool to touch
Question 1 of 150
A nurse is caring for a 72-year-old client admitted for community-acquired pneumonia.
Nurses' Notes:
0800:
Client reports shortness of breath, fatigue, and chest tightness.
Respirations are labored at 26 breaths per minute.
O2 saturation is 90% on room air.
Client has a productive cough with green sputum.
Crackles heard on auscultation of the lower lobes bilaterally.
Blood pressure: 138/84 mmHg.
Client reports, "I feel dizzy when I stand."
System Findings
General Client reports fatigue and dizziness when standing.
Respirations are 26/min, crackles heard in lower lobes, productive cough with
Respiratory
green sputum.
Cardiovascular BP 138/84 mmHg.
Affect Client reports feeling dizzy when standing.
Which finding requires immediate follow-up?
1. Crackles heard in lower lobes bilaterally
2. Blood pressure 138/84 mmHg
3. O2 saturation of 90% on room air
4. Client reports feeling dizzy when standing
Correct Answer: 3. O2 saturation of 90% on room air
Question 2 of 150
A nurse is assessing a 55-year-old client with a history of type 2 diabetes who reports feeling
"off" today.
Nurses' Notes:
,0900:
Client reports nausea, vomiting, and confusion.
Capillary blood glucose reads 340 mg/dL.
Client is drowsy but responds to voice.
Skin is cool to touch, and diaphoretic.
Blood pressure: 110/68 mmHg.
Client has poor skin turgor and dry mucous membranes.
Pulse is 108 bpm.
System Findings
General Client reports nausea, vomiting, and confusion.
Integumentary Skin is cool and diaphoretic, poor skin turgor, dry mucous membranes.
Cardiovascular BP 110/68 mmHg, pulse 108 bpm.
Metabolic Capillary blood glucose is 340 mg/dL.
Affect Client is drowsy but responds to voice.
Which finding requires immediate follow-up?
1. Capillary blood glucose of 340 mg/dL
2. Client reports nausea and vomiting
3. Skin is cool and diaphoretic
4. Client is drowsy but responds to voice
Correct Answer: 1. Capillary blood glucose of 340 mg/dL
Question 3 of 150
A nurse is caring for a 65-year-old client with heart failure who is on diuretic therapy.
Nurses' Notes:
1000:
Client reports sudden weight gain of 4 lbs over the past 48 hours.
Mild edema observed in bilateral lower extremities.
Client has dyspnea on exertion and a dry cough.
Blood pressure is 150/95 mmHg.
Heart rate: 92 bpm.
O2 saturation: 94% on room air.
The client reports, “I feel more tired than usual today.”
, System Findings
General Client reports feeling more tired than usual.
Cardiovascular BP 150/95 mmHg, HR 92 bpm.
Respiratory Dyspnea on exertion, dry cough.
Musculoskeletal Edema in bilateral lower extremities.
Affect The client reports sudden weight gain.
Which finding requires immediate follow-up?
1. Mild edema in bilateral lower extremities
2. Dyspnea on exertion
3. Sudden weight gain of 4 lbs in 48 hours
4. Blood pressure of 150/95 mmHg
Correct Answer: 3. Sudden weight gain of 4 lbs in 48 hours
Question 4 of 150
A nurse is assessing a client with acute appendicitis.
Nurses' Notes:
1100:
Client reports sharp pain in the right lower quadrant.
The abdomen is rigid and distended.
Temperature: 101.5°F (38.6°C).
Blood pressure: 130/76 mmHg.
Client reports nausea and vomiting.
Heart rate: 102 bpm.
Rebound tenderness noted in the right lower quadrant.
System Findings
General Client reports nausea and vomiting.
Gastrointestinal Rebound tenderness in the right lower quadrant, rigid and distended abdomen.
Cardiovascular BP 130/76 mmHg, HR 102 bpm.
Integumentary Temperature 101.5°F.
Affect Client reports sharp pain in the right lower quadrant.
, Which finding requires immediate follow-up?
1. Rebound tenderness in the right lower quadrant
2. Rigid and distended abdomen
3. Heart rate of 102 bpm
4. Temperature of 101.5°F
Correct Answer: 2. Rigid and distended abdomen
Question 5 of 150
A nurse is caring for a 50-year-old client post-op from a knee replacement surgery.
Nurses' Notes:
1230:
Client reports pain in the surgical leg rated at 8/10.
Surgical dressing is intact, with minimal serous drainage noted.
Left leg is pale and cool to the touch.
Client has difficulty moving the left foot.
Pedal pulse is faintly palpable.
Blood pressure: 118/72 mmHg.
Client reports tingling in the left foot.
System Findings
General Client reports pain 8/10 and tingling in the left foot.
Left leg pale and cool to touch, difficulty moving left foot, faintly palpable
Musculoskeletal
pedal pulse.
Integumentary Surgical dressing intact with minimal serous drainage.
Cardiovascular BP 118/72 mmHg.
Affect Client reports tingling in the left foot.
Which finding requires immediate follow-up?
1. Left leg pale and cool to touch
2. Faintly palpable pedal pulse
3. Client reports pain rated 8/10
4. Surgical dressing intact with minimal serous drainage
Correct Answer: 1. Left leg pale and cool to touch
