,PREMIUM STUDY GUIDE
COMPREHENSIVE ATI RN CONCEPT-BASED LEVEL 3 THE NGN RETAKE QUESTIONS AND ANSWERS
GRADED A+ D
• Patient Confidentiality.
Answer: Protecting client information from unauthorized disclosure.
• A nurse is care for an infant who has a high bilirubin level and is receiving phototherapy. Which of the following is the
priority finding in the newborn? A. Conjunctivitis B. Bronze skin discoloration C. Sunken fontanels D.
Maculopapular skin rash.
Answer: C. Sunken fontanels
• Postoperative assessment.
Answer: Report chest pain after arterial thrombectomy.
• A nurse is assessing a client who has a seizure disorder. The client reports he thinks he is about to have a seizure. Which
of the following actions should the nurse implement? (Select all that apply.) A. Provide privacy. B. Ease the client to the
floor if standing. C. Move furniture away from the client. D. Loosen the client's clothing. E. Protect the client's head with
padding. F. Restrain the client..
Answer: A. CORRECT: The nurse should implement privacy to minimize the client's embarrassment. B.
CORRECT: The nurse should ease the client to the floor to prevent falling. C. CORRECT: The nurse should
move the furniture away from the client to prevent injury. D. CORRECT: The nurse should loosen the client's
clothing to minimize restriction of movement. E. CORRECT: The nurse should protect the client's head from
injury by placing the client's head in her lap or using a pillow or blanket under the head during a seizure. F.
INCORRECT: The nurse should not restrain the client, which may cause an injury or more seizure activity.
• A nurse is providing teaching about colon cancer to a group of women 45 to
65 years of age. Which of the following statements should the nurse include in the teaching? A. "Colonoscopies
for individuals with no family history of cancer should begin at age 40." B. "A sigmoidoscopy is recommended
every 5 years beginning at age 60." C."Fecal occult blood tests should be done annually beginning at age 50."
D."An endoscopy provides a definitive diagnosis of colon cancer.".
2
, Answer: A. A colonoscopy is recommended every 10 years beginning at age 50 for a client who has no family
history of cancer. B. A sigmoidoscopy is recommended every 5 years beginning at age 50. C. CORRECT: Fecal
occult blood tests should be done annually by clients ages 50 to 75. D. A biopsy performed during an
endoscopic procedure confirms this diagnosis.
• Primary prevention strategy.
Answer: Teaching parenting skills to expectant mothers.
• Malpractice.
Answer: Negligence by a healthcare professional leading to patient harm.
• A nurse is teaching a group of parents about infants who have failure to thrive. Which of the following characteristics
should be included in the teaching? A. They have been neglected. B. They come from an impoverished environment. C.
They manifest colicky behaviors. D. They exhibit developmental delays..
Answer: D. Infants who have failure to thrive exhibit developmental delays as a result of decreased nutritional
intake needed for brain development.
• A nurse is providing teaching for a client who is to undergo a cervical biopsy. Which of the following information should
the nurse include in the instructions? Select all that apply A. " The procedure is painless" B. " Avoid heavy lifting for
approximately 2 weeks after the procedure" C. " Heavy bleeding is common during the first 12 hours after the
procedure" D. " Plan to rest for the first 72 hours after the procedure" E. "Avoid the use of tampons for 2 weeks after
the procedure".
Answer: B. " Avoid heavy lifting for approximately 2 weeks after the procedure" D. " Plan to rest for the first 72
hours after the procedure"
• A nurse is caring for a client who has AD. A family member of the client asks the nurse about risk factors for the disease.
Which of the following should be included in the nurse's response? SATA A. Exposure to metal waste products B. Long
term estrogen hormone therapy C. Sustained use of vitamin E D. Previous head injury E. History of herpes infection.
Answer: A. Exposure to metal waste products- Exposure to metal and toxic waste is a risk factor for
Alzheimer's disease. D. Previous head injury- A previous head injury is a risk factor for Alzheimer's disease. E.
History of herpes infection- A history of herpes infection is a risk factor for Alzheimer's disease.
, PREMIUM STUDY GUIDE
• Inactivated Influenza Vaccine.
Answer: Safe vaccine option during pregnancy.
• Amyotrophic Lateral Sclerosis (ALS).
Answer: Progressive neurodegenerative disease affecting motor neurons.
• Medication administration.
Answer: Do not allow nurse with alcohol to medicate.
• Discharge recommendation.
Answer: Assess client stability before recommending discharge.
• Chronic Pain Discussion.
Answer: Client frequently mentions ongoing pain experiences.
• A nurse in the emergency department is assessing a client who is unresponsive. The client's partner states, "He was
pulling weeds in the yard and slumped to the ground." Which of the following techniques should the nurse use to open
the client's airway? A. Heat-tilt, chin-lift B. Modified jaw thrust C. Hyperextension of the head D. Flexion of the head..
Answer: A. Heat-tilt, chin-lift
• Mania.
Answer: State of abnormally elevated mood and energy.
• A nurse is planning care for an infant who is scheduled to have a lumbar puncture. Which of the following actions
should the nurse include in the plan of care? A. Cleanse the thoracic area of the infant's back with an antiseptic
solution. B. Apply a eutectic mixture of local anesthetic cream just before the procedure begins. C. Restrain the infant
during the procedure to prevent movement. D. Position the infant with his head extended and chin raised..
Answer: C. Restrain the infant during the procedure to prevent movement.
• A nurse is caring for a client who will undergo a neurolytic ablation. The client asks the nurse the reason for this
procedure. Which of the following responses should the nurse make? A."It attempts to provide permanent pain relief."
4
COMPREHENSIVE ATI RN CONCEPT-BASED LEVEL 3 THE NGN RETAKE QUESTIONS AND ANSWERS
GRADED A+ D
• Patient Confidentiality.
Answer: Protecting client information from unauthorized disclosure.
• A nurse is care for an infant who has a high bilirubin level and is receiving phototherapy. Which of the following is the
priority finding in the newborn? A. Conjunctivitis B. Bronze skin discoloration C. Sunken fontanels D.
Maculopapular skin rash.
Answer: C. Sunken fontanels
• Postoperative assessment.
Answer: Report chest pain after arterial thrombectomy.
• A nurse is assessing a client who has a seizure disorder. The client reports he thinks he is about to have a seizure. Which
of the following actions should the nurse implement? (Select all that apply.) A. Provide privacy. B. Ease the client to the
floor if standing. C. Move furniture away from the client. D. Loosen the client's clothing. E. Protect the client's head with
padding. F. Restrain the client..
Answer: A. CORRECT: The nurse should implement privacy to minimize the client's embarrassment. B.
CORRECT: The nurse should ease the client to the floor to prevent falling. C. CORRECT: The nurse should
move the furniture away from the client to prevent injury. D. CORRECT: The nurse should loosen the client's
clothing to minimize restriction of movement. E. CORRECT: The nurse should protect the client's head from
injury by placing the client's head in her lap or using a pillow or blanket under the head during a seizure. F.
INCORRECT: The nurse should not restrain the client, which may cause an injury or more seizure activity.
• A nurse is providing teaching about colon cancer to a group of women 45 to
65 years of age. Which of the following statements should the nurse include in the teaching? A. "Colonoscopies
for individuals with no family history of cancer should begin at age 40." B. "A sigmoidoscopy is recommended
every 5 years beginning at age 60." C."Fecal occult blood tests should be done annually beginning at age 50."
D."An endoscopy provides a definitive diagnosis of colon cancer.".
2
, Answer: A. A colonoscopy is recommended every 10 years beginning at age 50 for a client who has no family
history of cancer. B. A sigmoidoscopy is recommended every 5 years beginning at age 50. C. CORRECT: Fecal
occult blood tests should be done annually by clients ages 50 to 75. D. A biopsy performed during an
endoscopic procedure confirms this diagnosis.
• Primary prevention strategy.
Answer: Teaching parenting skills to expectant mothers.
• Malpractice.
Answer: Negligence by a healthcare professional leading to patient harm.
• A nurse is teaching a group of parents about infants who have failure to thrive. Which of the following characteristics
should be included in the teaching? A. They have been neglected. B. They come from an impoverished environment. C.
They manifest colicky behaviors. D. They exhibit developmental delays..
Answer: D. Infants who have failure to thrive exhibit developmental delays as a result of decreased nutritional
intake needed for brain development.
• A nurse is providing teaching for a client who is to undergo a cervical biopsy. Which of the following information should
the nurse include in the instructions? Select all that apply A. " The procedure is painless" B. " Avoid heavy lifting for
approximately 2 weeks after the procedure" C. " Heavy bleeding is common during the first 12 hours after the
procedure" D. " Plan to rest for the first 72 hours after the procedure" E. "Avoid the use of tampons for 2 weeks after
the procedure".
Answer: B. " Avoid heavy lifting for approximately 2 weeks after the procedure" D. " Plan to rest for the first 72
hours after the procedure"
• A nurse is caring for a client who has AD. A family member of the client asks the nurse about risk factors for the disease.
Which of the following should be included in the nurse's response? SATA A. Exposure to metal waste products B. Long
term estrogen hormone therapy C. Sustained use of vitamin E D. Previous head injury E. History of herpes infection.
Answer: A. Exposure to metal waste products- Exposure to metal and toxic waste is a risk factor for
Alzheimer's disease. D. Previous head injury- A previous head injury is a risk factor for Alzheimer's disease. E.
History of herpes infection- A history of herpes infection is a risk factor for Alzheimer's disease.
, PREMIUM STUDY GUIDE
• Inactivated Influenza Vaccine.
Answer: Safe vaccine option during pregnancy.
• Amyotrophic Lateral Sclerosis (ALS).
Answer: Progressive neurodegenerative disease affecting motor neurons.
• Medication administration.
Answer: Do not allow nurse with alcohol to medicate.
• Discharge recommendation.
Answer: Assess client stability before recommending discharge.
• Chronic Pain Discussion.
Answer: Client frequently mentions ongoing pain experiences.
• A nurse in the emergency department is assessing a client who is unresponsive. The client's partner states, "He was
pulling weeds in the yard and slumped to the ground." Which of the following techniques should the nurse use to open
the client's airway? A. Heat-tilt, chin-lift B. Modified jaw thrust C. Hyperextension of the head D. Flexion of the head..
Answer: A. Heat-tilt, chin-lift
• Mania.
Answer: State of abnormally elevated mood and energy.
• A nurse is planning care for an infant who is scheduled to have a lumbar puncture. Which of the following actions
should the nurse include in the plan of care? A. Cleanse the thoracic area of the infant's back with an antiseptic
solution. B. Apply a eutectic mixture of local anesthetic cream just before the procedure begins. C. Restrain the infant
during the procedure to prevent movement. D. Position the infant with his head extended and chin raised..
Answer: C. Restrain the infant during the procedure to prevent movement.
• A nurse is caring for a client who will undergo a neurolytic ablation. The client asks the nurse the reason for this
procedure. Which of the following responses should the nurse make? A."It attempts to provide permanent pain relief."
4
