NGN ATI PN COMPREHENSIVE ONLINE
PRACTICE A & B 2023 (2 VERSIONS) EACH
EXAM CONTAINS COMPLETE 60 QUESTIONS
WITH CORRECT DETAILED ANSWERS/ PN
COMPREHENSIVE ONLINE PRACTICE 2023 A &
B WITH NGN LATEST 2024-2025(NEW!)
ATI PN COMPREHENSIVE ONLINE PRACTICE A
A nurse is assisting with the care of a client who is postoperative.
Exhibit 1
Assessment
0600:
Client is alert and oriented x4. Respirations unlabored. Client has productive cough
with light yellow sputum. Crackles auscultated in bilateral lower lobes. Reinforced
use of incentive spirometer and coughing and deep breathing exercises.
0900:
Client is alert and oriented x4. Bilateral crackles throughout lung fields. Client
reports shortness of breath and chest pain. Blood-tinged sputum noted when -
ANSWER-Click to highlight the findings that require immediate follow-up. To
deselect a finding, click on the finding again.
When recognizing cues, the nurse should identify that restlessness, dyspnea, chest
pain, blood-tinged sputum, hypotension, tachypnea, and D-dimer results are
findings that require immediate follow-up. These findings are manifestations of a
pulmonary embolus, which is a potentially life-threatening postoperative
complication. The nurse should initiate a rapid response and continue to monitor
for other changes in respiratory status.
pg. 1
,A nurse is collecting data from a client who is scheduled for surgery.
Exhibit 1
Vital Signs
0630:
Temperature 36.9° C (98.5° F)Heart rate 74/minRespiratory rate 20/minBlood
pressure 122/76 mmHgOxygen saturation 96% on room air
0730:
Temperature 36.9° C (98.5° F)Heart rate 76/minRespiratory rate 20/minBlood
pressure 128/78 mmHgOxygen saturation 95% on room air
Exhibit 2
Nurses' Notes
0630:
Client reports restlessness and inability to sleep more than 3 to 4 hr per night for
the last week. Cli - ANSWER-Click to highlight the data collection findings that
the nurse should report to the provider prior to the procedure. To deselect a
finding, click on the finding again.
Hemoglobin level
Allergy
Family history
When collecting data from the client and analyzing cues, the nurse should
determine the client's hemoglobin level, latex allergy, and family history of
malignant hyperthermia should be reported to the provider. When the client's
hemoglobin level is below the expected range, the client might require blood
products during the intraoperative phase. The client's allergy to avocados and
bananas can indicate an allergy to latex products and should be reported to the
provider. The surgical team will need to remove all latex products from the
operating room. During the intraoperative phase, the nurses must be diligent in
monitoring the client's vital signs and laboratory values, especially in a client who
has a family history of malignant hyperthermia.
pg. 2
,A nurse is assisting in the care of a client who is 1 hr postpartum.
Exhibit 1
Nurses' Notes
1200:
Large amount of lochia rubra noted on perineal pad. Fundus boggy at two
fingerbreadths above the umbilicus.Oxytocin 20 units being administered via
continuous IV infusion
1215:
Large amount of lochia rubra with several large clots noted. Client reports feeling
anxious. Skin cool and clammy. Provider notified.
Exhibit 2
Vital Signs
1200:
Temperature 37.5° C (99.5° F)Heart rate 92/minRespiratory - ANSWER-Select the
6 actions the nurse should take.
Weigh the perineal pads.
Insert an indwelling urinary catheter.
Administer methylergonovine.
Provide emotional support.
Administer oxygen at 12 L/min via nonrebreather face mask.
Firmly massage the uterine fundus.
When taking action for the client, the nurse should firmly massage the uterine
fundus, administer methylergonovine, weigh the perineal pads, provide emotional
support, insert an indwelling urinary catheter, and administer oxygen at 12 L/min
via nonrebreather face mask. The nurse should identify that the client is
experiencing a postpartum hemorrhage, which requires immediate intervention to
prevent hemorrhagic shock.
pg. 3
, A nurse is caring for a client who is recovering from a stroke and is experiencing
difficulty using eating utensils. The nurse should identify the need for a referral to
which of the following interprofessional team members? - ANSWER-Occupational
therapist
The nurse should identify the need for a referral to an occupational therapist to
teach the client how to use special eating utensils.
A nurse is reviewing the electronic health records of four clients. Which of the
following client conditions should the nurse recognize as reportable to a regulatory
agency? - ANSWER-A client who is newly diagnosed with tuberculosis
The nurse should identify that certain communicable diseases, such as tuberculosis,
require notification of the local and state health departments.
A nurse is caring for a client who is being discharged home following a
cerebrovascular accident. Which of the following documents should the nurse plan
to include with the discharge report? - ANSWER-List of potential complications to
report
Discharge instructions are defined as any form of documentation provided to the
client, upon discharge to home, which facilitates safe and appropriate continuity of
care. The nurse should plan to include a list of potential complications that should
be reported to the provider in the client's discharge instructions.
A nurse is reinforcing teaching with the parent of a preschooler who has lactose
intolerance. Which of the following statements by the parent indicates an
understanding of the teaching? - ANSWER-"I should offer my child yogurt that
has a probiotic as a snack."
pg. 4
PRACTICE A & B 2023 (2 VERSIONS) EACH
EXAM CONTAINS COMPLETE 60 QUESTIONS
WITH CORRECT DETAILED ANSWERS/ PN
COMPREHENSIVE ONLINE PRACTICE 2023 A &
B WITH NGN LATEST 2024-2025(NEW!)
ATI PN COMPREHENSIVE ONLINE PRACTICE A
A nurse is assisting with the care of a client who is postoperative.
Exhibit 1
Assessment
0600:
Client is alert and oriented x4. Respirations unlabored. Client has productive cough
with light yellow sputum. Crackles auscultated in bilateral lower lobes. Reinforced
use of incentive spirometer and coughing and deep breathing exercises.
0900:
Client is alert and oriented x4. Bilateral crackles throughout lung fields. Client
reports shortness of breath and chest pain. Blood-tinged sputum noted when -
ANSWER-Click to highlight the findings that require immediate follow-up. To
deselect a finding, click on the finding again.
When recognizing cues, the nurse should identify that restlessness, dyspnea, chest
pain, blood-tinged sputum, hypotension, tachypnea, and D-dimer results are
findings that require immediate follow-up. These findings are manifestations of a
pulmonary embolus, which is a potentially life-threatening postoperative
complication. The nurse should initiate a rapid response and continue to monitor
for other changes in respiratory status.
pg. 1
,A nurse is collecting data from a client who is scheduled for surgery.
Exhibit 1
Vital Signs
0630:
Temperature 36.9° C (98.5° F)Heart rate 74/minRespiratory rate 20/minBlood
pressure 122/76 mmHgOxygen saturation 96% on room air
0730:
Temperature 36.9° C (98.5° F)Heart rate 76/minRespiratory rate 20/minBlood
pressure 128/78 mmHgOxygen saturation 95% on room air
Exhibit 2
Nurses' Notes
0630:
Client reports restlessness and inability to sleep more than 3 to 4 hr per night for
the last week. Cli - ANSWER-Click to highlight the data collection findings that
the nurse should report to the provider prior to the procedure. To deselect a
finding, click on the finding again.
Hemoglobin level
Allergy
Family history
When collecting data from the client and analyzing cues, the nurse should
determine the client's hemoglobin level, latex allergy, and family history of
malignant hyperthermia should be reported to the provider. When the client's
hemoglobin level is below the expected range, the client might require blood
products during the intraoperative phase. The client's allergy to avocados and
bananas can indicate an allergy to latex products and should be reported to the
provider. The surgical team will need to remove all latex products from the
operating room. During the intraoperative phase, the nurses must be diligent in
monitoring the client's vital signs and laboratory values, especially in a client who
has a family history of malignant hyperthermia.
pg. 2
,A nurse is assisting in the care of a client who is 1 hr postpartum.
Exhibit 1
Nurses' Notes
1200:
Large amount of lochia rubra noted on perineal pad. Fundus boggy at two
fingerbreadths above the umbilicus.Oxytocin 20 units being administered via
continuous IV infusion
1215:
Large amount of lochia rubra with several large clots noted. Client reports feeling
anxious. Skin cool and clammy. Provider notified.
Exhibit 2
Vital Signs
1200:
Temperature 37.5° C (99.5° F)Heart rate 92/minRespiratory - ANSWER-Select the
6 actions the nurse should take.
Weigh the perineal pads.
Insert an indwelling urinary catheter.
Administer methylergonovine.
Provide emotional support.
Administer oxygen at 12 L/min via nonrebreather face mask.
Firmly massage the uterine fundus.
When taking action for the client, the nurse should firmly massage the uterine
fundus, administer methylergonovine, weigh the perineal pads, provide emotional
support, insert an indwelling urinary catheter, and administer oxygen at 12 L/min
via nonrebreather face mask. The nurse should identify that the client is
experiencing a postpartum hemorrhage, which requires immediate intervention to
prevent hemorrhagic shock.
pg. 3
, A nurse is caring for a client who is recovering from a stroke and is experiencing
difficulty using eating utensils. The nurse should identify the need for a referral to
which of the following interprofessional team members? - ANSWER-Occupational
therapist
The nurse should identify the need for a referral to an occupational therapist to
teach the client how to use special eating utensils.
A nurse is reviewing the electronic health records of four clients. Which of the
following client conditions should the nurse recognize as reportable to a regulatory
agency? - ANSWER-A client who is newly diagnosed with tuberculosis
The nurse should identify that certain communicable diseases, such as tuberculosis,
require notification of the local and state health departments.
A nurse is caring for a client who is being discharged home following a
cerebrovascular accident. Which of the following documents should the nurse plan
to include with the discharge report? - ANSWER-List of potential complications to
report
Discharge instructions are defined as any form of documentation provided to the
client, upon discharge to home, which facilitates safe and appropriate continuity of
care. The nurse should plan to include a list of potential complications that should
be reported to the provider in the client's discharge instructions.
A nurse is reinforcing teaching with the parent of a preschooler who has lactose
intolerance. Which of the following statements by the parent indicates an
understanding of the teaching? - ANSWER-"I should offer my child yogurt that
has a probiotic as a snack."
pg. 4
