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ATI RN NGN 2025 Comprehensive
Predictor Exam – Verified Real
Questions & Rationalized Answers |
Updated Forms A & B
Case Study 1: Postpartum Hemorrhage
Scenario: A 28-year-old female, G2P2, delivered a healthy infant vaginally 4 hours ago. She
suddenly reports heavy vaginal bleeding and dizziness. Vital signs: BP 90/60 mmHg, HR 120
bpm, RR 24/min, SpO2 96%. The nurse assesses a boggy uterus and large blood clots.
1. What is the priority nursing action?
A. Administer oxygen at 2 L/min via nasal cannula
B. Massage the fundus
C. Insert a urinary catheter
D. Notify the healthcare provider
Correct Answer: B (Massage the fundus)
Rationale: A boggy uterus indicates uterine atony, the primary cause of postpartum
hemorrhage. Fundal massage stimulates uterine contraction to control bleeding, making it
the priority action. ATI RN Maternal Newborn Nursing, 11th ed., Ch. 20.
2. Select all that apply: Which interventions should the nurse implement?
A. Administer oxytocin as prescribed
B. Elevate the client’s legs
C. Monitor hemoglobin and hematocrit
D. Encourage ambulation to promote clotting
E. Assess vital signs every 15 minutes
Correct Answers: A, B, C, E (Administer oxytocin, Elevate legs, Monitor
hemoglobin/hematocrit, Assess vital signs)
Rationale: Oxytocin promotes uterine contractions, elevating legs improves venous
return, monitoring hemoglobin/hematocrit assesses blood loss, and frequent vital signs
monitor stability. Ambulation is contraindicated during active hemorrhage. ATI RN
Maternal Newborn Nursing, 11th ed., Ch. 20.
3. Drop-down: The nurse administers oxytocin. Which finding indicates the
medication is effective?
A. Increased vaginal bleeding
B. Firm uterus on palpation
C. Decreased heart rate
D. Increased blood pressure
Correct Answer: B (Firm uterus on palpation)
, 2
Rationale: Oxytocin stimulates uterine contractions, resulting in a firm uterus, which
reduces bleeding. ATI RN Maternal Newborn Nursing, 11th ed., Ch. 20.
4. Cloze: The nurse documents the client’s condition. Complete the statement: The
client is experiencing _________ due to _________, requiring immediate
intervention.
A. Postpartum hemorrhage, uterine atony
B. Hypovolemic shock, dehydration
C. Uterine rupture, trauma
D. Preeclampsia, hypertension
Correct Answer: A (Postpartum hemorrhage, uterine atony)
Rationale: Heavy bleeding and a boggy uterus indicate postpartum hemorrhage caused
by uterine atony. ATI RN Maternal Newborn Nursing, 11th ed., Ch. 20.
Standalone Item 1
5. A nurse is caring for a client with a new prescription for warfarin. Which food
should the nurse instruct the client to avoid?
A. Apples
B. Spinach
C. Chicken
D. Rice
Correct Answer: B (Spinach)
Rationale: Spinach is high in vitamin K, which can antagonize warfarin’s anticoagulant
effect, reducing its efficacy. ATI RN Pharmacology, 8th ed., Ch. 25.
Case Study 2: Pediatric Asthma
Scenario: A 6-year-old male presents to the ED with wheezing, dyspnea, and accessory muscle
use. SpO2 is 90%, RR 32/min. He has a history of asthma and uses an albuterol inhaler PRN.
The provider orders albuterol via nebulizer.
6. What is the priority nursing action?
A. Administer the nebulizer treatment
B. Obtain a peak flow measurement
C. Educate the family on asthma triggers
D. Assess lung sounds
Correct Answer: A (Administer the nebulizer treatment)
Rationale: Albuterol relieves acute bronchospasm, improving oxygenation, and is the
priority during an asthma exacerbation. ATI RN Nursing Care of Children, 11th ed., Ch.
17.
, 3
7. Select all that apply: Which findings indicate the albuterol treatment is effective?
A. Increased wheezing
B. SpO2 of 95%
C. Decreased respiratory rate
D. Increased accessory muscle use
E. Clear lung sounds
Correct Answers: B, C, E (SpO2 of 95%, Decreased respiratory rate, Clear lung
sounds)
Rationale: Effective albuterol treatment improves oxygenation (SpO2), reduces
respiratory effort, and clears wheezing. Increased wheezing or accessory muscle use
indicates worsening symptoms. ATI RN Nursing Care of Children, 11th ed., Ch. 17.
8. Drag-and-drop: Place the steps of administering a nebulizer treatment in the
correct order.
A. Attach the mouthpiece to the nebulizer
B. Add medication to the nebulizer chamber
C. Instruct the client to breathe slowly and deeply
D. Connect the tubing to the compressor
Correct Order: B, A, D, C
Rationale: The correct sequence ensures proper setup and effective medication delivery.
ATI RN Nursing Care of Children, 11th ed., Ch. 17.
9. Matrix: Match the asthma trigger to its category.
Trigger Environmental Allergen Emotional
Pet dander X
Stress X
Tobacco smoke X
Exercise X
Correct Answer: As shown above
Rationale: Pet dander is an allergen, stress and
exercise are emotional/physical triggers, and
tobacco smoke is an environmental trigger. ATI
RN Nursing Care of Children, 11th ed., Ch. 17.
Standalone Item 2
10. A nurse is teaching a client about insulin self-administration. Which statement
indicates understanding?
A. “I should inject insulin into the same site each time.”
B. “I need to aspirate before injecting insulin.”
C. “I’ll rotate injection sites to prevent lipodystrophy.”
D. “I can reuse needles to save costs.”
Correct Answer: C (I’ll rotate injection sites to prevent lipodystrophy.)
Rationale: Rotating injection sites prevents lipodystrophy and ensures consistent insulin
ATI RN NGN 2025 Comprehensive
Predictor Exam – Verified Real
Questions & Rationalized Answers |
Updated Forms A & B
Case Study 1: Postpartum Hemorrhage
Scenario: A 28-year-old female, G2P2, delivered a healthy infant vaginally 4 hours ago. She
suddenly reports heavy vaginal bleeding and dizziness. Vital signs: BP 90/60 mmHg, HR 120
bpm, RR 24/min, SpO2 96%. The nurse assesses a boggy uterus and large blood clots.
1. What is the priority nursing action?
A. Administer oxygen at 2 L/min via nasal cannula
B. Massage the fundus
C. Insert a urinary catheter
D. Notify the healthcare provider
Correct Answer: B (Massage the fundus)
Rationale: A boggy uterus indicates uterine atony, the primary cause of postpartum
hemorrhage. Fundal massage stimulates uterine contraction to control bleeding, making it
the priority action. ATI RN Maternal Newborn Nursing, 11th ed., Ch. 20.
2. Select all that apply: Which interventions should the nurse implement?
A. Administer oxytocin as prescribed
B. Elevate the client’s legs
C. Monitor hemoglobin and hematocrit
D. Encourage ambulation to promote clotting
E. Assess vital signs every 15 minutes
Correct Answers: A, B, C, E (Administer oxytocin, Elevate legs, Monitor
hemoglobin/hematocrit, Assess vital signs)
Rationale: Oxytocin promotes uterine contractions, elevating legs improves venous
return, monitoring hemoglobin/hematocrit assesses blood loss, and frequent vital signs
monitor stability. Ambulation is contraindicated during active hemorrhage. ATI RN
Maternal Newborn Nursing, 11th ed., Ch. 20.
3. Drop-down: The nurse administers oxytocin. Which finding indicates the
medication is effective?
A. Increased vaginal bleeding
B. Firm uterus on palpation
C. Decreased heart rate
D. Increased blood pressure
Correct Answer: B (Firm uterus on palpation)
, 2
Rationale: Oxytocin stimulates uterine contractions, resulting in a firm uterus, which
reduces bleeding. ATI RN Maternal Newborn Nursing, 11th ed., Ch. 20.
4. Cloze: The nurse documents the client’s condition. Complete the statement: The
client is experiencing _________ due to _________, requiring immediate
intervention.
A. Postpartum hemorrhage, uterine atony
B. Hypovolemic shock, dehydration
C. Uterine rupture, trauma
D. Preeclampsia, hypertension
Correct Answer: A (Postpartum hemorrhage, uterine atony)
Rationale: Heavy bleeding and a boggy uterus indicate postpartum hemorrhage caused
by uterine atony. ATI RN Maternal Newborn Nursing, 11th ed., Ch. 20.
Standalone Item 1
5. A nurse is caring for a client with a new prescription for warfarin. Which food
should the nurse instruct the client to avoid?
A. Apples
B. Spinach
C. Chicken
D. Rice
Correct Answer: B (Spinach)
Rationale: Spinach is high in vitamin K, which can antagonize warfarin’s anticoagulant
effect, reducing its efficacy. ATI RN Pharmacology, 8th ed., Ch. 25.
Case Study 2: Pediatric Asthma
Scenario: A 6-year-old male presents to the ED with wheezing, dyspnea, and accessory muscle
use. SpO2 is 90%, RR 32/min. He has a history of asthma and uses an albuterol inhaler PRN.
The provider orders albuterol via nebulizer.
6. What is the priority nursing action?
A. Administer the nebulizer treatment
B. Obtain a peak flow measurement
C. Educate the family on asthma triggers
D. Assess lung sounds
Correct Answer: A (Administer the nebulizer treatment)
Rationale: Albuterol relieves acute bronchospasm, improving oxygenation, and is the
priority during an asthma exacerbation. ATI RN Nursing Care of Children, 11th ed., Ch.
17.
, 3
7. Select all that apply: Which findings indicate the albuterol treatment is effective?
A. Increased wheezing
B. SpO2 of 95%
C. Decreased respiratory rate
D. Increased accessory muscle use
E. Clear lung sounds
Correct Answers: B, C, E (SpO2 of 95%, Decreased respiratory rate, Clear lung
sounds)
Rationale: Effective albuterol treatment improves oxygenation (SpO2), reduces
respiratory effort, and clears wheezing. Increased wheezing or accessory muscle use
indicates worsening symptoms. ATI RN Nursing Care of Children, 11th ed., Ch. 17.
8. Drag-and-drop: Place the steps of administering a nebulizer treatment in the
correct order.
A. Attach the mouthpiece to the nebulizer
B. Add medication to the nebulizer chamber
C. Instruct the client to breathe slowly and deeply
D. Connect the tubing to the compressor
Correct Order: B, A, D, C
Rationale: The correct sequence ensures proper setup and effective medication delivery.
ATI RN Nursing Care of Children, 11th ed., Ch. 17.
9. Matrix: Match the asthma trigger to its category.
Trigger Environmental Allergen Emotional
Pet dander X
Stress X
Tobacco smoke X
Exercise X
Correct Answer: As shown above
Rationale: Pet dander is an allergen, stress and
exercise are emotional/physical triggers, and
tobacco smoke is an environmental trigger. ATI
RN Nursing Care of Children, 11th ed., Ch. 17.
Standalone Item 2
10. A nurse is teaching a client about insulin self-administration. Which statement
indicates understanding?
A. “I should inject insulin into the same site each time.”
B. “I need to aspirate before injecting insulin.”
C. “I’ll rotate injection sites to prevent lipodystrophy.”
D. “I can reuse needles to save costs.”
Correct Answer: C (I’ll rotate injection sites to prevent lipodystrophy.)
Rationale: Rotating injection sites prevents lipodystrophy and ensures consistent insulin
