ATI RN COMPREHENSIVE 2025 WITH NGN|LATEST EXAM UPDATE| VERIFIED
QUESTIONS AND ANSWERS
NGN:
Condition Most Likely Experiencing
Action to Take
Parameters to Monitor
Answer:
Condition Most Likely * Anorexia nervosa
Actions to Take:*Provide a structured meal environment - Helps the client feel secure and
reduces anxiety around eating.D. Encourage the client to limit fasting - Regular meals help
stabilize nutrition and reduce the effects of prolonged fasting.
Parameters to Monitor:A. Weight on a daily basis - Monitoring weight is crucial for tracking
progress and re-feeding.C. Cardiac function with ECG - Important due to risks of arrhythmias
from malnutrition and electrolyte imbalances. - A nurse is caring for a recently admitted 18-
year-old client.
Nurses' Notes:
1000:
Client admitted to behavioral health unit for prolonged weight loss and refusal to eat. Client
collapsed at school. The client's parents were called. They contacted the primary care
provider, who arranged for a direct admission.
Weight 37.2 kg (82 lb).
,Height 157.5 cm (62 inches).
BMI 15.
1200:
Client observed during noon meal. Client pushed food around the plate. Intake 10% of meal.
Offered nutritional supplement. Client declined. Reports feeling anxious due to admission
and mealtime. Client states, "I cannot eat this with you watching me.".
1500:.
Snack provided. Client observed throwing snack into the trash can. When realized they had
been observed, they admitted to their action and asked for a second snack. Client ate 10% of
their snack.
Laboratory Results :
1130:
Sodium 145 mEq/L (136 to 145 mEq/L) Potassium 2.8 mEq/L (3.5 to 5.0 mEq/L)
Chloride 110 mEq/L (98 to 106 mEq/L) BUN 20 mg/dL (10 to 20 mg/dL) Magnesium
1.2 mEq/L (1.3 to 2.1 mEq/L) Total calcium 9.5 mg/dL (9.0 to 10.5 mg/dL) Phosphate
3.2 mg/dL (3.0 to 4.5 mg/dL) Glucose 74 mg/dL (74 to 106 mg/dL) Total protein 4.8
g/dL (6.4 to 8.3 g/dL) Albumin 2.7 g/dL (3.5 to 5.0 g/dL)
Admission Assessment:
Skin dry and flakey, lanugo. Lips dry and chapped. Hair thin and dull, buccal mucosa dry.
Diminished bowel sounds. Abdomen swollen and bloated. Lungs clear to auscultation.
Respirations regular and unlabored.
Heart rate regular 50/min.
Client reports no menstrual cycle for past 3 months.
Client reports feeling depressed. Reports starting diet 6 months ago because they "felt fat"
compared to the "popular kids at school.".
Vital Signs:
1000:.
T 36.1° C (97° F).
P 50/min.
R 16/min.
BP 90/62 mm Hg.
,O2: 98% room air.
1400:
T 36.2° C (97.2° F).
P 48/min.
R 16/min.
BP 88/60 mm Hg.
NGN
A nurse is caring for a 36 hr old infant.
Newborn is alert & active when awake. Respirations easy and unlabored. Buccal membranes
jaundiced. Newborn nursing every 2 to 4 hr. Passed meconium stool. Small amount of urine
noted in diaper. Bilirubin 10 mg/dL
36 hr of age:
Newborn sleeping on birthing parent's chest. Birthing parent reports difficulty keeping
newborn awake during feedings.
Bilirubin 15.5 mg/dL Etc...
The nurse is preparing the infant for phototherapy. For each nursing action, click to specify if
the action is indicated or contraindicated for the newborn. - Supplement feeding with sterile
water - Contraindicated
Dress in only a diaper - Indicated
Cover newborn's eyes with a shield - Indicated
Apply lotion to skin every 4 hr. - Contraindicated
Breastfeed every 2 to 3 hr - Indicated
Complete the following sentence by using the lists of options.
The client is at risk for developing Select an option :
psychosis
, mania
serotonin syndrome
due to Select an option :
anxiety
feelings of hopelessness
adverse effects of paroxetine
Submit Answer
The client is at risk for developing serotonin syndrome due to the adverse effects of
paroxetine.
Explanation:
*Serotonin syndrome is a potentially life-threatening condition caused by excessive
serotonin, often due to medication changes or interactions (like with SSRIs such as
paroxetine).
*The symptoms of restlessness, abdominal pain, disorientation, fever, and sleep disturbances
align with serotonin syndrome. - Client presents to the clinic with reports of restlessness,
abdominal pain, disorientation, and fever for the past 12 hr. States, "I don't know what is
wrong with me." Client denies recent illness. Denies fatigue and chills.
Reports falling yesterday but didn't hit their head. Reports taking ibuprofen for muscle
soreness. Client reports continued sleep disturbances, feelings of hopelessness, and a
disinterest in activities.
QUESTIONS AND ANSWERS
NGN:
Condition Most Likely Experiencing
Action to Take
Parameters to Monitor
Answer:
Condition Most Likely * Anorexia nervosa
Actions to Take:*Provide a structured meal environment - Helps the client feel secure and
reduces anxiety around eating.D. Encourage the client to limit fasting - Regular meals help
stabilize nutrition and reduce the effects of prolonged fasting.
Parameters to Monitor:A. Weight on a daily basis - Monitoring weight is crucial for tracking
progress and re-feeding.C. Cardiac function with ECG - Important due to risks of arrhythmias
from malnutrition and electrolyte imbalances. - A nurse is caring for a recently admitted 18-
year-old client.
Nurses' Notes:
1000:
Client admitted to behavioral health unit for prolonged weight loss and refusal to eat. Client
collapsed at school. The client's parents were called. They contacted the primary care
provider, who arranged for a direct admission.
Weight 37.2 kg (82 lb).
,Height 157.5 cm (62 inches).
BMI 15.
1200:
Client observed during noon meal. Client pushed food around the plate. Intake 10% of meal.
Offered nutritional supplement. Client declined. Reports feeling anxious due to admission
and mealtime. Client states, "I cannot eat this with you watching me.".
1500:.
Snack provided. Client observed throwing snack into the trash can. When realized they had
been observed, they admitted to their action and asked for a second snack. Client ate 10% of
their snack.
Laboratory Results :
1130:
Sodium 145 mEq/L (136 to 145 mEq/L) Potassium 2.8 mEq/L (3.5 to 5.0 mEq/L)
Chloride 110 mEq/L (98 to 106 mEq/L) BUN 20 mg/dL (10 to 20 mg/dL) Magnesium
1.2 mEq/L (1.3 to 2.1 mEq/L) Total calcium 9.5 mg/dL (9.0 to 10.5 mg/dL) Phosphate
3.2 mg/dL (3.0 to 4.5 mg/dL) Glucose 74 mg/dL (74 to 106 mg/dL) Total protein 4.8
g/dL (6.4 to 8.3 g/dL) Albumin 2.7 g/dL (3.5 to 5.0 g/dL)
Admission Assessment:
Skin dry and flakey, lanugo. Lips dry and chapped. Hair thin and dull, buccal mucosa dry.
Diminished bowel sounds. Abdomen swollen and bloated. Lungs clear to auscultation.
Respirations regular and unlabored.
Heart rate regular 50/min.
Client reports no menstrual cycle for past 3 months.
Client reports feeling depressed. Reports starting diet 6 months ago because they "felt fat"
compared to the "popular kids at school.".
Vital Signs:
1000:.
T 36.1° C (97° F).
P 50/min.
R 16/min.
BP 90/62 mm Hg.
,O2: 98% room air.
1400:
T 36.2° C (97.2° F).
P 48/min.
R 16/min.
BP 88/60 mm Hg.
NGN
A nurse is caring for a 36 hr old infant.
Newborn is alert & active when awake. Respirations easy and unlabored. Buccal membranes
jaundiced. Newborn nursing every 2 to 4 hr. Passed meconium stool. Small amount of urine
noted in diaper. Bilirubin 10 mg/dL
36 hr of age:
Newborn sleeping on birthing parent's chest. Birthing parent reports difficulty keeping
newborn awake during feedings.
Bilirubin 15.5 mg/dL Etc...
The nurse is preparing the infant for phototherapy. For each nursing action, click to specify if
the action is indicated or contraindicated for the newborn. - Supplement feeding with sterile
water - Contraindicated
Dress in only a diaper - Indicated
Cover newborn's eyes with a shield - Indicated
Apply lotion to skin every 4 hr. - Contraindicated
Breastfeed every 2 to 3 hr - Indicated
Complete the following sentence by using the lists of options.
The client is at risk for developing Select an option :
psychosis
, mania
serotonin syndrome
due to Select an option :
anxiety
feelings of hopelessness
adverse effects of paroxetine
Submit Answer
The client is at risk for developing serotonin syndrome due to the adverse effects of
paroxetine.
Explanation:
*Serotonin syndrome is a potentially life-threatening condition caused by excessive
serotonin, often due to medication changes or interactions (like with SSRIs such as
paroxetine).
*The symptoms of restlessness, abdominal pain, disorientation, fever, and sleep disturbances
align with serotonin syndrome. - Client presents to the clinic with reports of restlessness,
abdominal pain, disorientation, and fever for the past 12 hr. States, "I don't know what is
wrong with me." Client denies recent illness. Denies fatigue and chills.
Reports falling yesterday but didn't hit their head. Reports taking ibuprofen for muscle
soreness. Client reports continued sleep disturbances, feelings of hopelessness, and a
disinterest in activities.
