PROCTORED EXAM RETAKE 3
Clinical Scenario (NGN style) & NGN Qs
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,THIS DOCUMENT CONSISTS OF THE FOLLOWING::
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60 Questions and Verified Rationalized Answers,
A brief clinical scenario (NGN style)
Next Gen Questions
Relevant vital signs or key facts,
Four answer options labeled A, B, C, and D
The correct answer
A concise Expert Rationale
ATI COMMUNITY RETAKE 003 COMPREHENSIVE EXAM
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1. NGN-Style Scenario:
A nurse in a community clinic is assigned to care for Mr. Rivera, a 45-year-old client recently diagnosed
with active pulmonary tuberculosis (TB). Current vital signs are: Temperature 99.5°F (37.5°C), Respirations
18/min, Pulse 90/min, Blood Pressure 120/78 mm Hg, and Oxygen saturation 97% on room air. As part of
infection control, the nurse must plan isolation precautions for Mr. Rivera.
Question 1:
Which of the following interventions is the MOST appropriate for preventing the transmission of TB?
A. Place the client in a standard private room and leave the door open for ventilation.
B. Ensure the client is placed in a room that has negative airflow and keep the door closed.
C. Place the client in a room that has positive airflow and allow visitors to wear simple masks.
D. Assign another client with TB to share Mr. Rivera’s room to consolidate care.
Correct Answer: B. Ensure the client is placed in a room that has negative airflow and keep the door
closed.
Expert Expert Rationale:
• Clients with active pulmonary TB require Airborne Precautions, which include private placement in a
negative-pressure (negative airflow) room to prevent infectious droplet nuclei from escaping.
• The door must remain closed to maintain necessary airflow differentials.
• Staff must wear N95 respirators when caring for the client.
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2. NGN-Style Scenario:
A community health nurse has received multiple reports of clients diagnosed with scabies at a local shelter.
The nurse suspects a possible outbreak and must determine the best initial step.
Question 2:
, Which action should the nurse take FIRST to determine the potential outbreak?
A. Educate the shelter residents about how scabies mites are transmitted.
B. Calculate the incidence rate of scabies in the shelter population.
C. Institute prophylactic treatments for all shelter residents.
D. Meet with family members of known cases to discuss treatment plans.
Correct Answer: B. Calculate the incidence rate of scabies in the shelter population.
Expert Expert Rationale:
• When suspecting a community outbreak, assessment is the priority under the nursing process.
• Determining the number of new cases (incidence) helps the nurse compare current data to historical
trends, confirming if a significant increase has occurred.
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3. NGN-Style Scenario:
A hospice nurse is caring for Ms. Pendleton, a 67-year-old client with end-stage lung cancer. During a
supportive visit, Ms. Pendleton states, “I want to plan a trip next year with my daughter.” The nurse
recognizes this as a sign of her coping with impending loss.
Question 3:
Which statement by the client indicates she is in the DENIAL stage of grief?
A. “I’m looking forward to my daughter’s wedding next year.”
B. “I don’t deserve this. It’s so unfair that I’m going to die.”
C. “If I get better, I’ll never smoke cigarettes again!”
D. “Maybe next week I’ll start planning my memorial service.”
Correct Answer: A. “I’m looking forward to my daughter’s wedding next year.”
Expert Expert Rationale:
• The denial stage is characterized by difficulty accepting the reality of the situation.