COMPREHENSIVE RN (ATI) ONLINE PRACTICE 2024-
2025 EDITION WITH NGN AND ALL INFORMATION
YOU NEED TO PASS.
1. A nurse is caring for a school-age child who has dehydration and is
receiving an oral rehydration solution. Which of the following laboratory
results indicates that the treatment regimen is effective?
A. Hematocrit 45%
B. Urine specific gravity 1.035
C. Serum sodium 138 mEq/L
D. BUN 19 mg/dL
Correct Answer: C. Serum sodium 138 mEq/L
• Explanation: A serum sodium level of 138 mEq/L is within the expected
reference range of 136 mEq/L to 145 mEq/L and indicates that the child
is responding well to the oral rehydration solution.
• Incorrect Answers:
o A. Hematocrit 45%: This is above the expected reference range
of 32% to 44% for a child and indicates dehydration is still
present.
o B. Urine specific gravity 1.035: This value is higher than the
expected range of 1.005 to 1.030, suggesting continued
dehydration.
o D. BUN 19 mg/dL: A value above the expected range of 5 to 18
mg/dL indicates dehydration is still present.
,2. A nurse is assessing a client who has obstructive sleep apnea. For
which of the following complications should the nurse monitor?
A. Weight Loss
B. Urinary retention
C. Hypertension
D. Hypoglycemia
Correct Answer: C. Hypertension
• Explanation: Obstructive sleep apnea can lead to hypertension due to
intermittent hypoxia, which increases blood pressure. Other
complications include heart failure and cardiac dysrhythmias.
• Incorrect Answers:
o A. Weight Loss: Obesity and weight gain are risk factors for
obstructive sleep apnea, not weight loss.
o B. Urinary retention: Urinary retention is not commonly
associated with obstructive sleep apnea.
o D. Hypoglycemia: Hypoglycemia is not a typical complication.
Monitoring for decreased oxygen levels is more important.
3. A nurse is assessing a newborn's heart rate. Which of the following
actions should the nurse take?
A. Assess the apical pulse while the newborn is crying.
B. Palpate the radial pulse for 30 seconds.
C. Listen to the apical pulse while palpating the radial pulse.
D. Auscultate the apical pulse at least 1 min.
Correct Answer: D. Auscultate the apical pulse at least 1 min.
, • Explanation: The apical pulse should be auscultated for at least one
minute to ensure accurate assessment of the heart rate and rhythm in a
newborn.
• Incorrect Answers:
o A. Assessing while crying: Crying increases heart rate, which can
obscure accurate readings.
o B. Palpating radial pulse: The radial pulse is typically used for
older children, not newborns.
o C. Listening to apical while palpating radial pulse: This is
typically done in adults to detect pulse deficits, not in newborns.
4. A nurse is providing teaching about advance directives to a middle adult
client. Which of the following client responses indicates an understanding
of the teaching?
A. "I can designate my partner as my health care surrogate."
B. "I am only 40 years old, so I don't need to worry about this yet."
C. "I will need a lawyer's help to draw up the documents."
D. "I understand that my family can alter my advance directives if I
become incapacitated."
Correct Answer: A. "I can designate my partner as my health care
surrogate."
• Explanation: The client correctly understands that advance directives
allow them to designate someone (such as a partner) to make
healthcare decisions on their behalf if they are unable to do so.
• Incorrect Answers:
, o B. Age: There is no age requirement for advance directives.
Everyone should consider them.
o C. Lawyer: It is not necessary to have an attorney to create
advance directives.
o D. Family's role: Once advance directives are signed by a
competent individual, they cannot be altered by family members.
5. A nurse at an urgent care clinic is assessing a client who reports
impaired vision in one eye. Which of the following reports by the client
should indicate to the nurse that the client has a detached retina?
A. Halos around lights
B. Floating dark spots
C. Pain in the affected eye
D. Blurred vision
Correct Answer: B. Floating dark spots
• Explanation: Floating dark spots are a common symptom of a detached
retina, caused by bulges or holes in the retina.
• Incorrect Answers:
o A. Halos: Halos around lights are more typical of glaucoma.
o C. Pain: Retinal detachment is usually painless.
o D. Blurred vision: Blurred vision is typically seen with cataracts,
not retinal detachment.
2025 EDITION WITH NGN AND ALL INFORMATION
YOU NEED TO PASS.
1. A nurse is caring for a school-age child who has dehydration and is
receiving an oral rehydration solution. Which of the following laboratory
results indicates that the treatment regimen is effective?
A. Hematocrit 45%
B. Urine specific gravity 1.035
C. Serum sodium 138 mEq/L
D. BUN 19 mg/dL
Correct Answer: C. Serum sodium 138 mEq/L
• Explanation: A serum sodium level of 138 mEq/L is within the expected
reference range of 136 mEq/L to 145 mEq/L and indicates that the child
is responding well to the oral rehydration solution.
• Incorrect Answers:
o A. Hematocrit 45%: This is above the expected reference range
of 32% to 44% for a child and indicates dehydration is still
present.
o B. Urine specific gravity 1.035: This value is higher than the
expected range of 1.005 to 1.030, suggesting continued
dehydration.
o D. BUN 19 mg/dL: A value above the expected range of 5 to 18
mg/dL indicates dehydration is still present.
,2. A nurse is assessing a client who has obstructive sleep apnea. For
which of the following complications should the nurse monitor?
A. Weight Loss
B. Urinary retention
C. Hypertension
D. Hypoglycemia
Correct Answer: C. Hypertension
• Explanation: Obstructive sleep apnea can lead to hypertension due to
intermittent hypoxia, which increases blood pressure. Other
complications include heart failure and cardiac dysrhythmias.
• Incorrect Answers:
o A. Weight Loss: Obesity and weight gain are risk factors for
obstructive sleep apnea, not weight loss.
o B. Urinary retention: Urinary retention is not commonly
associated with obstructive sleep apnea.
o D. Hypoglycemia: Hypoglycemia is not a typical complication.
Monitoring for decreased oxygen levels is more important.
3. A nurse is assessing a newborn's heart rate. Which of the following
actions should the nurse take?
A. Assess the apical pulse while the newborn is crying.
B. Palpate the radial pulse for 30 seconds.
C. Listen to the apical pulse while palpating the radial pulse.
D. Auscultate the apical pulse at least 1 min.
Correct Answer: D. Auscultate the apical pulse at least 1 min.
, • Explanation: The apical pulse should be auscultated for at least one
minute to ensure accurate assessment of the heart rate and rhythm in a
newborn.
• Incorrect Answers:
o A. Assessing while crying: Crying increases heart rate, which can
obscure accurate readings.
o B. Palpating radial pulse: The radial pulse is typically used for
older children, not newborns.
o C. Listening to apical while palpating radial pulse: This is
typically done in adults to detect pulse deficits, not in newborns.
4. A nurse is providing teaching about advance directives to a middle adult
client. Which of the following client responses indicates an understanding
of the teaching?
A. "I can designate my partner as my health care surrogate."
B. "I am only 40 years old, so I don't need to worry about this yet."
C. "I will need a lawyer's help to draw up the documents."
D. "I understand that my family can alter my advance directives if I
become incapacitated."
Correct Answer: A. "I can designate my partner as my health care
surrogate."
• Explanation: The client correctly understands that advance directives
allow them to designate someone (such as a partner) to make
healthcare decisions on their behalf if they are unable to do so.
• Incorrect Answers:
, o B. Age: There is no age requirement for advance directives.
Everyone should consider them.
o C. Lawyer: It is not necessary to have an attorney to create
advance directives.
o D. Family's role: Once advance directives are signed by a
competent individual, they cannot be altered by family members.
5. A nurse at an urgent care clinic is assessing a client who reports
impaired vision in one eye. Which of the following reports by the client
should indicate to the nurse that the client has a detached retina?
A. Halos around lights
B. Floating dark spots
C. Pain in the affected eye
D. Blurred vision
Correct Answer: B. Floating dark spots
• Explanation: Floating dark spots are a common symptom of a detached
retina, caused by bulges or holes in the retina.
• Incorrect Answers:
o A. Halos: Halos around lights are more typical of glaucoma.
o C. Pain: Retinal detachment is usually painless.
o D. Blurred vision: Blurred vision is typically seen with cataracts,
not retinal detachment.
