NGN ATI PN COMPREHENSIVE ONLINE PRACTICE A & B
2025/2026 (2 VERSIONS) EACH EXAM CONTAINS COMPLETE 100
QUESTIONS WITH CORRECT DETAILED ANSWERS/ PN
COMPREHENSIVE ONLINE PRACTICE 2025 A & B WITH NGN
LATEST (NEW!)
Question 1
A practical nurse (PN) is caring for a client who is 2 days postoperative following an abdominal
hysterectomy. The client reports severe incisional pain rated 8 on a 0-10 scale. Which action
should the PN take first?
A) Document the pain assessment in the client's chart.
B) Reposition the client for comfort.
C) Administer the prescribed opioid analgesic.
D) Offer a warm pack to the abdomen.
E) Ask the client to describe the quality of the pain.
Correct Answer: C) Administer the prescribed opioid analgesic.
Rationale: According to the pain management hierarchy, severe pain requires
immediate pharmacological intervention as the priority. While other actions are
important, pain relief is the most urgent need.
Question 2
A PN is assessing a 4-year-old child who has a fever, is drooling, and has inspiratory stridor.
The child is sitting in a tripod position. The PN should suspect which condition?
A) Croup (laryngotracheobronchitis)
B) Bronchiolitis
C) Epiglottitis
D) Bacterial tracheitis
E) Retropharyngeal abscess
,Correct Answer: C) Epiglottitis
Rationale: The classic signs of epiglottitis (fever, drooling, stridor, and tripod
position) indicate an emergency due to severe airway obstruction. The PN should
not attempt to visualize the throat.
Question 3
A PN is caring for a client who has a prescription for a clear liquid diet. Which food item
should the PN offer?
A) Cream of mushroom soup
B) Apple juice
C) Sherbet
D) Plain yogurt
E) Gelatin with fruit pieces
Correct Answer: B) Apple juice
Rationale: Clear liquid diets consist of foods that are transparent and liquid at room
temperature. Apple juice meets this criterion. Cream soups, sherbet, yogurt, and
gelatin with fruit are not considered clear liquids.
Question 4
A PN is providing discharge teaching to a client who has a new prescription for warfarin. Which
statement by the client indicates an understanding of the teaching?
A) "I will take aspirin for headaches."
B) "I will increase my intake of green leafy vegetables."
C) "I will have my blood tested regularly."
D) "I will stop taking this medication if I feel lightheaded."
, E) "I can drink alcohol in moderation."
Correct Answer: C) "I will have my blood tested regularly."
Rationale: Warfarin therapy requires regular monitoring of the International
Normalized Ratio (INR) to ensure the medication is within a therapeutic range and
to adjust the dose as needed. Aspirin and green leafy vegetables (Vitamin K) can
interfere, and alcohol should be avoided.
Question 5
A PN is caring for a client who has a prescription for a 24-hour urine collection. Which
instruction should the PN include in the teaching?
A) "Discard the first voiding of the collection."
B) "Collect all subsequent voidings in the designated container."
C) "You do not need to keep the urine refrigerated."
D) "You may add the urine from a bowel movement to the collection."
E) "Stop the collection exactly 12 hours after the first void."
Correct Answer: A) "Discard the first voiding of the collection."
Rationale: The 24-hour urine collection typically starts after the first morning void,
discarding that first sample. All subsequent urine over the next 24 hours (including
the next morning's first void) is then collected.
Question 6
A PN is assessing an older adult client who has pneumonia. Which finding is an early
manifestation of hypoxemia in older adults?
A) Bradypnea
B) Cyanosis
2025/2026 (2 VERSIONS) EACH EXAM CONTAINS COMPLETE 100
QUESTIONS WITH CORRECT DETAILED ANSWERS/ PN
COMPREHENSIVE ONLINE PRACTICE 2025 A & B WITH NGN
LATEST (NEW!)
Question 1
A practical nurse (PN) is caring for a client who is 2 days postoperative following an abdominal
hysterectomy. The client reports severe incisional pain rated 8 on a 0-10 scale. Which action
should the PN take first?
A) Document the pain assessment in the client's chart.
B) Reposition the client for comfort.
C) Administer the prescribed opioid analgesic.
D) Offer a warm pack to the abdomen.
E) Ask the client to describe the quality of the pain.
Correct Answer: C) Administer the prescribed opioid analgesic.
Rationale: According to the pain management hierarchy, severe pain requires
immediate pharmacological intervention as the priority. While other actions are
important, pain relief is the most urgent need.
Question 2
A PN is assessing a 4-year-old child who has a fever, is drooling, and has inspiratory stridor.
The child is sitting in a tripod position. The PN should suspect which condition?
A) Croup (laryngotracheobronchitis)
B) Bronchiolitis
C) Epiglottitis
D) Bacterial tracheitis
E) Retropharyngeal abscess
,Correct Answer: C) Epiglottitis
Rationale: The classic signs of epiglottitis (fever, drooling, stridor, and tripod
position) indicate an emergency due to severe airway obstruction. The PN should
not attempt to visualize the throat.
Question 3
A PN is caring for a client who has a prescription for a clear liquid diet. Which food item
should the PN offer?
A) Cream of mushroom soup
B) Apple juice
C) Sherbet
D) Plain yogurt
E) Gelatin with fruit pieces
Correct Answer: B) Apple juice
Rationale: Clear liquid diets consist of foods that are transparent and liquid at room
temperature. Apple juice meets this criterion. Cream soups, sherbet, yogurt, and
gelatin with fruit are not considered clear liquids.
Question 4
A PN is providing discharge teaching to a client who has a new prescription for warfarin. Which
statement by the client indicates an understanding of the teaching?
A) "I will take aspirin for headaches."
B) "I will increase my intake of green leafy vegetables."
C) "I will have my blood tested regularly."
D) "I will stop taking this medication if I feel lightheaded."
, E) "I can drink alcohol in moderation."
Correct Answer: C) "I will have my blood tested regularly."
Rationale: Warfarin therapy requires regular monitoring of the International
Normalized Ratio (INR) to ensure the medication is within a therapeutic range and
to adjust the dose as needed. Aspirin and green leafy vegetables (Vitamin K) can
interfere, and alcohol should be avoided.
Question 5
A PN is caring for a client who has a prescription for a 24-hour urine collection. Which
instruction should the PN include in the teaching?
A) "Discard the first voiding of the collection."
B) "Collect all subsequent voidings in the designated container."
C) "You do not need to keep the urine refrigerated."
D) "You may add the urine from a bowel movement to the collection."
E) "Stop the collection exactly 12 hours after the first void."
Correct Answer: A) "Discard the first voiding of the collection."
Rationale: The 24-hour urine collection typically starts after the first morning void,
discarding that first sample. All subsequent urine over the next 24 hours (including
the next morning's first void) is then collected.
Question 6
A PN is assessing an older adult client who has pneumonia. Which finding is an early
manifestation of hypoxemia in older adults?
A) Bradypnea
B) Cyanosis
