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NGN ATI PN COMPREHENSIVE ONLINE PRACTICE A & B 2025/2026 (2 VERSIONS)
EACH EXAM CONTAINS COMPLETE 60 QUESTIONS WITH CORRECT DETAILED
ANSWERS/ PN COMPREHENSIVE ONLINE PRACTICE 2025/2026 A & B WITH NGN
LATEST (NEW!)
Question:1
A nurse has just received change-of-shift report on four clients. Which of the following clients should the
nurse assess first?
A client who is postoperative with abdominal distention and no bowel sounds
A client who has diabetes mellitus and a blood glucose level of 105 mg/dL
A client who has heart failure and 2+ pitting edema
A client who is receiving maintenance IV fluids and needs a new IV catheter
Ans A client who is postoperative with abdominal distention and no bowel sounds
Using the acute vs. chronic approach to client care, the nurse should first assess the client who is
postoperative with abdominal distention and no bowel sounds because these manifestations are
indications of a paralytic ileus.
Question:2
For each assessment finding, click to specify if the finding is consistent with attention deficit
hyperactivity disorder (ADHD) or intellectual disability (ID). Each finding may support more than 1
disease process.
Assessment Findings
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Intellectual impairment
Interrupting others
Impaired language skills
Hyperreactivity to sensory input
Losing necessary things
Question:3
A charge nurse is providing an educational session about infection control for a group of staff nurses.
Which of the following statements by one of the staff nurses indicates an understanding of isolation
precautions?
"Droplet precautions should be initiated for a client who tests positive for measles."
"A client who requires airborne precautions should be placed in a negative-pressure airflow room."
"Airborne precautions should be initiated for a client who has Clostridium difficile."
"A cl A client who requires airborne precautions should be placed in a negative-pressure airflow
room."
Airborne precautions require a negative-pressure airflow room that has at least six to 12 air
exchanges each hour using a HEPA filtration system.
Question:4
A nurse is admitting a client who has pneumonia. The nurse should initiate which of the following
isolation precautions for the client?
Droplet
Airborne
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Contact
Protective environment
Droplet
The nurse should initiate droplet precautions for this client by placing the client in a private room and
wearing a surgical mask when caring for the client. Pneumonia is transmitted by droplet particles.
Question:5
A nurse in a community center is providing an educational session to a group of clients about ovarian
cancer. Which of the following manifestations of ovarian cancer should the nurse include in the
teaching?
Diarrhea
Urinary retention
Purulent discharge
Abdominal bloating Abdominal bloating
The nurse should include the presence of abdominal bloating as an early manifestation of ovarian
cancer. Other manifestations include an increase in abdominal girth, pelvic or abdominal pain, early
satiety, and urinary frequency or urgency.
Question:6
A nurse is reviewing the ABG values of a client. The client has a pH of 7.2, PaCO2 of 60 mm Hg, and
HCO3- of 25 mEq/L. The nurse should identify that the client has which of the following acid-base
imbalances?
Respiratory alkalosis
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Metabolic alkalosis
Respiratory acidosis
Metabolic acidosis Respiratory acidosis
A client who has respiratory acidosis will have a decreased pH below the expected reference range of
7.35 to 7.45, an increased PaCO2 above the expected reference range of 35 to 45 mm Hg, and an
HCO3- within the expected reference range of 22 to 26 mEq/L.
Question:7
A nurse is caring for a client who has type 1 diabetes mellitus and reports severe ankle pain after falling
off a stepstool at home. Which of the following prescriptions should the nurse clarify with the provider?
Obtain capillary blood glucose level every 2 hr.
Check the neurovascular status of the client's lower extremities every hour.
Apply a cold pack to the client's ankle for 30 min every hour.
Maintain the affected ankle elevated and immobilized.
Apply a cold pack to the client's ankle for 30 min every hour.
The nurse should clarify a prescription for a cold pack to the client's ankle because type 1 diabetes
mellitus is a contraindication for receiving cold therapy. A client who has type 1 diabetes mellitus can
have impaired circulation due to arteriosclerosis and a loss of sensory perception due to neuropathy.
Ice can further impair circulation.
Question:8
A nurse is caring for a client who has active tuberculosis (TB). Which of the following actions should the
nurse plan to take to prevent the transmission of the disease?
Initiate contact precautions for the client upon admission.
NGN ATI PN COMPREHENSIVE ONLINE PRACTICE A & B 2025/2026 (2 VERSIONS)
EACH EXAM CONTAINS COMPLETE 60 QUESTIONS WITH CORRECT DETAILED
ANSWERS/ PN COMPREHENSIVE ONLINE PRACTICE 2025/2026 A & B WITH NGN
LATEST (NEW!)
Question:1
A nurse has just received change-of-shift report on four clients. Which of the following clients should the
nurse assess first?
A client who is postoperative with abdominal distention and no bowel sounds
A client who has diabetes mellitus and a blood glucose level of 105 mg/dL
A client who has heart failure and 2+ pitting edema
A client who is receiving maintenance IV fluids and needs a new IV catheter
Ans A client who is postoperative with abdominal distention and no bowel sounds
Using the acute vs. chronic approach to client care, the nurse should first assess the client who is
postoperative with abdominal distention and no bowel sounds because these manifestations are
indications of a paralytic ileus.
Question:2
For each assessment finding, click to specify if the finding is consistent with attention deficit
hyperactivity disorder (ADHD) or intellectual disability (ID). Each finding may support more than 1
disease process.
Assessment Findings
,2|Page
Intellectual impairment
Interrupting others
Impaired language skills
Hyperreactivity to sensory input
Losing necessary things
Question:3
A charge nurse is providing an educational session about infection control for a group of staff nurses.
Which of the following statements by one of the staff nurses indicates an understanding of isolation
precautions?
"Droplet precautions should be initiated for a client who tests positive for measles."
"A client who requires airborne precautions should be placed in a negative-pressure airflow room."
"Airborne precautions should be initiated for a client who has Clostridium difficile."
"A cl A client who requires airborne precautions should be placed in a negative-pressure airflow
room."
Airborne precautions require a negative-pressure airflow room that has at least six to 12 air
exchanges each hour using a HEPA filtration system.
Question:4
A nurse is admitting a client who has pneumonia. The nurse should initiate which of the following
isolation precautions for the client?
Droplet
Airborne
,3|Page
Contact
Protective environment
Droplet
The nurse should initiate droplet precautions for this client by placing the client in a private room and
wearing a surgical mask when caring for the client. Pneumonia is transmitted by droplet particles.
Question:5
A nurse in a community center is providing an educational session to a group of clients about ovarian
cancer. Which of the following manifestations of ovarian cancer should the nurse include in the
teaching?
Diarrhea
Urinary retention
Purulent discharge
Abdominal bloating Abdominal bloating
The nurse should include the presence of abdominal bloating as an early manifestation of ovarian
cancer. Other manifestations include an increase in abdominal girth, pelvic or abdominal pain, early
satiety, and urinary frequency or urgency.
Question:6
A nurse is reviewing the ABG values of a client. The client has a pH of 7.2, PaCO2 of 60 mm Hg, and
HCO3- of 25 mEq/L. The nurse should identify that the client has which of the following acid-base
imbalances?
Respiratory alkalosis
, 4|Page
Metabolic alkalosis
Respiratory acidosis
Metabolic acidosis Respiratory acidosis
A client who has respiratory acidosis will have a decreased pH below the expected reference range of
7.35 to 7.45, an increased PaCO2 above the expected reference range of 35 to 45 mm Hg, and an
HCO3- within the expected reference range of 22 to 26 mEq/L.
Question:7
A nurse is caring for a client who has type 1 diabetes mellitus and reports severe ankle pain after falling
off a stepstool at home. Which of the following prescriptions should the nurse clarify with the provider?
Obtain capillary blood glucose level every 2 hr.
Check the neurovascular status of the client's lower extremities every hour.
Apply a cold pack to the client's ankle for 30 min every hour.
Maintain the affected ankle elevated and immobilized.
Apply a cold pack to the client's ankle for 30 min every hour.
The nurse should clarify a prescription for a cold pack to the client's ankle because type 1 diabetes
mellitus is a contraindication for receiving cold therapy. A client who has type 1 diabetes mellitus can
have impaired circulation due to arteriosclerosis and a loss of sensory perception due to neuropathy.
Ice can further impair circulation.
Question:8
A nurse is caring for a client who has active tuberculosis (TB). Which of the following actions should the
nurse plan to take to prevent the transmission of the disease?
Initiate contact precautions for the client upon admission.
