ATI RN COMPREHENSIVE WITH NGN EXAM QUESTIONS
WITH VERIFIED ANSWERS 2025/2026 UPDATED
1/
, 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).
NGN:
BMI 15.
Condition Most Likely
1200:
Client observed during noon meal. Client pushed food around the plate. Intake
Experiencing Action to Take
10% of meal. Offered nutritional supplement. Client declined. Reports
feeling anxious due to admission and mealtime. Client states, "I cannot eat
Parameters to Monitor
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:
Answer: 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
Condition Most Likely * Anorexia 3.2 mg/dL (3.0 to 4.5 mg/dL) Glucose 74 mg/dL (74 to 106 mg/dL) Total protein 4.8
nervosa Actions to Take:*Provide a g/dL (6.4 to 8.3 g/dL) Albumin 2.7 g/dL (3.5 to 5.0
structured meal environment - Helps g/dL) Admission Assessment:
the client feel secure and reduces Skin dry and flakey, lanugo. Lips dry and chapped. Hair thin and dull, buccal
anxiety around eating.D. Encourage mucosa dry. Diminished bowel sounds. Abdomen swollen and bloated.
the client to limit fasting - Regular meals Lungs clear to auscultation. Respirations regular and unlabored.
Heart rate regular 50/min.
help stabilize nutrition and reduce the
Client reports no menstrual cycle for past 3 months.
effects of prolonged fasting.
Client reports feeling depressed. Reports starting diet 6 months ago because
Parameters to Monitor:A. Weight on
they "felt fat" compared to the "popular kids at school.".
2/
,a daily basis - Monitoring weight is Vital
crucial for tracking progress and re- Signs:
feeding.C. Cardiac function with 1000:.
ECG - Important due to risks of T 36.1° C (97° F).
arrhythmias from malnutrition and P
electrolyte imbalances. 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.
3/
, NGN Supplement feeding with sterile water -
A nurse is caring for a 36 hr old infant. Contraindicated Dress in only a diaper -
Indicated
Newborn is alert & active when Cover newborn's eyes with a shield -
awake. Respirations easy and Indicated Apply lotion to skin every 4 hr.
unlabored. Buccal membranes - Contraindicated Breastfeed every 2 to
jaundiced. Newborn nursing every 2 to 4 3 hr - Indicated
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.
4/