NGN ATI PN COMPREHENSIVE ONLINE PRACTICE A
& B 2023 (2 VERSIONS) EACH EXAM CONTAINS
COMPLETE 60 QUESTIONS WITH CORRECT
DETAILED ANSWERS/ PN COMPREHENSIVE ONLINE
PRACTICE 2023 A & B WITH NGN LATEST (NEW!)
A nurse is collecting data on a newborn who is 3 days old.
Exhibit 1
History and Physical
Newborn was delivered at 37 weeks gestation via
cesarean section for fetal distress.Apgar scores 8 at 1
min and 9 at 5 min.Birthweight 2,892 g (6 lb 6 oz)The
client who gave birth plans to breastfeed.
Exhibit 2
Flow Sheet
Day 2 of Life
0900:
Temperature 36.7° C (98° F)Heart rate 140/minRespiratory
rate 48/minWeight 2,718 g (6 lb), 6% weight lossDay 3 of
Life
0800:
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Temperature 36.4° C (97.5° F)Heart rate
140/minRespiratory rate 48/minWeight 2,545 g (5 lb 9 oz),
12% weight loss
Exhibit 3
Nurses' Notes
Day 3 of Life
0800:
Skin color consistent with newborn's genetic background.
Respirations easy and unlabored. Abdomen soft with
active bowel sounds. Mild tremors noted when awake.
Anterior fontanel level and soft. Large ecchymotic caput
succedaneum noted on posterior scalp. Small amount of
bloody mucus discharge noted from vag - ...ANSWER...✓✓
Click to highlight the findings that require follow-up. To
deselect a finding, click on the finding again.
Temperature 36.4° C (97.5° F)
Weight 2,545 g (5 lb 9 oz) 12% weight loss
Mild tremors noted when awake.
Breastfeeding every 3 to 5 hr for 5 to 10 min.
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Birth parent reports nipple discomfort throughout the
feeding.
When recognizing cues, the nurse should identify that a
temperature of 36.4° C (97.5° F) is below the expected
reference range. Hypothermia can lead to the occurrence
of hypoglycemia and respiratory distress. The newborn
breastfeeding for short intervals, nipple discomfort, and a
weight loss of greater than 10% of birth weight can
indicate inadequate transfer of breastmilk, which can
result in hypoglycemia. The presence of mild tremors can
be a manifestation of hypoglycemia.
A nurse is assisting with the care of a client who was
admitted to the emergency department (ED).
Exhibit 1
Admission Assessment
Day 1
1930:
Client admitted to the ED by police after report of violent
behavior in public. Client smashed a glass window with
their hands. Client is stating, "I am Jesus." Client is
attempting to hit staff. Client placed in restraints. Neuro:
Client is alert and oriented x 0. Client is swinging their
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arms and shouting. Client is unable to answer questions
and their speech is rapid and unorganized. Heart rate is
108/min, regularIntegumentary: Laceration noted to the
client's left hand (2 cm x 2.5 cm). Laceration noted to the
left forearm (4 cm x 6 cm). Profuse bleeding noted.
Multiple small lacerations noted to face, left arm, and
right arm. Allergies: Unable to assess
Exhibit 2
Vital Signs
Day 1
1930:
Temperature 36.7° C (98.0° F)Pulse 108/minRespiratory
rate 24/minBP 150/92 mm Hg1945:
P - ...ANSWER...✓✓ For each potential assessment
finding, click to specify if the finding is consistent with
schizophrenia or bipolar 1 disorder. Each finding may
support more than 1 disease process.
When analyzing cues, the nurse should distinguish
between positive and negative manifestations of
schizophrenia and bipolar 1 disorder. The client is
displaying positive manifestations of schizophrenia, when
compared to the assessment findings of a client who has
bipolar 1 disorder.