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!)
1.A nurse is caring for a client who is receiving positive end-expiratory pressure (PEEP) via mechanical
ventilation. The nurse should monitor the client for which of the following adverse effects of PEEP?
Hypoxemia
Tension pneumothorax
Malignant hypertension
Atelectasis –
Tension pneumothorax
The nurse should identify that tension pneumothorax is a possible adverse effect of PEEP. The nurse
should monitor the client's lung sounds hourly for indications of a tension pneumothorax, such as
tracheal deviation, absent breath sounds, and distended neck veins.
2.A nurse is providing information to a client immediately before his scheduled Romberg test. Which of
the following statements should the nurse make?
"You will be standing with your feet 1 foot apart."
"You will place and hold your hands on your hips."
"I will be standing across the room from you to evaluate your sense of balance."
"I will be checking you once with your eyes open and once with them closed." –
"I will be checking you once with your eyes open and once with them closed."
1|Page
,The nurse should inform the client that the Romberg test will be performed once with eyes open and
once with eyes closed. A Romberg test is performed to assess balance and motor function.
3.A nurse is caring for a client who is postoperative following administration of general anesthesia. -
Upon recognizing and analyzing the client cues of tachycardia, tachypnea, hypotension, and irregular
heart rhythm, the nurse's priority hypothesis should be that this client is most likely experiencing
malignant hyperthermia and that it is important to generate solutions and take actions that will correct
dysrhythmias, provide oxygen to tissues, correct electrolyte imbalances, and reverse metabolic and
respiratory acidosis.
Answer -Therefore, the nurse should prepare to administer dantrolene and administer oxygen.
The nurse should monitor the PCO2 level on the client's ABGs for hypercapnia and observe the client
for muscle rigidity of the jaw and chest muscles.
5.A nurse is caring for a client who has a fecal impaction. Which of the following actions should the
nurse take when digitally evacuating the stool?
Place the client in the lithotomy position.
Elicit a vagal response by performing gentle rectal stimulation.
Administer oral bisacodyl 30 min prior to the procedure.
Insert a lubricated gloved finger and advance along the rectal wall. –
Insert a lubricated gloved finger and advance along the rectal wall.
The nurse should insert a lubricated gloved finger and advance it along the rectal wall when digitally
evacuating stool.
2|Page
,6.A nurse is caring for a client who is in the fourth stage of labor and is receiving oxytocin via continuous
IV infusion. Which of the following assessments is the nurse's priority?
Amount of vaginal bleeding
Amount of urinary output
Pain level
Fundal height –
Amount of vaginal bleeding
The first action the nurse should take using the nursing process is to assess the amount of vaginal
bleeding. A client who is in the fourth stage of labor is at risk for hemorrhage, so assessing the amount
of vaginal bleeding is the nurse's priority.
7.A nurse is caring for a client who is pregnant.
The nurse is providing discharge teaching to the client.
For each discharge instruction, click to specify if each action is recommended or contraindicated for the
client.
Nursing action
Drink warm ginger ale when nauseated.
Eat every 2 to 3 hr.
Alternate eating solid foods and liquids.
Increase intake of high-fat foods. - Recommended
Drink warm ginger ale when nauseated.
Eat every 2 to 3 hr.
Alternate eating solid foods and liquids.
Contraindicated
Increase intake of high-fat foods.
3|Page
, When taking action and providing discharge teaching for a client who has hyperemesis gravidarum,
the nurse should recommend the client should eat every 2 to 3 hr to avoid having an empty stomach,
which can increase nausea. The client should separate liquids from solids every 2 to 3 hr to help
minimize nausea. The client should eat foods high in protein that are low in fat. Warm ginger ale or
ginger tea can also decrease nausea.
8.A nurse is providing dietary teaching to a client who has a new prescription for phenelzine. Which of
the following food recommendations should the nurse make? (Select all that apply.)
Broccoli
Yogurt
Pepperoni pizza
Cream cheese
Bologna sandwich - Broccoli is correct. Clients who take phenelzine, an MAOI, should not eat foods
that contain tyramine. Broccoli does not contain tyramine.
Yogurt is correct. Clients who take phenelzine, an MAOI, should not eat foods that contain tyramine.
Yogurt contains little or no tyramine.
Cream cheese is correct. Clients who take phenelzine, an MAOI, should not eat foods that contain
tyramine. Cream cheese contains little or no tyramine.
10.A nurse is preparing to transfer a client from the ICU to the medical floor. The client was recently
weaned from mechanical ventilation following a pneumonectomy. Which of the following information
should the nurse include in the change-of-shift report?
The last time the provider evaluated the client
The client's most recent ventilator settings
The time of the client's last dose of pain medication
The frequency in which the client presses the call button - The time of the client's last dose of pain
medication
4|Page
CONTAINS COMPLETE 60 QUESTIONS WITH CORRECT DETAILED ANSWERS/ PN COMPREHENSIVE
ONLINE PRACTICE 2025/2026 A & B WITH NGN LATEST (NEW!)
1.A nurse is caring for a client who is receiving positive end-expiratory pressure (PEEP) via mechanical
ventilation. The nurse should monitor the client for which of the following adverse effects of PEEP?
Hypoxemia
Tension pneumothorax
Malignant hypertension
Atelectasis –
Tension pneumothorax
The nurse should identify that tension pneumothorax is a possible adverse effect of PEEP. The nurse
should monitor the client's lung sounds hourly for indications of a tension pneumothorax, such as
tracheal deviation, absent breath sounds, and distended neck veins.
2.A nurse is providing information to a client immediately before his scheduled Romberg test. Which of
the following statements should the nurse make?
"You will be standing with your feet 1 foot apart."
"You will place and hold your hands on your hips."
"I will be standing across the room from you to evaluate your sense of balance."
"I will be checking you once with your eyes open and once with them closed." –
"I will be checking you once with your eyes open and once with them closed."
1|Page
,The nurse should inform the client that the Romberg test will be performed once with eyes open and
once with eyes closed. A Romberg test is performed to assess balance and motor function.
3.A nurse is caring for a client who is postoperative following administration of general anesthesia. -
Upon recognizing and analyzing the client cues of tachycardia, tachypnea, hypotension, and irregular
heart rhythm, the nurse's priority hypothesis should be that this client is most likely experiencing
malignant hyperthermia and that it is important to generate solutions and take actions that will correct
dysrhythmias, provide oxygen to tissues, correct electrolyte imbalances, and reverse metabolic and
respiratory acidosis.
Answer -Therefore, the nurse should prepare to administer dantrolene and administer oxygen.
The nurse should monitor the PCO2 level on the client's ABGs for hypercapnia and observe the client
for muscle rigidity of the jaw and chest muscles.
5.A nurse is caring for a client who has a fecal impaction. Which of the following actions should the
nurse take when digitally evacuating the stool?
Place the client in the lithotomy position.
Elicit a vagal response by performing gentle rectal stimulation.
Administer oral bisacodyl 30 min prior to the procedure.
Insert a lubricated gloved finger and advance along the rectal wall. –
Insert a lubricated gloved finger and advance along the rectal wall.
The nurse should insert a lubricated gloved finger and advance it along the rectal wall when digitally
evacuating stool.
2|Page
,6.A nurse is caring for a client who is in the fourth stage of labor and is receiving oxytocin via continuous
IV infusion. Which of the following assessments is the nurse's priority?
Amount of vaginal bleeding
Amount of urinary output
Pain level
Fundal height –
Amount of vaginal bleeding
The first action the nurse should take using the nursing process is to assess the amount of vaginal
bleeding. A client who is in the fourth stage of labor is at risk for hemorrhage, so assessing the amount
of vaginal bleeding is the nurse's priority.
7.A nurse is caring for a client who is pregnant.
The nurse is providing discharge teaching to the client.
For each discharge instruction, click to specify if each action is recommended or contraindicated for the
client.
Nursing action
Drink warm ginger ale when nauseated.
Eat every 2 to 3 hr.
Alternate eating solid foods and liquids.
Increase intake of high-fat foods. - Recommended
Drink warm ginger ale when nauseated.
Eat every 2 to 3 hr.
Alternate eating solid foods and liquids.
Contraindicated
Increase intake of high-fat foods.
3|Page
, When taking action and providing discharge teaching for a client who has hyperemesis gravidarum,
the nurse should recommend the client should eat every 2 to 3 hr to avoid having an empty stomach,
which can increase nausea. The client should separate liquids from solids every 2 to 3 hr to help
minimize nausea. The client should eat foods high in protein that are low in fat. Warm ginger ale or
ginger tea can also decrease nausea.
8.A nurse is providing dietary teaching to a client who has a new prescription for phenelzine. Which of
the following food recommendations should the nurse make? (Select all that apply.)
Broccoli
Yogurt
Pepperoni pizza
Cream cheese
Bologna sandwich - Broccoli is correct. Clients who take phenelzine, an MAOI, should not eat foods
that contain tyramine. Broccoli does not contain tyramine.
Yogurt is correct. Clients who take phenelzine, an MAOI, should not eat foods that contain tyramine.
Yogurt contains little or no tyramine.
Cream cheese is correct. Clients who take phenelzine, an MAOI, should not eat foods that contain
tyramine. Cream cheese contains little or no tyramine.
10.A nurse is preparing to transfer a client from the ICU to the medical floor. The client was recently
weaned from mechanical ventilation following a pneumonectomy. Which of the following information
should the nurse include in the change-of-shift report?
The last time the provider evaluated the client
The client's most recent ventilator settings
The time of the client's last dose of pain medication
The frequency in which the client presses the call button - The time of the client's last dose of pain
medication
4|Page
