ATI PN COMPREHENSIVE EXIT EXAM 180 NGN QUESTIONS AND VERIFIED ANSWERS & RATIONALES WELL GRADED, BEST ATI COMPREHENSIVE 1. NGN: A nurse is assisting with the care of a client who was admitted to the emergency department (ED). For each potential assessment finding, click to specify if the finding is consis- tent with schizophrenia or bipolar 1 disorder. Each finding may support more than 1 disease process Ans>> Schizophrenia: -grandidose delusions -social impairment -pressured speech Bipolar 1 Disorder: -grandidose delusions -social impairment -pressured speech 2. NGN: A nurse is caring for a client in an inpatient mental health facility. Select the 2 findings from the client's medical record that are manifestations of borderline personality disorder. Ans>> skin assessment -behavior toward roommate 3. NGN: A nurse is assisting with the care of a client who is 1 day postoperative following a total thyroidectomy. The client is at highest risk for developing as evidenced by the .- Ans>> hypocalcemia -client's report of muscle spasms, numbness around lips, and decreased cal cium level 4. A nurse is assisting with the care of a client who has schizophrenia in an inpatient facility. Click to highlight the findings that require immediate follow- up. To deselect a finding, click on the finding again. Ans>> Client reports an increase in urination and had one episode of incontinence. -Family noted increased agitation and delusions. 5. NGN: A nurse is assisting with the care of a client who has a new diagnosis of anorexia nervosa. The nurse should first address the client's , fol- lowed by the client's . Ans>> electrolyte imbalance -fear of weight gain 6. NGN: A nurse is reinforcing teaching with a client who is pregnant. The client is at risk for experiencing due to the client's . Ans>> meta- bolic acidosis -excessive weight loss 7. NGN: A nurse is assisting with the care of a newborn.The nurse should plan to first collect data about the newborn's , followed by the newborn's . Ans>> respiratory rate -heart rate 8. NGN: A nurse on the medical-surgical unit is assisting with the care of a client who was admitted from the emergency department (ED). The client is at risk for developing due to . Ans>> confusion -sodium level 9. A nurse notices an assistive personnel (AP) taking a nap in the break room during meal time.The nurse also notes that the AP is drowsy while performing routine tasks. Which of the following actions should the nurse take Ans>> Report the observations about the AP to the unit's nurse manager. 10. A nurse in a long-term care facility is contributing to the plan of care for a client who has a new ostomy. Which of the following interventions should the nurse include Ans>> Change the appliance two times each week 11. A nurse is caring for a client who is 12 hr postoperative following a total hip arthroplasty. Which of the following actions should the nur se take Ans>> Place an abduction wedge between the client's legs when in bed.
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