,Contents
FORM A ....................................................................................................................................... 2
FORM B ............................................................................................................................... 158
FORM C ........................................................................................................................... 311
FORM A RETAKE ................................................................................................................ 346
FORM B RETAKE ............................................................................................................ 382
FORM C RETAKE ........................................................................................................ 425
MOST DIFFICULT NGN ATI Green Light Mixed Exam .................................... 484
MOST TESTED QUESTIONS WITH ANSWERS AND RATIONALE .......... 525
PAST PAPERS QUESTIONS AND ANSWERS FROM 2023 ...................... 554
FORM A
Question 1 of 180
A nurse is interpreting the cardiac rhythm strip of a client who was admitted with syncope.
Which of the following images indicates that the client has atrial fibrillation?
Rationale: Atrial fibrillation is characterized by the absence of identifiable P waves, an
irregularly irregular ventricular rhythm, and varying R-R intervals due to chaotic atrial electrical
activity. The correct rhythm strip is the one demonstrating these findings. Rhythm strips
showing regular P waves before each QRS complex indicate sinus rhythm, while sawtooth flutter
waves suggest atrial flutter, and regular rapid rhythms with narrow or wide QRS complexes
indicate other dysrhythmias rather than atrial fibrillation.
DIF: Cognitive Level: Analyze (Analysis)
,TOP: Cardiovascular Disorders – Cardiac Dysrhythmias
MSC: NCLEX: Physiological Integrity – Reduction of Risk Potential
Question 2 of 180
A nurse is conducting an admission assessment on a 35-year-old client who has a history of
repeated legal problems, impulsive behavior, and multiple failed interpersonal relationships.
During the interview, the client states, "I do whatever I need to get what I want. People are
either useful or they're not." The client shows no remorse when discussing previous actions that
harmed others.
Which of the following behaviors should the nurse identify as being most consistent with
antisocial personality disorder?
A. Demonstrates compulsive attention to detail and insists that tasks be completed perfectly
B. Avoids interacting with others because of fear of criticism and rejection
C. Manipulates and exploits others for personal gain without remorse
D. Appears socially awkward and has difficulty interpreting social cues
☐ Mark for Review
Correct Answer
C. Manipulates and exploits others for personal gain without remorse
Detailed Rationale
Antisocial personality disorder is characterized by a pervasive pattern of violating the rights of
others, disregard for social norms, deceitfulness, impulsivity, irresponsibility, aggression, and
lack of remorse. Individuals frequently manipulate, exploit, or deceive others for personal
benefit without experiencing guilt.
Common manifestations include:
• Chronic lying and deceitfulness
• Manipulation for personal gain
• Lack of empathy or remorse
• Impulsivity
, • Repeated legal problems
• Failure to accept responsibility
• Aggressive or reckless behavior
The client's statement that people are only valuable if they are useful is highly characteristic of
antisocial personality disorder. Antisocial personality disorder is characterized by a pervasive
pattern of disregard for and violation of the rights of others. Individuals commonly exhibit
deceitfulness, manipulation, impulsivity, irresponsibility, lack of empathy, and an absence of
guilt or remorse for harmful actions. Therefore, manipulating and exploiting others for personal
gain without remorse is the behavior most consistent with antisocial personality disorder.
• Option A describes traits of obsessive-compulsive personality disorder (OCPD), which is
characterized by perfectionism, orderliness, and excessive attention to rules and details.
• Option B describes avoidant personality disorder, in which individuals avoid social
interactions due to fear of rejection, criticism, or feelings of inadequacy.
• Option D is more consistent with autism spectrum disorder or schizoid personality traits,
rather than antisocial personality disorder.
DIF: Cognitive Level: Analyze (Analysis)
TOP: Mental Health Disorders – Personality Disorders
MSC: NCLEX: Psychosocial Integrity
Question 3 of 180
A charge nurse on a pediatric unit is making assignments for a float nurse from the medical
unit. Which of the following clients is appropriate to assign to the float nurse?
A. A 10-year-old client who has pneumonia and is receiving respiratory treatments
B. A 4-year-old client who has a Wilms tumor and is receiving chemotherapy
C. An 8-month-old client who is scheduled for a surgical repair of a ventricular septal defect
tomorrow
D. A 14-year-old client who is scheduled for discharge today following placement of a
Harrington rod
☐ Mark for Review
FORM A ....................................................................................................................................... 2
FORM B ............................................................................................................................... 158
FORM C ........................................................................................................................... 311
FORM A RETAKE ................................................................................................................ 346
FORM B RETAKE ............................................................................................................ 382
FORM C RETAKE ........................................................................................................ 425
MOST DIFFICULT NGN ATI Green Light Mixed Exam .................................... 484
MOST TESTED QUESTIONS WITH ANSWERS AND RATIONALE .......... 525
PAST PAPERS QUESTIONS AND ANSWERS FROM 2023 ...................... 554
FORM A
Question 1 of 180
A nurse is interpreting the cardiac rhythm strip of a client who was admitted with syncope.
Which of the following images indicates that the client has atrial fibrillation?
Rationale: Atrial fibrillation is characterized by the absence of identifiable P waves, an
irregularly irregular ventricular rhythm, and varying R-R intervals due to chaotic atrial electrical
activity. The correct rhythm strip is the one demonstrating these findings. Rhythm strips
showing regular P waves before each QRS complex indicate sinus rhythm, while sawtooth flutter
waves suggest atrial flutter, and regular rapid rhythms with narrow or wide QRS complexes
indicate other dysrhythmias rather than atrial fibrillation.
DIF: Cognitive Level: Analyze (Analysis)
,TOP: Cardiovascular Disorders – Cardiac Dysrhythmias
MSC: NCLEX: Physiological Integrity – Reduction of Risk Potential
Question 2 of 180
A nurse is conducting an admission assessment on a 35-year-old client who has a history of
repeated legal problems, impulsive behavior, and multiple failed interpersonal relationships.
During the interview, the client states, "I do whatever I need to get what I want. People are
either useful or they're not." The client shows no remorse when discussing previous actions that
harmed others.
Which of the following behaviors should the nurse identify as being most consistent with
antisocial personality disorder?
A. Demonstrates compulsive attention to detail and insists that tasks be completed perfectly
B. Avoids interacting with others because of fear of criticism and rejection
C. Manipulates and exploits others for personal gain without remorse
D. Appears socially awkward and has difficulty interpreting social cues
☐ Mark for Review
Correct Answer
C. Manipulates and exploits others for personal gain without remorse
Detailed Rationale
Antisocial personality disorder is characterized by a pervasive pattern of violating the rights of
others, disregard for social norms, deceitfulness, impulsivity, irresponsibility, aggression, and
lack of remorse. Individuals frequently manipulate, exploit, or deceive others for personal
benefit without experiencing guilt.
Common manifestations include:
• Chronic lying and deceitfulness
• Manipulation for personal gain
• Lack of empathy or remorse
• Impulsivity
, • Repeated legal problems
• Failure to accept responsibility
• Aggressive or reckless behavior
The client's statement that people are only valuable if they are useful is highly characteristic of
antisocial personality disorder. Antisocial personality disorder is characterized by a pervasive
pattern of disregard for and violation of the rights of others. Individuals commonly exhibit
deceitfulness, manipulation, impulsivity, irresponsibility, lack of empathy, and an absence of
guilt or remorse for harmful actions. Therefore, manipulating and exploiting others for personal
gain without remorse is the behavior most consistent with antisocial personality disorder.
• Option A describes traits of obsessive-compulsive personality disorder (OCPD), which is
characterized by perfectionism, orderliness, and excessive attention to rules and details.
• Option B describes avoidant personality disorder, in which individuals avoid social
interactions due to fear of rejection, criticism, or feelings of inadequacy.
• Option D is more consistent with autism spectrum disorder or schizoid personality traits,
rather than antisocial personality disorder.
DIF: Cognitive Level: Analyze (Analysis)
TOP: Mental Health Disorders – Personality Disorders
MSC: NCLEX: Psychosocial Integrity
Question 3 of 180
A charge nurse on a pediatric unit is making assignments for a float nurse from the medical
unit. Which of the following clients is appropriate to assign to the float nurse?
A. A 10-year-old client who has pneumonia and is receiving respiratory treatments
B. A 4-year-old client who has a Wilms tumor and is receiving chemotherapy
C. An 8-month-old client who is scheduled for a surgical repair of a ventricular septal defect
tomorrow
D. A 14-year-old client who is scheduled for discharge today following placement of a
Harrington rod
☐ Mark for Review
