ATI RN
COMPREHENSIVE
PREDICTOR EXAM
(NGN-Style Questions & Case Scenario)
Actual Qs & Ans to Pass the Exam
This ATI test contains:
❖ 160 Qs & Ans
❖ passing score Guarantee
❖ Format Set of Multiple-choice
❖ questions with incorporating Next Generation NCLEX (NGN) and
Case Scenario
❖ Expert-Verified Explanations & Solutions
,### 1. NEW GENERATION 1: Case Scenario—Vital Signs
Case Scenario:
A client admitted with a diagnosis of bipolar disorder is receiving lithium therapy. The
nurse notes the following:
- Admission Weight: 74.8 kg (165 lbs.)
- Current Weight: 74.38 kg (164 lbs.)
Question:
The client is most likely developing and should be monitored for which of the
following?
A. Lithium toxicity
B. Urinary tract infection
C. Metabolic syndrome
D. Neuroleptic malignant syndrome
Answer: A. Lithium toxicity
Verified Rationale:
A minor reduction in body weight, especially in the setting of lithium therapy, can
concentrate serum lithium levels, increasing the risk of toxicity. Lithium has a narrow
therapeutic index, and even modest dehydration or fluid loss can precipitate toxicity.
Other diagnoses are less likely with the information provided.
### 2. Infusion Pump Safety Protocols
Question:
A nurse is preparing to initiate intravenous fluids via an infusion pump for a
client. Which of the following actions should the nurse take?
,A. Obtain a surge protector that can accommodate the pump and several other
appliances
B. Verify that the extension cord for the pump is ungrounded
C. Report the pump has a frayed cord and proceed with the infusion
D. Check the expiration date on the safety inspection sticker of the pump
Answer: A. Obtain a surge protector that can accommodate the pump and several
other appliances
Verified Rationale:
Using a surge protector that can accommodate the pump ensures electrical safety and
reduces the risk of electric shock or fire. Never proceed with a frayed cord (C) and an
ungrounded cord (B) poses a hazard. While checking the inspection sticker is important,
priority is given to immediate electrical safety.
---
### 3. Implanted Venous Access Port Assessment
Question:
A nurse is caring for a client who has an implanted venous access port. Which
of the following should the nurse use to access the port?
A. A noncoring needle
B. An angiocatheter
C. A butterfly needle
D. A 25-gauge needle
Answer: A. A noncoring needle
Verified Rationale:
, A noncoring (Huber) needle is used for implanted ports to prevent port septum
damage, maintaining device integrity. Other needle types can damage the septum or
are inappropriate for accessing ports.
---
### 4. IV Therapy: Prescriptions & Documentation
Question:
A nurse is conducting an initial assessment and notes a discrepancy between
a client's IV infusion and the information reported during shift change. Which
action should the nurse take?
A. Contact the charge nurse to see if the prescription was changed
B. Complete an incident report and place it in the client's medical record
C. Submit a written warning for the nurse involved in the incident
D. Compare the current infusion with the prescription in the client's medical record
Answer: D. Compare the current infusion with the prescription in the client's medical
record
Verified Rationale:
Verification with the medical record ensures safety and that infusions align with
prescribed therapy before engaging in further actions. Incident reports are not placed in
medical records, and written warnings are not immediately warranted.
---
### 5. NEW GENERATION 2: Case Study Scenario—Clinical Findings
Case Scenario:
An adult child accompanying a parent reports cognitive and physical decline in the
client, expressing concern over memory loss, thought processes, appetite, and self-
care. The adult child states, "My sibling and I hired help at home for my parent. We
COMPREHENSIVE
PREDICTOR EXAM
(NGN-Style Questions & Case Scenario)
Actual Qs & Ans to Pass the Exam
This ATI test contains:
❖ 160 Qs & Ans
❖ passing score Guarantee
❖ Format Set of Multiple-choice
❖ questions with incorporating Next Generation NCLEX (NGN) and
Case Scenario
❖ Expert-Verified Explanations & Solutions
,### 1. NEW GENERATION 1: Case Scenario—Vital Signs
Case Scenario:
A client admitted with a diagnosis of bipolar disorder is receiving lithium therapy. The
nurse notes the following:
- Admission Weight: 74.8 kg (165 lbs.)
- Current Weight: 74.38 kg (164 lbs.)
Question:
The client is most likely developing and should be monitored for which of the
following?
A. Lithium toxicity
B. Urinary tract infection
C. Metabolic syndrome
D. Neuroleptic malignant syndrome
Answer: A. Lithium toxicity
Verified Rationale:
A minor reduction in body weight, especially in the setting of lithium therapy, can
concentrate serum lithium levels, increasing the risk of toxicity. Lithium has a narrow
therapeutic index, and even modest dehydration or fluid loss can precipitate toxicity.
Other diagnoses are less likely with the information provided.
### 2. Infusion Pump Safety Protocols
Question:
A nurse is preparing to initiate intravenous fluids via an infusion pump for a
client. Which of the following actions should the nurse take?
,A. Obtain a surge protector that can accommodate the pump and several other
appliances
B. Verify that the extension cord for the pump is ungrounded
C. Report the pump has a frayed cord and proceed with the infusion
D. Check the expiration date on the safety inspection sticker of the pump
Answer: A. Obtain a surge protector that can accommodate the pump and several
other appliances
Verified Rationale:
Using a surge protector that can accommodate the pump ensures electrical safety and
reduces the risk of electric shock or fire. Never proceed with a frayed cord (C) and an
ungrounded cord (B) poses a hazard. While checking the inspection sticker is important,
priority is given to immediate electrical safety.
---
### 3. Implanted Venous Access Port Assessment
Question:
A nurse is caring for a client who has an implanted venous access port. Which
of the following should the nurse use to access the port?
A. A noncoring needle
B. An angiocatheter
C. A butterfly needle
D. A 25-gauge needle
Answer: A. A noncoring needle
Verified Rationale:
, A noncoring (Huber) needle is used for implanted ports to prevent port septum
damage, maintaining device integrity. Other needle types can damage the septum or
are inappropriate for accessing ports.
---
### 4. IV Therapy: Prescriptions & Documentation
Question:
A nurse is conducting an initial assessment and notes a discrepancy between
a client's IV infusion and the information reported during shift change. Which
action should the nurse take?
A. Contact the charge nurse to see if the prescription was changed
B. Complete an incident report and place it in the client's medical record
C. Submit a written warning for the nurse involved in the incident
D. Compare the current infusion with the prescription in the client's medical record
Answer: D. Compare the current infusion with the prescription in the client's medical
record
Verified Rationale:
Verification with the medical record ensures safety and that infusions align with
prescribed therapy before engaging in further actions. Incident reports are not placed in
medical records, and written warnings are not immediately warranted.
---
### 5. NEW GENERATION 2: Case Study Scenario—Clinical Findings
Case Scenario:
An adult child accompanying a parent reports cognitive and physical decline in the
client, expressing concern over memory loss, thought processes, appetite, and self-
care. The adult child states, "My sibling and I hired help at home for my parent. We
