ATI RN
Comprehensive Predictor
STUDY GUIDE
(NGN-Style & Case Scenarios)
700+ Qs & Ans to Pass the Exam
This/Study/guide/contains:
700+/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///22
,###/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/th
e/following/actions/should/the/nurse/take?
2///22
,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/t
he/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/integr
ity./Other/needle/types/can/damage/the/septum/or/are/inappropriate/for/accessing/ports.
---
###/4./IV/Therapy:/Prescriptions/&/Documentation
Question://
3///22
, A/nurse/is/conducting/an/initial/assessment/and/notes/a/discrepancy/between/a/client's/IV/infusi
on/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/engagi
ng/in/further/actions./Incident/reports/are/not/placed/in/medical/records,/and/written/warnings/are/not/immediatel
y/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/thought/that/might/help,/but/it
/has/not./I/found/the/title/to/the/car/today,/signed/over/to/me."/The/client/makes/poor/eye/contact,/speaks/in/a/mo
notone/voice,/and/demonstrates/a/lack/of/facial/expression./Client/reports/sleeping/7/hours/a/night,/waking/once/o
r/twice/to/use/the/bathroom,/not/wanting/to/eat,/and/has/lost/about/8/lbs./last/month./At/1030,/the/client/is/found/s
itting/in/the/waiting/room/with/head/in/hands,/stating/"why/don't/you/just/leave/me/alone."
Question://
Click/to/highlight/the/findings/that/require/immediate/follow-up.//
(Select/ALL/that/apply.)
A./"I/found/the/title/to/the/car/signed/over/to/me"//
B./Client/makes/poor/eye/contact,/speaks/in/a/monotone/voice,/and/has/lack/of/facial/expression//
4///22
Comprehensive Predictor
STUDY GUIDE
(NGN-Style & Case Scenarios)
700+ Qs & Ans to Pass the Exam
This/Study/guide/contains:
700+/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///22
,###/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/th
e/following/actions/should/the/nurse/take?
2///22
,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/t
he/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/integr
ity./Other/needle/types/can/damage/the/septum/or/are/inappropriate/for/accessing/ports.
---
###/4./IV/Therapy:/Prescriptions/&/Documentation
Question://
3///22
, A/nurse/is/conducting/an/initial/assessment/and/notes/a/discrepancy/between/a/client's/IV/infusi
on/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/engagi
ng/in/further/actions./Incident/reports/are/not/placed/in/medical/records,/and/written/warnings/are/not/immediatel
y/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/thought/that/might/help,/but/it
/has/not./I/found/the/title/to/the/car/today,/signed/over/to/me."/The/client/makes/poor/eye/contact,/speaks/in/a/mo
notone/voice,/and/demonstrates/a/lack/of/facial/expression./Client/reports/sleeping/7/hours/a/night,/waking/once/o
r/twice/to/use/the/bathroom,/not/wanting/to/eat,/and/has/lost/about/8/lbs./last/month./At/1030,/the/client/is/found/s
itting/in/the/waiting/room/with/head/in/hands,/stating/"why/don't/you/just/leave/me/alone."
Question://
Click/to/highlight/the/findings/that/require/immediate/follow-up.//
(Select/ALL/that/apply.)
A./"I/found/the/title/to/the/car/signed/over/to/me"//
B./Client/makes/poor/eye/contact,/speaks/in/a/monotone/voice,/and/has/lack/of/facial/expression//
4///22
