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-the-
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-
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
3-/-22
, 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-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-monotone-voice,-and-demonstrates-a-lack-of-facial-
expression.-Client-reports-sleeping-7-hours-a-night,-waking-once-or-twice-to-use-the-bathroom,-not-wanting-to-eat,-
and-has-lost-about-8-lbs.-last-month.-At-1030,-the-client-is-found-sitting-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"--
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-the-
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-
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
3-/-22
, 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-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-monotone-voice,-and-demonstrates-a-lack-of-facial-
expression.-Client-reports-sleeping-7-hours-a-night,-waking-once-or-twice-to-use-the-bathroom,-not-wanting-to-eat,-
and-has-lost-about-8-lbs.-last-month.-At-1030,-the-client-is-found-sitting-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"--
4-/-22
