Predictor (Green Light)
900+ QUESTIONS BANK
(NGN-Style Questions & Case Scenario)
Actual Qs & Ans to Pass the Exam
This ATI test contains:
❖ passing score Guarantee
❖ Format Set of Multiple-choice
❖ questions with incorporating Next
Generation NCLEX (NGN) and Case
Scenario
❖ Expert-Verified Explanations & Solutions
2 2 2
,1.2A2nurse2is2caring2for2a2client2who2is2at2332weeks2of2gestation2following2an2amniocente
sis.2The2nurse2should2monitor2the2client2for2which2of2the2following2complications?22
A.2Vomiting22
B.2Hypertension22
C.2Epigastric2pain22
D.2Contractions22
Correct2Answer:2D.2Contractions22
Expert2Rationale:2Amniocentesis2can2trigger2uterine2irritability2leading2to2contractions2an
d2potential2preterm2labor,2especially2at2332weeks2gestation.2Monitoring2for2contractions2i
s2essential.2Vomiting,2hypertension,2and2epigastric2pain2are2not2common2complications2
of2amniocentesis.
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2.2A2nurse2is2providing2teaching2to2an2older2adult2client2about2methods2to2promote2nightt
ime2sleep.2Which2of2the2following2instructions2should2the2nurse2include?22
A.2Stay2in2bed2at2least212hr2if2unable2to2fall2asleep22
B.2Take2a212hr2nap2during2the2day22
C.2Perform2exercises2prior2to2bedtime22
D.2Eat2a2light2snack2before2bedtime22
Correct2Answer:2D.2Eat2a2light2snack2before2bedtime22
Expert2Rationale:2A2light2carbohydrate2or2protein2snack2can2promote2sleep2by2preventin
g2hunger.2Napping2too2long2or2late2in2the2day2and2vigorous2exercise2close2to2bedtime2ca
n2interfere2with2sleep.2Also,2staying2in2bed2awake2for2too2long2can2condition2the2brain2to2
associate2bed2with2wakefulness.
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,3.2A2nurse2on2a2telemetry2unit2is2caring2for2a2client2who2becomes2unconscious2and2whos
e2monitor2displays2ventricular2tachycardia.2Which2of2the2following2actions2should2the2nur
se2take2first2after2determining2the2client2does2not2have2a2palpable2pulse?22
A.2Assess2heart2sounds22
B.2Defibrillate22
C.2Establish2IV2access22
D.2Administer2epinephrine22
Correct2Answer:2B.2Defibrillate22
Expert2Rationale:2Pulseless2ventricular2tachycardia2is2a2life-
threatening2cardiac2arrest2rhythm2requiring2immediate2defibrillation.2The2nurse’s2priority2i
s2to2defibrillate2to2restore2a2perfusing2rhythm.2Other2interventions2follow.
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4.2A2nurse2is2admitting2a2client2who2is212week2postpartum2and2reports2excessive2vaginal
2bleeding.2The2nurse2does2not2speak2the2same2language2as2the2client.2The2client's2partn
er2and210-year-
old2child2are2accompanying2her.2Which2of2the2following2actions2should2the2nurse2take2to2
gather2the2client's2admission2data?22
A.2Have2the2client's2child2translate22
B.2Allow2the2client's2partner2to2translate22
C.2Request2a2female2interpreter2through2the2facility22
D.2Ask2a2nursing2student2who2speaks2the2same2language2as2the2client2to2translate22
Correct2Answer:2C.2Request2a2female2interpreter2through2the2facility22
Expert2Rationale:2Using2a2professional2interpreter2ensures2accuracy2and2confidentiality.2
A2female2interpreter2is2preferred2for2obstetric2care2to2respect2cultural2sensitivities.2Family
2members,2especially2children,2are2not2appropriate2interpreters.
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, 5.2A2nurse2is2caring2for2a2client2who2is2febrile.2To2reduce2the2client's2fever,2the2nurse2app
lies2a2cooling2blanket.2Which2of2the2following2findings2indicates2the2client2is2having2an2ad
verse2reaction2to2the2cooling?22
a.2Flushing22
b.2Tachycardia22
c.2Restlessness22
d.2Shivering22
Correct2Answer:2d.2Shivering22
Expert2Rationale:2Shivering2indicates2the2client2is2responding2to2cold2by2generating2heat,
2which2raises2body2temperature2and2counteracts2the2cooling2intervention.2This2is2an2adv
erse2effect2and2requires2prompt2reassessment2of2the2approach.
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6.2A2nurse2is2caring2for2a2client2who2has2deep-vein-
thrombosis2of2the2left2lower2extremity.2Which2of2the2following2actions2should2the2nurse2ta
ke?2(Exhibit)22
A.2Position2the2client2with2the2affected2extremity2lower2than2the2heart22
B.2Withhold2heparin2IV2infusion2PTT-230-402seconds;2x22if2on2heparin22
C.2Administer2acetaminophen22
D.2Massage2the2affected2extremity2every242hr22
Correct2Answer:2B.2Withhold2heparin2IV2infusion2PTT-230-402seconds;2x22if2on2heparin22
Expert2Rationale:2Heparin2therapeutic2range2is2typically21.5-
2.52times2the2normal2PTT2(30-
402secs).2A2lower2PTT2indicates2subtherapeutic2levels2requiring2withholding2of2heparin2u
ntil2levels2are2safe.2Positioning2with2the2leg2elevated2is2the2correct2position2(not2lower),2a
nd2massaging2a2DVT2can2dislodge2a2clot.