Comprehensive Predictor
(Green Light) EXAM
(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
,1. A nurse is providing preoperative teaching for an adolescent who is scheduled for a
cardiac catheterization. Which of the following instructions should the nurse include?
a) "You can resume a regular diet 3 days after your procedure"
b) "You can take a shower 1 day after your procedure"
c) "You can begin exercising 2 days after your procedure"
d) "You can return to school 1 week after your procedure"
Correct Answer: d) "You can return to school 1 week after your procedure"
Expert Rationale: Returning to school approximately 1 week after a cardiac catheterization
allows adequate time for the insertion site to heal and for the adolescent to regain strength.
Resumption of diet and activity is typically sooner and individualized, but school attendance
requires safety and energy readiness. Early strenuous activity or hygiene methods should be
based on physician instructions.
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2. A nurse is caring for a client who is postoperative following a hemicolectomy. Which of
the following is a subjective indication that the client needs PRN pain medication?
A. The client's heart rate is 110/min
B. The client is guarding their abdominal incision
C. The client exhibits facial grimacing
D. The client reports pain
Correct Answer: D. The client reports pain
,Expert Rationale: Pain is a subjective experience, and the client’s self-report is the gold
standard for pain assessment. Vital signs and nonverbal cues can indicate pain but do not
replace direct patient reporting.
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3. A nurse is assisting with the admission of a client who has mononucleosis. Which of the
following isolation precaution should the nurse initiate?
a) Airborne
b) Droplet
c) Contact
d) Protective environment
Correct Answer: c) Contact
Expert Rationale: Mononucleosis is caused by the Epstein-Barr virus and is transmitted by
saliva and direct contact. Contact precautions help prevent spread through secretions or close
personal contact. Airborne or droplet precautions are unnecessary.
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4. A nurse is caring for a client who has a cast on their left lower leg. Which of the following
actions should the nurse take?
A. Massage areas around the edge of the client's cast with lotion
B. Avoid elevating the extremity when the client is resting in bed
, C. Give the client a dull object to scratch the skin under the cast
D. Tell the client to expect numbness in their toes
Correct Answer: A. Massage areas around the edge of the client's cast with lotion
Expert Rationale: Massaging around the edges with lotion helps prevent skin irritation and
dryness. Never insert objects under the cast or ignore symptoms of numbness, which could
indicate neurovascular compromise. Elevation is important to reduce swelling.
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5. A nurse is reinforcing teaching about home care with the parents of a child who has a
seizure disorder. Which of the following instructions should the nurse include?
a) Call EMS if a seizure lasts 5 mins or more.
b) Restrain the child at the onset of the seizure
c) Offer the child a bubble bath every evening
d) Place the child in a prone position during seizure
Correct Answer: a) Call EMS if a seizure lasts 5 mins or more.
Expert Rationale: Seizures lasting more than 5 minutes can indicate status epilepticus, a
medical emergency requiring EMS activation. Children should not be restrained during
seizures or placed prone due to aspiration risk.
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