COMPREHENSIVE PREDICTOR
(VERSION 1, 2, 3 EXAMS)
(NGN-STYLE & CASE “SCENARIO”)
Actual Qs & Ans to Pass the Exam
THIS TEST HAS:
passing score Guarantee
Format Set of Multiple-choice
questions with incorporating Next Generation NCLEX
(NGN) and Case Scenarios
Expert-Verified Explanations & Solutions
, ATI COMPREHENSIVE PREDICTOR VERSION 1………………02
ATI COMPREHENSIVE PREDICTOR VERSION 2………………256
ATI COMPREHENSIVE PREDICTOR VERSION 3………………352
ATI COMPREHENSIVE PREDICTOR VERSION 1
1. NGN:
Condition Most Likely Experiencing Action to Take
Parameters to Monitor
Condition Most Likely * Anorexia nervosa
Actions to Take:*Provide a structured meal environment - Helps the client feel secure and reduces anxiety
around eating.
D. Encourage the client to limit fasting - Regular meals help stabilize nutrition and reduce the effects of
prolonged fasting.
Parameters to Monitor:
A.Weight on a daily basis - Monitoring weight is crucial for tracking progress and re-feeding.
C. Cardiac function with ECG - Important due to risks of arrhythmias from malnutrition and electrolyte
imbalances
A nurse is caring for a recently admitted 18-year-old client.
,Nurses' Notes: 1000:
Client admitted to behavioral health unit for prolonged weight loss and refusal to eat. Client collapsed at
school. The client's parents were called. They contacted the primary care provider, who arranged for a direct
admission.
Weight 37.2 kg (82 lb).
Height 157.5 cm (62 inches).
BMI 15.
1200:
Client observed during noon meal. Client pushed food around the plate. Intake 10% of meal. Offered
nutritional supplement. Client declined. Reports feeling anxious due to admission and mealtime. Client states,
"I cannot eat this with you watching me.". 1500:.
Snack provided. Client observed throwing snack into the trash can. When realized they had been observed,
they admitted to their action and asked for a second snack.
Client ate 10% of their snack.
Laboratory Results : 1130:
Sodium 145 mEq/L (136 to 145 mEq/L) Potassium 2.8 mEq/L (3.5 to 5.0 mEq/L)
Chloride 110 mEq/L (98 to 106 mEq/L) BUN 20 mg/dL (10 to 20 mg/dL) Magnesium
1.2 mEq/L (1.3 to 2.1 mEq/L) Total calcium 9.5 mg/dL (9.0 to 10.5 mg/dL) Phosphate
3.2 mg/dL (3.0 to 4.5 mg/dL) Glucose 74 mg/dL (74 to 106 mg/dL) Total protein 4.8 g/dL (6.4 to 8.3 g/dL)
Albumin 2.7 g/dL (3.5 to 5.0 g/dL)
Admission Assessment:
Skin dry and flakey, lanugo. Lips dry and chapped. Hair thin and dull, buccal mucosa dry.
Diminished bowel sounds. Abdomen swollen and bloated. Lungs clear to ausculta- tion. Respirations regular
, and unlabored.
Heart rate regular 50/min.
Client reports no menstrual cycle for past 3 months.
Client reports feeling depressed. Reports starting diet 6 months ago because they "felt fat" compared to
the "popular kids at school.".
Vital Signs: 1000:.
T 36.1° C (97° F).
P 50/min.
R 16/min.
BP 90/62 mm Hg. O2:
98% room air. 1400:
T 36.2° C (97.2° F).
P 48/min.
R 16/min.
BP 88/60 mm Hg.
2. NGN
A nurse is caring for a 36 hr old infant.