Virtual ATI
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 home health nurse is caring for a child diagnosed with Lyme disease. Which of
the following is an appropriate action for the nurse to take?**
a. Ensure the state health department has been notified
b. Administer antitoxin
c. Educate the family to avoid sharing personal belongings
d. Assess for skin necrosis
**Answer: a. Ensure the state health department has been notified**
**Expert Rationale:** Lyme disease is a reportable condition in most states due to its
public health implications. Ensuring notification to the state health department facilitates
disease monitoring and control. Administering antitoxin is not appropriate as Lyme
disease treatment involves antibiotics, not antitoxins. Educating about sharing
belongings is unrelated because Lyme disease is transmitted by ticks, not person-to-
person. Skin necrosis is not a typical manifestation of Lyme disease and therefore
assessment for necrosis is not indicated.
---
**2. A nurse is caring for a client admitted with a respiratory condition. (NGN scenario):
Based on the following interventions, which are appropriate?**
- Provide frequent rest periods
- Restrict client sodium intake
- Advise client to avoid using soap and alcohol-based lotions
- Instruct the client to avoid blowing their nose forcefully
- Assess the client’s level of orientation
,**Answer:** Provide frequent rest periods; Advise client to avoid using soap and alcohol-
based lotions; Instruct client to avoid blowing their nose forcefully; Assess level of
orientation.
**Expert Rationale:** Frequent rest supports oxygen conservation and prevents
exhaustion. Avoiding soap and alcohol-based lotions helps maintain skin integrity,
especially in respiratory illness where fragile skin can be present. Avoiding forceful nose
blowing reduces risk of epistaxis or sinus trauma. Assessment of orientation ensures
early recognition of hypoxia or other complications. Sodium restriction is not routinely
indicated unless the client has comorbidities such as heart failure.
---
**3. A nurse is caring for a client with a vented nasogastric (NG) tube set to low
intermittent suction who has vomited. Which of the following actions should the nurse
perform first?**
a. Administer an antiemetic medication
b. Evaluate functioning of the suction device
c. Provide oral hygiene care
d. Replace the NG tube
**Answer: b. Evaluate functioning of the suction device**
**Expert Rationale:** Vomiting may indicate obstruction or malfunction of the NG tube or
suction device. The priority is to assess and correct mechanical issues to prevent
aspiration and further complications. Administering antiemetics may be appropriate after
ensuring mechanical function. Oral hygiene is important but secondary to safety.
Replacing the tube is not the first step without further assessment.
---
, **4. While performing a routine assessment, a nurse notices fraying on the electrical cord of a
/ / / / / / / / / / / / / / / /
client’s continuous passive motion (CPM) device. Which of the following actions should the n
/ / / / / / / / / / / / /
urse take first?** / /
a. Initiate a requisition for a replacement CPM device
/ / / / / / / / //
b. Report the defect to equipment maintenance staff
/ / / / / / / //
c. Remove the device from the room
/ / / / / / //
d. Ensure the device inspection sticker is current
/ / / / / / / //
**Answer: c. Remove the device from the room** / / / / / / /
**Expert Rationale:** A frayed electrical cord presents an immediate safety hazard including
/ / / / / / / / / / / /
risk of electrical shock or fire. The priority is to eliminate risk by removing the device promptly.
/ / / / / / / / / / / / / / / / /
Reporting the defect and initiating replacement follow after ensuring client safety. Confirming
/ / / / / / / / / / / /
the inspection sticker does not override the risk posed by visible damage.
/ / / / / / / / / / /
---
**5. A nurse is setting up a sterile field to perform wound irrigation. Which of the following actio
/ / / / / / / / / / / / / / / / /
ns should the nurse take when pouring the sterile solution?**
/ / / / / / / / /
a. Remove the cap and place it sterile-side up on a clean surface
/ / / / / / / / / / / / //
b. Place sterile gauze over areas of spilled solution
/ / / / / / / / //
c. Hold the bottle in the center of the sterile field when pouring
/ / / / / / / / / / / / //
d. Hold the irrigation solution bottle with the label facing away from the palm
/ / / / / / / / / / / / / //
**Answer: a. Remove the cap and place it sterile-side up on a clean surface**
/ / / / / / / / / / / / /
**Expert Rationale:** To maintain sterility, the bottle cap should be placed sterile-
/ / / / / / / / / / /
side up on a clean surface to prevent contamination. Pouring should be done carefully but the
/ / / / / / / / / / / / / / / /
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 home health nurse is caring for a child diagnosed with Lyme disease. Which of
the following is an appropriate action for the nurse to take?**
a. Ensure the state health department has been notified
b. Administer antitoxin
c. Educate the family to avoid sharing personal belongings
d. Assess for skin necrosis
**Answer: a. Ensure the state health department has been notified**
**Expert Rationale:** Lyme disease is a reportable condition in most states due to its
public health implications. Ensuring notification to the state health department facilitates
disease monitoring and control. Administering antitoxin is not appropriate as Lyme
disease treatment involves antibiotics, not antitoxins. Educating about sharing
belongings is unrelated because Lyme disease is transmitted by ticks, not person-to-
person. Skin necrosis is not a typical manifestation of Lyme disease and therefore
assessment for necrosis is not indicated.
---
**2. A nurse is caring for a client admitted with a respiratory condition. (NGN scenario):
Based on the following interventions, which are appropriate?**
- Provide frequent rest periods
- Restrict client sodium intake
- Advise client to avoid using soap and alcohol-based lotions
- Instruct the client to avoid blowing their nose forcefully
- Assess the client’s level of orientation
,**Answer:** Provide frequent rest periods; Advise client to avoid using soap and alcohol-
based lotions; Instruct client to avoid blowing their nose forcefully; Assess level of
orientation.
**Expert Rationale:** Frequent rest supports oxygen conservation and prevents
exhaustion. Avoiding soap and alcohol-based lotions helps maintain skin integrity,
especially in respiratory illness where fragile skin can be present. Avoiding forceful nose
blowing reduces risk of epistaxis or sinus trauma. Assessment of orientation ensures
early recognition of hypoxia or other complications. Sodium restriction is not routinely
indicated unless the client has comorbidities such as heart failure.
---
**3. A nurse is caring for a client with a vented nasogastric (NG) tube set to low
intermittent suction who has vomited. Which of the following actions should the nurse
perform first?**
a. Administer an antiemetic medication
b. Evaluate functioning of the suction device
c. Provide oral hygiene care
d. Replace the NG tube
**Answer: b. Evaluate functioning of the suction device**
**Expert Rationale:** Vomiting may indicate obstruction or malfunction of the NG tube or
suction device. The priority is to assess and correct mechanical issues to prevent
aspiration and further complications. Administering antiemetics may be appropriate after
ensuring mechanical function. Oral hygiene is important but secondary to safety.
Replacing the tube is not the first step without further assessment.
---
, **4. While performing a routine assessment, a nurse notices fraying on the electrical cord of a
/ / / / / / / / / / / / / / / /
client’s continuous passive motion (CPM) device. Which of the following actions should the n
/ / / / / / / / / / / / /
urse take first?** / /
a. Initiate a requisition for a replacement CPM device
/ / / / / / / / //
b. Report the defect to equipment maintenance staff
/ / / / / / / //
c. Remove the device from the room
/ / / / / / //
d. Ensure the device inspection sticker is current
/ / / / / / / //
**Answer: c. Remove the device from the room** / / / / / / /
**Expert Rationale:** A frayed electrical cord presents an immediate safety hazard including
/ / / / / / / / / / / /
risk of electrical shock or fire. The priority is to eliminate risk by removing the device promptly.
/ / / / / / / / / / / / / / / / /
Reporting the defect and initiating replacement follow after ensuring client safety. Confirming
/ / / / / / / / / / / /
the inspection sticker does not override the risk posed by visible damage.
/ / / / / / / / / / /
---
**5. A nurse is setting up a sterile field to perform wound irrigation. Which of the following actio
/ / / / / / / / / / / / / / / / /
ns should the nurse take when pouring the sterile solution?**
/ / / / / / / / /
a. Remove the cap and place it sterile-side up on a clean surface
/ / / / / / / / / / / / //
b. Place sterile gauze over areas of spilled solution
/ / / / / / / / //
c. Hold the bottle in the center of the sterile field when pouring
/ / / / / / / / / / / / //
d. Hold the irrigation solution bottle with the label facing away from the palm
/ / / / / / / / / / / / / //
**Answer: a. Remove the cap and place it sterile-side up on a clean surface**
/ / / / / / / / / / / / /
**Expert Rationale:** To maintain sterility, the bottle cap should be placed sterile-
/ / / / / / / / / / /
side up on a clean surface to prevent contamination. Pouring should be done carefully but the
/ / / / / / / / / / / / / / / /
