ATI RN Comprehensive Predictor Retake
Greenlight Exam with NGN
1. A nurse is caring for a client who has a tension pneumothorax. Which of the
following manifestations should the nurse expect?
◦ A. Paradoxical chest movement
◦ B. Bilateral crackles
◦ C. Asymmetry of the chest
◦ D. Blood-tinged sputum
◦ Correct Answer: A
◦ Rationale: Tension pneumothorax causes air trapping, leading to lung collapse
and mediastinal shift, resulting in paradoxical chest movement ( ail chest-like
motion). Asymmetry may occur, but paradoxical movement is more speci c (Page
1).
2. A nurse is caring for a client who is at 11 weeks of gestation. Which of the following
immunizations should the nurse recommend?
◦ A. Human papillomavirus
◦ B. In uenza
◦ C. Measles, mumps, and rubella
◦ D. Varicella
◦ Correct Answer: B
◦ Rationale: In uenza vaccination is safe and recommended during pregnancy to
protect both the mother and fetus. HPV, MMR, and varicella vaccines are
contraindicated during pregnancy due to potential fetal risks (Page 1).
3. A nurse in a pediatric clinic is reviewing the laboratory test results of a school-age
child. Which of the following ndings should the nurse report to the provider?
◦ A. Hct 40%
◦ B. Hgb 12.5 g/dL
◦ C. Platelets 250,000/mm³
fl fl fi fl fi
, ◦ D. WBC 14,000/mm³
◦ Correct Answer: D
◦ Rationale: A WBC count of 14,000/mm³ is elevated for a school-age child
(normal: 5,000–10,000/mm³), indicating possible infection or in ammation that
requires provider noti cation (Page 1).
4. A nurse is assessing a client who is receiving packed RBCs. Which of the following
indicates uid overload?
◦ A. Low-back pain
◦ B. Thready pulse
◦ C. Hypotension
◦ D. Dyspnea
◦ Correct Answer: D
◦ Rationale: Dyspnea is a hallmark of uid overload due to pulmonary edema from
excessive transfusion volume. Low-back pain, thready pulse, and hypotension
suggest other complications like hemolytic reaction or hypovolemia (Page 1).
5. A nurse is preparing to administer betamethasone to a client who is 25 weeks of
gestation and has preterm labor. Which of the following ndings should the nurse
identify as an adverse effect of this medication?
◦ A. Hyperglycemia
◦ B. Uterine contractions
◦ C. Proteinuria
◦ D. Hypotension
◦ Correct Answer: A
◦ Rationale: Betamethasone, a corticosteroid, can cause hyperglycemia by
increasing insulin resistance, a common adverse effect in preterm labor
management (Page 2).
6. A nurse is assessing a client who has received an antibiotic. The nurse should
identify which of the following ndings as an indication of a possible allergic
reaction to the medication?
◦ A. Bradycardia
fl fi fi fl fi fl
, ◦ B. Headache
◦ C. Joint pain
◦ D. Hypotension
◦ Correct Answer: D
◦ Rationale: Hypotension can indicate an allergic reaction, potentially progressing
to anaphylaxis, especially with antibiotics. Bradycardia, headache, and joint pain
are less speci c (Page 2).
7. A nurse on a mental health unit is caring for a client who has schizophrenia and is
experiencing auditory hallucinations telling them to hurt others. The client is
refusing to take anti-psychotic medication. Which of the following responses should
the nurse make?
◦ A. "You should plan to take this medication for a few weeks."
◦ B. "You will regret it if you do not take this medication."
◦ C. "This medication will help you respond to the voices."
◦ D. "This medication will help you stop the voices you are hearing."
◦ Correct Answer: D
◦ Rationale: Antipsychotics reduce hallucinations by targeting dopamine pathways,
helping to stop auditory hallucinations. This response educates the client on the
medication’s purpose without coercion (Page 2).
8. A nurse is providing care for a patient who has depression and is to have
electroconvulsive therapy. Which of the following conditions should the nurse
identify as increasing the client's risk for complications?
◦ A. Hyperthyroidism
◦ B. Renal calculi
◦ C. Diabetes mellitus
◦ D. Cardiac dysrhythmias
◦ Correct Answer: D
◦ Rationale: Cardiac dysrhythmias increase the risk of complications during ECT
due to anesthesia and seizure induction, which stress the cardiovascular system
(Page 2).
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Greenlight Exam with NGN
1. A nurse is caring for a client who has a tension pneumothorax. Which of the
following manifestations should the nurse expect?
◦ A. Paradoxical chest movement
◦ B. Bilateral crackles
◦ C. Asymmetry of the chest
◦ D. Blood-tinged sputum
◦ Correct Answer: A
◦ Rationale: Tension pneumothorax causes air trapping, leading to lung collapse
and mediastinal shift, resulting in paradoxical chest movement ( ail chest-like
motion). Asymmetry may occur, but paradoxical movement is more speci c (Page
1).
2. A nurse is caring for a client who is at 11 weeks of gestation. Which of the following
immunizations should the nurse recommend?
◦ A. Human papillomavirus
◦ B. In uenza
◦ C. Measles, mumps, and rubella
◦ D. Varicella
◦ Correct Answer: B
◦ Rationale: In uenza vaccination is safe and recommended during pregnancy to
protect both the mother and fetus. HPV, MMR, and varicella vaccines are
contraindicated during pregnancy due to potential fetal risks (Page 1).
3. A nurse in a pediatric clinic is reviewing the laboratory test results of a school-age
child. Which of the following ndings should the nurse report to the provider?
◦ A. Hct 40%
◦ B. Hgb 12.5 g/dL
◦ C. Platelets 250,000/mm³
fl fl fi fl fi
, ◦ D. WBC 14,000/mm³
◦ Correct Answer: D
◦ Rationale: A WBC count of 14,000/mm³ is elevated for a school-age child
(normal: 5,000–10,000/mm³), indicating possible infection or in ammation that
requires provider noti cation (Page 1).
4. A nurse is assessing a client who is receiving packed RBCs. Which of the following
indicates uid overload?
◦ A. Low-back pain
◦ B. Thready pulse
◦ C. Hypotension
◦ D. Dyspnea
◦ Correct Answer: D
◦ Rationale: Dyspnea is a hallmark of uid overload due to pulmonary edema from
excessive transfusion volume. Low-back pain, thready pulse, and hypotension
suggest other complications like hemolytic reaction or hypovolemia (Page 1).
5. A nurse is preparing to administer betamethasone to a client who is 25 weeks of
gestation and has preterm labor. Which of the following ndings should the nurse
identify as an adverse effect of this medication?
◦ A. Hyperglycemia
◦ B. Uterine contractions
◦ C. Proteinuria
◦ D. Hypotension
◦ Correct Answer: A
◦ Rationale: Betamethasone, a corticosteroid, can cause hyperglycemia by
increasing insulin resistance, a common adverse effect in preterm labor
management (Page 2).
6. A nurse is assessing a client who has received an antibiotic. The nurse should
identify which of the following ndings as an indication of a possible allergic
reaction to the medication?
◦ A. Bradycardia
fl fi fi fl fi fl
, ◦ B. Headache
◦ C. Joint pain
◦ D. Hypotension
◦ Correct Answer: D
◦ Rationale: Hypotension can indicate an allergic reaction, potentially progressing
to anaphylaxis, especially with antibiotics. Bradycardia, headache, and joint pain
are less speci c (Page 2).
7. A nurse on a mental health unit is caring for a client who has schizophrenia and is
experiencing auditory hallucinations telling them to hurt others. The client is
refusing to take anti-psychotic medication. Which of the following responses should
the nurse make?
◦ A. "You should plan to take this medication for a few weeks."
◦ B. "You will regret it if you do not take this medication."
◦ C. "This medication will help you respond to the voices."
◦ D. "This medication will help you stop the voices you are hearing."
◦ Correct Answer: D
◦ Rationale: Antipsychotics reduce hallucinations by targeting dopamine pathways,
helping to stop auditory hallucinations. This response educates the client on the
medication’s purpose without coercion (Page 2).
8. A nurse is providing care for a patient who has depression and is to have
electroconvulsive therapy. Which of the following conditions should the nurse
identify as increasing the client's risk for complications?
◦ A. Hyperthyroidism
◦ B. Renal calculi
◦ C. Diabetes mellitus
◦ D. Cardiac dysrhythmias
◦ Correct Answer: D
◦ Rationale: Cardiac dysrhythmias increase the risk of complications during ECT
due to anesthesia and seizure induction, which stress the cardiovascular system
(Page 2).
fi
