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NGN ATI RN COMPREHENSIVE PREDICTOR EXAM
FORM A 2023 ACTUAL EXAM| COMPLETE
QUESTIONS WITH DETAILED VERIFIED ANSWERS
(100% CORRECT ANSWERS) /ALREADY GRADED A+
NGN: What should be included in the plan of care for a 8yr old patient
with cystic fibrosis?
Admission: SOB, wheezes x5 lobes, prod. cough with thick sputum.
Vitals: HR 108, R 26, T 98.9F, BP 100/62, O2 92%.
Sputum culture (+) B. cepacia
A. Initiate droplet precautions.
B. Keep the child NPO x12hrs.
C. Maintain the child on bed rest x24hrs.
D. Administer high-dose antibiotic therapy. - ANSWER - D. Administer
high-dose antibiotic therapy.
-Children who have cystic fibrosis metabolize antibiotics more rapidly
and require higher doses of antibiotics to help fight aggressive
infections.
-Initiate contact precautions, high-calorie/high-protein diet with
unlimited fat, and include ADLs in plan of care. Exercise facilitates
mucus excretions and can increase the child's self-esteem.
A nurse is caring for school-age child who is taking valproic acid. The
nurse should expect the provider to order which of the following
diagnostic tests?
pg. 1
,2|Page
A. Chest x-ray
B. Serum liver enzyme levels
C. ABGs
D. Urine culture and sensitivity - ANSWER - B. Serum liver enzyme
levels
-Valproic acid can cause hepatic toxicity. Assess liver function prior to
and periodically during therapy.
A nurse is assessing a patient who has decreased visual acuity due to
cataracts. The nurse should identify that which of the following
physiological changes is the cause for the vision loss?
A. An increase in the intraocular pressure
B. Deterioration of the macula
C. Increased opacity of the lens
D. Vitreous hemorrhage - ANSWER - C. Increased opacity of the lens
-A cataract is a cloudy or opaque area of the lens of the eye that inhibits
light penetration.
-Glaucoma leads to an increase in intraocular pressure, causing mild
headaches and foggy vision.
-Macular degeneration is caused by deterioration of the macula,
resulting in decreased central vision.
-Vitreous hemorrhage is bleeding following damage of retinal blood
vessels, which can occur due to elevated BP or uncontrolled diabetes.
pg. 2
,3|Page
A nurse is assessing a patient following a colonoscopy. Which of the
following findings should indicate to the nurse that the patient is
hemorrhaging?
A. Sudden drop in heart rate
B. Rapid decrease in blood pressure
C. Patient reports feeling of fullness
D. Patient reports pain 8/10 - ANSWER - B. Rapid decrease in blood
pressure.
-An increased heart rate and rapid decrease in BP indicates hemorrhage.
-A feeling of fullness is an expected finding following a colonoscopy.
-Pain could indicate bowel perforation.
A nurse is assessing a 2mo-old infant during a well-baby examination.
Which of the following actions should the nurse take to assess the
infant's rooting reflex?
A. Stroke the infant's cheek
B. Depress the infant's tongue
C. Turn the infant's head to one side
D. Tap on the bridge of the infant's nose - ANSWER - A. Stroke the
infant's cheek
-Rooting reflex includes stroking infant's cheek which should cause the
infant to turn towards that side and suck.
-The nurse should depress the infant' tongue to assess the extrusion
reflex, which should cause the infant to stick out the tongue.
-The nurse should turn the infant's head to one side to assess the
asymmetric tonic neck reflex, which should cause the infant to extend
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their arm and leg on that side and flex their arm and leg on the other
side.
-The nurse should tap on the bridge of the infant's nose to assess the
glabellar reflex, which should cause the infant to close their eyes tightly.
A nurse is assessing a preschooler who has cystic fibrosis and has been
receiving oxygen therapy for the past 36hrs. Which of the following
findings should the nurse identify is an indication that the patient has
developed oxygen toxicity?
A. Wheezes
B. Tachycardia
C. Restlessness
D. Substernal pain - ANSWER - D. Substernal pain
-The nurse should identify substernal pain as a manifestation of oxygen
toxicity due to the increased WOB. Another manifestation is crackles.
-Tachycardia and restlessness indicate hypoxemia and requires oxygen
therapy.
A patient is receiving lorazepam IV for panic attacks and develops a
respiratory rate of 6/in and a BP of 90/44. Which of the following
medications should the nurse anticipate administering?
A. Naloxone
B. Flumazenil
C. Acetylcysteine
D. Atropine - ANSWER - B. Flumazenil
pg. 4
NGN ATI RN COMPREHENSIVE PREDICTOR EXAM
FORM A 2023 ACTUAL EXAM| COMPLETE
QUESTIONS WITH DETAILED VERIFIED ANSWERS
(100% CORRECT ANSWERS) /ALREADY GRADED A+
NGN: What should be included in the plan of care for a 8yr old patient
with cystic fibrosis?
Admission: SOB, wheezes x5 lobes, prod. cough with thick sputum.
Vitals: HR 108, R 26, T 98.9F, BP 100/62, O2 92%.
Sputum culture (+) B. cepacia
A. Initiate droplet precautions.
B. Keep the child NPO x12hrs.
C. Maintain the child on bed rest x24hrs.
D. Administer high-dose antibiotic therapy. - ANSWER - D. Administer
high-dose antibiotic therapy.
-Children who have cystic fibrosis metabolize antibiotics more rapidly
and require higher doses of antibiotics to help fight aggressive
infections.
-Initiate contact precautions, high-calorie/high-protein diet with
unlimited fat, and include ADLs in plan of care. Exercise facilitates
mucus excretions and can increase the child's self-esteem.
A nurse is caring for school-age child who is taking valproic acid. The
nurse should expect the provider to order which of the following
diagnostic tests?
pg. 1
,2|Page
A. Chest x-ray
B. Serum liver enzyme levels
C. ABGs
D. Urine culture and sensitivity - ANSWER - B. Serum liver enzyme
levels
-Valproic acid can cause hepatic toxicity. Assess liver function prior to
and periodically during therapy.
A nurse is assessing a patient who has decreased visual acuity due to
cataracts. The nurse should identify that which of the following
physiological changes is the cause for the vision loss?
A. An increase in the intraocular pressure
B. Deterioration of the macula
C. Increased opacity of the lens
D. Vitreous hemorrhage - ANSWER - C. Increased opacity of the lens
-A cataract is a cloudy or opaque area of the lens of the eye that inhibits
light penetration.
-Glaucoma leads to an increase in intraocular pressure, causing mild
headaches and foggy vision.
-Macular degeneration is caused by deterioration of the macula,
resulting in decreased central vision.
-Vitreous hemorrhage is bleeding following damage of retinal blood
vessels, which can occur due to elevated BP or uncontrolled diabetes.
pg. 2
,3|Page
A nurse is assessing a patient following a colonoscopy. Which of the
following findings should indicate to the nurse that the patient is
hemorrhaging?
A. Sudden drop in heart rate
B. Rapid decrease in blood pressure
C. Patient reports feeling of fullness
D. Patient reports pain 8/10 - ANSWER - B. Rapid decrease in blood
pressure.
-An increased heart rate and rapid decrease in BP indicates hemorrhage.
-A feeling of fullness is an expected finding following a colonoscopy.
-Pain could indicate bowel perforation.
A nurse is assessing a 2mo-old infant during a well-baby examination.
Which of the following actions should the nurse take to assess the
infant's rooting reflex?
A. Stroke the infant's cheek
B. Depress the infant's tongue
C. Turn the infant's head to one side
D. Tap on the bridge of the infant's nose - ANSWER - A. Stroke the
infant's cheek
-Rooting reflex includes stroking infant's cheek which should cause the
infant to turn towards that side and suck.
-The nurse should depress the infant' tongue to assess the extrusion
reflex, which should cause the infant to stick out the tongue.
-The nurse should turn the infant's head to one side to assess the
asymmetric tonic neck reflex, which should cause the infant to extend
pg. 3
, 4|Page
their arm and leg on that side and flex their arm and leg on the other
side.
-The nurse should tap on the bridge of the infant's nose to assess the
glabellar reflex, which should cause the infant to close their eyes tightly.
A nurse is assessing a preschooler who has cystic fibrosis and has been
receiving oxygen therapy for the past 36hrs. Which of the following
findings should the nurse identify is an indication that the patient has
developed oxygen toxicity?
A. Wheezes
B. Tachycardia
C. Restlessness
D. Substernal pain - ANSWER - D. Substernal pain
-The nurse should identify substernal pain as a manifestation of oxygen
toxicity due to the increased WOB. Another manifestation is crackles.
-Tachycardia and restlessness indicate hypoxemia and requires oxygen
therapy.
A patient is receiving lorazepam IV for panic attacks and develops a
respiratory rate of 6/in and a BP of 90/44. Which of the following
medications should the nurse anticipate administering?
A. Naloxone
B. Flumazenil
C. Acetylcysteine
D. Atropine - ANSWER - B. Flumazenil
pg. 4
