NGN ATI RN Comprehensive Predictor Retake EXAM 2025 | ACTUAL REAL EXAM ACCURATE QUESTIONS AND ANSWERS WITH RATIONALES | VERIFIED AND LATEST UPDATED GUARANTEED PASS

What is the nurse's priority action for a client who had abdominal surgery 24 hours ago? A. Offer sips of water B. Administer prescribed antibiotics C. Assist with deep breathing and coughing D. Encourage early ambulation Rationale: Deep breathing and coughing promote lung expansion and prevent postoperative complications such as pneumonia. Which client is effectively using sublimation as a defense mechanism? A. A client who refuses to acknowledge their illness B. A client who begins overeating after a stressful day C. A client who channels their energy into a new hobby following the loss of their job D. A client who withdraws from family after losing employment Rationale: Sublimation is the healthy redirection of unacceptable impulses into constructive activities. How should a nurse assess for correct placement of a client’s NG feeding tube? A. Inject air and listen for gurgling sounds B. Check for bubbling at the water seal C. Aspirate contents and verify the pH level D. Ask the client to swallow during insertion Rationale: Aspirating and checking gastric pH is the most reliable bedside method for confirming NG tube placement. For which client should a nurse initiate seizure precautions? A. A client with COPD B. A client who is at 33 weeks of gestation and has severe gestational hypertension C. A client recovering from appendectomy D. A client with mild dehydration Rationale: Severe gestational hypertension increases the risk for eclampsia and seizures. What instruction should a nurse include for a client receiving home oxygen therapy? A. Check the equipment once each week B. Use petroleum jelly to prevent dryness C. Store tanks in a closed cabinet D. Wear synthetic fabrics for comfort Rationale: Weekly checks ensure safety and functionality of the equipment. What is a key instruction for a client with a fracture of the right fibula using crutches? A. Use a two-point gait B. Use a swing-through gait C. Use a four-point gait D. Use a three-point gait Rationale: The three-point gait allows mobility while keeping weight off the affected leg. What should a nurse do when preparing to transfer a client from the ICU to the medical floor? A. Provide comfort measures only B. Include relevant information in the change-of-shift report C. Delay transfer until family arrives D. Discontinue all ICU monitoring Rationale: Handoff communication ensures continuity of care and client safety. What is the recommended action for a nurse regarding a child on NPO status? A. Allow clear liquids B. Keep the child on NPO status for 12 hours C. Offer sips of water for comfort D. Encourage chewing gum Rationale: NPO status prevents aspiration during procedures requiring anesthesia. What should a nurse maintain for a child after surgery? A. Maintain the child on bed rest for 24 hours B. Encourage early ambulation C. Begin oral feeding immediately D. Limit oxygen administration Rationale: Bed rest allows healing and prevents complications immediately after surgery. What should a nurse do to monitor a newborn’s heat loss? A. Keep the room temperature at 18° C B. Maintain an ambient room temperature of 24° C (75.2° F) C. Bathe the newborn frequently D. Place the newborn near a window Rationale: Maintaining an appropriate room temperature helps prevent cold stress in newborns. What should a nurse do when caring for a client who had abdominal surgery? A. Encourage oral intake of fluids immediately B. Monitor the incision site for findings of infection C. Remove the dressing every hour D. Ambulate the client within 4 hours Rationale: Monitoring the incision site for signs of infection is essential to detect complications early. What should a nurse do before administering a bolus feeding through an NG tube? A. Insert air and listen for gurgling sounds in the epigastric area B. Check the client’s blood pressure C. Ask the client to cough D. Give the feeding without checking placement Rationale: Injecting air and auscultating ensures the tube is in the stomach before bolus feeding. What should a nurse advise a client regarding clothing while using oxygen? A. Wear synthetic fabrics for comfort B. Wear clothing made with cotton fabrics while oxygen is in use C. Avoid wearing shoes indoors D. Use heavy wool for warmth Rationale: Cotton reduces the risk of static electricity and fire hazards with oxygen therapy. What should a nurse instruct a client regarding the use of crutches? A. Adjust the crutches for comfort as needed B. Keep the crutches tight under the arms C. Use only one crutch for balance D. Rest body weight on the armpits Rationale: Proper crutch adjustment prevents nerve damage and ensures safety during ambulation. What should a nurse advise against using while on oxygen therapy? A. Apply petroleum-based lubricant to the nares as needed B. Use saline nasal spray C. Apply water-based gel to moisturize D. Use a humidifier with oxygen Rationale: Petroleum products are flammable and unsafe around oxygen. How should full oxygen tanks be stored? A. Store upright and secured B. Store in a locked cabinet C. Store full oxygen tanks on their side D. Store next to a heat source Rationale: Tanks should be stored safely on their side to prevent tipping hazards. What should a nurse instruct a client regarding walking upstairs with crutches? A. Advance the affected leg first B. Advance the unaffected leg first C. Move both crutches up together first D. Ask for full assistance every time Rationale: The unaffected leg should go first when ascending stairs to provide stability and safety. What is an important consideration for a nurse when caring for a client with a hydatidiform mole? A. Seizure precautions are not necessary B. Encourage high fluid intake C. Administer oxygen continuously D. Restrict all activity Rationale: Hydatidiform mole requires monitoring for complications but not seizure precautions. What should a nurse do when noting a client’s progress toward assigned goals? A. Reward client with privileges B. Measure the group’s work against the assigned objectives C. Encourage relaxation activities D. Provide entertainment options Rationale: Progress is evaluated by comparing client or group work to set objectives. What is an important aspect of sharing experiences as an authority? A. Assigning tasks randomly B. Noting the progress of the group toward assigned goals C. Repeating prior sessions only D. Encouraging silence Rationale: Authority figures should emphasize progress toward goals when sharing experiences. What is a key action for a nurse to take when caring for a client post-surgery? A. Keep the client on strict bedrest B. Ambulate three times a day C. Give no pain medications D. Restrict fluid intake Rationale: Ambulation promotes circulation, prevents complications, and aids recovery. What should a nurse report for an infant who is 6 hours postoperative from a VP shunt placement? A. Infant is sleeping frequently B. Irritability when being held C. Decreased feeding appetite D. Soft cry when disturbed Rationale: Irritability may indicate increased intracranial pressure, which requires immediate attention. What indicates that chlorpromazine is effective in a client? A. Decreased hallucinations B. Increased blood sugar C. Improved appetite D. Reduced heart rate Rationale: Chlorpromazine is an antipsychotic that reduces hallucinations and psychotic symptoms. What should a nurse teach a client about lithium for bipolar disorder? A. Take with alcohol for best effect B. Notify your provider if you experience increased thirst C. Stop medication if symptoms improve D. Double dose if a dose is missed Rationale: Increased thirst can indicate lithium toxicity, which must be reported.