Virtual ATI
Predictor (Green Light)
900+ QUESTIONS BANK
(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 nurse is caring for a client who is at 33 weeks of gestation following an
amniocentesis. The nurse should monitor the client for which of the following
complications?
A. Vomiting
B. Hypertension
C. Epigastric pain
D. Contractions
Correct Answer: D. Contractions
Expert Rationale: Amniocentesis can trigger uterine irritability leading to contractions
and potential preterm labor, especially at 33 weeks gestation. Monitoring for
contractions is essential. Vomiting, hypertension, and epigastric pain are not common
complications of amniocentesis.
---
2. A nurse is providing teaching to an older adult client about methods to promote
nighttime sleep. Which of the following instructions should the nurse include?
A. Stay in bed at least 1 hr if unable to fall asleep
B. Take a 1 hr nap during the day
C. Perform exercises prior to bedtime
D. Eat a light snack before bedtime
Correct Answer: D. Eat a light snack before bedtime
Expert Rationale: A light carbohydrate or protein snack can promote sleep by preventing
hunger. Napping too long or late in the day and vigorous exercise close to bedtime can
interfere with sleep. Also, staying in bed awake for too long can condition the brain to
associate bed with wakefulness.
---
,3. A nurse on a telemetry unit is caring for a client who becomes unconscious and
whose monitor displays ventricular tachycardia. Which of the following actions should
the nurse take first after determining the client does not have a palpable pulse?
A. Assess heart sounds
B. Defibrillate
C. Establish IV access
D. Administer epinephrine
Correct Answer: B. Defibrillate
Expert Rationale: Pulseless ventricular tachycardia is a life-threatening cardiac arrest
rhythm requiring immediate defibrillation. The nurse’s priority is to defibrillate to restore
a perfusing rhythm. Other interventions follow.
---
4. A nurse is admitting a client who is 1 week postpartum and reports excessive vaginal
bleeding. The nurse does not speak the same language as the client. The client's
partner and 10-year-old child are accompanying her. Which of the following actions
should the nurse take to gather the client's admission data?
A. Have the client's child translate
B. Allow the client's partner to translate
C. Request a female interpreter through the facility
D. Ask a nursing student who speaks the same language as the client to translate
Correct Answer: C. Request a female interpreter through the facility
Expert Rationale: Using a professional interpreter ensures accuracy and confidentiality.
A female interpreter is preferred for obstetric care to respect cultural sensitivities. Family
members, especially children, are not appropriate interpreters.
, ---
5. A nurse is caring for a client who is febrile. To reduce the client's fever, the nurse
applies a cooling blanket. Which of the following findings indicates the client is having
an adverse reaction to the cooling?
a. Flushing
b. Tachycardia
c. Restlessness
d. Shivering
Correct Answer: d. Shivering
Expert Rationale: Shivering indicates the client is responding to cold by generating heat,
which raises body temperature and counteracts the cooling intervention. This is an
adverse effect and requires prompt reassessment of the approach.
---
6. A nurse is caring for a client who has deep-vein-thrombosis of the left lower extremity.
Which of the following actions should the nurse take? (Exhibit)
A. Position the client with the affected extremity lower than the heart
B. Withhold heparin IV infusion PTT- 30-40 seconds; x2 if on heparin
C. Administer acetaminophen
D. Massage the affected extremity every 4 hr
Correct Answer: B. Withhold heparin IV infusion PTT- 30-40 seconds; x2 if on heparin
Expert Rationale: Heparin therapeutic range is typically 1.5-2.5 times the normal PTT
(30-40 secs). A lower PTT indicates subtherapeutic levels requiring withholding of
heparin until levels are safe. Positioning with the leg elevated is the correct position (not
lower), and massaging a DVT can dislodge a clot.
Predictor (Green Light)
900+ QUESTIONS BANK
(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 nurse is caring for a client who is at 33 weeks of gestation following an
amniocentesis. The nurse should monitor the client for which of the following
complications?
A. Vomiting
B. Hypertension
C. Epigastric pain
D. Contractions
Correct Answer: D. Contractions
Expert Rationale: Amniocentesis can trigger uterine irritability leading to contractions
and potential preterm labor, especially at 33 weeks gestation. Monitoring for
contractions is essential. Vomiting, hypertension, and epigastric pain are not common
complications of amniocentesis.
---
2. A nurse is providing teaching to an older adult client about methods to promote
nighttime sleep. Which of the following instructions should the nurse include?
A. Stay in bed at least 1 hr if unable to fall asleep
B. Take a 1 hr nap during the day
C. Perform exercises prior to bedtime
D. Eat a light snack before bedtime
Correct Answer: D. Eat a light snack before bedtime
Expert Rationale: A light carbohydrate or protein snack can promote sleep by preventing
hunger. Napping too long or late in the day and vigorous exercise close to bedtime can
interfere with sleep. Also, staying in bed awake for too long can condition the brain to
associate bed with wakefulness.
---
,3. A nurse on a telemetry unit is caring for a client who becomes unconscious and
whose monitor displays ventricular tachycardia. Which of the following actions should
the nurse take first after determining the client does not have a palpable pulse?
A. Assess heart sounds
B. Defibrillate
C. Establish IV access
D. Administer epinephrine
Correct Answer: B. Defibrillate
Expert Rationale: Pulseless ventricular tachycardia is a life-threatening cardiac arrest
rhythm requiring immediate defibrillation. The nurse’s priority is to defibrillate to restore
a perfusing rhythm. Other interventions follow.
---
4. A nurse is admitting a client who is 1 week postpartum and reports excessive vaginal
bleeding. The nurse does not speak the same language as the client. The client's
partner and 10-year-old child are accompanying her. Which of the following actions
should the nurse take to gather the client's admission data?
A. Have the client's child translate
B. Allow the client's partner to translate
C. Request a female interpreter through the facility
D. Ask a nursing student who speaks the same language as the client to translate
Correct Answer: C. Request a female interpreter through the facility
Expert Rationale: Using a professional interpreter ensures accuracy and confidentiality.
A female interpreter is preferred for obstetric care to respect cultural sensitivities. Family
members, especially children, are not appropriate interpreters.
, ---
5. A nurse is caring for a client who is febrile. To reduce the client's fever, the nurse
applies a cooling blanket. Which of the following findings indicates the client is having
an adverse reaction to the cooling?
a. Flushing
b. Tachycardia
c. Restlessness
d. Shivering
Correct Answer: d. Shivering
Expert Rationale: Shivering indicates the client is responding to cold by generating heat,
which raises body temperature and counteracts the cooling intervention. This is an
adverse effect and requires prompt reassessment of the approach.
---
6. A nurse is caring for a client who has deep-vein-thrombosis of the left lower extremity.
Which of the following actions should the nurse take? (Exhibit)
A. Position the client with the affected extremity lower than the heart
B. Withhold heparin IV infusion PTT- 30-40 seconds; x2 if on heparin
C. Administer acetaminophen
D. Massage the affected extremity every 4 hr
Correct Answer: B. Withhold heparin IV infusion PTT- 30-40 seconds; x2 if on heparin
Expert Rationale: Heparin therapeutic range is typically 1.5-2.5 times the normal PTT
(30-40 secs). A lower PTT indicates subtherapeutic levels requiring withholding of
heparin until levels are safe. Positioning with the leg elevated is the correct position (not
lower), and massaging a DVT can dislodge a clot.
