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1
VERIFIED COMPREHENSIVE
ATI NSG 4800 COMPREHENSIVE PREDICTOR TEST BANK
Comprehensive Predictor
Galen College of Nursing – 2025/2026
Updated Edition
ATI NSG 4800 Questions with Detailed Rationales
, Information
Detail
Page |
2 Course NSG 4800 – Senior Capstone/Practicum
Institution Galen College of Nursing
Exam ATI Comprehensive Predictor (Exit Exam)
Edition 2025/2026 NGN (Next Generation NCLEX) Aligned
�EXAM FORMAT & SCORING
NCLEX Pass
Score Range Interpretation
Probability
99% probability of
80.7% – 100% Exceeds NCLEX expectations
passing
98% probability of
78.0% – 80.0% Meets NCLEX expectations
passing
Below program Requires remediation before
Varies
benchmark graduation
, SECTION 1: FUNDAMENTALS OF NURSING (Questions 1-25)
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3
Question 1: A nurse is preparing to apply a transdermal nicotine patch for a client. Which
of the following actions should the nurse take?
A) Shave hairy areas of skin prior to application
B) Wear gloves to apply the patch to the client's skin
C) Apply the patch within 1 hour of removing it from the protective pouch
D) Remove the previous patch and place it in a tissue folded with sticky sides together
Answer: B – Wear gloves to apply the patch to the client's skin
Rationale: When applying topical medications, including patches, the nurse should wear
gloves to protect against accidental exposure to the medication . Shaving may cause skin
irritation and alter drug absorption. Patches should be applied immediately after
removing from the pouch. Old patches should be folded with sticky sides together and
disposed of properly, not placed loosely in tissue.
Question 2: A nurse is caring for a client who is receiving intermittent enteral tube
feedings. Which of the following places the client at risk for aspiration?
A) A history of gastroesophageal reflux disease
B) Receiving a high osmolarity formula
C) Sitting in a high-Fowler's position during the feeding
D) A residual of 65 mL 1 hour postprandial
, Answer: A – A history of gastroesophageal reflux disease
Rationale: Gastroesophageal reflux disease (GERD) increases the risk of aspiration by
allowing gastric contents to flow back into the esophagus and potentially be aspirated into
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4 the trachea . High-Fowler's position actually reduces aspiration risk. A residual of 65 mL
may be acceptable depending on facility policy and total volume infused.
Question 3: A nurse is preparing to perform a sterile dressing change. Which of the
following actions should the nurse take when setting up the sterile field?
A) Place the cap from the solution sterile side up on a clean surface
B) Open the outermost flap of the sterile kit toward the body
C) Place the sterile dressing within 1.25 cm (0.5 in) of the edge of the sterile field
D) Set up the sterile field 5 cm (2 in) below waist level
Answer: A – Place the cap from the solution sterile side up on a clean surface
Rationale: When pouring sterile solutions, the cap should be placed with the sterile side
up on a clean surface to maintain sterility . The outermost flap should be opened AWAY
from the body, not toward it. Items should be placed at least 2.5 cm (1 inch) from the edge
of the sterile field. Sterile fields should be set up above waist level, not below.
Question 4: 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) Eat a light snack before bedtime
B) Stay in bed at least 1 hour if unable to fall asleep
1
VERIFIED COMPREHENSIVE
ATI NSG 4800 COMPREHENSIVE PREDICTOR TEST BANK
Comprehensive Predictor
Galen College of Nursing – 2025/2026
Updated Edition
ATI NSG 4800 Questions with Detailed Rationales
, Information
Detail
Page |
2 Course NSG 4800 – Senior Capstone/Practicum
Institution Galen College of Nursing
Exam ATI Comprehensive Predictor (Exit Exam)
Edition 2025/2026 NGN (Next Generation NCLEX) Aligned
�EXAM FORMAT & SCORING
NCLEX Pass
Score Range Interpretation
Probability
99% probability of
80.7% – 100% Exceeds NCLEX expectations
passing
98% probability of
78.0% – 80.0% Meets NCLEX expectations
passing
Below program Requires remediation before
Varies
benchmark graduation
, SECTION 1: FUNDAMENTALS OF NURSING (Questions 1-25)
Page |
3
Question 1: A nurse is preparing to apply a transdermal nicotine patch for a client. Which
of the following actions should the nurse take?
A) Shave hairy areas of skin prior to application
B) Wear gloves to apply the patch to the client's skin
C) Apply the patch within 1 hour of removing it from the protective pouch
D) Remove the previous patch and place it in a tissue folded with sticky sides together
Answer: B – Wear gloves to apply the patch to the client's skin
Rationale: When applying topical medications, including patches, the nurse should wear
gloves to protect against accidental exposure to the medication . Shaving may cause skin
irritation and alter drug absorption. Patches should be applied immediately after
removing from the pouch. Old patches should be folded with sticky sides together and
disposed of properly, not placed loosely in tissue.
Question 2: A nurse is caring for a client who is receiving intermittent enteral tube
feedings. Which of the following places the client at risk for aspiration?
A) A history of gastroesophageal reflux disease
B) Receiving a high osmolarity formula
C) Sitting in a high-Fowler's position during the feeding
D) A residual of 65 mL 1 hour postprandial
, Answer: A – A history of gastroesophageal reflux disease
Rationale: Gastroesophageal reflux disease (GERD) increases the risk of aspiration by
allowing gastric contents to flow back into the esophagus and potentially be aspirated into
Page |
4 the trachea . High-Fowler's position actually reduces aspiration risk. A residual of 65 mL
may be acceptable depending on facility policy and total volume infused.
Question 3: A nurse is preparing to perform a sterile dressing change. Which of the
following actions should the nurse take when setting up the sterile field?
A) Place the cap from the solution sterile side up on a clean surface
B) Open the outermost flap of the sterile kit toward the body
C) Place the sterile dressing within 1.25 cm (0.5 in) of the edge of the sterile field
D) Set up the sterile field 5 cm (2 in) below waist level
Answer: A – Place the cap from the solution sterile side up on a clean surface
Rationale: When pouring sterile solutions, the cap should be placed with the sterile side
up on a clean surface to maintain sterility . The outermost flap should be opened AWAY
from the body, not toward it. Items should be placed at least 2.5 cm (1 inch) from the edge
of the sterile field. Sterile fields should be set up above waist level, not below.
Question 4: 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) Eat a light snack before bedtime
B) Stay in bed at least 1 hour if unable to fall asleep
