ATI PN Comprehensive Predictor 2023 Exit
Exam with NGN. The questions cover all major
content areas, including Next Generation
NCLEX (NGN) styles such as case studies,
bowtie items, and multipleresponse selection.
Practice Questions Only
ATI PN Comprehensive Predictor 2023 Exit Exam with NGN: Practice Questions
NGN Case Study: MedicalSurgical (Myocardial Infarction)
Scenario: A 65yearold male with a history of hypertension and type 2 diabetes presents with chest pain
for 2 hours. Vital signs: BP 160/90 mmHg, HR 110 bpm, RR 22/min, SpO2 92% on room air. ECG shows ST
elevation in leads II, III, and aVF .
1. What is the nurse's priority action?
A) Administer oxygen via nasal cannula
B) Obtain a 12lead ECG and notify the provider
C) Administer nitroglycerin sublingually
D) Start an IV line with normal saline
Correct Answer: B ST elevation suggests an acute myocardial infarction; a 12lead ECG confirms
diagnosis, and rapid provider notification is critical .
2. Which medication should the nurse anticipate administering first for this patient?
A) Metoprolol
B) Furosemide
, C) Aspirin
D) Insulin
Correct Answer: C Aspirin reduces platelet aggregation in acute coronary syndrome, improving
outcomes .
3. What should the nurse monitor after aspirin administration?
A) Blood glucose levels
B) Signs of gastrointestinal bleeding
C) Respiratory rate
D) Urine output
Correct Answer: B Aspirin can cause GI irritation or bleeding, requiring monitoring .
NGN Case Study: Pharmacology (ACE Inhibitor)
Scenario: A 55yearold female with hypertension is prescribed lisinopril. She reports a dry cough and
swelling of the face .
4. What is the nurse’s priority action?
A) Administer an antihistamine
B) Withhold the medication and notify the provider
C) Increase the dose
D) Encourage fluid intake
Correct Answer: B Facial swelling suggests angioedema, a serious ACE inhibitor side effect. The
medication should be withheld, and the provider notified immediately .
5. Which lab value should the nurse monitor closely for this client?
A) Hemoglobin
B) Serum potassium
C) Blood glucose
D) White blood cell count
Correct Answer: B Lisinopril (an ACE inhibitor) can cause hyperkalemia .
Exam with NGN. The questions cover all major
content areas, including Next Generation
NCLEX (NGN) styles such as case studies,
bowtie items, and multipleresponse selection.
Practice Questions Only
ATI PN Comprehensive Predictor 2023 Exit Exam with NGN: Practice Questions
NGN Case Study: MedicalSurgical (Myocardial Infarction)
Scenario: A 65yearold male with a history of hypertension and type 2 diabetes presents with chest pain
for 2 hours. Vital signs: BP 160/90 mmHg, HR 110 bpm, RR 22/min, SpO2 92% on room air. ECG shows ST
elevation in leads II, III, and aVF .
1. What is the nurse's priority action?
A) Administer oxygen via nasal cannula
B) Obtain a 12lead ECG and notify the provider
C) Administer nitroglycerin sublingually
D) Start an IV line with normal saline
Correct Answer: B ST elevation suggests an acute myocardial infarction; a 12lead ECG confirms
diagnosis, and rapid provider notification is critical .
2. Which medication should the nurse anticipate administering first for this patient?
A) Metoprolol
B) Furosemide
, C) Aspirin
D) Insulin
Correct Answer: C Aspirin reduces platelet aggregation in acute coronary syndrome, improving
outcomes .
3. What should the nurse monitor after aspirin administration?
A) Blood glucose levels
B) Signs of gastrointestinal bleeding
C) Respiratory rate
D) Urine output
Correct Answer: B Aspirin can cause GI irritation or bleeding, requiring monitoring .
NGN Case Study: Pharmacology (ACE Inhibitor)
Scenario: A 55yearold female with hypertension is prescribed lisinopril. She reports a dry cough and
swelling of the face .
4. What is the nurse’s priority action?
A) Administer an antihistamine
B) Withhold the medication and notify the provider
C) Increase the dose
D) Encourage fluid intake
Correct Answer: B Facial swelling suggests angioedema, a serious ACE inhibitor side effect. The
medication should be withheld, and the provider notified immediately .
5. Which lab value should the nurse monitor closely for this client?
A) Hemoglobin
B) Serum potassium
C) Blood glucose
D) White blood cell count
Correct Answer: B Lisinopril (an ACE inhibitor) can cause hyperkalemia .
