ATI Comprehensive Predictor 2023-
The Ultimate 180-Question NGN
Practice Exam with Clinical
Rationales/Instant Download PDF
Question 1
A home health nurse is caring for a child who has Lyme disease. Which of
the following is an appropriate action for the nurse to take?
A) Administer antitoxin
B) Educate the family to avoid sharing personal belongings
C) Assess for skin necrosis
D) Instruct the family to remove ticks with fine-tipped tweezers
Answer: D) Instruct the family to remove ticks with fine-tipped
tweezers
Rationale: Lyme disease is transmitted through the bite of an infected deer
tick. The most appropriate action is to educate the family on proper tick
removal using fine-tipped tweezers to grasp the tick as close to the skin as
possible and pull upward with steady pressure. Antitoxin is not used for
Lyme disease; doxycycline or amoxicillin is the treatment. Avoiding sharing
personal belongings is not specific to Lyme disease. Skin necrosis is a
complication of Rocky Mountain spotted fever, not Lyme disease.
,Question 2
A nurse is caring for a client who has been admitted to the hospital with
alcohol use disorder. The client is alert but disoriented to time, has a
bloated abdomen, redness of the palms, excoriated areas on the upper
thorax and shoulders, and yellow sclera. Vital signs: BP 138/88 mm Hg, HR
84/min, RR 20/min, O2 sat 93% on room air. Laboratory results: Hgb 9.5
g/dL, Hct 38%, bilirubin 5.3 mg/dL, creatinine 1.8 mg/dL, platelet count
100,000/mm³, ALT 51 units/L, AST 48 units/L, ALP 151 units/L. Which
actions should the nurse take? (Select all that apply)
A) Provide frequent rest periods for the client
B) Restrict the client's sodium intake
C) Advise the client to avoid the use of soap and alcohol-based
lotions
D) Place the client on a low-carbohydrate diet
E) Place the client under contact isolation
F) Assess the client's level of orientation
G) Instruct the client to avoid blowing their nose forcefully
Answer: A, B, F
Rationale: The client has manifestations of cirrhosis (jaundice, ascites,
palmar erythema, spider angiomas, elevated liver enzymes, low platelets).
Frequent rest periods conserve energy (A). Sodium restriction reduces fluid
retention and ascites (B). Assessing orientation monitors for hepatic
encephalopathy (F). Soap and alcohol-based lotions are not
contraindicated. Low-carbohydrate diet is not specific; protein may need to
be adjusted. Contact isolation is not indicated unless infection is present.
Avoiding nose blowing is for clients at risk for increased intracranial
pressure, not cirrhosis.
,Question 3
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) Hyperglycemia
B) Contractions
C) Hypertension
D) Polyhydramnios
Answer: B) Contractions
Rationale: Amniocentesis carries maternal risks including hemorrhage,
feto-maternal hemorrhage, infection, contractions/labor, abruptio
placentae, damage to intestines or bladder, and amniotic fluid embolism.
Fetal risks include death, hemorrhage, infection, direct injury from the
needle, miscarriage, preterm labor, and leakage of amniotic fluid.
Question 4
A nurse is providing teaching to an older client about methods to promote
nighttime sleep. Which of the following instructions should the nurse
include?
A) Exercise vigorously before bedtime
B) Drink a glass of warm milk before bedtime
C) Avoid napping during the day
, D) Eat a light snack before bedtime
Answer: D) Eat a light snack before bedtime
Rationale: Consuming a light snack of carbohydrates at bedtime can
promote sleep by increasing the availability of tryptophan, which is a
precursor to serotonin and melatonin. Vigorous exercise should be avoided
close to bedtime. Daytime napping may be appropriate for older adults.
Warm milk contains tryptophan but is not specifically recommended over a
light carbohydrate snack.
Question 5
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) Administer amiodarone
B) Perform synchronized cardioversion
C) Defibrillate
D) Start CPR
Answer: C) Defibrillate
Rationale: Pulseless ventricular tachycardia is a shockable rhythm. The
nurse should defibrillate immediately. CPR should be initiated if
defibrillation is not immediately available, but defibrillation is the priority.
Amiodarone is given after defibrillation. Synchronized cardioversion is for
stable tachyarrhythmias with a pulse.
The Ultimate 180-Question NGN
Practice Exam with Clinical
Rationales/Instant Download PDF
Question 1
A home health nurse is caring for a child who has Lyme disease. Which of
the following is an appropriate action for the nurse to take?
A) Administer antitoxin
B) Educate the family to avoid sharing personal belongings
C) Assess for skin necrosis
D) Instruct the family to remove ticks with fine-tipped tweezers
Answer: D) Instruct the family to remove ticks with fine-tipped
tweezers
Rationale: Lyme disease is transmitted through the bite of an infected deer
tick. The most appropriate action is to educate the family on proper tick
removal using fine-tipped tweezers to grasp the tick as close to the skin as
possible and pull upward with steady pressure. Antitoxin is not used for
Lyme disease; doxycycline or amoxicillin is the treatment. Avoiding sharing
personal belongings is not specific to Lyme disease. Skin necrosis is a
complication of Rocky Mountain spotted fever, not Lyme disease.
,Question 2
A nurse is caring for a client who has been admitted to the hospital with
alcohol use disorder. The client is alert but disoriented to time, has a
bloated abdomen, redness of the palms, excoriated areas on the upper
thorax and shoulders, and yellow sclera. Vital signs: BP 138/88 mm Hg, HR
84/min, RR 20/min, O2 sat 93% on room air. Laboratory results: Hgb 9.5
g/dL, Hct 38%, bilirubin 5.3 mg/dL, creatinine 1.8 mg/dL, platelet count
100,000/mm³, ALT 51 units/L, AST 48 units/L, ALP 151 units/L. Which
actions should the nurse take? (Select all that apply)
A) Provide frequent rest periods for the client
B) Restrict the client's sodium intake
C) Advise the client to avoid the use of soap and alcohol-based
lotions
D) Place the client on a low-carbohydrate diet
E) Place the client under contact isolation
F) Assess the client's level of orientation
G) Instruct the client to avoid blowing their nose forcefully
Answer: A, B, F
Rationale: The client has manifestations of cirrhosis (jaundice, ascites,
palmar erythema, spider angiomas, elevated liver enzymes, low platelets).
Frequent rest periods conserve energy (A). Sodium restriction reduces fluid
retention and ascites (B). Assessing orientation monitors for hepatic
encephalopathy (F). Soap and alcohol-based lotions are not
contraindicated. Low-carbohydrate diet is not specific; protein may need to
be adjusted. Contact isolation is not indicated unless infection is present.
Avoiding nose blowing is for clients at risk for increased intracranial
pressure, not cirrhosis.
,Question 3
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) Hyperglycemia
B) Contractions
C) Hypertension
D) Polyhydramnios
Answer: B) Contractions
Rationale: Amniocentesis carries maternal risks including hemorrhage,
feto-maternal hemorrhage, infection, contractions/labor, abruptio
placentae, damage to intestines or bladder, and amniotic fluid embolism.
Fetal risks include death, hemorrhage, infection, direct injury from the
needle, miscarriage, preterm labor, and leakage of amniotic fluid.
Question 4
A nurse is providing teaching to an older client about methods to promote
nighttime sleep. Which of the following instructions should the nurse
include?
A) Exercise vigorously before bedtime
B) Drink a glass of warm milk before bedtime
C) Avoid napping during the day
, D) Eat a light snack before bedtime
Answer: D) Eat a light snack before bedtime
Rationale: Consuming a light snack of carbohydrates at bedtime can
promote sleep by increasing the availability of tryptophan, which is a
precursor to serotonin and melatonin. Vigorous exercise should be avoided
close to bedtime. Daytime napping may be appropriate for older adults.
Warm milk contains tryptophan but is not specifically recommended over a
light carbohydrate snack.
Question 5
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) Administer amiodarone
B) Perform synchronized cardioversion
C) Defibrillate
D) Start CPR
Answer: C) Defibrillate
Rationale: Pulseless ventricular tachycardia is a shockable rhythm. The
nurse should defibrillate immediately. CPR should be initiated if
defibrillation is not immediately available, but defibrillation is the priority.
Amiodarone is given after defibrillation. Synchronized cardioversion is for
stable tachyarrhythmias with a pulse.
