NGN-ATI RN VATI COMPREHENSIVE PREDICTOR FORM A,B& C ACTUAL EXAM –
QUESTIONS AND ANSWERS | EXAM TESTBANK WITH VERIFIED AND WELL
DETAILED ANSWERS | PLUS RATIONALES | DOWNLOAD AND PASS | LATEST
EXAM UPDATE 2026/2027
Core Domains
• Management of Care
• Safety and Infection Control
• Health Promotion and Maintenance
• Psychosocial Integrity
• Basic Care and Comfort
• Pharmacological and Parenteral Therapies
• Reduction of Risk Potential
• Physiological Adaptation
Introduction
This comprehensive examination is designed to rigorously assess the entry-level
nursing competencies required for safe and effective clinical practice. It evaluates
the candidate's ability to integrate foundational nursing theory with applied
professional knowledge across a spectrum of patient care scenarios. The assessment
emphasizes critical thinking, clinical judgment, and the application of evidence-
based practice in real-world situations. Through a combination of multiple-choice
questions and scenario-based items, this predictor evaluates the nurse's capacity to
prioritize care, make sound clinical decisions, and navigate complex healthcare
environments. Success on this examination demonstrates readiness for professional
nursing practice.
SECTION ONE: QUESTIONS 1–50
,1. A nurse is caring for a client with a new diagnosis of type 1 diabetes mellitus.
Which of the following findings indicates a therapeutic response to the
prescribed insulin therapy?
A. Fasting blood glucose of 180 mg/dL
B. Glycosylated hemoglobin (HbA1c) of 7.0%
C. Presence of ketones in the urine
D. Random blood glucose of 220 mg/dL
🟢 Correct Answer: B. Glycosylated hemoglobin (HbA1c) of 7.0%
🔴 Explanation: An HbA1c of 7.0% indicates good glycemic control over the past
2-3 months for many adults with diabetes, reflecting a therapeutic response to
insulin. The other options represent hyperglycemia and inadequate control.
2. A client is being discharged with a new prescription for warfarin. Which of
the following statements by the client indicates a need for further teaching?
A. "I will take my medication at the same time every day."
B. "I can continue to eat green leafy vegetables as much as I want."
C. "I will report any unusual bleeding to my doctor."
D. "I will avoid taking aspirin while on this medication."
🟢 Correct Answer: B. "I can continue to eat green leafy vegetables as much as I
want."
🔴 Explanation: Clients taking warfarin must maintain a consistent intake of
vitamin K-rich foods (like green leafy vegetables) to maintain a therapeutic INR.
Eating them "as much as I want" indicates a misunderstanding and requires
further teaching.
3. A nurse is preparing to administer a blood transfusion to a client. Which of
the following actions should the nurse take first?
,A. Start the transfusion slowly over the first 15 minutes.
B. Verify the client's identity using two identifiers.
C. Obtain a baseline set of vital signs.
D. Check the expiration date on the blood unit.
🟢 Correct Answer: B. Verify the client's identity using two identifiers.
🔴 Explanation: The most critical and first step in the blood transfusion process is
to verify the client's identity to ensure the correct blood product is given to the
correct patient. This prevents fatal transfusion reactions.
4. A client is experiencing a panic attack. Which of the following nursing
interventions is the priority?
A. Encourage the client to talk about the cause of the panic.
B. Place the client in a quiet room with minimal stimuli.
C. Teach the client deep breathing techniques.
D. Administer a prescribed PRN anxiolytic medication.
🟢 Correct Answer: B. Place the client in a quiet room with minimal stimuli.
🔴 Explanation: During a panic attack, the priority is to reduce environmental
stimuli to help the client regain control. A quiet, calm environment addresses the
immediate physiological and psychological distress.
5. A nurse is assessing a client with heart failure who has been prescribed
furosemide. Which of the following findings would indicate that the medication
is having the desired therapeutic effect?
A. Crackles auscultated in the lung bases
B. Jugular venous distension
C. A weight loss of 2.2 kg (5 lbs) in 24 hours
D. Pedal edema rated as +3
, 🟢 Correct Answer: C. A weight loss of 2.2 kg (5 lbs) in 24 hours
🔴 Explanation: Furosemide is a loop diuretic used to reduce fluid volume in
heart failure. A significant weight loss of 1-2 kg in 24 hours indicates effective
diuresis and a reduction in fluid overload.
6. A nurse is providing teaching to the family of a client who has a new
diagnosis of Alzheimer's disease. Which of the following is the most important
intervention to promote client safety?
A. Place a calendar and clock in the client's room.
B. Encourage the client to participate in group activities.
C. Install locks on all outside doors and windows.
D. Remove the client's rugs to prevent falls.
🟢 Correct Answer: C. Install locks on all outside doors and windows.
🔴 Explanation: Wandering is a common and dangerous behavior in clients with
Alzheimer's disease. Securing exits is the most critical safety intervention to
prevent the client from leaving the home or facility unsupervised.
7. The healthcare provider prescribes 500 mL of 0.9% normal saline to infuse
over 4 hours. The IV tubing has a drop factor of 15 gtt/mL. What is the drip rate
in gtt/min?
A. 15 gtt/min
B. 31 gtt/min
C. 125 gtt/min
D. 250 gtt/min
🟢 Correct Answer: B. 31 gtt/min
🔴 Explanation: Calculate using the formula: (Volume in mL × Drop factor) / Time
in minutes = (500 mL × 15 gtt/mL) / (4 hours × 60 minutes) = = 31.25
QUESTIONS AND ANSWERS | EXAM TESTBANK WITH VERIFIED AND WELL
DETAILED ANSWERS | PLUS RATIONALES | DOWNLOAD AND PASS | LATEST
EXAM UPDATE 2026/2027
Core Domains
• Management of Care
• Safety and Infection Control
• Health Promotion and Maintenance
• Psychosocial Integrity
• Basic Care and Comfort
• Pharmacological and Parenteral Therapies
• Reduction of Risk Potential
• Physiological Adaptation
Introduction
This comprehensive examination is designed to rigorously assess the entry-level
nursing competencies required for safe and effective clinical practice. It evaluates
the candidate's ability to integrate foundational nursing theory with applied
professional knowledge across a spectrum of patient care scenarios. The assessment
emphasizes critical thinking, clinical judgment, and the application of evidence-
based practice in real-world situations. Through a combination of multiple-choice
questions and scenario-based items, this predictor evaluates the nurse's capacity to
prioritize care, make sound clinical decisions, and navigate complex healthcare
environments. Success on this examination demonstrates readiness for professional
nursing practice.
SECTION ONE: QUESTIONS 1–50
,1. A nurse is caring for a client with a new diagnosis of type 1 diabetes mellitus.
Which of the following findings indicates a therapeutic response to the
prescribed insulin therapy?
A. Fasting blood glucose of 180 mg/dL
B. Glycosylated hemoglobin (HbA1c) of 7.0%
C. Presence of ketones in the urine
D. Random blood glucose of 220 mg/dL
🟢 Correct Answer: B. Glycosylated hemoglobin (HbA1c) of 7.0%
🔴 Explanation: An HbA1c of 7.0% indicates good glycemic control over the past
2-3 months for many adults with diabetes, reflecting a therapeutic response to
insulin. The other options represent hyperglycemia and inadequate control.
2. A client is being discharged with a new prescription for warfarin. Which of
the following statements by the client indicates a need for further teaching?
A. "I will take my medication at the same time every day."
B. "I can continue to eat green leafy vegetables as much as I want."
C. "I will report any unusual bleeding to my doctor."
D. "I will avoid taking aspirin while on this medication."
🟢 Correct Answer: B. "I can continue to eat green leafy vegetables as much as I
want."
🔴 Explanation: Clients taking warfarin must maintain a consistent intake of
vitamin K-rich foods (like green leafy vegetables) to maintain a therapeutic INR.
Eating them "as much as I want" indicates a misunderstanding and requires
further teaching.
3. A nurse is preparing to administer a blood transfusion to a client. Which of
the following actions should the nurse take first?
,A. Start the transfusion slowly over the first 15 minutes.
B. Verify the client's identity using two identifiers.
C. Obtain a baseline set of vital signs.
D. Check the expiration date on the blood unit.
🟢 Correct Answer: B. Verify the client's identity using two identifiers.
🔴 Explanation: The most critical and first step in the blood transfusion process is
to verify the client's identity to ensure the correct blood product is given to the
correct patient. This prevents fatal transfusion reactions.
4. A client is experiencing a panic attack. Which of the following nursing
interventions is the priority?
A. Encourage the client to talk about the cause of the panic.
B. Place the client in a quiet room with minimal stimuli.
C. Teach the client deep breathing techniques.
D. Administer a prescribed PRN anxiolytic medication.
🟢 Correct Answer: B. Place the client in a quiet room with minimal stimuli.
🔴 Explanation: During a panic attack, the priority is to reduce environmental
stimuli to help the client regain control. A quiet, calm environment addresses the
immediate physiological and psychological distress.
5. A nurse is assessing a client with heart failure who has been prescribed
furosemide. Which of the following findings would indicate that the medication
is having the desired therapeutic effect?
A. Crackles auscultated in the lung bases
B. Jugular venous distension
C. A weight loss of 2.2 kg (5 lbs) in 24 hours
D. Pedal edema rated as +3
, 🟢 Correct Answer: C. A weight loss of 2.2 kg (5 lbs) in 24 hours
🔴 Explanation: Furosemide is a loop diuretic used to reduce fluid volume in
heart failure. A significant weight loss of 1-2 kg in 24 hours indicates effective
diuresis and a reduction in fluid overload.
6. A nurse is providing teaching to the family of a client who has a new
diagnosis of Alzheimer's disease. Which of the following is the most important
intervention to promote client safety?
A. Place a calendar and clock in the client's room.
B. Encourage the client to participate in group activities.
C. Install locks on all outside doors and windows.
D. Remove the client's rugs to prevent falls.
🟢 Correct Answer: C. Install locks on all outside doors and windows.
🔴 Explanation: Wandering is a common and dangerous behavior in clients with
Alzheimer's disease. Securing exits is the most critical safety intervention to
prevent the client from leaving the home or facility unsupervised.
7. The healthcare provider prescribes 500 mL of 0.9% normal saline to infuse
over 4 hours. The IV tubing has a drop factor of 15 gtt/mL. What is the drip rate
in gtt/min?
A. 15 gtt/min
B. 31 gtt/min
C. 125 gtt/min
D. 250 gtt/min
🟢 Correct Answer: B. 31 gtt/min
🔴 Explanation: Calculate using the formula: (Volume in mL × Drop factor) / Time
in minutes = (500 mL × 15 gtt/mL) / (4 hours × 60 minutes) = = 31.25
