ATI RN
Comprehensive Predictor
STUDY GUIDE
(NGN-Style & Case Scenarios)
700+ Qs & Ans to Pass the Exam
This Study guide contains:
700+ Qs & Ans
passing score Guarantee
Format Set of Multiple-choice
questions with incorporating Next Generation NCLEX (NGN) and
Case Scenario
Expert-Verified Explanations & Solutions
1///22
,### 1. NEW GENERATION 1: Case Scenario—Vital Signs
Case Scenario:
A client admitted with a diagnosis of bipolar disorder is receiving lithium therapy. The nurse notes the following:
- Admission Weight: 74.8 kg (165 lbs.)
- Current Weight: 74.38 kg (164 lbs.)
Question:
The client is most likely developing and should be monitored for which of the following?
A. Lithium toxicity
B. Urinary tract infection
C. Metabolic syndrome
D. Neuroleptic malignant syndrome
Answer: A. Lithium toxicity
Verified Rationale:
A minor reduction in body weight, especially in the setting of lithium therapy, can concentrate serum lithium
levels, increasing the risk of toxicity. Lithium has a narrow therapeutic index, and even modest dehydration or
fluid loss can precipitate toxicity. Other diagnoses are less likely with the information provided.
### 2. Infusion Pump Safety Protocols
Question:
A nurse is preparing to initiate intravenous fluids via an infusion pump for a client. Which of the
following actions should the nurse take?
2///22
,A. Obtain a surge protector that can accommodate the pump and several other appliances
B. Verify that the extension cord for the pump is ungrounded
C. Report the pump has a frayed cord and proceed with the infusion
D. Check the expiration date on the safety inspection sticker of the pump
Answer: A. Obtain a surge protector that can accommodate the pump and several other appliances
Verified Rationale:
Using a surge protector that can accommodate the pump ensures electrical safety and reduces the risk of
electric shock or fire. Never proceed with a frayed cord (C) and an ungrounded cord (B) poses a hazard. While
checking the inspection sticker is important, priority is given to immediate electrical safety.
---
### 3. Implanted Venous Access Port Assessment
/ / / / / /
Question: //
A nurse is caring for a client who has an implanted venous access port. Which of the following should
/ / / / / / / / / / / / / / / / / / /
the nurse use to access the port?
/ / / / / /
A. A noncoring needle
/ / / //
B. An angiocatheter
/ / //
C. A butterfly needle
/ / / //
D. A 25-gauge needle
/ / / //
Answer: A. A noncoring needle / / / /
Verified Rationale: / ////
A noncoring (Huber) needle is used for implanted ports to prevent port septum damage, maintaining device integrity.
/ / / / / / / / / / / / / / / / /
Other needle types can damage the septum or are inappropriate for accessing ports.
/ / / / / / / / / / / /
---
### 4. IV Therapy: Prescriptions & Documentation
/ / / / / /
Question: //
3///22
, A nurse is conducting an initial assessment and notes a discrepancy between a client's IV infusion an
/ / / / / / / / / / / / / / / /
d the information reported during shift change. Which action should the nurse take?
/ / / / / / / / / / / /
A. Contact the charge nurse to see if the prescription was changed
/ / / / / / / / / / / //
B. Complete an incident report and place it in the client's medical record
/ / / / / / / / / / / / //
C. Submit a written warning for the nurse involved in the incident
/ / / / / / / / / / / //
D. Compare the current infusion with the prescription in the client's medical record
/ / / / / / / / / / / / //
Answer: D. Compare the current infusion with the prescription in the client's medical record
/ / / / / / / / / / / / /
Verified Rationale: / ////
Verification with the medical record ensures safety and that infusions align with prescribed therapy before engaging in
/ / / / / / / / / / / / / / / / /
further actions. Incident reports are not placed in medical records, and written warnings are not immediately warrante
/ / / / / / / / / / / / / / / /
d.
---
### 5. NEW GENERATION 2: Case Study Scenario—Clinical Findings
/ / / / / / / /
Case Scenario: / //
An adult child accompanying a parent reports cognitive and physical decline in the client, expressing concern over me
/ / / / / / / / / / / / / / / / /
mory loss, thought processes, appetite, and self-
/ / / / / /
care. The adult child states, "My sibling and I hired help at home for my parent. We thought that might help, but it has n
/ / / / / / / / / / / / / / / / / / / / / / / /
ot. I found the title to the car today, signed over to me." The client makes poor eye contact, speaks in a monotone voice,
/ / / / / / / / / / / / / / / / / / / / / / / /
and demonstrates a lack of facial expression. Client reports sleeping 7 hours a night, waking once or twice to use the ba
/ / / / / / / / / / / / / / / / / / / / /
throom, not wanting to eat, and has lost about 8 lbs. last month. At 1030, the client is found sitting in the waiting room w
/ / / / / / / / / / / / / / / / / / / / / / / /
ith head in hands, stating "why don't you just leave me alone."
/ / / / / / / / / / /
Question: //
Click to highlight the findings that require immediate follow-up.
/ / / / / / / / //
(Select ALL that apply.) / / /
A. "I found the title to the car signed over to me"
/ / / / / / / / / / / //
B. Client makes poor eye contact, speaks in a monotone voice, and has lack of facial expression
/ / / / / / / / / / / / / / / / //
4///22
Comprehensive Predictor
STUDY GUIDE
(NGN-Style & Case Scenarios)
700+ Qs & Ans to Pass the Exam
This Study guide contains:
700+ Qs & Ans
passing score Guarantee
Format Set of Multiple-choice
questions with incorporating Next Generation NCLEX (NGN) and
Case Scenario
Expert-Verified Explanations & Solutions
1///22
,### 1. NEW GENERATION 1: Case Scenario—Vital Signs
Case Scenario:
A client admitted with a diagnosis of bipolar disorder is receiving lithium therapy. The nurse notes the following:
- Admission Weight: 74.8 kg (165 lbs.)
- Current Weight: 74.38 kg (164 lbs.)
Question:
The client is most likely developing and should be monitored for which of the following?
A. Lithium toxicity
B. Urinary tract infection
C. Metabolic syndrome
D. Neuroleptic malignant syndrome
Answer: A. Lithium toxicity
Verified Rationale:
A minor reduction in body weight, especially in the setting of lithium therapy, can concentrate serum lithium
levels, increasing the risk of toxicity. Lithium has a narrow therapeutic index, and even modest dehydration or
fluid loss can precipitate toxicity. Other diagnoses are less likely with the information provided.
### 2. Infusion Pump Safety Protocols
Question:
A nurse is preparing to initiate intravenous fluids via an infusion pump for a client. Which of the
following actions should the nurse take?
2///22
,A. Obtain a surge protector that can accommodate the pump and several other appliances
B. Verify that the extension cord for the pump is ungrounded
C. Report the pump has a frayed cord and proceed with the infusion
D. Check the expiration date on the safety inspection sticker of the pump
Answer: A. Obtain a surge protector that can accommodate the pump and several other appliances
Verified Rationale:
Using a surge protector that can accommodate the pump ensures electrical safety and reduces the risk of
electric shock or fire. Never proceed with a frayed cord (C) and an ungrounded cord (B) poses a hazard. While
checking the inspection sticker is important, priority is given to immediate electrical safety.
---
### 3. Implanted Venous Access Port Assessment
/ / / / / /
Question: //
A nurse is caring for a client who has an implanted venous access port. Which of the following should
/ / / / / / / / / / / / / / / / / / /
the nurse use to access the port?
/ / / / / /
A. A noncoring needle
/ / / //
B. An angiocatheter
/ / //
C. A butterfly needle
/ / / //
D. A 25-gauge needle
/ / / //
Answer: A. A noncoring needle / / / /
Verified Rationale: / ////
A noncoring (Huber) needle is used for implanted ports to prevent port septum damage, maintaining device integrity.
/ / / / / / / / / / / / / / / / /
Other needle types can damage the septum or are inappropriate for accessing ports.
/ / / / / / / / / / / /
---
### 4. IV Therapy: Prescriptions & Documentation
/ / / / / /
Question: //
3///22
, A nurse is conducting an initial assessment and notes a discrepancy between a client's IV infusion an
/ / / / / / / / / / / / / / / /
d the information reported during shift change. Which action should the nurse take?
/ / / / / / / / / / / /
A. Contact the charge nurse to see if the prescription was changed
/ / / / / / / / / / / //
B. Complete an incident report and place it in the client's medical record
/ / / / / / / / / / / / //
C. Submit a written warning for the nurse involved in the incident
/ / / / / / / / / / / //
D. Compare the current infusion with the prescription in the client's medical record
/ / / / / / / / / / / / //
Answer: D. Compare the current infusion with the prescription in the client's medical record
/ / / / / / / / / / / / /
Verified Rationale: / ////
Verification with the medical record ensures safety and that infusions align with prescribed therapy before engaging in
/ / / / / / / / / / / / / / / / /
further actions. Incident reports are not placed in medical records, and written warnings are not immediately warrante
/ / / / / / / / / / / / / / / /
d.
---
### 5. NEW GENERATION 2: Case Study Scenario—Clinical Findings
/ / / / / / / /
Case Scenario: / //
An adult child accompanying a parent reports cognitive and physical decline in the client, expressing concern over me
/ / / / / / / / / / / / / / / / /
mory loss, thought processes, appetite, and self-
/ / / / / /
care. The adult child states, "My sibling and I hired help at home for my parent. We thought that might help, but it has n
/ / / / / / / / / / / / / / / / / / / / / / / /
ot. I found the title to the car today, signed over to me." The client makes poor eye contact, speaks in a monotone voice,
/ / / / / / / / / / / / / / / / / / / / / / / /
and demonstrates a lack of facial expression. Client reports sleeping 7 hours a night, waking once or twice to use the ba
/ / / / / / / / / / / / / / / / / / / / /
throom, not wanting to eat, and has lost about 8 lbs. last month. At 1030, the client is found sitting in the waiting room w
/ / / / / / / / / / / / / / / / / / / / / / / /
ith head in hands, stating "why don't you just leave me alone."
/ / / / / / / / / / /
Question: //
Click to highlight the findings that require immediate follow-up.
/ / / / / / / / //
(Select ALL that apply.) / / /
A. "I found the title to the car signed over to me"
/ / / / / / / / / / / //
B. Client makes poor eye contact, speaks in a monotone voice, and has lack of facial expression
/ / / / / / / / / / / / / / / / //
4///22
