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’‘a
nd’‘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’‘i
n’‘further’‘actions.’‘Incident’‘reports’‘are’‘not’‘placed’‘in’‘medical’‘records,’‘and’‘written’‘warnings’‘are’‘not’‘immediately’‘warra
nted.
---
###’‘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’‘m
emory’‘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’
‘ not.’‘I’‘found’‘the’‘title’‘to’‘the’‘car’‘today,’‘signed’‘over’‘to’‘me."‘‘The’‘client’‘makes’‘poor’‘eye’‘contact,’‘speaks’‘in’‘a’‘monotone’‘v
oice,’‘and’‘demonstrates’‘a’‘lack’‘of’‘facial’‘expression.’‘Client’‘reports’‘sleeping’‘7’‘hours’‘a’‘night,’‘waking’‘once’‘or’‘twice’‘to’‘us
e’‘the’‘bathroom,’‘not’‘wanting’‘to’‘eat,’‘and’‘has’‘lost’‘about’‘8’‘lbs.’‘last’‘month.’‘At’‘1030,’‘the’‘client’‘is’‘found’‘sitting’‘in’‘the’‘waiti
ng’‘room’‘with’‘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’‘a
nd’‘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’‘i
n’‘further’‘actions.’‘Incident’‘reports’‘are’‘not’‘placed’‘in’‘medical’‘records,’‘and’‘written’‘warnings’‘are’‘not’‘immediately’‘warra
nted.
---
###’‘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’‘m
emory’‘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’
‘ not.’‘I’‘found’‘the’‘title’‘to’‘the’‘car’‘today,’‘signed’‘over’‘to’‘me."‘‘The’‘client’‘makes’‘poor’‘eye’‘contact,’‘speaks’‘in’‘a’‘monotone’‘v
oice,’‘and’‘demonstrates’‘a’‘lack’‘of’‘facial’‘expression.’‘Client’‘reports’‘sleeping’‘7’‘hours’‘a’‘night,’‘waking’‘once’‘or’‘twice’‘to’‘us
e’‘the’‘bathroom,’‘not’‘wanting’‘to’‘eat,’‘and’‘has’‘lost’‘about’‘8’‘lbs.’‘last’‘month.’‘At’‘1030,’‘the’‘client’‘is’‘found’‘sitting’‘in’‘the’‘waiti
ng’‘room’‘with’‘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
