COMPREHENSIVE
PREDICTOR
EXAM
(NGN-Style Questions & Case Scenario)
Actual Qs & Ans to Pass the Exam
This ATI test contains:
180 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. 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) Non-coring needle
B) Angio catheter
C) Butterfly needle
D) 25-gauge needle
Answer: A) Non-coring needle
Verified Rationale: Implanted venous access ports must be accessed with
a non-coring (Huber) needle to avoid damaging the port septum and
ensuring safe, repeated access.
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2. A nurse is conducting an initial assessment of a client and notices
a discrepancy between the client's current IV infusion and the
information received during shift report. Which of the following
actions 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 and the client's
medication administration record
,Answer: D) Compare the current infusion with the prescription and the
client's medication administration record
Verified Rationale: The nurse's top priority is verification and reconciliation
of current treatment orders with the medication administration record before
taking further action, supporting patient safety and medication accuracy.
3. Complete the following sentence using the list of options:
The nurse understands that the patient has likely developed Lithium
toxicity and will need to be monitored for which of the following
major complications?
A) Cardiac dysrhythmias
B) Renal failure
C) Seizure activity
D) Hypoglycemia
Answer: C) Seizure activity
Verified Rationale: Lithium toxicity can cause neurological manifestations,
including confusion, tremors, and, in severe cases, seizures. Monitoring for
seizure activity is essential in patients exhibiting signs of Lithium toxicity.
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4. A nurse is preparing to initiate intravenous fluids via infusion
pump to a client. Which of the following actions should the nurse
take?
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 safety inspection sticker of the pump
Answer: D) Check the expiration date on safety inspection sticker of the
pump
Verified Rationale: Ensuring the infusion pump has a current safety
inspection sticker verifies electrical safety and function, which is essential
before use. Other options may create safety hazards.
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Question 5 - NCLEX (NGN Style)
A nurse is assessing a client who has a brain tumor and is receiving
palliative care. Which of the following findings indicates the nurse
should administer pain medication?
A. Cheyne-Stokes respirations
B. Constricted pupils
C. Restlessness
D. Mottled skin
Answer: C. Restlessness
Verified Rationale:
Restlessness is often a sign of pain or discomfort in palliative care clients,
even if they’re unable to verbalize pain directly.
6. Case study: Client diagnosed with schizophrenia:
*Case Study, Select Appropriate/Contraindicated Interventions*
Appropriate:
- Ask the client about the content of their hallucinations
- Instruct the client on expected hygiene practices
- Assess the client for suicidal ideation
Contraindicated:
- Allow the client to watch TV at a high volume