RN COMPREHENSIVE PREDICTOR 2024/
2025 WITH NGN NEWEST VERSION 180
REAL EXAM QUESTIONS WITH
CORRECT DETAILED ANSWERS &
RATIONALES | ATI RN
COMPREHENSIVE PREDICTOR WITH
NGN LATEST VERSION (NEW!!)
.A nurse is admitting a client who has acute heart failure. Which of the following prescriptions
from the provider should the nurse anticipate?
a. Administer enalapril 2.5 mg PO twice daily
b. Ambulate the client every 4 hr while awake(bedrest)
c. Provide the client with 4 g sodium diet(
d. Infuse 0.9% sodium chloride 500 mL IV bolus over 1 hr –
Correct Answer :a. Administer enalapril 2.5 mg PO twice daily
A nurse is collecting a specimen for urinalysis and culture from a client who has an indwelling
urinary catheter. Which of the following actions should the nurse take during collection?
a. Drain the specimen from the drainage bag(not sterile use the port for culture and UA)
b. Clamp the catheter distal to the injection port
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c. Collect 2 mL of urine for each specimen
d. Obtain the urinalysis specimen before the culture specimen –
Correct Answer :b. Clamp the catheter distal to the injection port
A nurse is caring for a client who reports diarrhea for 3 days. The nurse should monitor the client
for which of the following manifestations?
A. Orthostatic Hypertension
B. Dependent Edema
C. Decreased Hematocrit
D. Neck Vein Distension –
Correct Answer :A. Orthostatic Hypertension
. A nurse is assessing a client who is 36 weeks of gestation. Which of the following findings
should the nurse report to the provider?
A. 3+ deep tendon reflexes
B. Protruding Hemorrhoids
C. Urinary Frequency (expected)
D. Supine Hypotension –
Correct Answer :B. Protruding Hemorrhoids
rational for option A
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(common finding in women with preeclampsia and does not require action unless there are
symptoms of magnesium toxicity.)
A nurse is administering an analgesic to a client who has a chest tube. The provider is preparing
to discontinue the chest tube before the medication has taken affect. Which of the following
actions should the nurse prepare to take first?
A. Inform the provider of the time of the last dose of pain medication.
B. Document the sequence of events as they occur.
C. Provide non-pharmacological pain management interventions.
D. Instruct the client about the steps of the procedure –
Correct Answer :A. Inform the provider of the time of the last dose of pain medication.
A nurse in a PACU is transferring care of a client to a nurse on the medical-surgical unit. Which of
the following statements should the nurse include in the hand-off report?
A. The client was intubated without complications.
B. The estimated blood loss was 250 milliliters.
C. There was a total of 10 sponges used during the procedures.
D. The client is a member of the board of directors. –
Correct Answer :B. The estimated blood loss was 250 milliliters.
A nurse is assessing a client's pulmonary artery wedge pressure (PAWP). The nurse should
recognize that an elevated PAWP indicates which of the following complications?
A. Left ventricular failure
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B. Cardiogenic shock
C. Hypovolemia
D. Hypotension –
Correct Answer :A. Left ventricular failure
A nurse is caring for four clients who are scheduled for surgery the same day. Which of the
following laboratory values indicates the need for intervention before surgery?
A. Fasting blood glucose 108 mg/dl (WNL)
B. WBC 9,800/mm (WNL)
C. Creatinine 0.9 mg/dl (WNL)
D. Potassium 5.2 mEq/L –
Correct Answer :D. Potassium 5.2 mEq/L
A nurse is providing teaching to family members of a client who has dementia. Which of the
following instructions should the nurse include in the teaching?
A. Engage the client in activities that increase sensory stimulation.
B. Discourage physical activity during the day.
C. Establish a toileting schedule for the client.
D. Use clothing with buttons and zippers. –
Correct Answer :C. Establish a toileting schedule for the client.
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