400 ATI RN COMPREHENSIVE PREDICTOR RETAKE EXIT
EXAM 2023 WITH NGN 400 VERIFIED ANSWERS
1. A nurse is preparing discharge information for a client who has type 2
diabetes mellitus. Which of the following resources should the nurse provide
to the client?
A. Personal blogs about managing the adverse effects of diabetes
medications
B. Food label recommendations from the Institute of Medicine
C. Diabetes medication information from the Physicians' Desk Reference
D. Food exchange lists for meal planning from the American Diabetes
Association
D. Food exchange lists for meal planning from the American Diabetes Association
2. A nurse is providing teaching about patient-controlled analgesia (PCA) to
a client. Which of the following statements should the nurse include in the
teaching?
A. "The PCA will deliver a double dose of medication when you push the
button twice."
B. "You can adjust the amount of pain medication you receive by pushing
on the keypad."
C. "Continuous PCA infusion is designed to allow fluctuating plasma
medication levels."
D. "You should push the button before physical activity to allow maximum
pain control."
D. "You should push the button before physical activity to allow maximum pain control."
3. A nurse is caring for a client who has diabetes mellitus and is receiving
long-acting insulin for blood glucose management. The nurse should
anticipate administering which of the following types of insulin?
A. Glargine insulin.
B. Regular insulin.
C. NPH insulin.
D. Insulin aspart.
,A. Glargine insulin.
4. A nurse is caring for a toddler who has acute lymphocytic leukemia. In
which of the following should the toddler participate?
A. Looking at alphabet flashcards.
B. Playing with a large plastic truck.
C. Use scissors cut out paper shapes.
D. Watching a cartoon in the dayroom.
B. Playing with a large plastic truck
5. A nurse is caring for a client who is receiving intermittent feedings via a
feeding pump and is experiencing dumping syndrome. Which of
the following actions should the nurse take?
A. Administer a refrigerated feeding.
B. Increased the amount of water use to flush the tubing.
C. decrease the rate of the client's feedings.
D. Instruct the client to move onto their right side.
C. decrease the rate of the client's feedings.
6. A nurse in an emergency department is caring for a client who received a
dose of penicillin and is now anxious, flushing, tachycardic and has difficulty
swallowing. Which of the following actions is the nurse's priority?
A. Monitor the client's ECG
B. Take the client's vital signs.
C. Administer oxygen
D. Insert an IV line.
C. Administer oxygen
7. A nurse is caring for a client who has Raynaud's disease. Which of the
following actions should the nurse take?
A. Provide information about stress management.
B. Maintain a cool temperature in the client's room.
C. Administer epinephrine for acute episodes.
D. Give glucocorticoid steroid twice per day.
A. Provide information about stress management.
8. A nurse is reviewing the medical history of a client who has angina.
Which of the following findings in the client's medical history should identify
as a risk factor for angina?
A. Hyperlipidemia.
B. COPD
,C. Seizure disorder
D. Hyponatremia.
A. Hyperlipidemia.
9. A nurse is caring for a client who is 12 hr. postpartum and has a third-
degree perineal laceration. The client reports not having a bowel movement
for 4 days. Which of the following medications should the nurse administer?
A. Bisacodyl 10 mg rectal suppository.
B. Magnesium hydroxide 30 ml PO.
C. Famotidine 20 mg PO.
D. Loperamide 4 mg PO.
B. Magnesium hydroxide 30 ml PO.
10. A nurse overhears two assistive personnel (AP) discussing care for a
client while in the elevator. Which of the following actions should the nurse
take?
A. Contact the client's family about the incident.
B. Notify the client's provider about the incident.
C. File a complaint with the facility's ethics committee.
D. Report the incident to the AP's charge nurse.
D. Report the incident to the AP's charge nurse.
1. A nurse is planning care for a client who is receiving hemodialysis. Which
of the following actions should the nurse include in the plan of care?
A. Withhold all medications until after dialysis
B. Rehydrate with dextrose 5% in water for orthostatic hypotension.
C. Check the vascular access site for bleeding after dialysis.
D. Give an antibiotic 30 min before dialysis.
C. Check the vascular access site for bleeding after dialysis.
12. A nurse in the emergency department is caring for a client who reports
intimate partner violence. Which of the following interventions is the nurse's
priority?
A. Develop a safety plan with the client
B. (Unable) options for reporting the incident.
C. Refer the client to a community support group.
D. Determine if the client has any injuries.
D. Determine if the client has any injuries.
13. A nurse is caring for a client who is in active labor and note the FHR
baseline has been 100/min for the past 15 min. The nurse should identify
, which of the following conditions as a possible cause of fetal bradycardia?
A. Maternal fever
B. Fetal anemia
C. Maternal hypoglycemia
D. Chorioamnionitis
C. Maternal hypoglycemia
14. A nurse is assessing a school-age child who has a urinary tract infection.
Which of the following findings should the nurse expect?
A. Periorbital edema.
B. Decreased frequency of urination.
C. Enuresis.
D. Diarrhea.
C. Enuresis.
15. A charge nurse on a medical-surgical unit is assisting with the emergency
response plan following an external disaster in the community. In anticipation
of multiple client admissions, which of the following current clients should
the nurse recommend for early discharge?
A. A client who has COPD and a respiratory rate of 44/min
B. A client who has cancer with a sealed implant for radiation therapy
C. A client who is receiving heparin for deep-vein thrombosis
D. A client who is 1 day postoperative following a vertebroplasty
D. A client who is 1 day postoperative following a vertebroplasty
16. A nurse is preparing to administer dopamine hydrochloride 4 mcg/kg/min
via continuous infusion. Available is dopamine hydrochloride in a solution of
800 mg in a 250 ml bag. The client weighs 80 kg. The nurses should set the
IV infusion to deliver how many mL/hr? (Round the answer to the nearest
whole number)
6ml/hr
17. A nurse is providing teaching to the parents of a newborn genetic
screening. Which of the following statement should the nurse include in the
teaching?
A. "This test should be performed after your baby is 24 hours old."
B. "A nurse will draw blood from your baby's inner elbow."
C. "Your baby will be given 2 ounces of water to drink prior to the test."
D. "This test will be repeated when your baby is 2 months old."
A. "This test should be performed after your baby is 24 hours old."
EXAM 2023 WITH NGN 400 VERIFIED ANSWERS
1. A nurse is preparing discharge information for a client who has type 2
diabetes mellitus. Which of the following resources should the nurse provide
to the client?
A. Personal blogs about managing the adverse effects of diabetes
medications
B. Food label recommendations from the Institute of Medicine
C. Diabetes medication information from the Physicians' Desk Reference
D. Food exchange lists for meal planning from the American Diabetes
Association
D. Food exchange lists for meal planning from the American Diabetes Association
2. A nurse is providing teaching about patient-controlled analgesia (PCA) to
a client. Which of the following statements should the nurse include in the
teaching?
A. "The PCA will deliver a double dose of medication when you push the
button twice."
B. "You can adjust the amount of pain medication you receive by pushing
on the keypad."
C. "Continuous PCA infusion is designed to allow fluctuating plasma
medication levels."
D. "You should push the button before physical activity to allow maximum
pain control."
D. "You should push the button before physical activity to allow maximum pain control."
3. A nurse is caring for a client who has diabetes mellitus and is receiving
long-acting insulin for blood glucose management. The nurse should
anticipate administering which of the following types of insulin?
A. Glargine insulin.
B. Regular insulin.
C. NPH insulin.
D. Insulin aspart.
,A. Glargine insulin.
4. A nurse is caring for a toddler who has acute lymphocytic leukemia. In
which of the following should the toddler participate?
A. Looking at alphabet flashcards.
B. Playing with a large plastic truck.
C. Use scissors cut out paper shapes.
D. Watching a cartoon in the dayroom.
B. Playing with a large plastic truck
5. A nurse is caring for a client who is receiving intermittent feedings via a
feeding pump and is experiencing dumping syndrome. Which of
the following actions should the nurse take?
A. Administer a refrigerated feeding.
B. Increased the amount of water use to flush the tubing.
C. decrease the rate of the client's feedings.
D. Instruct the client to move onto their right side.
C. decrease the rate of the client's feedings.
6. A nurse in an emergency department is caring for a client who received a
dose of penicillin and is now anxious, flushing, tachycardic and has difficulty
swallowing. Which of the following actions is the nurse's priority?
A. Monitor the client's ECG
B. Take the client's vital signs.
C. Administer oxygen
D. Insert an IV line.
C. Administer oxygen
7. A nurse is caring for a client who has Raynaud's disease. Which of the
following actions should the nurse take?
A. Provide information about stress management.
B. Maintain a cool temperature in the client's room.
C. Administer epinephrine for acute episodes.
D. Give glucocorticoid steroid twice per day.
A. Provide information about stress management.
8. A nurse is reviewing the medical history of a client who has angina.
Which of the following findings in the client's medical history should identify
as a risk factor for angina?
A. Hyperlipidemia.
B. COPD
,C. Seizure disorder
D. Hyponatremia.
A. Hyperlipidemia.
9. A nurse is caring for a client who is 12 hr. postpartum and has a third-
degree perineal laceration. The client reports not having a bowel movement
for 4 days. Which of the following medications should the nurse administer?
A. Bisacodyl 10 mg rectal suppository.
B. Magnesium hydroxide 30 ml PO.
C. Famotidine 20 mg PO.
D. Loperamide 4 mg PO.
B. Magnesium hydroxide 30 ml PO.
10. A nurse overhears two assistive personnel (AP) discussing care for a
client while in the elevator. Which of the following actions should the nurse
take?
A. Contact the client's family about the incident.
B. Notify the client's provider about the incident.
C. File a complaint with the facility's ethics committee.
D. Report the incident to the AP's charge nurse.
D. Report the incident to the AP's charge nurse.
1. A nurse is planning care for a client who is receiving hemodialysis. Which
of the following actions should the nurse include in the plan of care?
A. Withhold all medications until after dialysis
B. Rehydrate with dextrose 5% in water for orthostatic hypotension.
C. Check the vascular access site for bleeding after dialysis.
D. Give an antibiotic 30 min before dialysis.
C. Check the vascular access site for bleeding after dialysis.
12. A nurse in the emergency department is caring for a client who reports
intimate partner violence. Which of the following interventions is the nurse's
priority?
A. Develop a safety plan with the client
B. (Unable) options for reporting the incident.
C. Refer the client to a community support group.
D. Determine if the client has any injuries.
D. Determine if the client has any injuries.
13. A nurse is caring for a client who is in active labor and note the FHR
baseline has been 100/min for the past 15 min. The nurse should identify
, which of the following conditions as a possible cause of fetal bradycardia?
A. Maternal fever
B. Fetal anemia
C. Maternal hypoglycemia
D. Chorioamnionitis
C. Maternal hypoglycemia
14. A nurse is assessing a school-age child who has a urinary tract infection.
Which of the following findings should the nurse expect?
A. Periorbital edema.
B. Decreased frequency of urination.
C. Enuresis.
D. Diarrhea.
C. Enuresis.
15. A charge nurse on a medical-surgical unit is assisting with the emergency
response plan following an external disaster in the community. In anticipation
of multiple client admissions, which of the following current clients should
the nurse recommend for early discharge?
A. A client who has COPD and a respiratory rate of 44/min
B. A client who has cancer with a sealed implant for radiation therapy
C. A client who is receiving heparin for deep-vein thrombosis
D. A client who is 1 day postoperative following a vertebroplasty
D. A client who is 1 day postoperative following a vertebroplasty
16. A nurse is preparing to administer dopamine hydrochloride 4 mcg/kg/min
via continuous infusion. Available is dopamine hydrochloride in a solution of
800 mg in a 250 ml bag. The client weighs 80 kg. The nurses should set the
IV infusion to deliver how many mL/hr? (Round the answer to the nearest
whole number)
6ml/hr
17. A nurse is providing teaching to the parents of a newborn genetic
screening. Which of the following statement should the nurse include in the
teaching?
A. "This test should be performed after your baby is 24 hours old."
B. "A nurse will draw blood from your baby's inner elbow."
C. "Your baby will be given 2 ounces of water to drink prior to the test."
D. "This test will be repeated when your baby is 2 months old."
A. "This test should be performed after your baby is 24 hours old."
