RN COMPREHENSIVE PREDICTOR 2025/
2026 WITH NGN VERSION REAL EXAM
QUESTIONS WITH CORRECT DETAILED
ANSWERS & RATIONALES | ATI RN
COMPREHENSIVE PREDICTOR WITH
NGN LATEST VERSION
A nurse is caring for a client who is taking valproic acid for seizure control. For which of the
following adverse effects should the nurse monitor and report?
A. Weight loss
B. Jaundice
C. Bradycardia
D. Polyuria –
Correct Answer :Jaundice
The nurse should monitor the client for jaundice and report any indication to the provider.
Clients who take valproic acid are at risk for liver damage, which can lead to jaundice.
A client is receiving IV fluids at 150 mL/hr. Which of the following findings indicates that the
client is experiencing fluid overload?
A. Oliguria
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B. Bradycardia
C. Dyspnea
D. Poor skin turgor –
Correct Answer :Dyspnea
The nurse should recognize that dyspnea indicates the client could be experiencing fluid
overload. Fluid overload can lead to the backup of fluid in the pulmonary system, resulting in
shortness of breath.
A nurse is providing education to the parent of a school-age child who has asthma. Which of the
following statements by the parent indicates an understanding of the teaching?
A. "I will administer aspirin to my child to treat pain or fever."
B. "I will record an average of three readings from my child's peak expiratory flow meter."
C. "I will place carpet in my child's bedroom to control allergens."
D. "I will make sure my child receives a yearly influenza immunization." –
Correct Answer :"I will make sure my child receives a yearly influenza immunization."
Children who have asthma should be immunized and protected from infections. Therefore, the
nurse should educate the parent to ensure the child receives a yearly influenza immunization.
Incorrect
Children who have asthma are sensitive to aspirin, and because it is associated with the
development of Reye syndrome, the nurse should teach the parent to avoid administration of
aspirin.
The parent should record the highest of the three readings, rather than the average, when
recording their child's results from the peak expiratory flow meter.
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Carpet is an offending environmental irritant to a child who has asthma, which can trigger an
attack. Therefore, the nurse should educate the parent about removing carpeting from the
child's bedroom.
A nurse is preparing a sterile field in order to insert an indwelling urinary catheter for a male
client. Which of the following techniques should the nurse use to maintain surgical aseptic
technique?
A. Open the top outer flap of the package toward the body.
B. Clean the penis with the nondominant hand.
C. Don sterile gloves after opening the lubricant packet.
D. Set the catheter tray on the overbed table at waist height. –
Correct Answer :Set the catheter tray on the overbed table at waist height.
To maintain sterility, the nurse should place the catheter tray on a work surface at or above
waist level.
Incorrect
The nurse should open the top outer flap away from the body to prevent contamination of the
sterile field by reaching over it when opening the remaining flaps.
The nurse should clean the penis with the dominant hand.
The nurse should don sterile gloves before touching any of the items in the sterile field.
A nurse in an emergency department is caring for a child who has a fever and fluid-filled vesicles
on the trunk and extremities. Which of the following interventions should the nurse identify as
the priority?
A. Encourage oral fluids
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B. Apply topical calamine lotion
C. Administer acetaminophen as an antipyretic
D. Initiate transmission-based precautions –
Correct Answer :Initiate transmission-based precautions.
When using the urgent vs. nonurgent approach to client care, the nurse should determine that
the priority action is to initiate transmission-based precautions for the child. The child most likely
has varicella. Therefore, the nurse should isolate the child to prevent the spread of the infection.
Incorrect
Encouraging oral fluids is nonurgent because it is an expected finding for a child who possibly has
varicella to have dehydration caused by a fever. Therefore, there is another action that is the
nurse's priority.
Applying topical calamine lotion is nonurgent because it is an expected finding for a child who
possibly has varicella to have pruritus. Therefore, there is another action that is the nurse's
priority.
Administering acetaminophen as an antipyretic is nonurgent because it is an expected finding for
a child who possibly has varicella to have a fever. Therefore, there is another action that is the
nurse's priority.
A nurse is providing teaching about lithium to a client who has bipolar disorder. Which of the
following statements should the nurse include in the teaching?
A. "Expect to have blurred vision while taking this medication."
B. "Notify your provider if you experience increased thirst."
C. "You might be unable to have an orgasm while taking this medication."
D. "You should take this medication on an empty stomach." –
Correct Answer :"Notify your provider if you experience increased thirst."
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