ATI RN
COMPREHENSIVE
PREDICTOR EXAM
(NGN-Style Questions & Case Scenario)
Actual Qs & Ans to Pass the Exam
This\ATI\test\contains:
160\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.\NEW\GENERATION\1:\Case\Scenario—Vital\Signs
Case\Scenario:\\
A\client\admitted\with\a\diagnosis\of\bipolar\disorder\is\receiving\lithium\therapy.\The\nur
se\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\t
he\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\concent
rate\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?
,A.\Obtain\a\surge\protector\that\can\accommodate\the\pump\and\several\other\appliance
s\\
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\re
duces\the\risk\of\electric\shock\or\fire.\Never\proceed\with\a\frayed\cord\(C)\and\an\ungro
unded\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.\Wh
ich\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\inappropr
iate\for\accessing\ports.
---
###\4.\IV\Therapy:\Prescriptions\&\Documentation
Question:\\
A\nurse\is\conducting\an\initial\assessment\and\notes\a\discrepancy\betwe
en\a\client's\IV\infusion\and\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\rec
ord
Verified\Rationale:\\\\
Verification\with\the\medical\record\ensures\safety\and\that\infusions\align\with\prescribe
d\therapy\before\engaging\in\further\actions.\Incident\reports\are\not\placed\in\medical\re
cords,\and\written\warnings\are\not\immediately\warranted.
---
###\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\memory\loss,\thought\processes,\appetite,\and\self-
care.\The\adult\child\states,\"My\sibling\and\I\hired\help\at\home\for\my\parent.\We\thoug
COMPREHENSIVE
PREDICTOR EXAM
(NGN-Style Questions & Case Scenario)
Actual Qs & Ans to Pass the Exam
This\ATI\test\contains:
160\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.\NEW\GENERATION\1:\Case\Scenario—Vital\Signs
Case\Scenario:\\
A\client\admitted\with\a\diagnosis\of\bipolar\disorder\is\receiving\lithium\therapy.\The\nur
se\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\t
he\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\concent
rate\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?
,A.\Obtain\a\surge\protector\that\can\accommodate\the\pump\and\several\other\appliance
s\\
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\re
duces\the\risk\of\electric\shock\or\fire.\Never\proceed\with\a\frayed\cord\(C)\and\an\ungro
unded\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.\Wh
ich\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\inappropr
iate\for\accessing\ports.
---
###\4.\IV\Therapy:\Prescriptions\&\Documentation
Question:\\
A\nurse\is\conducting\an\initial\assessment\and\notes\a\discrepancy\betwe
en\a\client's\IV\infusion\and\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\rec
ord
Verified\Rationale:\\\\
Verification\with\the\medical\record\ensures\safety\and\that\infusions\align\with\prescribe
d\therapy\before\engaging\in\further\actions.\Incident\reports\are\not\placed\in\medical\re
cords,\and\written\warnings\are\not\immediately\warranted.
---
###\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\memory\loss,\thought\processes,\appetite,\and\self-
care.\The\adult\child\states,\"My\sibling\and\I\hired\help\at\home\for\my\parent.\We\thoug
