______________________________________
ATI RN COMPREHENSIVE
PREDICTOR
EXAM VERSION 1
QUESTIONS AND VERIFIED ANSWERS|
100% CORRECT| GRADED A+
EXAM COVER SHEET
PROGRAM: RN (REGISTERED NURSE PROGRAM)
COURSE NAME: Comprehensive Nursing Review / NCLEX
Preparation / RN Program
EXAM NAME: ATI RN Comprehensive Predictor Exam – Version
1
,### 1. NGN Case Scenario: Lithium Therapy and Weight Change
Case Scenario
A client admitted with bipolar disorder is receiving lithium therapy. During the
nurse's assessment, the following data are noted:
Admission Weight: 74.8 kg (165 lb)
Current Weight: 74.38 kg (164 lb)
The nurse recognizes that even a small weight loss in a client taking lithium may
indicate fluid loss. Because lithium is processed by the kidneys, dehydration can
increase lithium concentrations in the blood and place the client at risk for
toxicity.
Question
The client is most likely developing and should be monitored for which of the
following?
A. Lithium toxicity
B. Urinary tract infection
C. Metabolic syndrome
D. Neuroleptic malignant syndrome
Answer: A. Lithium toxicity
Verified Rationale:
Lithium has a narrow therapeutic range, meaning that small changes in fluid and
electrolyte balance can significantly affect blood lithium levels. The client's
weight loss may indicate dehydration or fluid volume deficit, which can reduce
renal excretion of lithium and cause lithium levels to rise. As lithium
accumulates in the body, the risk of lithium toxicity increases. The nurse should
closely monitor for early signs of toxicity, including nausea, vomiting, diarrhea,
tremors, muscle weakness, drowsiness, and lack of coordination. Prompt
,recognition is important because severe toxicity can lead to neurological
impairment, seizures, cardiac dysrhythmias, and coma.
### 2. Infusion Pump Safety Protocols
Question
A nurse is preparing to initiate intravenous fluids via an infusion pump for a
client. To ensure safe operation of the equipment and reduce the risk of
electrical hazards, the nurse should perform appropriate equipment safety
checks before beginning the infusion. 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 the safety inspection sticker of the pump
Answer: A. Obtain a surge protector that can accommodate the pump and
several other appliances
Verified Rationale:
Before using any electrical medical equipment, the nurse should verify that the
equipment has passed required safety inspections and is approved for clinical
use. The safety inspection sticker indicates that the infusion pump has been
tested and maintained according to facility policy. Using equipment with an
expired inspection date may place the client at risk for equipment malfunction,
inaccurate infusion rates, or electrical hazards. Confirming that the inspection is
current helps ensure safe and reliable operate
, ### 3. Implanted Venous Access Port Assessment
Question
A nurse is caring for a client who has an implanted venous access port for long-
term administration of medications, fluids, blood products, or parenteral
nutrition. The nurse is preparing to access the port and understands that special
equipment is required to prevent damage to the port's septum. Which 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:
An implanted venous access port should always be accessed using a noncoring
needle (commonly called a Huber needle). The design of the noncoring needle
prevents removal of small pieces of the port's silicone septum during insertion.
This helps preserve the integrity of the port, reduces leakage, and extends the
life of the device. Using the correct needle also decreases the risk of catheter
damage and complications associated with repeated access.
---
### 4. IV Therapy: Prescriptions and Documentation
Question
A nurse is conducting an initial assessment at the beginning of a shift and
notices a discrepancy between the client's current IV infusion and the
information that was provided during shift report. The nurse understands that
before taking further action, the accuracy of the IV therapy order must be
verified. Which action should the nurse take?
A. Contact the charge nurse to see if the prescription was changed
ATI RN COMPREHENSIVE
PREDICTOR
EXAM VERSION 1
QUESTIONS AND VERIFIED ANSWERS|
100% CORRECT| GRADED A+
EXAM COVER SHEET
PROGRAM: RN (REGISTERED NURSE PROGRAM)
COURSE NAME: Comprehensive Nursing Review / NCLEX
Preparation / RN Program
EXAM NAME: ATI RN Comprehensive Predictor Exam – Version
1
,### 1. NGN Case Scenario: Lithium Therapy and Weight Change
Case Scenario
A client admitted with bipolar disorder is receiving lithium therapy. During the
nurse's assessment, the following data are noted:
Admission Weight: 74.8 kg (165 lb)
Current Weight: 74.38 kg (164 lb)
The nurse recognizes that even a small weight loss in a client taking lithium may
indicate fluid loss. Because lithium is processed by the kidneys, dehydration can
increase lithium concentrations in the blood and place the client at risk for
toxicity.
Question
The client is most likely developing and should be monitored for which of the
following?
A. Lithium toxicity
B. Urinary tract infection
C. Metabolic syndrome
D. Neuroleptic malignant syndrome
Answer: A. Lithium toxicity
Verified Rationale:
Lithium has a narrow therapeutic range, meaning that small changes in fluid and
electrolyte balance can significantly affect blood lithium levels. The client's
weight loss may indicate dehydration or fluid volume deficit, which can reduce
renal excretion of lithium and cause lithium levels to rise. As lithium
accumulates in the body, the risk of lithium toxicity increases. The nurse should
closely monitor for early signs of toxicity, including nausea, vomiting, diarrhea,
tremors, muscle weakness, drowsiness, and lack of coordination. Prompt
,recognition is important because severe toxicity can lead to neurological
impairment, seizures, cardiac dysrhythmias, and coma.
### 2. Infusion Pump Safety Protocols
Question
A nurse is preparing to initiate intravenous fluids via an infusion pump for a
client. To ensure safe operation of the equipment and reduce the risk of
electrical hazards, the nurse should perform appropriate equipment safety
checks before beginning the infusion. 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 the safety inspection sticker of the pump
Answer: A. Obtain a surge protector that can accommodate the pump and
several other appliances
Verified Rationale:
Before using any electrical medical equipment, the nurse should verify that the
equipment has passed required safety inspections and is approved for clinical
use. The safety inspection sticker indicates that the infusion pump has been
tested and maintained according to facility policy. Using equipment with an
expired inspection date may place the client at risk for equipment malfunction,
inaccurate infusion rates, or electrical hazards. Confirming that the inspection is
current helps ensure safe and reliable operate
, ### 3. Implanted Venous Access Port Assessment
Question
A nurse is caring for a client who has an implanted venous access port for long-
term administration of medications, fluids, blood products, or parenteral
nutrition. The nurse is preparing to access the port and understands that special
equipment is required to prevent damage to the port's septum. Which 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:
An implanted venous access port should always be accessed using a noncoring
needle (commonly called a Huber needle). The design of the noncoring needle
prevents removal of small pieces of the port's silicone septum during insertion.
This helps preserve the integrity of the port, reduces leakage, and extends the
life of the device. Using the correct needle also decreases the risk of catheter
damage and complications associated with repeated access.
---
### 4. IV Therapy: Prescriptions and Documentation
Question
A nurse is conducting an initial assessment at the beginning of a shift and
notices a discrepancy between the client's current IV infusion and the
information that was provided during shift report. The nurse understands that
before taking further action, the accuracy of the IV therapy order must be
verified. Which action should the nurse take?
A. Contact the charge nurse to see if the prescription was changed
