1
NGN RN ATI PROCTORED COMPREHENSIVE PREDICTOR
FORM A, B & C COMBINED EXAMS/ NEWEST UPDATE 2024 -
2025 COMPLETE EXAM QUESTIONS WITH CORRECT
DETAILED ANSWERS (VERIFIED) RATED A+
A nurse is planning care for a client who has severe respiratory distress system (SARS).
Which of the following actions should be included in the plan of care for this client?
SATA
A. Administer antibiotics.
B. Provide O2
C. Administer bronchodilators.
D. Administer antiviral meds
E. Maintain ventilatory support. - Correct Answer - B. Provide O2
C. Administer bronchodilators.
E. Maintain ventilatory support.
A nurse is caring for a client who is receiving vecuronium for acute respiratory distress
syndrome.
Which of the following medications should the nurse anticipate administering with this
medication? SATA
A. Fentanyl
B. Furosemide
C. Midazolam
D. Famotidine
E> Dexamethasone - Correct Answer - A. Fentanyl
C. Midazolam
, 2
A nurse is orienting a newly licensed nurse on the care of a client who is to have a line
placed for hemodynamic monitoring. Which of the following statements by the newly
licensed nurse indicates effectiveness of the teaching?
A. "Air should be instilled into the monitoring system prior to the procedure."
B. "The client should be positioned on the left side during the procedure."
C. "The transducer should be level with the second intercostal spaced after the line is
placed."
D. "A chest x-ray is needed to verify placement after the procedure." - Correct Answer -
D. "A chest x-ray is needed to verify placement after the procedure."
A nursing planning care for a school-age child who is 4 hr. postoperative following
perforated appendicitis. Which of the following actions should the nurse include?
A. Offer small amounts of clear liquids 6 hr. following surgery (assess for gag reflex first)
B. Give cromolyn nebulizer solution every 6 hr. (for asthma)
C. Apply a warm compress to the operative site every 4 hr.
D. Administer analgesics on a scheduled basis for the first 24 hr. - Correct Answer - D.
Administer analgesics on a scheduled basis for the first 24 hr.
A nurse is preparing to apply a transdermal nicotine patch for a client. Which of the
following actions should the nurse take first?
A. Shave hairy areas of skin prior to application (apply to hairless, clean & dry areas to
promote absorption; avoid oily or broken skin)
B. Wear gloves to apply the patch to the client's skin
C. Apply the patch within 1 hr. of removing it from the protective pouch (apply
immediately)
D. Remove the previous patch and place it in a tissue (fold patch in half with sticky sides
pressed together) - Correct Answer - B. Wear gloves to apply the patch to the client's
skin
, 3
A nurse is assessing a client who is receiving magnesium sulfate by continuous IV
infusion. Which of the following findings should the nurse recognize as a result of
magnesium sulfate toxicity?
a. Hyporeflexia
b. Tachypnea (bradypnea, less than 12/min) c. Pruritus (sign of allergic reaction)
d. Polyuria (oliguria, less than 30 ml/hr.) - Correct Answer - a. Hyporeflexia
. A nurse is planning to administer ampicillin 100 mg/kg/day in divided doses every 12
hours to a newborn who weighs 4.34 kg (9.5 lbs.). Available is ampicillin 125mg/ml. How
many milliliters should the nurse administer per dose? (Round the answer to the nearest
tenth. Use a leading zero if it applies. Do not use a trailing zero - Correct Answer -
Answer is 1.7 mL per dose Rationale: 100mg X 4.34 kg= 434 mg/day
434mg/125mgX1=3.472/day 3.472/2= 1.736
. 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
c. Collect 2 mL of urine for each specimen
, 4
d. Obtain the urinalysis specimen before the culture specimen - Correct Answer - b.
Clamp the catheter distal to the injection port
. 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
(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 is reviewing the laboratory results for a client who has Cushing's disease. The
nurse should expect the client to have an increase in which of the following laboratory
values?
A. Serum glucose level- increased
B. Serum Ca level decreased
C. Lymphocyte count decreased
NGN RN ATI PROCTORED COMPREHENSIVE PREDICTOR
FORM A, B & C COMBINED EXAMS/ NEWEST UPDATE 2024 -
2025 COMPLETE EXAM QUESTIONS WITH CORRECT
DETAILED ANSWERS (VERIFIED) RATED A+
A nurse is planning care for a client who has severe respiratory distress system (SARS).
Which of the following actions should be included in the plan of care for this client?
SATA
A. Administer antibiotics.
B. Provide O2
C. Administer bronchodilators.
D. Administer antiviral meds
E. Maintain ventilatory support. - Correct Answer - B. Provide O2
C. Administer bronchodilators.
E. Maintain ventilatory support.
A nurse is caring for a client who is receiving vecuronium for acute respiratory distress
syndrome.
Which of the following medications should the nurse anticipate administering with this
medication? SATA
A. Fentanyl
B. Furosemide
C. Midazolam
D. Famotidine
E> Dexamethasone - Correct Answer - A. Fentanyl
C. Midazolam
, 2
A nurse is orienting a newly licensed nurse on the care of a client who is to have a line
placed for hemodynamic monitoring. Which of the following statements by the newly
licensed nurse indicates effectiveness of the teaching?
A. "Air should be instilled into the monitoring system prior to the procedure."
B. "The client should be positioned on the left side during the procedure."
C. "The transducer should be level with the second intercostal spaced after the line is
placed."
D. "A chest x-ray is needed to verify placement after the procedure." - Correct Answer -
D. "A chest x-ray is needed to verify placement after the procedure."
A nursing planning care for a school-age child who is 4 hr. postoperative following
perforated appendicitis. Which of the following actions should the nurse include?
A. Offer small amounts of clear liquids 6 hr. following surgery (assess for gag reflex first)
B. Give cromolyn nebulizer solution every 6 hr. (for asthma)
C. Apply a warm compress to the operative site every 4 hr.
D. Administer analgesics on a scheduled basis for the first 24 hr. - Correct Answer - D.
Administer analgesics on a scheduled basis for the first 24 hr.
A nurse is preparing to apply a transdermal nicotine patch for a client. Which of the
following actions should the nurse take first?
A. Shave hairy areas of skin prior to application (apply to hairless, clean & dry areas to
promote absorption; avoid oily or broken skin)
B. Wear gloves to apply the patch to the client's skin
C. Apply the patch within 1 hr. of removing it from the protective pouch (apply
immediately)
D. Remove the previous patch and place it in a tissue (fold patch in half with sticky sides
pressed together) - Correct Answer - B. Wear gloves to apply the patch to the client's
skin
, 3
A nurse is assessing a client who is receiving magnesium sulfate by continuous IV
infusion. Which of the following findings should the nurse recognize as a result of
magnesium sulfate toxicity?
a. Hyporeflexia
b. Tachypnea (bradypnea, less than 12/min) c. Pruritus (sign of allergic reaction)
d. Polyuria (oliguria, less than 30 ml/hr.) - Correct Answer - a. Hyporeflexia
. A nurse is planning to administer ampicillin 100 mg/kg/day in divided doses every 12
hours to a newborn who weighs 4.34 kg (9.5 lbs.). Available is ampicillin 125mg/ml. How
many milliliters should the nurse administer per dose? (Round the answer to the nearest
tenth. Use a leading zero if it applies. Do not use a trailing zero - Correct Answer -
Answer is 1.7 mL per dose Rationale: 100mg X 4.34 kg= 434 mg/day
434mg/125mgX1=3.472/day 3.472/2= 1.736
. 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
c. Collect 2 mL of urine for each specimen
, 4
d. Obtain the urinalysis specimen before the culture specimen - Correct Answer - b.
Clamp the catheter distal to the injection port
. 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
(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 is reviewing the laboratory results for a client who has Cushing's disease. The
nurse should expect the client to have an increase in which of the following laboratory
values?
A. Serum glucose level- increased
B. Serum Ca level decreased
C. Lymphocyte count decreased
