Mastering Success: A Comprehensive Guide to Excelling in
the NGN RN ATI Proctored Predictor Form B.
A Comprehensive Exam Study Guide Latest Updated
2025/2026.
A nurse is reviewing the medical record of a client who has schizophrenia and is taking
clozapine. Which of the following findings should the nurse identify as a contraindication to
the administration of clozapine?
A. HR 58
B. Fasting blood glucose 100
C. Hgb 14
D. WBC 2900 - ansD. WBC 2900
A nurse is developing an in service about personality disorders. Which of the following
information should the nurse include when discussing borderline personality disorder?
A. The clients exhibits impulse behavior
B. The client might act seductively
C. The client is exceptionally clingy to others
D. The client is overly concerned about minor details - ansA. The clients exhibits impulse
behavior
Intra-dermal Injections areas.
A. Buttocks
B. Upper back
C. Hamstring - ansB. Upper back
A nurse is caring for a client who has experienced a right-hemispheric stroke. Which of the
following are expected findings? SATA
A. Impulse control difficulty
B. Left Hemiplegia
C. Loss of depth perception
D. Aphasia
E. Lack of situational awareness - ansA. Impulse control difficulty
B. Left Hemiplegia
C. Loss of depth perception
E. Lack of situational awareness
A nurse is caring for a client who has global aphasia (both receptive and expressive.). Which
of the following should the nurse include in the client's plan of care? SATA
A. Speak to the client at a slower rate
B. Assist the client to use flash card with pictures
C. Speak to the client in a loud voice.
D. Complete sentences that the client cannot finish.
E. Give instructions one step at a time - ansA. Speak to the client at a slower rate
B. Assist the client to use flash card with pictures
E. Give instructions one step at a time
A nurse is assessing a client who has experienced a left-hemispheric stroke. Which of the
following is an expected finding?
A. Impulse control difficulty
B. Poor judgement
C. Inability to recognize familiar objects
D. Loss of depth perception - ansC. Inability to recognize familiar objects
A nurse is reviewing ABG laboratory results of a client who is in respiratory distress. The
results are pH 7.47, PaCo2 32 mm Hg. HCO3 22 mm Hg. The nurse should recognize that
the client is experiencing which of the following acid-base imbalances?
,Mastering Success: A Comprehensive Guide to Excelling in
the NGN RN ATI Proctored Predictor Form B.
A Comprehensive Exam Study Guide Latest Updated
2025/2026.
A. Respiratory acidosis
B. Respiratory alkalosis
C. Metabolic acidosis
D. Metabolic alkalosis - ansB. Respiratory alkalosis
A nurse is caring for a client following a thoracentesis. Which of the following
manifestations should the nurse recognize as risks for complications? SATA
A. Dyspnea
B. Localized bloody drainage on the dressing
C. Fever
D. Hypotension
E. Report of pain at the puncture site - ansA. Dyspnea
C. Fever
D. Hypotension
A nurse is preparing to care for a client following chest tube placement. Which of the
following items should be available in the client's room? SATA
A. Oxygen
B. Sterile water
C. Enclosed hemostat clamps
D. Indwelling urinary catheter
E. Occlusive dressing - ansA. Oxygen
B. Sterile water
C. Enclosed hemostat clamps
E. Occlusive dressing
A nurse is assessing a client who has a chest tube and drainage system in place. Which of the
following are expected findings? SATA
A. Gentle Constant bubbling in the suction control chamber
B. Rise and fall in the level of water in the water seal chamber with inspiration and
expiration
C. Exposed sutures without dressing.
D. Drainage system upright at chest level - ansA. Gentle Constant bubbling in the suction
control chamber
B. Rise and fall in the level of water in the water seal chamber with inspiration and expiration
A nurse is planning care for a client following the insertion of a chest tube and drainage
system. Which of the following should be included in the plan of care? SATA
A. Encourage the client to cough every 2 hours
B. Check the continuous bubbling in th suction chamber
C. Strip the drainage tubing every 4 hours.
D. Clamp the tube once a day.
E. Obtain a chest x-ray - ansA. Encourage the client to cough every 2 hours
B. Check the continuous bubbling in th suction chamber
E. Obtain a chest x-ray
A nurse is orientation a newly licensed nurse who is caring for a client who is receiving
mechanical ventilation and is receiving mechanical ventilation and is on pressure support
ventilation (PSV) mode. Which of the following statements by the newly licensed nurse
indicates and understanding of PSV?
A. "It keeps the alveoli open and prevents atelectasis."
,Mastering Success: A Comprehensive Guide to Excelling in
the NGN RN ATI Proctored Predictor Form B.
A Comprehensive Exam Study Guide Latest Updated
2025/2026.
B. "It allows preset pressure delivered during spontaneous ventilation."
C. "It guarantees minimal minute ventilator.
D. "It delivers a preset ventilatory rate and tidal volume to the client." - ansB. "It allows
preset pressure delivered during spontaneous ventilation."
A nurse is caring for a client who is experiencing respiratory distress. Which of the following
early manifestations of hypoxemia should the nurse recognize? SATA
A. Confusion
B. Pale skin
C. Bradycardia
D. Hypotension
E. Elevation blood pressure. - ansB. Pale skin
E. Elevation blood pressure.
A nurse is orienting a newly licensed nurse on performing routine assessment of a client who
is receiving mechanical ventilation via an endotracheal tube. Which of the following
information should the nurse include in the teaching?
A. Apply a vest restraint if self-extubation is attempted.
B. Monitor ventilator settings ever 8 hours.
C. Document tube placement in centimeters at the angle of jaw.
D. Assess breath sounds every 1 to 2 hours. - ansD. Assess breath sounds every 1 to 2 hours.
A nurse is caring for a client who has dyspnea and will receive oxygen continuously. Which
of the following oxygen devices should the nurse use to deliver a precise amount of oxygen
to the client?
A. Non rebreather mask
B. Venturi mask
C. Nasal cannula
D. Simple face mask - ansB. Venturi mask
A nurse is planning care for a client who is receiving mechanical ventilation. Which of the
following modes of ventilation that increase the effort of the client's respiratory muscles
should the nurse include in the plan of care? SATA
A. Assist-control
B. SIMV
C. CPAP
D. PSV
E. Independent lung ventilation - ansB. SIMV
C. CPAP
D. PSV
A nurse is caring for a client who has pneumonia. Assessment findings include temperature
37.8 C (100 F), respirations 30/min, blood pressure 130/76, heart rate 100/min, and SaO2
91% on room air. Prioritize the following nursing interventions.
A. Administer antibiotics.
B. Administer oxygen therapy.
C. Perform a sputum culture.
D. Administer an antipyretic medication to promote client comfort. - ansB. Administer
oxygen therapy.
C. Perform a sputum culture.
A. Administer antibiotics.
, Mastering Success: A Comprehensive Guide to Excelling in
the NGN RN ATI Proctored Predictor Form B.
A Comprehensive Exam Study Guide Latest Updated
2025/2026.
D. Administer an antipyretic medication to promote client comfort.
A nurse in a clinic is assessing a client who has sinusitis. Which of the following techniques
should the nurse use to identify manifestations of this disorder?
A. Percussion of posterior lobes of lungs
B. Auscultation of the trachea
C. Inspection of the conjunctiva
D. Palpation of the orbital areas - ansD. Palpation of the orbital areas
A nurse in the emergency department is caring for a client who is having an acute asthma
attack. Which of the following assessments indicates that the respiratory status is declining?
SATA
A. SaO2 95%
B. Wheezing
C. Retraction of sternal muscles
D. Pink mucous membranes
E. Premature ventricular complexes (PVC's) - ansB. Wheezing
C. Retraction of sternal muscles
E. Premature ventricular complexes (PVC's)
A nurse is caring for a client 2 hours after admission. The client has an SaO2 of 91%, exhibits
audible wheezes, and is using accessory muscles when breathing. Which of the following
classes of medication should the nurse expect to administer?
A. Antibiotic
B. Beta-blocker
C Antiviral
D. Beta2 agonist - ansD. Beta2 agonist
A nurse is providing discharge teaching to a client who has a new prescription for prednisone
for asthma. Which of the following client statements indicates an understanding in teaching?
A. "I will decrease my fluid intake while taking this medication."
B. "I will expected to have black, tarry stools."
C. "I will take my medication with meals."
D. "I will monitor for weight loss while on this medication." - ansC. "I will take my
medication with meals."
A nurse is reinforcing teaching with a client on the purpose of taking a bronchodilator. Which
of the following client statements indicates an understanding of the teaching?
A. "This medication can decrease my immune response."
B. "I take this medication to prevent asthma attacks."
C. "I need to take this medication with food."
D. "This medication has a slow onset to treat my symptoms." - ansB. "I take this medication
to prevent asthma attacks."
A nurse is preparing to administer a dose of a new prescription of prednisone to a client who
has COPD. The nurse should monitor for which of the following adverse effects of this
medication?SATA
A. Hypokalemia
B. Tachycardia
C. Fluid retention
D. Nausea
E. Black, tarry stools - ansA. Hypokalemia
the NGN RN ATI Proctored Predictor Form B.
A Comprehensive Exam Study Guide Latest Updated
2025/2026.
A nurse is reviewing the medical record of a client who has schizophrenia and is taking
clozapine. Which of the following findings should the nurse identify as a contraindication to
the administration of clozapine?
A. HR 58
B. Fasting blood glucose 100
C. Hgb 14
D. WBC 2900 - ansD. WBC 2900
A nurse is developing an in service about personality disorders. Which of the following
information should the nurse include when discussing borderline personality disorder?
A. The clients exhibits impulse behavior
B. The client might act seductively
C. The client is exceptionally clingy to others
D. The client is overly concerned about minor details - ansA. The clients exhibits impulse
behavior
Intra-dermal Injections areas.
A. Buttocks
B. Upper back
C. Hamstring - ansB. Upper back
A nurse is caring for a client who has experienced a right-hemispheric stroke. Which of the
following are expected findings? SATA
A. Impulse control difficulty
B. Left Hemiplegia
C. Loss of depth perception
D. Aphasia
E. Lack of situational awareness - ansA. Impulse control difficulty
B. Left Hemiplegia
C. Loss of depth perception
E. Lack of situational awareness
A nurse is caring for a client who has global aphasia (both receptive and expressive.). Which
of the following should the nurse include in the client's plan of care? SATA
A. Speak to the client at a slower rate
B. Assist the client to use flash card with pictures
C. Speak to the client in a loud voice.
D. Complete sentences that the client cannot finish.
E. Give instructions one step at a time - ansA. Speak to the client at a slower rate
B. Assist the client to use flash card with pictures
E. Give instructions one step at a time
A nurse is assessing a client who has experienced a left-hemispheric stroke. Which of the
following is an expected finding?
A. Impulse control difficulty
B. Poor judgement
C. Inability to recognize familiar objects
D. Loss of depth perception - ansC. Inability to recognize familiar objects
A nurse is reviewing ABG laboratory results of a client who is in respiratory distress. The
results are pH 7.47, PaCo2 32 mm Hg. HCO3 22 mm Hg. The nurse should recognize that
the client is experiencing which of the following acid-base imbalances?
,Mastering Success: A Comprehensive Guide to Excelling in
the NGN RN ATI Proctored Predictor Form B.
A Comprehensive Exam Study Guide Latest Updated
2025/2026.
A. Respiratory acidosis
B. Respiratory alkalosis
C. Metabolic acidosis
D. Metabolic alkalosis - ansB. Respiratory alkalosis
A nurse is caring for a client following a thoracentesis. Which of the following
manifestations should the nurse recognize as risks for complications? SATA
A. Dyspnea
B. Localized bloody drainage on the dressing
C. Fever
D. Hypotension
E. Report of pain at the puncture site - ansA. Dyspnea
C. Fever
D. Hypotension
A nurse is preparing to care for a client following chest tube placement. Which of the
following items should be available in the client's room? SATA
A. Oxygen
B. Sterile water
C. Enclosed hemostat clamps
D. Indwelling urinary catheter
E. Occlusive dressing - ansA. Oxygen
B. Sterile water
C. Enclosed hemostat clamps
E. Occlusive dressing
A nurse is assessing a client who has a chest tube and drainage system in place. Which of the
following are expected findings? SATA
A. Gentle Constant bubbling in the suction control chamber
B. Rise and fall in the level of water in the water seal chamber with inspiration and
expiration
C. Exposed sutures without dressing.
D. Drainage system upright at chest level - ansA. Gentle Constant bubbling in the suction
control chamber
B. Rise and fall in the level of water in the water seal chamber with inspiration and expiration
A nurse is planning care for a client following the insertion of a chest tube and drainage
system. Which of the following should be included in the plan of care? SATA
A. Encourage the client to cough every 2 hours
B. Check the continuous bubbling in th suction chamber
C. Strip the drainage tubing every 4 hours.
D. Clamp the tube once a day.
E. Obtain a chest x-ray - ansA. Encourage the client to cough every 2 hours
B. Check the continuous bubbling in th suction chamber
E. Obtain a chest x-ray
A nurse is orientation a newly licensed nurse who is caring for a client who is receiving
mechanical ventilation and is receiving mechanical ventilation and is on pressure support
ventilation (PSV) mode. Which of the following statements by the newly licensed nurse
indicates and understanding of PSV?
A. "It keeps the alveoli open and prevents atelectasis."
,Mastering Success: A Comprehensive Guide to Excelling in
the NGN RN ATI Proctored Predictor Form B.
A Comprehensive Exam Study Guide Latest Updated
2025/2026.
B. "It allows preset pressure delivered during spontaneous ventilation."
C. "It guarantees minimal minute ventilator.
D. "It delivers a preset ventilatory rate and tidal volume to the client." - ansB. "It allows
preset pressure delivered during spontaneous ventilation."
A nurse is caring for a client who is experiencing respiratory distress. Which of the following
early manifestations of hypoxemia should the nurse recognize? SATA
A. Confusion
B. Pale skin
C. Bradycardia
D. Hypotension
E. Elevation blood pressure. - ansB. Pale skin
E. Elevation blood pressure.
A nurse is orienting a newly licensed nurse on performing routine assessment of a client who
is receiving mechanical ventilation via an endotracheal tube. Which of the following
information should the nurse include in the teaching?
A. Apply a vest restraint if self-extubation is attempted.
B. Monitor ventilator settings ever 8 hours.
C. Document tube placement in centimeters at the angle of jaw.
D. Assess breath sounds every 1 to 2 hours. - ansD. Assess breath sounds every 1 to 2 hours.
A nurse is caring for a client who has dyspnea and will receive oxygen continuously. Which
of the following oxygen devices should the nurse use to deliver a precise amount of oxygen
to the client?
A. Non rebreather mask
B. Venturi mask
C. Nasal cannula
D. Simple face mask - ansB. Venturi mask
A nurse is planning care for a client who is receiving mechanical ventilation. Which of the
following modes of ventilation that increase the effort of the client's respiratory muscles
should the nurse include in the plan of care? SATA
A. Assist-control
B. SIMV
C. CPAP
D. PSV
E. Independent lung ventilation - ansB. SIMV
C. CPAP
D. PSV
A nurse is caring for a client who has pneumonia. Assessment findings include temperature
37.8 C (100 F), respirations 30/min, blood pressure 130/76, heart rate 100/min, and SaO2
91% on room air. Prioritize the following nursing interventions.
A. Administer antibiotics.
B. Administer oxygen therapy.
C. Perform a sputum culture.
D. Administer an antipyretic medication to promote client comfort. - ansB. Administer
oxygen therapy.
C. Perform a sputum culture.
A. Administer antibiotics.
, Mastering Success: A Comprehensive Guide to Excelling in
the NGN RN ATI Proctored Predictor Form B.
A Comprehensive Exam Study Guide Latest Updated
2025/2026.
D. Administer an antipyretic medication to promote client comfort.
A nurse in a clinic is assessing a client who has sinusitis. Which of the following techniques
should the nurse use to identify manifestations of this disorder?
A. Percussion of posterior lobes of lungs
B. Auscultation of the trachea
C. Inspection of the conjunctiva
D. Palpation of the orbital areas - ansD. Palpation of the orbital areas
A nurse in the emergency department is caring for a client who is having an acute asthma
attack. Which of the following assessments indicates that the respiratory status is declining?
SATA
A. SaO2 95%
B. Wheezing
C. Retraction of sternal muscles
D. Pink mucous membranes
E. Premature ventricular complexes (PVC's) - ansB. Wheezing
C. Retraction of sternal muscles
E. Premature ventricular complexes (PVC's)
A nurse is caring for a client 2 hours after admission. The client has an SaO2 of 91%, exhibits
audible wheezes, and is using accessory muscles when breathing. Which of the following
classes of medication should the nurse expect to administer?
A. Antibiotic
B. Beta-blocker
C Antiviral
D. Beta2 agonist - ansD. Beta2 agonist
A nurse is providing discharge teaching to a client who has a new prescription for prednisone
for asthma. Which of the following client statements indicates an understanding in teaching?
A. "I will decrease my fluid intake while taking this medication."
B. "I will expected to have black, tarry stools."
C. "I will take my medication with meals."
D. "I will monitor for weight loss while on this medication." - ansC. "I will take my
medication with meals."
A nurse is reinforcing teaching with a client on the purpose of taking a bronchodilator. Which
of the following client statements indicates an understanding of the teaching?
A. "This medication can decrease my immune response."
B. "I take this medication to prevent asthma attacks."
C. "I need to take this medication with food."
D. "This medication has a slow onset to treat my symptoms." - ansB. "I take this medication
to prevent asthma attacks."
A nurse is preparing to administer a dose of a new prescription of prednisone to a client who
has COPD. The nurse should monitor for which of the following adverse effects of this
medication?SATA
A. Hypokalemia
B. Tachycardia
C. Fluid retention
D. Nausea
E. Black, tarry stools - ansA. Hypokalemia
