NGN ATI COMPREHENSIVE PREDICTOR 2024 ACTUAL EXAM COMPLETE EXAM
QUESTIONS WITH DETAILED VERIFIED ANSWERS /A+ STUDY MATERIAL // VERIFIED BY
EXPERT
Private rooms - (answer)are required for clients who have an infectious disease that requires airborne
precautions, or clients who require a protective environment._______ _____ are preferred for clients
who are on droplet and contact precautions. These clients can cohort if no _______ ______ are available
and if all of the following are true. ●The clients have the same active infection with the same micro-
organisms. ●The clients remain at least 3 feet away from each other. ●The clients have no other existing
infection. ______ _______ is also preferred for the following clients. ●Client who are agitated ●Client
who have dementia and a history of wandering ●Clients who require a quiet environment (those at risk
for increased intracranial pressure [stroke, traumatic brain injury]) ●Clients who are at risk for sensory
overload (those who are having pain, are acutely ill, have invasive tubes [nasogastric, IVs, endotracheal],
or have reduced cognitive function [head injury]) ●Clients who require privacy (those who are near
death)
Prior to delegating client care, consider the following. - (answer)Predictability of outcome ●Will the
completion of the task have a predictable outcome? ●Is it a routine treatment? ●Is it a new treatment?
Potential for harm ●Is there a chance that something negative can happen to the client (risk for
bleeding, risk for aspiration)? ●Is the client unstable? Complexity of care ●Are complex tasks required as
a part of the client's care? ●Is the delegatee legally able to perform the task and do they have the skills
necessary? Need for problem solving and innovation ●Is nursing judgment required while performing
the task? ●Does it require nursing assessment skills? Level of interaction with the client ●Is there a need
to provide psychosocial support or education during the performance of the task?
Examples of tasks nurses can delegate to practical nurses and assistive personnel - (answer)TO PN
Monitoring findings (as input to the RN's ongoing assessment)Reinforcing client teaching from a
standard care planPerforming tracheostomy careSuctioningChecking NG tube patencyAdministering
enteral feedingsInserting a urinary catheterAdministering medication (excluding IV medication in some
states). TO AP Activities of daily living (ADLs) Bathing Grooming Dressing Toileting Ambulating Feeding
(without swallowing precautions). Positioning Routine tasks. Bed making. Specimen collection Intake
and output Vital signs (for stable clients).
Right direction/communication (five rights of delegations) - (answer)Data that needs to be collected
●Method and timeline for reporting, including when to report concerns/findings ●Specific task(s) to be
performed; client-specific instructions ●Expected results, timelines, and expectations for follow-up
communication
, NGN ATI COMPREHENSIVE PREDICTOR 2024 ACTUAL EXAM COMPLETE EXAM
QUESTIONS WITH DETAILED VERIFIED ANSWERS /A+ STUDY MATERIAL // VERIFIED BY
EXPERT
RIGHT DIRECTION AND COMMUNICATION: Delegate an AP to assist the client in room 312 with a shower
before 0900 and to notify the nurse when complete.
WRONG DIRECTION AND COMMUNICATION: Delegate an AP to assist the client in room 312 with
morning hygiene.
Steps in providing educational programs - (answer)1. Identify and respond: Determine the need for
knowledge or skill proficiency 2. Analyze: Look for deficiencies, and develop learning objectives to meet
the need 3. Research: Resources available to address learning objectives based on evidence-based
practice 4. Plan: Program to address objectives using available resources 5. Implement: Program(s) at a
time conducive to staff availability; consider online learning modules 6. Evaluate: Use materials and
observations to measure behavior changes secondary to learning objectives
Tetralogy of Fallot. - (answer)Four defects that result in mixed blood flow: Pulmonary stenosis,
ventricular septal defect, overriding aorta, right ventricular hypertrophy. Cyanosis at birth: progressive
cyanosis over the first year of life. Systolic murmur. Episodes of acute cyanosis and hypoxia (blue or
"Tet" spells knee chest position or squating). SURGICAL PROCEDURES Shunt placement until able to
undergo primary repair. Complete repair within the first year of life.
Defects that increase pulmonary blood flow - (answer)Ventricular septal defect (VSD) (20.1) Atrial septal
defect (ASD), Patent ductus arteriosus (PDA),
Defects that increase pulmonary blood flow Ventricular septal defect (VSD) - (answer)_______ A hole in
the septum between the right and left ventricle that results in increased pulmonary blood flow
(left‑to‑right shunt) ●Loud, harsh murmur auscultated at the left sternal border ●Heart failure ●Many
VSDs close spontaneously early in life.
Defects that increase pulmonary blood flow Atrial septal defect (ASD) - (answer)A hole in the septum
between the right and left atria that results in increased pulmonary blood flow (left‑to‑right shunt)
●Loud, harsh murmur with a fixed split second heart sound ●Heart failure ●Asymptomatic (possibly)
QUESTIONS WITH DETAILED VERIFIED ANSWERS /A+ STUDY MATERIAL // VERIFIED BY
EXPERT
Private rooms - (answer)are required for clients who have an infectious disease that requires airborne
precautions, or clients who require a protective environment._______ _____ are preferred for clients
who are on droplet and contact precautions. These clients can cohort if no _______ ______ are available
and if all of the following are true. ●The clients have the same active infection with the same micro-
organisms. ●The clients remain at least 3 feet away from each other. ●The clients have no other existing
infection. ______ _______ is also preferred for the following clients. ●Client who are agitated ●Client
who have dementia and a history of wandering ●Clients who require a quiet environment (those at risk
for increased intracranial pressure [stroke, traumatic brain injury]) ●Clients who are at risk for sensory
overload (those who are having pain, are acutely ill, have invasive tubes [nasogastric, IVs, endotracheal],
or have reduced cognitive function [head injury]) ●Clients who require privacy (those who are near
death)
Prior to delegating client care, consider the following. - (answer)Predictability of outcome ●Will the
completion of the task have a predictable outcome? ●Is it a routine treatment? ●Is it a new treatment?
Potential for harm ●Is there a chance that something negative can happen to the client (risk for
bleeding, risk for aspiration)? ●Is the client unstable? Complexity of care ●Are complex tasks required as
a part of the client's care? ●Is the delegatee legally able to perform the task and do they have the skills
necessary? Need for problem solving and innovation ●Is nursing judgment required while performing
the task? ●Does it require nursing assessment skills? Level of interaction with the client ●Is there a need
to provide psychosocial support or education during the performance of the task?
Examples of tasks nurses can delegate to practical nurses and assistive personnel - (answer)TO PN
Monitoring findings (as input to the RN's ongoing assessment)Reinforcing client teaching from a
standard care planPerforming tracheostomy careSuctioningChecking NG tube patencyAdministering
enteral feedingsInserting a urinary catheterAdministering medication (excluding IV medication in some
states). TO AP Activities of daily living (ADLs) Bathing Grooming Dressing Toileting Ambulating Feeding
(without swallowing precautions). Positioning Routine tasks. Bed making. Specimen collection Intake
and output Vital signs (for stable clients).
Right direction/communication (five rights of delegations) - (answer)Data that needs to be collected
●Method and timeline for reporting, including when to report concerns/findings ●Specific task(s) to be
performed; client-specific instructions ●Expected results, timelines, and expectations for follow-up
communication
, NGN ATI COMPREHENSIVE PREDICTOR 2024 ACTUAL EXAM COMPLETE EXAM
QUESTIONS WITH DETAILED VERIFIED ANSWERS /A+ STUDY MATERIAL // VERIFIED BY
EXPERT
RIGHT DIRECTION AND COMMUNICATION: Delegate an AP to assist the client in room 312 with a shower
before 0900 and to notify the nurse when complete.
WRONG DIRECTION AND COMMUNICATION: Delegate an AP to assist the client in room 312 with
morning hygiene.
Steps in providing educational programs - (answer)1. Identify and respond: Determine the need for
knowledge or skill proficiency 2. Analyze: Look for deficiencies, and develop learning objectives to meet
the need 3. Research: Resources available to address learning objectives based on evidence-based
practice 4. Plan: Program to address objectives using available resources 5. Implement: Program(s) at a
time conducive to staff availability; consider online learning modules 6. Evaluate: Use materials and
observations to measure behavior changes secondary to learning objectives
Tetralogy of Fallot. - (answer)Four defects that result in mixed blood flow: Pulmonary stenosis,
ventricular septal defect, overriding aorta, right ventricular hypertrophy. Cyanosis at birth: progressive
cyanosis over the first year of life. Systolic murmur. Episodes of acute cyanosis and hypoxia (blue or
"Tet" spells knee chest position or squating). SURGICAL PROCEDURES Shunt placement until able to
undergo primary repair. Complete repair within the first year of life.
Defects that increase pulmonary blood flow - (answer)Ventricular septal defect (VSD) (20.1) Atrial septal
defect (ASD), Patent ductus arteriosus (PDA),
Defects that increase pulmonary blood flow Ventricular septal defect (VSD) - (answer)_______ A hole in
the septum between the right and left ventricle that results in increased pulmonary blood flow
(left‑to‑right shunt) ●Loud, harsh murmur auscultated at the left sternal border ●Heart failure ●Many
VSDs close spontaneously early in life.
Defects that increase pulmonary blood flow Atrial septal defect (ASD) - (answer)A hole in the septum
between the right and left atria that results in increased pulmonary blood flow (left‑to‑right shunt)
●Loud, harsh murmur with a fixed split second heart sound ●Heart failure ●Asymptomatic (possibly)
