ATI RN
Comprehensive Predictor
STUDY GUIDE
(NGN-Style & Case Scenarios)
700+ Qs & Ans to Pass the Exam
This Study guide contains:
700+ 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 nurse 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 the 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 concentrate 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 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:
Using a surge protector that can accommodate the pump ensures electrical safety and reduces the risk of
electric shock or fire. Never proceed with a frayed cord (C) and an ungrounded 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. 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:
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 inappropriate for accessing ports.
---
### 4. IV Therapy: Prescriptions & Documentation
Question:
A nurse is conducting an initial assessment and notes a discrepancy between 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
Comprehensive Predictor
STUDY GUIDE
(NGN-Style & Case Scenarios)
700+ Qs & Ans to Pass the Exam
This Study guide contains:
700+ 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 nurse 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 the 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 concentrate 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 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:
Using a surge protector that can accommodate the pump ensures electrical safety and reduces the risk of
electric shock or fire. Never proceed with a frayed cord (C) and an ungrounded 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. 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:
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 inappropriate for accessing ports.
---
### 4. IV Therapy: Prescriptions & Documentation
Question:
A nurse is conducting an initial assessment and notes a discrepancy between 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
