COMPREHENSIVE
PREDICTOR EXAM
(NGN-Style Questions & Case Scenario)
Actual Qs & Ans to Pass the Exam
This ATI test contains:
180 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. A home health nurse is caring for a child who has Lyme disease. Which of the
following is an appropriate action for the nurse to take?
(NCLEX - Multiple Choice)
a. Ensure the state health department has been notified
b. Administer antitoxin
c. Educate the family to avoid sharing personal belongings
d. Assess for skin necrosis
Answer: a. Ensure the state health department has been notified
Verified Rationale:
Lyme disease is a reportable infectious disease in many states. The nurse must notify
the state health department to ensure proper surveillance and follow-up.
Administering an antitoxin is not indicated, and Lyme disease is not contagious
through sharing personal belongings. Skin necrosis is not a typical complication.
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### 2. Case Study Scenario (NGN):
,A nurse is caring for a client who has been admitted to the hospital. The client’s vital
signs:
- Temp: 37.2°C (99°F), HR 84/min, BP 128/72 mmHg, RR 16/min, SpO₂ 98% on room
air.
Select all that apply as appropriate interventions:
- Provide frequent rest periods
- Restrict client sodium intake
- Advise client to avoid using soap and alcohol-based lotions
- Instruct the client to avoid blowing their nose forcefully
- Assess the client's level of orientation
Answer:
- Provide frequent rest periods
- Advise client to avoid using soap and alcohol-based lotions
- Instruct the client to avoid blowing their nose forcefully
- Assess the client's level of orientation
Verified Rationale:
Frequent rest periods may be necessary for hospitalized clients to prevent fatigue.
Avoiding harsh skin products prevents skin breakdown, and nose blowing can increase
intracranial pressure in certain conditions. Assessing orientation is necessary for
neurological evaluation. Sodium restriction is not indicated unless prescribed.
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### 3. A nurse is caring for a client who has a vented NG tube set to low intermittent
suction and has vomited. Which of the following actions should the nurse perform first?
(NCLEX - Multiple Choice)
a. Administer an antiemetic medication
b. Evaluate functioning of the suction device
c. Provide oral hygiene care
d. Replace the NG tube
Answer: b. Evaluate functioning of the suction device
Verified Rationale:
Vomiting may indicate that the NG tube or suction device is not functioning properly,
leading to gastric distention. The first priority is to check the function of the system.
Administering an antiemetic, providing oral care, or replacing the tube may be
necessary, but only after ensuring proper suction.
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