2023 ATI RN
COMPREHENSIVE Retake 1
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
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,1. (Client with Bipolar Disorder in Acute Mania)
A nurse obtains a verbal prescription for restraints. Which action should the
nurse take?
A. Request a renewal of the prescription every 8 hours.
B. Check the client’s peripheral pulse every 30 minutes.
C. Obtain a written prescription within 4 hours.
D. Document the client’s condition every 15 minutes.
Correct Answer: D
Rationale: When restraints are used, frequent documentation (e.g., every 15
minutes) is required to ensure client safety, circulation, and mental status.
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2. (Child, 4 Hours Postoperative for Perforated Appendicitis)
Which action should the nurse include in the plan of care?
A. Offer small amounts of clear liquids 6 hours following surgery.
B. Give cromolyn nebulizer solution every 6 hours.
C. Apply a warm compress to the operative site every 4 hours.
D. Administer analgesics on a scheduled basis for the first 24 hours.
Correct Answer: D
Rationale: Providing scheduled analgesics (around-the-clock) is recommended
to manage postoperative pain effectively, rather than waiting until the child
experiences breakthrough pain.
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,3. (Change-of-Shift Report for Four Clients)
Which client should the nurse assess first?
A. A client with sinus arrhythmia on cardiac monitoring.
B. A client with diabetes mellitus and a hemoglobin A1C of 6.8%.
C. A client with epidural analgesia who has lower-extremity weakness.
D. A client with a hip fracture and a new onset of tachypnea.
Correct Answer: D
Rationale: New onset of tachypnea can indicate a respiratory complication
(e.g., pulmonary embolus). This finding is urgent, whereas lower-extremity
weakness can be expected with epidural analgesia.
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4. (Applying a Transdermal Nicotine Patch)
Which action should the nurse take?
A. Shave hairy areas prior to application.
B. Wear gloves when applying the patch.
C. Apply the patch within 1 hour of opening the pouch.
D. Remove the previous patch and wrap it in a tissue.
Correct Answer: B
Rationale: Wearing gloves prevents the nurse from absorbing the medication.
The patch should be applied promptly to a clean, dry, hairless area. Used
patches are typically folded inward (sticky sides together) before discarding.
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, 5. (Receiving Change-of-Shift Report)
Which client should the nurse assess first?
A. A client who was just given orange juice for a low blood glucose level.
B. A client scheduled for a procedure in 1 hour.
C. A client who has 100 mL remaining in the IV bag.
D. A client who received postoperative pain medication 30 minutes ago.
Correct Answer: A
Rationale: After administering carbohydrates for hypoglycemia, the nurse
should recheck blood glucose levels promptly to ensure the intervention was
effective.
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6. (Intermittent Enteral Tube Feedings)
Which finding places the client at greatest risk for aspiration?
A. History of gastroesophageal reflux disease (GERD)
B. Receiving a high-osmolarity formula
C. Sitting in high Fowler’s position during feeding
D. A 65-mL residual 1 hour post-feeding
Correct Answer: A
Rationale: GERD predisposes the client to reflux, increasing the risk for
aspiration. Although proper positioning is critical, GERD represents a more
direct aspiration risk.
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COMPREHENSIVE Retake 1
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. (Client with Bipolar Disorder in Acute Mania)
A nurse obtains a verbal prescription for restraints. Which action should the
nurse take?
A. Request a renewal of the prescription every 8 hours.
B. Check the client’s peripheral pulse every 30 minutes.
C. Obtain a written prescription within 4 hours.
D. Document the client’s condition every 15 minutes.
Correct Answer: D
Rationale: When restraints are used, frequent documentation (e.g., every 15
minutes) is required to ensure client safety, circulation, and mental status.
───────────────────────────────────────────────
─────────────────────────
2. (Child, 4 Hours Postoperative for Perforated Appendicitis)
Which action should the nurse include in the plan of care?
A. Offer small amounts of clear liquids 6 hours following surgery.
B. Give cromolyn nebulizer solution every 6 hours.
C. Apply a warm compress to the operative site every 4 hours.
D. Administer analgesics on a scheduled basis for the first 24 hours.
Correct Answer: D
Rationale: Providing scheduled analgesics (around-the-clock) is recommended
to manage postoperative pain effectively, rather than waiting until the child
experiences breakthrough pain.
───────────────────────────────────────────────
─────────────────────────
,3. (Change-of-Shift Report for Four Clients)
Which client should the nurse assess first?
A. A client with sinus arrhythmia on cardiac monitoring.
B. A client with diabetes mellitus and a hemoglobin A1C of 6.8%.
C. A client with epidural analgesia who has lower-extremity weakness.
D. A client with a hip fracture and a new onset of tachypnea.
Correct Answer: D
Rationale: New onset of tachypnea can indicate a respiratory complication
(e.g., pulmonary embolus). This finding is urgent, whereas lower-extremity
weakness can be expected with epidural analgesia.
───────────────────────────────────────────────
─────────────────────────
4. (Applying a Transdermal Nicotine Patch)
Which action should the nurse take?
A. Shave hairy areas prior to application.
B. Wear gloves when applying the patch.
C. Apply the patch within 1 hour of opening the pouch.
D. Remove the previous patch and wrap it in a tissue.
Correct Answer: B
Rationale: Wearing gloves prevents the nurse from absorbing the medication.
The patch should be applied promptly to a clean, dry, hairless area. Used
patches are typically folded inward (sticky sides together) before discarding.
───────────────────────────────────────────────
─────────────────────────
, 5. (Receiving Change-of-Shift Report)
Which client should the nurse assess first?
A. A client who was just given orange juice for a low blood glucose level.
B. A client scheduled for a procedure in 1 hour.
C. A client who has 100 mL remaining in the IV bag.
D. A client who received postoperative pain medication 30 minutes ago.
Correct Answer: A
Rationale: After administering carbohydrates for hypoglycemia, the nurse
should recheck blood glucose levels promptly to ensure the intervention was
effective.
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─────────────────────────
6. (Intermittent Enteral Tube Feedings)
Which finding places the client at greatest risk for aspiration?
A. History of gastroesophageal reflux disease (GERD)
B. Receiving a high-osmolarity formula
C. Sitting in high Fowler’s position during feeding
D. A 65-mL residual 1 hour post-feeding
Correct Answer: A
Rationale: GERD predisposes the client to reflux, increasing the risk for
aspiration. Although proper positioning is critical, GERD represents a more
direct aspiration risk.
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