ATI RN Comprehensive Predictor Exam
(2025/2026) with NGN
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?
a. Ensure the state health department has been notified
2. NGN (SATA)
Nurses notes:
0900:
The client reports experiencing a loss of appetite and shortness of breath within the
last month or so. The client reports experiencing weakness, abdominal pain, severe
itching, and mood changes.The client has had alcohol use disorder for the past 10
years and sometimes drinks alcohol uncontrollably.
The client is alert but disoriented to time.Their abdomen is bloated and they have
redness of the palms of the hands.
1230:
Excoriated areas on the upper thorax and shoulders are present. Sclera are yellow.
a. Provide frequent rest periods for the client.
b. Restrict the client's sodium intake.
c. Advise the client to avoid the use of soap and alcohol-based lotions.
d. Instruct the client to avoid blowing their nose forcefully.
e. Assess the client's level of orientation.
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?
a. Evaluate functioning of the suction device
4. While performing a routine assessment, a nurse notices fraying on the
electrical cord of a client's continuous passive motion (CPM) device. Which of
the following actions should the nurse take first?
a. Remove the device from the room
5. A nurse is setting up a sterile field to perform wound irrigation for a client.
Which of the following actions should the nurse take when pouring the
sterile solution?
a. Remove the cap and place it sterile-side up on a clean surface
6. A nurse is creating a plan of care for a female client who has recurrent
urinary tract infections. Which of the following interventions should the
nurse include in the plan
a. Wear loose-fitting underwear
7. NGN (drag and
drop) Admission
Assessment 0630:
Newborn delivered via cesarean birth under spinal
anesthesia at 0630. Amniotic fluid is clear.
0631:
1-min Apgar score 7
0636:
,5-min Apgar score 9
Newborn transferred to nursery.
Nurses' Notes
0640:
Weight 4200 gm (9 lb 4 oz), head circumference 35.5 cm
(14 in) Respiratory rate 68/min, with mild grunting.
0650:
Respiratory rate 72/min, with mild grunting 0700:
Respiratory rate 76/min, with moderate grunting and mild intercostal retractions.
a. The client is at risk for developing Transient tachypnea of the newborn and
hypoglycemia
8. A nurse is caring for an infant who has gastroenteritis. Which of
the following assessment findings should the nurse report to the
provider?
a. Sunken fontanels and dry mucous membranes
9. A nurse is conducting health promotion education regarding
contraindication to combination oral contraceptive use to a group of
women. Which of the following conditions should the nurse include in
the teaching?
a. Hypertension
10.A nurse is providing teaching to a client who has a depressive disorder and a
new prescription for amitriptyline. Which of the following statements by the
client indicates an understanding of the teaching?
a. I know it will be a couple of weeks before the medication helps me
feel better
11.A nurse is caring for a client who is immobile. Which of the following
interventions is appropriate to prevent contracture
a. Align a trochanter wedge between the client's legs
12.A nurse is assessing a client who is post-op following abdominal surgery
and has an indwelling urinary catheter that is draining dark yellow urine
at 25 ml/h. Which of the following should the nurse anticipate?
a. Obtain a urine specimen for culture and sensitivity
13.A nurse is reporting a client's laboratory tests to the provider to obtain a
prescription for the client's daily warfarin. Which of the following should the
nurse report to obtain the prescription for warfarin
a. INR
14.A nurse is assessing a client who is taking haloperidol and is
experiencing pseudo parkinsonism. Which of the following is the signs
of pseudo parkinsonism
a. Shuffling gait
15.A nurse caring for a client with expressive aphasia and right hemiparesis
after a stroke. What is the best way to promote communication among staff
caring for the client?
a. Have interdisciplinary team meetings for the client on a regular basis
16.A nurse is caring for a 2 yo toddler. Which food choice should the nurse
recommend to promote independence in eating?
a. Banana slices
, 17.A nurse on the med-surge unit got notified that a mass casualty event
has occurred. Which action should the nurse take?
a. Determine the medical needs of incoming clients through the
emergency department
18.A nurse has just received a change-of-shift report for four clients. Which of
the following clients should the nurse assess first?
a. A client who has just given a glass of orange juice for a low blood glucose
level.
19.A nurse is performing postmortem care prior to the client's family visit.
Which action should the nurse take?
a. Hold client's eyes shut for a few seconds
20.A nurse admitting a schizophrenic client. Client states: "I'm hearing
voices". Which response is the priority for the nurse to state?
a. “What are the voices telling you?”
21.A nurse is administered furosemide IV bolus to a client who has fluid
volume excess. Which finding is an indication that the med has been
effective?
a. Weight loss
22.A nurse is caring for a client who requires nasotracheal suctioning. Identify
the sequence the nurse should follow to perform suctioning. (Move the steps
into the box on the right, placing them in the order of performance. Use all
the steps.)
a. Turn on the Suction and set the pressure.
b. Don sterile gloves
c. Insert the catheter during the clients inspiration
d. Apply suction while rotating the catheter
e. Rinse the catheter to remove secretions
23.A nurse is caring for a client who is in a coma and is scheduled for a surgical
procedure. Which of the following actions should the nurse take?
a. Determine if the client's health care surrogate is aware of the risks
and benefits of the procedure.
24.A nurse is preparing to administer vancomycin IV to an adult client. The
client asks the nurse if the medication can be given 2 hr earlier. Which of
the following statements should the nurse make?
a. "I have up to 2 hours after the usual schedule time to give you this
medication."
25.A nurse is caring for a client who requires seclusion to prevent harm to
others on the unit. Which of the following is an appropriate action for the
nurse to take?
a. Document the client's behavior prior to being placed in seclusion.
26.A nurse is caring for an adolescent who has hyperthermia. Which of the
following actions should the nurse take?
a. Initiate seizure precautions,
27.A nurse is caring for a client who asks for information regarding organ
donation. Which of the following responses should the nurse make?
a. "Your desire to be an organ donor must be documented in writing."
(2025/2026) with NGN
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?
a. Ensure the state health department has been notified
2. NGN (SATA)
Nurses notes:
0900:
The client reports experiencing a loss of appetite and shortness of breath within the
last month or so. The client reports experiencing weakness, abdominal pain, severe
itching, and mood changes.The client has had alcohol use disorder for the past 10
years and sometimes drinks alcohol uncontrollably.
The client is alert but disoriented to time.Their abdomen is bloated and they have
redness of the palms of the hands.
1230:
Excoriated areas on the upper thorax and shoulders are present. Sclera are yellow.
a. Provide frequent rest periods for the client.
b. Restrict the client's sodium intake.
c. Advise the client to avoid the use of soap and alcohol-based lotions.
d. Instruct the client to avoid blowing their nose forcefully.
e. Assess the client's level of orientation.
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?
a. Evaluate functioning of the suction device
4. While performing a routine assessment, a nurse notices fraying on the
electrical cord of a client's continuous passive motion (CPM) device. Which of
the following actions should the nurse take first?
a. Remove the device from the room
5. A nurse is setting up a sterile field to perform wound irrigation for a client.
Which of the following actions should the nurse take when pouring the
sterile solution?
a. Remove the cap and place it sterile-side up on a clean surface
6. A nurse is creating a plan of care for a female client who has recurrent
urinary tract infections. Which of the following interventions should the
nurse include in the plan
a. Wear loose-fitting underwear
7. NGN (drag and
drop) Admission
Assessment 0630:
Newborn delivered via cesarean birth under spinal
anesthesia at 0630. Amniotic fluid is clear.
0631:
1-min Apgar score 7
0636:
,5-min Apgar score 9
Newborn transferred to nursery.
Nurses' Notes
0640:
Weight 4200 gm (9 lb 4 oz), head circumference 35.5 cm
(14 in) Respiratory rate 68/min, with mild grunting.
0650:
Respiratory rate 72/min, with mild grunting 0700:
Respiratory rate 76/min, with moderate grunting and mild intercostal retractions.
a. The client is at risk for developing Transient tachypnea of the newborn and
hypoglycemia
8. A nurse is caring for an infant who has gastroenteritis. Which of
the following assessment findings should the nurse report to the
provider?
a. Sunken fontanels and dry mucous membranes
9. A nurse is conducting health promotion education regarding
contraindication to combination oral contraceptive use to a group of
women. Which of the following conditions should the nurse include in
the teaching?
a. Hypertension
10.A nurse is providing teaching to a client who has a depressive disorder and a
new prescription for amitriptyline. Which of the following statements by the
client indicates an understanding of the teaching?
a. I know it will be a couple of weeks before the medication helps me
feel better
11.A nurse is caring for a client who is immobile. Which of the following
interventions is appropriate to prevent contracture
a. Align a trochanter wedge between the client's legs
12.A nurse is assessing a client who is post-op following abdominal surgery
and has an indwelling urinary catheter that is draining dark yellow urine
at 25 ml/h. Which of the following should the nurse anticipate?
a. Obtain a urine specimen for culture and sensitivity
13.A nurse is reporting a client's laboratory tests to the provider to obtain a
prescription for the client's daily warfarin. Which of the following should the
nurse report to obtain the prescription for warfarin
a. INR
14.A nurse is assessing a client who is taking haloperidol and is
experiencing pseudo parkinsonism. Which of the following is the signs
of pseudo parkinsonism
a. Shuffling gait
15.A nurse caring for a client with expressive aphasia and right hemiparesis
after a stroke. What is the best way to promote communication among staff
caring for the client?
a. Have interdisciplinary team meetings for the client on a regular basis
16.A nurse is caring for a 2 yo toddler. Which food choice should the nurse
recommend to promote independence in eating?
a. Banana slices
, 17.A nurse on the med-surge unit got notified that a mass casualty event
has occurred. Which action should the nurse take?
a. Determine the medical needs of incoming clients through the
emergency department
18.A nurse has just received a change-of-shift report for four clients. Which of
the following clients should the nurse assess first?
a. A client who has just given a glass of orange juice for a low blood glucose
level.
19.A nurse is performing postmortem care prior to the client's family visit.
Which action should the nurse take?
a. Hold client's eyes shut for a few seconds
20.A nurse admitting a schizophrenic client. Client states: "I'm hearing
voices". Which response is the priority for the nurse to state?
a. “What are the voices telling you?”
21.A nurse is administered furosemide IV bolus to a client who has fluid
volume excess. Which finding is an indication that the med has been
effective?
a. Weight loss
22.A nurse is caring for a client who requires nasotracheal suctioning. Identify
the sequence the nurse should follow to perform suctioning. (Move the steps
into the box on the right, placing them in the order of performance. Use all
the steps.)
a. Turn on the Suction and set the pressure.
b. Don sterile gloves
c. Insert the catheter during the clients inspiration
d. Apply suction while rotating the catheter
e. Rinse the catheter to remove secretions
23.A nurse is caring for a client who is in a coma and is scheduled for a surgical
procedure. Which of the following actions should the nurse take?
a. Determine if the client's health care surrogate is aware of the risks
and benefits of the procedure.
24.A nurse is preparing to administer vancomycin IV to an adult client. The
client asks the nurse if the medication can be given 2 hr earlier. Which of
the following statements should the nurse make?
a. "I have up to 2 hours after the usual schedule time to give you this
medication."
25.A nurse is caring for a client who requires seclusion to prevent harm to
others on the unit. Which of the following is an appropriate action for the
nurse to take?
a. Document the client's behavior prior to being placed in seclusion.
26.A nurse is caring for an adolescent who has hyperthermia. Which of the
following actions should the nurse take?
a. Initiate seizure precautions,
27.A nurse is caring for a client who asks for information regarding organ
donation. Which of the following responses should the nurse make?
a. "Your desire to be an organ donor must be documented in writing."
