2024 -2025 ATI COMPREHENSIVE PREDICTOR
EXAM WITH NGN ACTUAL EXAM QUESTIONS WITH
CORRECT DETAILED ANSWERS/ GRADED A+
A nurse is caring for a client who is receiving oxytocin IV for augmentation of labor. The
client's contractions are occurring every 45 seconds with a nine seconds duration in the
fetal heart rate is 170 to 180/minute. Which of the following actions should nurse take?
a) Discontinue oxytocin infusion
b) Increased oxytocin infusion
c) Decreased oxytocin infusion
d) Maintain oxytocin infusion – ANSWER- a) Discontinue oxytocin infusion
A nurse is admitting a client who is in labor and at 38 wks. of gestation to the
maternal newborn unit. The client has a history of herpes simplex virus 2. Which of
the following questions is most appropriate for the nurse to ask the client?
a) Have your membranes ruptured?
b) How far apart are your contractions?
c) Do you have any active lesions?
d) Are you positive for beta strap? – ANSWER- c) Do you have any active lesions?
A nurse in a provider's office is interviewing a client who is requesting an oral
contraceptive. Which of the following findings in the client's history is a contraindication
to use in combination oral contraceptives?
a) thyroid disease
, 2
b) Allergy to penicillin
c) impaired liver function
d) abnormal blood glucose -ANSWER- c) impaired liver function
The nurses providing teaching to a client who has mild persistent asthma has been
prescribed montelukast. Which of the following statements to the nursing put in
teaching?
a) This medication can be used to help you when have an acute asthma attack
b) This medication should be taken before exercise and physical activity
c) This medication can be taken for 10 days and then gradually discontinued
d) This medication helps decrease swelling and mucus production -ANSWER- d) This
medication helps decrease swelling and mucus production
A nurse on the medical surgical unit is receiving reports on four clients. Which of the
following client should the nurse assess first?
a) A client who is receiving warfarin and has and INR of 3.3
b) A client who has an acute kidney injury, a creatinine of 4 mg/dL, and a BUN 52 mg/dL
c) A client who had a NG tube inserted 6 hr. ago and has abdominal distention
18 of 28
d) A client who is 4 hr. postoperative following a thyroidectomy and reports fullness in
the back of the
throat -ANSWER- b) A client who has an acute kidney injury, a creatinine of 4 mg/dL,
and a BUN 52 mg/dL
A nurse is assessing a client who has pericarditis. Which of the following findings is
priority a)
Paradoxical pulse
b) dependent edema
c) Pericardial friction rub
, 3
d) Substernal chest pain -ANSWER- a) Paradoxical pulse
A charge nurse is providing teaching to a new licensed nurse on how to cleanup
surfaces contaminated with blood. Which of the following agents said the nurse
include in the teaching? a) Hydrogen peroxide
b) Chlorhexidine
c) Isopropyl alcohol
d) Chlorine bleach -ANSWER- d) Chlorine bleach
A nurse is preparing to feed a newly admitted patient with dysphagia. Which of the
following actions in response take?
a) instruct the client to lift her chin when swallowing
b) discourage the client from coughing during feedings
c) Sit at or below the client’s eye level during feedings.
d) Talk with the client during her feeding -ANSWER- c) Sit at or below the client’s eye
level during feedings.
A nurse caring for a client who repeatedly refuses meals. The nurse overhears assistive
personnel telling the client. "If you don't eat, I'll put restraints on your wrists and feed
you." The nurse should intervene and explain to the AP that this statement constitutes
which of the following torts?
a) Assault
b) Battery
c) Malpractice
d) Negligence -ANSWER- a) Assault
, 4
A charge nurse is evaluating the time management skills for new licensed
nurse. The charge nurse should intervene when a newly licensed nurse does which of
the following?
a) Re-Evaluate priorities halfway through the shift
b) Delegate changing sterile dressing for licensed practical nurse
c) Groups activities for the Same client
d) Works on several tasks simultaneously -ANSWER- d) Works on several tasks
simultaneously
A nurse is monitoring the client during an IV urography procedure. Which of the
following client reports is the priority finding?
a) Feeling flushed and warm
b) Abdominal fullness
c) Swollen lips
d) Metallic taste in mouth -ANSWER- c) Swollen lips
A nurse is planning to delegate client assignments to the assistive personnel. which of
the following task is appropriate for the nurse to delegate?
a) Just the flow rate of the client’s oxygen tank
b) Collecting urine sample
c) Measuring the clients pain level
d) Monitoring blood glucose levels -ANSWER- b) Collecting urine sample
A nurse is assessing a client wasn't following vital signs: Oral temperature of 37.2°C (99
F). Apical pulse rate of 80/min, radial pulse rate 62/min, respiratory rate of 16/min, and
blood pressure of 132/40 mm
Hg. What is the clients pulse pressure? -ANSWER- a) Systolic pressure subtracted by
diastolic pressure (132 - 40) = 92
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