ESTUDYR
2025 NGN RN ATI PROCTORED COMPREHENSIVE
PREDICTOR FORM C
1. A nurse is developing an in-service about personality disorders. Which of the following information
should the nurse include when discussing borderline personality disorder?
A. The client exhibits impulsive behavior.
B. The client might act seductively.
C. The client is exceptionally clingy to others.
D. The client is overly concerned about minor details.
Answer: A. The client exhibits impulsive behavior.
Rationale: Borderline personality disorder is characterized by emotional instability, impulsivity, and
unstable relationships. Impulsive behavior, such as reckless spending or self-harm, is a hallmark of this
disorder.
2. A nurse in a clinic is assessing a client who has sinusitis. Which of the following techniques should
the nurse use to identify manifestations of this disorder?
A. Percussion of posterior lobes of lungs.
B. Auscultation of the trachea.
C. Inspection of the conjunctiva.
D. Palpation of the orbital areas.
Answer: D. Palpation of the orbital areas.
Rationale: Sinusitis often causes tenderness over the affected sinuses, which can be assessed by
palpating the orbital areas. Percussion and auscultation are not typically used for sinusitis.
3. Which of the following areas is appropriate for intradermal injections?
A. Buttocks.
B. Upper back.
C. Hamstring.
D. Abdomen.
Answer: B. Upper back.
Rationale: Intradermal injections are typically administered in areas with minimal hair, such as the
upper back or the inner forearm, to allow for proper absorption and observation of the injection site.
,ESTUDYR
4. A nurse is caring for a client who has experienced a right-hemispheric stroke. Which of the
following are expected findings? (Select all that apply.)
A. Impulse control difficulty.
B. Left hemiplegia.
C. Loss of depth perception.
D. Aphasia.
E. Lack of situational awareness.
Answer: A, B, C, E.
Rationale: Right-hemispheric strokes often cause left-sided weakness (hemiplegia), spatial-perceptual
deficits (loss of depth perception), impulsivity, and lack of situational awareness. Aphasia is more
common in left-hemispheric strokes.
5. A nurse is caring for a client who has global aphasia (both receptive and expressive). Which of the
following should the nurse include in the client's plan of care? (Select all that apply.)
A. Speak to the client at a slower rate.
B. Assist the client to use flashcards with pictures.
C. Speak to the client in a loud voice.
D. Complete sentences that the client cannot finish.
E. Give instructions one step at a time.
Answer: A, B, E.
Rationale: Clients with global aphasia benefit from slower speech, visual aids (flashcards), and simple,
step-by-step instructions. Speaking loudly or completing sentences for the client is not helpful.
6. A nurse is assessing a client who has experienced a left-hemispheric stroke. Which of the following
is an expected finding?
A. Impulse control difficulty.
B. Poor judgment.
C. Inability to recognize familiar objects.
D. Loss of depth perception.
Answer: C. Inability to recognize familiar objects.
Rationale: Left-hemispheric strokes often cause language deficits (aphasia) and difficulty recognizing
familiar objects (agnosia). Impulse control and depth perception issues are more common in right-
hemispheric strokes.
,ESTUDYR
7. A nurse is reviewing ABG laboratory results of a client who is in respiratory distress. The results are
pH 7.47, PaCO2 32 mm Hg, HCO3 22 mm Hg. The nurse should recognize that the client is experiencing
which of the following acid-base imbalances?
A. Respiratory acidosis.
B. Respiratory alkalosis.
C. Metabolic acidosis.
D. Metabolic alkalosis.
Answer: B. Respiratory alkalosis.
Rationale: The elevated pH and decreased PaCO2 indicate respiratory alkalosis, which is often caused by
hyperventilation.
8. A nurse is caring for a client following a thoracentesis. Which of the following manifestations should
the nurse recognize as risks for complications? (Select all that apply.)
A. Dyspnea.
B. Localized bloody drainage on the dressing.
C. Fever.
D. Hypotension.
E. Report of pain at the puncture site.
Answer: A, C, D.
Rationale: Dyspnea, fever, and hypotension are signs of potential complications such as pneumothorax,
infection, or hemorrhage. Localized bloody drainage and pain are expected post-procedure findings.
9. A nurse is preparing to care for a client following chest tube placement. Which of the following
items should be available in the client's room? (Select all that apply.)
A. Oxygen.
B. Sterile water.
C. Enclosed hemostat clamps.
D. Indwelling urinary catheter.
E. Occlusive dressing.
Answer: A, B, C, E.
Rationale: Oxygen, sterile water (for the water seal chamber), hemostat clamps (for emergencies), and
an occlusive dressing (for accidental tube dislodgement) are essential for chest tube management.
, ESTUDYR
10. A nurse is assessing a client who has a chest tube and drainage system in place. Which of the
following are expected findings? (Select all that apply.)
A. Gentle constant bubbling in the suction control chamber.
B. Rise and fall in the level of water in the water seal chamber with inspiration and expiration.
C. Exposed sutures without dressing.
D. Drainage system upright at chest level.
Answer: A, B.
Rationale: Gentle bubbling in the suction chamber and tidaling (rise and fall) in the water seal chamber
are normal findings. Exposed sutures and improper placement of the drainage system are not expected.
11. A nurse is reviewing the medical record of a client who has schizophrenia and is taking clozapine.
Which of the following findings should the nurse identify as a contraindication to the administration
of clozapine?
A. HR 58.
B. Fasting blood glucose 100.
C. Hgb 14.
D. WBC 2900.
Answer: D. WBC 2900.
Rationale: Clozapine can cause agranulocytosis, and a WBC count below 3,500/mm³ is a
contraindication for its use.
12. A nurse is planning care for a client following the insertion of a chest tube and drainage system.
Which of the following should be included in the plan of care? (Select all that apply.)
A. Encourage the client to cough every 2 hours.
B. Check the continuous bubbling in the suction chamber.
C. Strip the drainage tubing every 4 hours.
D. Clamp the tube once a day.
E. Obtain a chest x-ray.
Answer: A, B, E.
Rationale: Coughing promotes lung expansion, checking the suction chamber ensures proper function,
and a chest x-ray confirms tube placement. Stripping the tubing and clamping the tube are not
recommended.
2025 NGN RN ATI PROCTORED COMPREHENSIVE
PREDICTOR FORM C
1. A nurse is developing an in-service about personality disorders. Which of the following information
should the nurse include when discussing borderline personality disorder?
A. The client exhibits impulsive behavior.
B. The client might act seductively.
C. The client is exceptionally clingy to others.
D. The client is overly concerned about minor details.
Answer: A. The client exhibits impulsive behavior.
Rationale: Borderline personality disorder is characterized by emotional instability, impulsivity, and
unstable relationships. Impulsive behavior, such as reckless spending or self-harm, is a hallmark of this
disorder.
2. A nurse in a clinic is assessing a client who has sinusitis. Which of the following techniques should
the nurse use to identify manifestations of this disorder?
A. Percussion of posterior lobes of lungs.
B. Auscultation of the trachea.
C. Inspection of the conjunctiva.
D. Palpation of the orbital areas.
Answer: D. Palpation of the orbital areas.
Rationale: Sinusitis often causes tenderness over the affected sinuses, which can be assessed by
palpating the orbital areas. Percussion and auscultation are not typically used for sinusitis.
3. Which of the following areas is appropriate for intradermal injections?
A. Buttocks.
B. Upper back.
C. Hamstring.
D. Abdomen.
Answer: B. Upper back.
Rationale: Intradermal injections are typically administered in areas with minimal hair, such as the
upper back or the inner forearm, to allow for proper absorption and observation of the injection site.
,ESTUDYR
4. A nurse is caring for a client who has experienced a right-hemispheric stroke. Which of the
following are expected findings? (Select all that apply.)
A. Impulse control difficulty.
B. Left hemiplegia.
C. Loss of depth perception.
D. Aphasia.
E. Lack of situational awareness.
Answer: A, B, C, E.
Rationale: Right-hemispheric strokes often cause left-sided weakness (hemiplegia), spatial-perceptual
deficits (loss of depth perception), impulsivity, and lack of situational awareness. Aphasia is more
common in left-hemispheric strokes.
5. A nurse is caring for a client who has global aphasia (both receptive and expressive). Which of the
following should the nurse include in the client's plan of care? (Select all that apply.)
A. Speak to the client at a slower rate.
B. Assist the client to use flashcards with pictures.
C. Speak to the client in a loud voice.
D. Complete sentences that the client cannot finish.
E. Give instructions one step at a time.
Answer: A, B, E.
Rationale: Clients with global aphasia benefit from slower speech, visual aids (flashcards), and simple,
step-by-step instructions. Speaking loudly or completing sentences for the client is not helpful.
6. A nurse is assessing a client who has experienced a left-hemispheric stroke. Which of the following
is an expected finding?
A. Impulse control difficulty.
B. Poor judgment.
C. Inability to recognize familiar objects.
D. Loss of depth perception.
Answer: C. Inability to recognize familiar objects.
Rationale: Left-hemispheric strokes often cause language deficits (aphasia) and difficulty recognizing
familiar objects (agnosia). Impulse control and depth perception issues are more common in right-
hemispheric strokes.
,ESTUDYR
7. A nurse is reviewing ABG laboratory results of a client who is in respiratory distress. The results are
pH 7.47, PaCO2 32 mm Hg, HCO3 22 mm Hg. The nurse should recognize that the client is experiencing
which of the following acid-base imbalances?
A. Respiratory acidosis.
B. Respiratory alkalosis.
C. Metabolic acidosis.
D. Metabolic alkalosis.
Answer: B. Respiratory alkalosis.
Rationale: The elevated pH and decreased PaCO2 indicate respiratory alkalosis, which is often caused by
hyperventilation.
8. A nurse is caring for a client following a thoracentesis. Which of the following manifestations should
the nurse recognize as risks for complications? (Select all that apply.)
A. Dyspnea.
B. Localized bloody drainage on the dressing.
C. Fever.
D. Hypotension.
E. Report of pain at the puncture site.
Answer: A, C, D.
Rationale: Dyspnea, fever, and hypotension are signs of potential complications such as pneumothorax,
infection, or hemorrhage. Localized bloody drainage and pain are expected post-procedure findings.
9. A nurse is preparing to care for a client following chest tube placement. Which of the following
items should be available in the client's room? (Select all that apply.)
A. Oxygen.
B. Sterile water.
C. Enclosed hemostat clamps.
D. Indwelling urinary catheter.
E. Occlusive dressing.
Answer: A, B, C, E.
Rationale: Oxygen, sterile water (for the water seal chamber), hemostat clamps (for emergencies), and
an occlusive dressing (for accidental tube dislodgement) are essential for chest tube management.
, ESTUDYR
10. A nurse is assessing a client who has a chest tube and drainage system in place. Which of the
following are expected findings? (Select all that apply.)
A. Gentle constant bubbling in the suction control chamber.
B. Rise and fall in the level of water in the water seal chamber with inspiration and expiration.
C. Exposed sutures without dressing.
D. Drainage system upright at chest level.
Answer: A, B.
Rationale: Gentle bubbling in the suction chamber and tidaling (rise and fall) in the water seal chamber
are normal findings. Exposed sutures and improper placement of the drainage system are not expected.
11. A nurse is reviewing the medical record of a client who has schizophrenia and is taking clozapine.
Which of the following findings should the nurse identify as a contraindication to the administration
of clozapine?
A. HR 58.
B. Fasting blood glucose 100.
C. Hgb 14.
D. WBC 2900.
Answer: D. WBC 2900.
Rationale: Clozapine can cause agranulocytosis, and a WBC count below 3,500/mm³ is a
contraindication for its use.
12. A nurse is planning care for a client following the insertion of a chest tube and drainage system.
Which of the following should be included in the plan of care? (Select all that apply.)
A. Encourage the client to cough every 2 hours.
B. Check the continuous bubbling in the suction chamber.
C. Strip the drainage tubing every 4 hours.
D. Clamp the tube once a day.
E. Obtain a chest x-ray.
Answer: A, B, E.
Rationale: Coughing promotes lung expansion, checking the suction chamber ensures proper function,
and a chest x-ray confirms tube placement. Stripping the tubing and clamping the tube are not
recommended.
