RN ATI COMPREHENSIVE PREDICTOR EXIT EXAM
2023|2024 WITH NGN ACTUAL EXAMS VERSIONS EACH
180 QUESTIONS
Question 1 of 180
A nurse is caring for a client who refuses a blood transfusion. Which of the following actions
should the nurse take?
Notify risk management about the client’s refusal.
Document the client’s refusal in the medical record.
Inform the client that the transfusion is mandatory.
Suggest that the client explore alternative therapies.
Correct Answer:
Document the client’s refusal in the medical record. Explanation:
The nurse should document the client's refusal to ensure proper documentation of the client’s
decision for legal and ethical reasons.
Question 2 of 180
A nurse is caring for a client at a clinic.
Admission Assessment
1 week ago: Client reports that manifestations of hopelessness and disinterest are lessened, but
present. Sleep disturbance continues. Provider increased paroxetine to 30 mg daily. Return to
clinic in 1 week.
2 weeks ago: Client with a history of generalized anxiety disorder and major depressive disorder.
Client presents with increased hopelessness, disinterest, and a change in sleep and appetite over
several months. Client is currently taking fluoxetine 20 mg daily for the past year. Fluoxetine
discontinued and paroxetine 10 mg daily started. Return to clinic in 1 week.
Complete the following sentence by using the lists of options.
,The client is at risk for developing Select ____________ due to ____________.
Correct Answer:
The client is at risk for developing Serotonin syndrome due to increasing the dose of paroxetine.
Explanation:
Increasing the dosage of serotonin-enhancing medications like paroxetine can lead to serotonin
syndrome, which is a potential complication.
Question 3 of 180
A nurse is assessing a client who has left-sided heart failure. Which of the following findings
should the nurse identify as a manifestation of pulmonary congestion?
Frothy, pink sputum
Weight gain
Bradypnea
Jugular vein distention
Correct Answer: Frothy,
pink sputum
Explanation:
Frothy, pink sputum is a classic sign of pulmonary edema, which is associated with left-sided
heart failure and pulmonary congestion.
Question 4 of 180
A nurse on a medical-surgical unit is planning care for assigned clients. Which of the following
actions should the nurse plan to take to demonstrate effective time management?
Delay cleaning personal work area until the end of the shift.
Gather supplies for a client’s dressing change and technology check.
Document assessment findings and interventions after providing care for a group of clients.
Complete activities for one client before moving to the next client.
,Correct Answer:
Complete activities for one client before moving to the next client.
Explanation:
Focusing on completing activities for one client at a time ensures that the nurse provides safe and
thorough care without missing steps or details, which is key to effective time management.
Question 5 of 180
A nurse is planning care for a client who is scheduled to receive a peripherally inserted central
catheter in the arm. Which of the following interventions is appropriate for the nurse to include
in the plan of care?
Administer sedation for the procedure.
Use gauze to secure an arm board to the involved extremity.
Schedule an MRI postprocedure to verify placement.
Measure the arm circumference above the insertion site daily.
Correct Answer:
Measure the arm circumference above the insertion site daily.
Explanation:
Measuring arm circumference daily is important to monitor for complications such as swelling,
which can indicate infection or thrombus formation.
Question 6 of 180
A nurse is caring for a client in an outpatient clinic.
Laboratory Results
First office visit:
Erythrocyte sedimentation rate (ESR) 22 mm/hr (up to 20 mm/hr)
Hct 36% (37 to 47%)
Hgb 12 g/dL (12 to 16 g/dL)
WBC count 6000/mm³ (5,000 to 10,000/mm³)
Uric acid 6.1 mg/dL (2.7 to 7.3 mg/dL)
, 6-month follow-up:
Erythrocyte sedimentation rate (ESR) 22 mm/hr (up to 20 mm/hr)
Antinuclear antibodies (ANA) positive
Hct 35% (37 to 47%)
Hgb 11 g/dL (12 to 16 g/dL)
WBC 4000/mm³ (5,000 to 10,000/mm³)
Uric acid 6.3 mg/dL (2.7 to 7.3 mg/dL)
Complete the following sentence by using the lists of options.
The client is at highest risk for developing Select ___________ evidenced by the client’s Select
__________.
Correct Answer:
The client is at highest risk for developing lupus evidenced by the client’s positive ANA test.
Explanation:
A positive ANA test is a common indicator of systemic lupus erythematosus (SLE), an
autoimmune disorder.
Question 7 of 180
A nurse is caring for a 36-hr old infant.
Nurses’ Notes 24
hr of age:
Newborn is alert and active when awake. Respirations easy and unlabored. Buccal membranes
jaundiced. Newborn nursing every 2 to 4 hr. Passed meconium stool. Small amount of urine
noted in diaper.
Transcutaneous bilirubin (TcB) 10 mg/dL.
36 hr of age:
Newborn sleeping on birthing parent’s chest. Birthing parent reports difficulty keeping newborn
awake during feedings. Nursing every 3 to 5 hr for 10 to 15 min. Buccal membranes and sclera
jaundiced.
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