NGN !!!!! ATI PN COMPREHENSIVE
PREDICTOR 2023RETAKE GUIDE-LATEST
RELIABLE GUIDE 1.
Exam Structure
NGN Case Studies: These include 6-part unfolding cases with various item types such as drag-
and-drop, matrix/grid, cloze , and bow-tie questions.
Section 1: Fundamentals & Safety
1. A nurse is preparing to administer a subcutaneous injection of heparin. Which site is most
appropriate?
A) Ventrogluteal
B) Deltoid
C) Abdomen
D) Vastus lateralis
Rationale: The abdomen is the preferred site for subcutaneous heparin because it provides consistent
absorption and has adequate subcutaneous tissue. The ventrogluteal and vastus lateralis are
intramuscular sites .
2. A client with a nasogastric (NG) tube attached to continuous suction reports nausea. What should
the nurse do first?
A) Irrigate the NG tube
B) Check tube placement and suction
C) Administer an antiemetic
D) Increase suction pressure
Rationale: The priority is to verify tube patency and that the suction is functioning correctly, as improper
function can cause gastric distention and nausea .
, 3. A client is on fall precautions. Which intervention is most important?
A) Keep bed in high position
B) Place call light within reach
C) Apply wrist restraints
D) Keep room dark at night
Rationale: Ensuring the client can easily call for assistance is the most important fall prevention
intervention. The bed should be in the low position, and adequate lighting is needed .
4. A nurse is applying restraints to a client. Which action is correct?
A) Tie restraints to the bed side rails
B) Remove restraints every 2 hours
C) Apply restraints tightly to prevent movement
D) Obtain a PRN restraint order
Rationale: Restraints must be removed every 2 hours for range of motion, hydration, and toileting. They
should be tied to the bed frame, applied with a 2-finger allowance, and require a specific, time-limited
order, not a PRN order .
5. A client receiving a blood transfusion develops chills, fever, and flank pain 30 minutes after the
start. What is the priority action?
A) Slow the transfusion rate
B) Administer acetaminophen
C) Stop the transfusion
D) Notify the provider
Rationale: These symptoms indicate a possible hemolytic or febrile reaction. The priority is to stop the
transfusion immediately, then maintain the IV line with saline, notify the provider, and send the blood
bag to the lab .
6. A nurse is preparing to perform a bladder scan for a client. Which action should the nurse take?
A) Position the client supine with legs extended.
B) Apply the scanner over the symphysis pubis.
C) Tell the client they should not experience any discomfort.
D) Ensure the client has voided in the last 30 minutes.
Rationale: The nurse should inform the client that the procedure is non-invasive and should not cause
discomfort. The scanner is applied over the area of the bladder .
Section 2: Medical-Surgical Nursing
7. A nurse cares for a client diagnosed with superficial partial-thickness burn. The nurse should assign
the client to a room with which client?
PREDICTOR 2023RETAKE GUIDE-LATEST
RELIABLE GUIDE 1.
Exam Structure
NGN Case Studies: These include 6-part unfolding cases with various item types such as drag-
and-drop, matrix/grid, cloze , and bow-tie questions.
Section 1: Fundamentals & Safety
1. A nurse is preparing to administer a subcutaneous injection of heparin. Which site is most
appropriate?
A) Ventrogluteal
B) Deltoid
C) Abdomen
D) Vastus lateralis
Rationale: The abdomen is the preferred site for subcutaneous heparin because it provides consistent
absorption and has adequate subcutaneous tissue. The ventrogluteal and vastus lateralis are
intramuscular sites .
2. A client with a nasogastric (NG) tube attached to continuous suction reports nausea. What should
the nurse do first?
A) Irrigate the NG tube
B) Check tube placement and suction
C) Administer an antiemetic
D) Increase suction pressure
Rationale: The priority is to verify tube patency and that the suction is functioning correctly, as improper
function can cause gastric distention and nausea .
, 3. A client is on fall precautions. Which intervention is most important?
A) Keep bed in high position
B) Place call light within reach
C) Apply wrist restraints
D) Keep room dark at night
Rationale: Ensuring the client can easily call for assistance is the most important fall prevention
intervention. The bed should be in the low position, and adequate lighting is needed .
4. A nurse is applying restraints to a client. Which action is correct?
A) Tie restraints to the bed side rails
B) Remove restraints every 2 hours
C) Apply restraints tightly to prevent movement
D) Obtain a PRN restraint order
Rationale: Restraints must be removed every 2 hours for range of motion, hydration, and toileting. They
should be tied to the bed frame, applied with a 2-finger allowance, and require a specific, time-limited
order, not a PRN order .
5. A client receiving a blood transfusion develops chills, fever, and flank pain 30 minutes after the
start. What is the priority action?
A) Slow the transfusion rate
B) Administer acetaminophen
C) Stop the transfusion
D) Notify the provider
Rationale: These symptoms indicate a possible hemolytic or febrile reaction. The priority is to stop the
transfusion immediately, then maintain the IV line with saline, notify the provider, and send the blood
bag to the lab .
6. A nurse is preparing to perform a bladder scan for a client. Which action should the nurse take?
A) Position the client supine with legs extended.
B) Apply the scanner over the symphysis pubis.
C) Tell the client they should not experience any discomfort.
D) Ensure the client has voided in the last 30 minutes.
Rationale: The nurse should inform the client that the procedure is non-invasive and should not cause
discomfort. The scanner is applied over the area of the bladder .
Section 2: Medical-Surgical Nursing
7. A nurse cares for a client diagnosed with superficial partial-thickness burn. The nurse should assign
the client to a room with which client?
