Comprehensive Predictor
(Green Light) EXAM
(NGN-Style Questions & Case Scenario)
Actual Qs & Ans to Pass the Exam
This ATI test contains:
passing score Guarantee
Format Set of Multiple-choice
questions with incorporating Next
Generation NCLEX (NGN) and Case
Scenario
Expert-Verified Explanations & Solutions
,1. A nurse is providing preoperative teaching for an adolescent who is scheduled for a
cardiac catheterization. Which of the following instructions should the nurse include?
a) "You can resume a regular diet 3 days after your procedure"
b) "You can take a shower 1 day after your procedure"
c) "You can begin exercising 2 days after your procedure"
d) "You can return to school 1 week after your procedure"
Correct Answer: d) "You can return to school 1 week after your procedure"
Expert Rationale: Returning to school approximately 1 week after a cardiac
catheterization allows adequate time for the insertion site to heal and for the adolescent
to regain strength. Resumption of diet and activity is typically sooner and individualized,
but school attendance requires safety and energy readiness. Early strenuous activity or
hygiene methods should be based on physician instructions.
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2. A nurse is caring for a client who is postoperative following a hemicolectomy. Which
of the following is a subjective indication that the client needs PRN pain medication?
A. The client's heart rate is 110/min
B. The client is guarding their abdominal incision
C. The client exhibits facial grimacing
D. The client reports pain
Correct Answer: D. The client reports pain
Expert Rationale: Pain is a subjective experience, and the client’s self-report is the gold
standard for pain assessment. Vital signs and nonverbal cues can indicate pain but do
not replace direct patient reporting.
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3.`A`nurse`is`assisting`with`the`admission`of`a`client`who`has`mononucleosis.`Which`of`th
e`following`isolation`precaution`should`the`nurse`initiate?``
a)`Airborne``
b)`Droplet``
c)`Contact``
d)`Protective`environment``
Correct`Answer:`c)`Contact``
Expert`Rationale:`Mononucleosis`is`caused`by`the`Epstein-
Barr`virus`and`is`transmitted`by`saliva`and`direct`contact.`Contact`precautions`help`preve
nt`spread`through`secretions`or`close`personal`contact.`Airborne`or`droplet`precautions`ar
e`unnecessary.
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4.`A`nurse`is`caring`for`a`client`who`has`a`cast`on`their`left`lower`leg.`Which`of`the`followin
g`actions`should`the`nurse`take?``
A.`Massage`areas`around`the`edge`of`the`client's`cast`with`lotion``
B.`Avoid`elevating`the`extremity`when`the`client`is`resting`in`bed``
C.`Give`the`client`a`dull`object`to`scratch`the`skin`under`the`cast``
D.`Tell`the`client`to`expect`numbness`in`their`toes``
Correct`Answer:`A.`Massage`areas`around`the`edge`of`the`client's`cast`with`lotion``
, Expert`Rationale:`Massaging`around`the`edges`with`lotion`helps`prevent`skin`irritation`an
d`dryness.`Never`insert`objects`under`the`cast`or`ignore`symptoms`of`numbness,`which`c
ould`indicate`neurovascular`compromise.`Elevation`is`important`to`reduce`swelling.
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5.`A`nurse`is`reinforcing`teaching`about`home`care`with`the`parents`of`a`child`who`has`a`s
eizure`disorder.`Which`of`the`following`instructions`should`the`nurse`include?``
a)`Call`EMS`if`a`seizure`lasts`5`mins`or`more.``
b)`Restrain`the`child`at`the`onset`of`the`seizure``
c)`Offer`the`child`a`bubble`bath`every`evening``
d)`Place`the`child`in`a`prone`position`during`seizure``
Correct`Answer:`a)`Call`EMS`if`a`seizure`lasts`5`mins`or`more.``
Expert`Rationale:`Seizures`lasting`more`than`5`minutes`can`indicate`status`epilepticus,`a`
medical`emergency`requiring`EMS`activation.`Children`should`not`be`restrained`during`se
izures`or`placed`prone`due`to`aspiration`risk.
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6.`A`nurse`is`caring`for`a`client`who`was`recently`admitted`to`an`inpatient`mental`health`un
it.`The`nurse`tells`the`nurse`that`he`is`not`coming`out`of`his`room`anymore`because`other`
clients`on`the`unit`make`fun`of`him.`Which`of`the`following`responses`by`the`nurse`is`appr
opriate?``
A.`"I`think`you`should`just`ignore`the`others."``
B.`"You`feel`upset`by`the`responses`of`others."``
C.`"Let's`keep`the`focus`of`our`discussion`on`your`needs."``
D.`"Everything`will`get`better`once`you`get`to`know`everyone."``