COMPREHENSIVE
PREDICTOR EXAM
(NGN-Style Questions & Case Scenario)
Actual Qs & Ans to Pass the Exam
This ATI test contains:
❖ 180 Qs & Ans
❖ 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 caring for a client who has an implanted venous access port.
Which of the following should the nurse use to access the port?
A) Non-coring needle
B) Angio catheter
C) Butterfly needle
D) 25-gauge needle
Answer: A) Non-coring needle
Verified Rationale: Implanted venous access ports must be accessed with a non-
coring (Huber) needle to avoid damaging the port septum and ensuring safe, repeated
access.
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2. A nurse is conducting an initial assessment of a client and notices a
discrepancy between the client's current IV infusion and the information
received during shift report. Which of the following actions should the nurse
take?
A) Contact the charge nurse to see if the prescription was changed
B) Complete an incident report and place it in the client's medical record
C) Submit a written warning for the nurse involved in the incident
D) Compare the current infusion with the prescription and the client's medication
administration record
Answer: D) Compare the current infusion with the prescription and the client's
medication administration record
,Verified Rationale: The nurse's top priority is verification and reconciliation of current
treatment orders with the medication administration record before taking further action,
supporting patient safety and medication accuracy.
3. Complete the following sentence using the list of options:
The nurse understands that the patient has likely developed Lithium toxicity
and will need to be monitored for which of the following major
complications?
A) Cardiac dysrhythmias
B) Renal failure
C) Seizure activity
D) Hypoglycemia
Answer: C) Seizure activity
Verified Rationale: Lithium toxicity can cause neurological manifestations, including
confusion, tremors, and, in severe cases, seizures. Monitoring for seizure activity is
essential in patients exhibiting signs of Lithium toxicity.
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4. A nurse is preparing to initiate intravenous fluids via infusion pump to a
client. Which of the following actions should the nurse take?
A) Obtain a surge protector that can accommodate the pump and several other
appliances
B) Verify that the extension cord for the pump is ungrounded
C) Report the pump has a frayed cord and proceed with the infusion
D) Check the expiration date on safety inspection sticker of the pump
Answer: D) Check the expiration date on safety inspection sticker of the pump
, Verified Rationale: Ensuring the infusion pump has a current safety inspection sticker
verifies electrical safety and function, which is essential before use. Other options may
create safety hazards.
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Question 5 - NCLEX (NGN Style)
A nurse is assessing a client who has a brain tumor and is receiving palliative
care. Which of the following findings indicates the nurse should administer
pain medication?
A. Cheyne-Stokes respirations
B. Constricted pupils
C. Restlessness
D. Mottled skin
Answer: C. Restlessness
Verified Rationale:
Restlessness is often a sign of pain or discomfort in palliative care clients, even if
they’re unable to verbalize pain directly.
6. Case study: Client diagnosed with schizophrenia:
*Case Study, Select Appropriate/Contraindicated Interventions*
Appropriate:
- Ask the client about the content of their hallucinations
- Instruct the client on expected hygiene practices
- Assess the client for suicidal ideation
Contraindicated:
- Allow the client to watch TV at a high volume
- Place the client in a room near the activity room