ATI RN COMPREHENSIVE FORM A WITH NGN EXAM 200
ACTUAL QUESTIONS AND CORRECT ANSWERS WITH
RATIONALE ALREADY GRADED A+ LATEST UPDATE
This 200-question multiple-choice exam is modeled after the ATI RN
Comprehensive Predictor Form A with NGN, designed to assess nursing
students' readiness for the NCLEX-RN. Each question presents a clinical
scenario with four answer options, the correct answer, and a detailed
evidence-based rationale. Content covers medical-surgical nursing, maternity,
pediatrics, mental health, pharmacology, leadership, and community health.
The exam includes Next Generation NCLEX-style items that test clinical
judgment, prioritization, and delegation. No questions are repeated, and
rationales reinforce critical thinking, safety, and patient-centered care. This
comprehensive resource is ideal for ATI review, final course exams, and
NCLEX preparation.
1. A home health nurse is caring for a child who has Lyme disease. Which of the
following is an appropriate action for the nurse to take?
A. Ensure the state health department has been notified
B. Administer antitoxin
C. Educate the family to avoid sharing personal belongings
D. Assess for skin necrosis
Answer: A
Rationale: Lyme disease is a reportable communicable disease in most states, so
the nurse must ensure proper notification to public health authorities. Antitoxin is
not used for Lyme disease; antibiotics are the treatment. Skin necrosis is not a
characteristic finding; erythema migrans is the classic rash .
2. A nurse is caring for a client who has been admitted to the hospital. Which of
the following actions should the nurse take to promote rest and sleep?
A. Provide frequent rest periods
B. Restrict client sodium intake
C. Advise client to avoid using soap and alcohol-based lotions
D. Instruct the client to avoid blowing their nose forcefully
,Answer: A
Rationale: Providing frequent rest periods helps conserve the client's energy and
promotes sleep, which is essential for healing. Restricting sodium, avoiding soap,
and avoiding nose blowing are interventions for other specific conditions .
3. A nurse is preparing to administer an enteral feeding to a client. Which of the
following actions should the nurse take to verify tube placement?
A. Aspirate gastric contents and check pH
B. Auscultate for air insufflation
C. Measure the length of the external tube
D. Check the residual volume
Answer: A
Rationale: Aspirating gastric contents and checking the pH (should be ≤4) is the
most reliable method to verify gastric tube placement before feeding. Auscultation
is no longer considered a reliable method .
4. A nurse is providing teaching to a client who has a depressive disorder and a
new prescription for amitriptyline. Which of the following statements by the client
indicates an understanding of the teaching?
A. "I can continue to take St. John's wort while taking this medication"
B. "I know it will be a couple of weeks before the medication helps me feel better"
C. "I expect this medication to raise my blood pressure"
D. "I should take this medication on an empty stomach"
Answer: B
Rationale: Tricyclic antidepressants like amitriptyline require 2–4 weeks to achieve
therapeutic effects. St. John's wort interacts dangerously with antidepressants
causing serotonin syndrome. Amitriptyline may cause orthostatic hypotension, not
hypertension, and should be taken with food to reduce GI upset .
5. A nurse is assessing a client who is postoperative following abdominal surgery
and has an indwelling urinary catheter. The urine is dark yellow and draining at 25
mL/hr. Which of the following actions should the nurse anticipate?
A. Initiate continuous bladder irrigation
B. Administer a fluid bolus
C. Clamp the catheter tubing for 30 min
D. Obtain a urine specimen for culture and sensitivity
Answer: D
Rationale: Dark yellow, concentrated urine at a low output (below 30 mL/hr)
suggests possible infection or dehydration. A culture and sensitivity will identify
,pathogens. The priority is determining if infection is present before implementing
other interventions .
6. A nurse is caring for an infant who has gastroenteritis. Which of the following
assessment findings should the nurse report to the provider?
A. Pale and a 24-hr fluid deficit of 30 mL
B. Sunken fontanels and dry mucous membranes
C. Decreased appetite and irritability
D. Temperature 38°C and pulse rate of 124/min
Answer: B
Rationale: Sunken fontanels and dry mucous membranes are signs of moderate to
severe dehydration requiring immediate intervention. A 30 mL deficit is minimal;
decreased appetite and mild irritability are expected; temperature of 38°C and
pulse of 124/min are elevated but not as critical as dehydration signs .
7. A nurse is conducting health promotion education regarding contraindications to
combination oral contraceptive use to a group of women. Which of the following
conditions should the nurse include in the teaching?
A. Hypertension
B. Fibromyalgia
C. Renal calculi
D. Fibrocystic breast disease
Answer: A
Rationale: Hypertension is a major contraindication to combination oral
contraceptives due to increased risk of cardiovascular events, including stroke and
myocardial infarction. Estrogen can elevate blood pressure and increase
thromboembolic risk .
8. A nurse is caring for a client who is taking haloperidol and is experiencing
pseudo-parkinsonism. Which of the following is a sign of this condition?
A. Serpentine limb movement
B. Shuffling gait
C. Nonreactive pupils
D. Smacking lips
Answer: B
Rationale: Pseudo-parkinsonism, an extrapyramidal side effect of antipsychotics,
presents with symptoms similar to Parkinson's disease: shuffling gait, rigidity,
tremor, and bradykinesia. Serpentine movements indicate athetosis; smacking lips
is tardive dyskinesia .
, 9. A nurse is caring for a client who is immobile. Which of the following
interventions is appropriate to prevent contracture?
A. Position a pillow under the client's knee
B. Place a towel roll under the client's neck
C. Align a trochanter wedge between the client's legs
D. Apply an orthotic to the client's foot
Answer: C
Rationale: A trochanter wedge maintains proper hip alignment and prevents
external rotation contractures. Pillows under knees promote flexion contractures;
towel rolls under the neck do not prevent contractures; foot orthotics prevent foot
drop but not hip contractures .
10. A nurse is performing postmortem care prior to the client's family visit. Which
action should the nurse take?
A. Cross the patient's arms across their chest
B. Hold the client's eyes shut for a few seconds
C. Place client in a high Fowler's position
D. Remove the client's dentures
Answer: B
Rationale: Holding the client's eyes shut for a few seconds can help keep them
closed for the family viewing. Arms should be placed along the sides, not crossed.
The head of the bed should be elevated slightly, and dentures should be left in
place to maintain facial structure .
11. A nurse is setting up a sterile field to perform wound irrigation. Which of the
following actions should the nurse take when pouring the sterile solution?
A. Remove the cap and place it sterile-side up on a clean surface
B. Place sterile gauze over areas of spilled solution
C. Hold the bottle in the center of the sterile field when pouring
D. Hold the irrigation solution bottle with the label facing away from the palm
Answer: A
Rationale: When pouring sterile solutions, the cap should be removed and placed
sterile-side up to maintain sterility. The bottle should be held outside the sterile
field to prevent contamination. The label should face the palm to prevent solution
from running over the label .
12. A nurse is providing teaching to a client who has a new prescription for
warfarin. Which of the following laboratory tests should the nurse instruct the
client to monitor?
A. Fibrinogen level
ACTUAL QUESTIONS AND CORRECT ANSWERS WITH
RATIONALE ALREADY GRADED A+ LATEST UPDATE
This 200-question multiple-choice exam is modeled after the ATI RN
Comprehensive Predictor Form A with NGN, designed to assess nursing
students' readiness for the NCLEX-RN. Each question presents a clinical
scenario with four answer options, the correct answer, and a detailed
evidence-based rationale. Content covers medical-surgical nursing, maternity,
pediatrics, mental health, pharmacology, leadership, and community health.
The exam includes Next Generation NCLEX-style items that test clinical
judgment, prioritization, and delegation. No questions are repeated, and
rationales reinforce critical thinking, safety, and patient-centered care. This
comprehensive resource is ideal for ATI review, final course exams, and
NCLEX preparation.
1. A home health nurse is caring for a child who has Lyme disease. Which of the
following is an appropriate action for the nurse to take?
A. Ensure the state health department has been notified
B. Administer antitoxin
C. Educate the family to avoid sharing personal belongings
D. Assess for skin necrosis
Answer: A
Rationale: Lyme disease is a reportable communicable disease in most states, so
the nurse must ensure proper notification to public health authorities. Antitoxin is
not used for Lyme disease; antibiotics are the treatment. Skin necrosis is not a
characteristic finding; erythema migrans is the classic rash .
2. A nurse is caring for a client who has been admitted to the hospital. Which of
the following actions should the nurse take to promote rest and sleep?
A. Provide frequent rest periods
B. Restrict client sodium intake
C. Advise client to avoid using soap and alcohol-based lotions
D. Instruct the client to avoid blowing their nose forcefully
,Answer: A
Rationale: Providing frequent rest periods helps conserve the client's energy and
promotes sleep, which is essential for healing. Restricting sodium, avoiding soap,
and avoiding nose blowing are interventions for other specific conditions .
3. A nurse is preparing to administer an enteral feeding to a client. Which of the
following actions should the nurse take to verify tube placement?
A. Aspirate gastric contents and check pH
B. Auscultate for air insufflation
C. Measure the length of the external tube
D. Check the residual volume
Answer: A
Rationale: Aspirating gastric contents and checking the pH (should be ≤4) is the
most reliable method to verify gastric tube placement before feeding. Auscultation
is no longer considered a reliable method .
4. A nurse is providing teaching to a client who has a depressive disorder and a
new prescription for amitriptyline. Which of the following statements by the client
indicates an understanding of the teaching?
A. "I can continue to take St. John's wort while taking this medication"
B. "I know it will be a couple of weeks before the medication helps me feel better"
C. "I expect this medication to raise my blood pressure"
D. "I should take this medication on an empty stomach"
Answer: B
Rationale: Tricyclic antidepressants like amitriptyline require 2–4 weeks to achieve
therapeutic effects. St. John's wort interacts dangerously with antidepressants
causing serotonin syndrome. Amitriptyline may cause orthostatic hypotension, not
hypertension, and should be taken with food to reduce GI upset .
5. A nurse is assessing a client who is postoperative following abdominal surgery
and has an indwelling urinary catheter. The urine is dark yellow and draining at 25
mL/hr. Which of the following actions should the nurse anticipate?
A. Initiate continuous bladder irrigation
B. Administer a fluid bolus
C. Clamp the catheter tubing for 30 min
D. Obtain a urine specimen for culture and sensitivity
Answer: D
Rationale: Dark yellow, concentrated urine at a low output (below 30 mL/hr)
suggests possible infection or dehydration. A culture and sensitivity will identify
,pathogens. The priority is determining if infection is present before implementing
other interventions .
6. A nurse is caring for an infant who has gastroenteritis. Which of the following
assessment findings should the nurse report to the provider?
A. Pale and a 24-hr fluid deficit of 30 mL
B. Sunken fontanels and dry mucous membranes
C. Decreased appetite and irritability
D. Temperature 38°C and pulse rate of 124/min
Answer: B
Rationale: Sunken fontanels and dry mucous membranes are signs of moderate to
severe dehydration requiring immediate intervention. A 30 mL deficit is minimal;
decreased appetite and mild irritability are expected; temperature of 38°C and
pulse of 124/min are elevated but not as critical as dehydration signs .
7. A nurse is conducting health promotion education regarding contraindications to
combination oral contraceptive use to a group of women. Which of the following
conditions should the nurse include in the teaching?
A. Hypertension
B. Fibromyalgia
C. Renal calculi
D. Fibrocystic breast disease
Answer: A
Rationale: Hypertension is a major contraindication to combination oral
contraceptives due to increased risk of cardiovascular events, including stroke and
myocardial infarction. Estrogen can elevate blood pressure and increase
thromboembolic risk .
8. A nurse is caring for a client who is taking haloperidol and is experiencing
pseudo-parkinsonism. Which of the following is a sign of this condition?
A. Serpentine limb movement
B. Shuffling gait
C. Nonreactive pupils
D. Smacking lips
Answer: B
Rationale: Pseudo-parkinsonism, an extrapyramidal side effect of antipsychotics,
presents with symptoms similar to Parkinson's disease: shuffling gait, rigidity,
tremor, and bradykinesia. Serpentine movements indicate athetosis; smacking lips
is tardive dyskinesia .
, 9. A nurse is caring for a client who is immobile. Which of the following
interventions is appropriate to prevent contracture?
A. Position a pillow under the client's knee
B. Place a towel roll under the client's neck
C. Align a trochanter wedge between the client's legs
D. Apply an orthotic to the client's foot
Answer: C
Rationale: A trochanter wedge maintains proper hip alignment and prevents
external rotation contractures. Pillows under knees promote flexion contractures;
towel rolls under the neck do not prevent contractures; foot orthotics prevent foot
drop but not hip contractures .
10. A nurse is performing postmortem care prior to the client's family visit. Which
action should the nurse take?
A. Cross the patient's arms across their chest
B. Hold the client's eyes shut for a few seconds
C. Place client in a high Fowler's position
D. Remove the client's dentures
Answer: B
Rationale: Holding the client's eyes shut for a few seconds can help keep them
closed for the family viewing. Arms should be placed along the sides, not crossed.
The head of the bed should be elevated slightly, and dentures should be left in
place to maintain facial structure .
11. A nurse is setting up a sterile field to perform wound irrigation. Which of the
following actions should the nurse take when pouring the sterile solution?
A. Remove the cap and place it sterile-side up on a clean surface
B. Place sterile gauze over areas of spilled solution
C. Hold the bottle in the center of the sterile field when pouring
D. Hold the irrigation solution bottle with the label facing away from the palm
Answer: A
Rationale: When pouring sterile solutions, the cap should be removed and placed
sterile-side up to maintain sterility. The bottle should be held outside the sterile
field to prevent contamination. The label should face the palm to prevent solution
from running over the label .
12. A nurse is providing teaching to a client who has a new prescription for
warfarin. Which of the following laboratory tests should the nurse instruct the
client to monitor?
A. Fibrinogen level
