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NGN RN ATI PROCTORED COMPREHENSIVE
PREDICTOR FORM C NEWEST 2024 ACTUAL EXAM
COMPLETE 180 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
Day 1, 1000:
Client presents to the emergency department (ED) with right-sided
hemiparesis, lethargy, and aphasia. The client's symptoms started 1 hr
prior to arrival at the ED. Client received fibrinolytic therapy and was
transferred to the ICU.
Day 2, 0800:
Client is awake and alert to person, place, and time. Client has weak
right-side hand grasp. However, this is improved from admission. Client
to be evaluated by speech therapy due to aphasia.
Day 2, 1930:
Called to the client's room by a family member. Client is lethargic and
restless, oriented to person and place. Client reports headache. The
client's family member also reports that the client just vomited in an
emesis basin. Client's speech is slurred.
Vital Signs
Day 1,1000:
99F, 114HR, 184/88, RR 24, 97% on 2L
Day 2, 0800
98.1F, HR 81, 140/72, RR 18, 99% on 1L
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Day 2, 1930
98.3F, HR 106, 188/92, RR 26, 94% on 2L
Anticipated/contraindicated ---> flip - ANSWER- -Oxygen therapy to
keep oxygen saturation above 95% is anticipated. The nurse should
titrate oxygen therapy to maintain the oxygen saturation level above
95% to avoid hypoxia. The client is exhibiting manifestations of
increased intracranial pressure (ICP). Therefore, oxygenation and
perfusion are the priority for this client.
-Cluster nursing care is contraindicated. This client is exhibiting
manifestations of increased ICP. The nurse should spread out nursing
care out because clustering can contribute to increased ICP.
-Keep the client supine is contraindicated. The nurse should elevate the
head of the bed to promote blood return to the heart of the client who has
increased ICP.
-Monitor blood glucose every 4 hr in anticipated. The client is exhibiting
manifestations of increased ICP. Therefore, the nurse should frequently
monitor the client's vital signs and blood glucose to avoid secondary
brain injury.
-Maintain the client's hips in flexion is contraindicated. The client has
manifestations of increased ICP. Extreme hip flexion leads to increased
intrathoracic pressure and subsequently a decrease in cerebral outflow.
-Keep the lights in the client's room dim is anticipated. The nurse should
dim the lights in the client's room because many clients with have
increased ICP experience photophobia.
A nurse administers an incorrect dose of medication to a client. The
nurse recognizes the error immediately and completes an incident report.
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Which of the following facts related to the incident should the nurse
document in the client's medical record?
a. Completion of the incident report
b. Time the medication was given
c. Reason for the medication error
d. Notification of the pharmacist - ANSWER- b. Time the medication
was given
Rationale; The nurse should document the time, the name of the
medication, the dose, and the route in which the medication was
given on the client's medication administration record immediately
after it was administered. The nurse should also document the time
that the incorrect medication was administered to the client in the
incident report, as this is a fact directly related to the occurrence.
a. The nurse should complete an incident report for legal protection
of the facility but should not document anything concerning the
completion of the report in the client's medical record.
c. The nurse should document the reason for the medication error in
the incident report, rather than in the client's medical record.
d. It is not necessary to notify the pharmacist when a medication
error has occurred. Therefore, the nurse should not document this
in the medical record or in the incident report.
A nurse is providing information to a client immediately before his
scheduled Romberg test. Which of the following statements should the
nurse make?
a. "You will be standing with your feet 1 foot apart."
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b. "You will place and hold your hands on your hips."
c. "I will be standing across the room from you to evaluate your sense of
balance."
d. "I will be checking you once with your eyes open and once with them
closed." - ANSWER- d. "I will be checking you once with your eyes
open and once with them closed."
Rationale; The nurse should inform the client that the Romberg test
will be performed once with eyes open and once with eyes closed. A
Romberg test is performed to assess balance and motor function.
a. The nurse should inform the client that during the Romberg test,
he will be standing with his feet together.
b. The nurse should inform the client that during the Romberg test
he will place his arms at his sides in a resting position.
c. Standing across the room from the client during a Romberg test is
a risk to the client's safety. Therefore, the nurse should stand close
to the client to prevent the client from falling.
A nurse is preparing a client for a paracentesis. Which of the following
actions should the nurse take?
a. Instruct the client to void.
b. Position the client on their left side.
c. Insert an IV catheter.
d. Prepare the client for moderate (conscious) sedation. - ANSWER- a.
Instruct the client to void.
Rationale; The nurse should instruct the client to void prior to the
procedure, because an empty bladder decreases the risk of a bladder
NGN RN ATI PROCTORED COMPREHENSIVE
PREDICTOR FORM C NEWEST 2024 ACTUAL EXAM
COMPLETE 180 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
Day 1, 1000:
Client presents to the emergency department (ED) with right-sided
hemiparesis, lethargy, and aphasia. The client's symptoms started 1 hr
prior to arrival at the ED. Client received fibrinolytic therapy and was
transferred to the ICU.
Day 2, 0800:
Client is awake and alert to person, place, and time. Client has weak
right-side hand grasp. However, this is improved from admission. Client
to be evaluated by speech therapy due to aphasia.
Day 2, 1930:
Called to the client's room by a family member. Client is lethargic and
restless, oriented to person and place. Client reports headache. The
client's family member also reports that the client just vomited in an
emesis basin. Client's speech is slurred.
Vital Signs
Day 1,1000:
99F, 114HR, 184/88, RR 24, 97% on 2L
Day 2, 0800
98.1F, HR 81, 140/72, RR 18, 99% on 1L
,2|Page
Day 2, 1930
98.3F, HR 106, 188/92, RR 26, 94% on 2L
Anticipated/contraindicated ---> flip - ANSWER- -Oxygen therapy to
keep oxygen saturation above 95% is anticipated. The nurse should
titrate oxygen therapy to maintain the oxygen saturation level above
95% to avoid hypoxia. The client is exhibiting manifestations of
increased intracranial pressure (ICP). Therefore, oxygenation and
perfusion are the priority for this client.
-Cluster nursing care is contraindicated. This client is exhibiting
manifestations of increased ICP. The nurse should spread out nursing
care out because clustering can contribute to increased ICP.
-Keep the client supine is contraindicated. The nurse should elevate the
head of the bed to promote blood return to the heart of the client who has
increased ICP.
-Monitor blood glucose every 4 hr in anticipated. The client is exhibiting
manifestations of increased ICP. Therefore, the nurse should frequently
monitor the client's vital signs and blood glucose to avoid secondary
brain injury.
-Maintain the client's hips in flexion is contraindicated. The client has
manifestations of increased ICP. Extreme hip flexion leads to increased
intrathoracic pressure and subsequently a decrease in cerebral outflow.
-Keep the lights in the client's room dim is anticipated. The nurse should
dim the lights in the client's room because many clients with have
increased ICP experience photophobia.
A nurse administers an incorrect dose of medication to a client. The
nurse recognizes the error immediately and completes an incident report.
,3|Page
Which of the following facts related to the incident should the nurse
document in the client's medical record?
a. Completion of the incident report
b. Time the medication was given
c. Reason for the medication error
d. Notification of the pharmacist - ANSWER- b. Time the medication
was given
Rationale; The nurse should document the time, the name of the
medication, the dose, and the route in which the medication was
given on the client's medication administration record immediately
after it was administered. The nurse should also document the time
that the incorrect medication was administered to the client in the
incident report, as this is a fact directly related to the occurrence.
a. The nurse should complete an incident report for legal protection
of the facility but should not document anything concerning the
completion of the report in the client's medical record.
c. The nurse should document the reason for the medication error in
the incident report, rather than in the client's medical record.
d. It is not necessary to notify the pharmacist when a medication
error has occurred. Therefore, the nurse should not document this
in the medical record or in the incident report.
A nurse is providing information to a client immediately before his
scheduled Romberg test. Which of the following statements should the
nurse make?
a. "You will be standing with your feet 1 foot apart."
, 4|Page
b. "You will place and hold your hands on your hips."
c. "I will be standing across the room from you to evaluate your sense of
balance."
d. "I will be checking you once with your eyes open and once with them
closed." - ANSWER- d. "I will be checking you once with your eyes
open and once with them closed."
Rationale; The nurse should inform the client that the Romberg test
will be performed once with eyes open and once with eyes closed. A
Romberg test is performed to assess balance and motor function.
a. The nurse should inform the client that during the Romberg test,
he will be standing with his feet together.
b. The nurse should inform the client that during the Romberg test
he will place his arms at his sides in a resting position.
c. Standing across the room from the client during a Romberg test is
a risk to the client's safety. Therefore, the nurse should stand close
to the client to prevent the client from falling.
A nurse is preparing a client for a paracentesis. Which of the following
actions should the nurse take?
a. Instruct the client to void.
b. Position the client on their left side.
c. Insert an IV catheter.
d. Prepare the client for moderate (conscious) sedation. - ANSWER- a.
Instruct the client to void.
Rationale; The nurse should instruct the client to void prior to the
procedure, because an empty bladder decreases the risk of a bladder
