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 Mul ple-choice
ques ons with incorpora ng Next Genera on
NCLEX (NGN) and Case Scenario
Expert-Verified Explana ons & Solu ons
,1. A nurse is caring for a client who is at 33 weeks of gestation
following an amniocentesis. The nurse should monitor the client for
which of the following complications?
A. Vomiting
B. Hypertension
C. Epigastric pain
D. Contractions
Correct Answer: D. Contractions
Expert Rationale: Amniocentesis can trigger uterine irritability leading to
contractions and potential preterm labor, especially at 33 weeks gestation.
Monitoring for contractions is essential. Vomiting, hypertension, and
epigastric pain are not common complications of amniocentesis.
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2. A nurse is providing teaching to an older adult client about
methods to promote nighttime sleep. Which of the following
instructions should the nurse include?
A. Stay in bed at least 1 hr if unable to fall asleep
B. Take a 1 hr nap during the day
C. Perform exercises prior to bedtime
D. Eat a light snack before bedtime
Correct Answer: D. Eat a light snack before bedtime
Expert Rationale: A light carbohydrate or protein snack can promote sleep
by preventing hunger. Napping too long or late in the day and vigorous
,exercise close to bedtime can interfere with sleep. Also, staying in bed
awake for too long can condition the brain to associate bed with
wakefulness.
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3. A nurse on a telemetry unit is caring for a client who becomes
unconscious and whose monitor displays ventricular tachycardia.
Which of the following actions should the nurse take first after
determining the client does not have a palpable pulse?
A. Assess heart sounds
B. Defibrillate
C. Establish IV access
D. Administer epinephrine
Correct Answer: B. Defibrillate
Expert Rationale: Pulseless ventricular tachycardia is a life-threatening
cardiac arrest rhythm requiring immediate defibrillation. The nurse’s priority
is to defibrillate to restore a perfusing rhythm. Other interventions follow.
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4. A nurse is admitting a client who is 1 week postpartum and reports
excessive vaginal bleeding. The nurse does not speak the same
language as the client. The client's partner and 10-year-old child are
accompanying her. Which of the following actions should the nurse
take to gather the client's admission data?
A. Have the client's child translate
, B. Allow the client's partner to translate
C. Request a female interpreter through the facility
D. Ask a nursing student who speaks the same language as the client to
translate
Correct Answer: C. Request a female interpreter through the facility
Expert Rationale: Using a professional interpreter ensures accuracy and
confidentiality. A female interpreter is preferred for obstetric care to respect
cultural sensitivities. Family members, especially children, are not
appropriate interpreters.
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5. A nurse is caring for a client who is febrile. To reduce the client's
fever, the nurse applies a cooling blanket. Which of the following
findings indicates the client is having an adverse reaction to the
cooling?
a. Flushing
b. Tachycardia
c. Restlessness
d. Shivering
Correct Answer: d. Shivering
Expert Rationale: Shivering indicates the client is responding to cold by
generating heat, which raises body temperature and counteracts the
cooling intervention. This is an adverse effect and requires prompt
reassessment of the approach.