Virtual ATI
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 at the family planning clinic triages several clients over the
phone.
Which of the following clients should the nurse instruct to come to
the clinic?
A. A client who uses a diaphragm for contraception and has lost 30 lb in the
past 6 months dieting
B. A client who had an intrauterine device (IUD) inserted yesterday and has
cramping and bleeding
C. A client who has started taking oral contraceptives and is experiencing
bright red vaginal breakthrough bleeding
D. A client who has sharp pain in her shoulder following a laparoscopic
tubal ligation yesterday
Answer: B. A client who had an intrauterine device (IUD) inserted
yesterday and has cramping and bleeding
Expert Rationale: Cramping and bleeding immediately following IUD
insertion may indicate expulsion, perforation, or infection, requiring prompt
clinical evaluation. Sudden weight loss or breakthrough bleeding with oral
contraceptives rarely indicates an urgent condition. Shoulder pain post-
laparoscopic tubal ligation might represent referred pain or a complication
requiring more specific monitoring but generally is less urgent than IUD
complications.
---
,2. A nurse is providing teaching to a client who has osteoporosis and a new
prescription for alendronate.
Which of the following statements by the client indicates an
understanding of the teaching?
- "I will take this medication within 15 minutes of eating."
- "I will take this medication at bedtime."
- "I will take this medication with 8 ounces of water."
- "I will increase my caffeine intake while taking this medication."
Answer: "I will take this medication with 8 ounces of water."
Expert Rationale: Alendronate must be taken with a full glass of water to
enhance absorption and reduce esophageal irritation risk. It should also be
administered first thing in the morning on an empty stomach, and the client
should remain upright for at least 30 minutes post-dose. Avoiding caffeine
is advised as it may decrease calcium absorption.
---
3. A nurse is giving discharge instructions to a client who has a new
ileostomy.
The nurse should recognize that the teaching has been effective when
the client states,
- "My stoma size will stay the same, even after it has healed."
- "My stoma will drain liquid fluid continuously."
, - "I will change my pouch system every 2 weeks."
- "I will ensure that my medications are enteric coated."
Answer: "My stoma will drain liquid fluid continuously."
Expert Rationale: An ileostomy drains liquid stool continuously because of
the bypass of the colon. Stoma size may decrease slightly postoperatively,
and pouches should typically be changed every 3–7 days depending on the
system and skin integrity. Enteric-coated medications should be taken with
caution as absorption might be affected.
---
4. A nurse is teaching a newly licensed nurse about informed consent.
Which of the following statements should the nurse include in the
teaching? (Select all that apply.)
- "By witnessing the signing of the informed consent form, the nurse is
indicating that the client voluntarily gave consent."
- "A client who signs an informed consent form should understand the
treatment plan."
- "A client who signs an informed consent form should be competent."
- "The nurse should disclose the purpose of the treatment before the client
signs the consent form."
- "Signing the informed consent form indicates that the family agrees to the
treatment options."
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 at the family planning clinic triages several clients over the
phone.
Which of the following clients should the nurse instruct to come to
the clinic?
A. A client who uses a diaphragm for contraception and has lost 30 lb in the
past 6 months dieting
B. A client who had an intrauterine device (IUD) inserted yesterday and has
cramping and bleeding
C. A client who has started taking oral contraceptives and is experiencing
bright red vaginal breakthrough bleeding
D. A client who has sharp pain in her shoulder following a laparoscopic
tubal ligation yesterday
Answer: B. A client who had an intrauterine device (IUD) inserted
yesterday and has cramping and bleeding
Expert Rationale: Cramping and bleeding immediately following IUD
insertion may indicate expulsion, perforation, or infection, requiring prompt
clinical evaluation. Sudden weight loss or breakthrough bleeding with oral
contraceptives rarely indicates an urgent condition. Shoulder pain post-
laparoscopic tubal ligation might represent referred pain or a complication
requiring more specific monitoring but generally is less urgent than IUD
complications.
---
,2. A nurse is providing teaching to a client who has osteoporosis and a new
prescription for alendronate.
Which of the following statements by the client indicates an
understanding of the teaching?
- "I will take this medication within 15 minutes of eating."
- "I will take this medication at bedtime."
- "I will take this medication with 8 ounces of water."
- "I will increase my caffeine intake while taking this medication."
Answer: "I will take this medication with 8 ounces of water."
Expert Rationale: Alendronate must be taken with a full glass of water to
enhance absorption and reduce esophageal irritation risk. It should also be
administered first thing in the morning on an empty stomach, and the client
should remain upright for at least 30 minutes post-dose. Avoiding caffeine
is advised as it may decrease calcium absorption.
---
3. A nurse is giving discharge instructions to a client who has a new
ileostomy.
The nurse should recognize that the teaching has been effective when
the client states,
- "My stoma size will stay the same, even after it has healed."
- "My stoma will drain liquid fluid continuously."
, - "I will change my pouch system every 2 weeks."
- "I will ensure that my medications are enteric coated."
Answer: "My stoma will drain liquid fluid continuously."
Expert Rationale: An ileostomy drains liquid stool continuously because of
the bypass of the colon. Stoma size may decrease slightly postoperatively,
and pouches should typically be changed every 3–7 days depending on the
system and skin integrity. Enteric-coated medications should be taken with
caution as absorption might be affected.
---
4. A nurse is teaching a newly licensed nurse about informed consent.
Which of the following statements should the nurse include in the
teaching? (Select all that apply.)
- "By witnessing the signing of the informed consent form, the nurse is
indicating that the client voluntarily gave consent."
- "A client who signs an informed consent form should understand the
treatment plan."
- "A client who signs an informed consent form should be competent."
- "The nurse should disclose the purpose of the treatment before the client
signs the consent form."
- "Signing the informed consent form indicates that the family agrees to the
treatment options."
