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 home health nurse is caring for a child diagnosed with 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. Ensure the state health department has been notified**
**Expert Rationale:** Lyme disease is a reportable condition in most
states due to its public health implications. Ensuring notification to the state
health department facilitates disease monitoring and control. Administering
antitoxin is not appropriate as Lyme disease treatment involves antibiotics,
not antitoxins. Educating about sharing belongings is unrelated because
Lyme disease is transmitted by ticks, not person-to-person. Skin necrosis is
not a typical manifestation of Lyme disease and therefore assessment for
necrosis is not indicated.
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**2. A nurse is caring for a client admitted with a respiratory condition.
(NGN scenario): Based on the following interventions, which are
appropriate?**
- Provide frequent rest periods
- Restrict client sodium intake
,- Advise client to avoid using soap and alcohol-based lotions
- Instruct the client to avoid blowing their nose forcefully
- Assess the client’s level of orientation
**Answer:** Provide frequent rest periods; Advise client to avoid using
soap and alcohol-based lotions; Instruct client to avoid blowing their nose
forcefully; Assess level of orientation.
**Expert Rationale:** Frequent rest supports oxygen conservation and
prevents exhaustion. Avoiding soap and alcohol-based lotions helps
maintain skin integrity, especially in respiratory illness where fragile skin
can be present. Avoiding forceful nose blowing reduces risk of epistaxis or
sinus trauma. Assessment of orientation ensures early recognition of
hypoxia or other complications. Sodium restriction is not routinely indicated
unless the client has comorbidities such as heart failure.
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**3. A nurse is caring for a client with a vented nasogastric (NG) tube
set to low intermittent suction who has vomited. Which of the
following actions should the nurse perform first?**
a. Administer an antiemetic medication
b. Evaluate functioning of the suction device
c. Provide oral hygiene care
d. Replace the NG tube
, **Answer: b. Evaluate functioning of the suction device**
**Expert Rationale:** Vomiting may indicate obstruction or malfunction of
the NG tube or suction device. The priority is to assess and correct
mechanical issues to prevent aspiration and further complications.
Administering antiemetics may be appropriate after ensuring mechanical
function. Oral hygiene is important but secondary to safety. Replacing the
tube is not the first step without further assessment.
---
**4. While performing a routine assessment, a nurse notices fraying
on the electrical cord of a client’s continuous passive motion (CPM)
device. Which of the following actions should the nurse take first?**
a. Initiate a requisition for a replacement CPM device
b. Report the defect to equipment maintenance staff
c. Remove the device from the room
d. Ensure the device inspection sticker is current
**Answer: c. Remove the device from the room**
**Expert Rationale:** A frayed electrical cord presents an immediate
safety hazard including risk of electrical shock or fire. The priority is to
eliminate risk by removing the device promptly. Reporting the defect and
initiating replacement follow after ensuring client safety. Confirming the
inspection sticker does not override the risk posed by visible damage.