ATI RN Comprehensive Predictor 2025 with Critical
NGN-style NCLEX practice questions focused on mental health (suicide risk in adolescents) and medical-surgical prioritization (hypoparathyroidism). Includes expert rationales to enhance critical thinking and clinical judgment skills.
Daniel Miller
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2 months ago
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1 NGN FOCUS: MENTAL HEALTH . SUICIDE ASSESSMENT
SCENARIO:
An adolescent client with conduct disorder arrives at the emergency department after
threatening suicide to a teacher at school. The nurse is gathering additional assessment data.
VITAL SIGNS (for context):
• Temperature 36.9DC (98.4a F), HR 88/min, RR 18,'min, BP 108/70 mm Hg
QUESTION:
Which of the following statements should the nurse include during the assessment?
A. "Tell me about your siblings?’1
B. "Tell me what kind of music you like?"
C. "Tell me how7 often you drink alcohol9 "
D. ’’Tell me about your school schedule?"
CORRECT ANSWER: C. "Tell me how often vou drink alcohol?"
EXPERT RATIONALE :
• Assessing, for substance use, including alcohol, is critical in adolescents with conduct
disorder and suicidal ideation, as substance misuse can exacerbate mental health
issues.
• Options A, B, and D can offer general psychosocial information but do not directly
address a risk factor (substance use) that could contribute significantly to suicidal
behavior.
2. NGN FOCUS: MEDIC AL -SURGICAL PRIORITIZATION /
HYPOPARATHYROIDISM
SCENARIO:
A nurse on an acute medical-surgical unit is performing shift assessments on multiple clients
with varying diagnoses.
VITAL SIGNS (for context):
SCENARIO:
An adolescent client with conduct disorder arrives at the emergency department after
threatening suicide to a teacher at school. The nurse is gathering additional assessment data.
VITAL SIGNS (for context):
• Temperature 36.9DC (98.4a F), HR 88/min, RR 18,'min, BP 108/70 mm Hg
QUESTION:
Which of the following statements should the nurse include during the assessment?
A. "Tell me about your siblings?’1
B. "Tell me what kind of music you like?"
C. "Tell me how7 often you drink alcohol9 "
D. ’’Tell me about your school schedule?"
CORRECT ANSWER: C. "Tell me how often vou drink alcohol?"
EXPERT RATIONALE :
• Assessing, for substance use, including alcohol, is critical in adolescents with conduct
disorder and suicidal ideation, as substance misuse can exacerbate mental health
issues.
• Options A, B, and D can offer general psychosocial information but do not directly
address a risk factor (substance use) that could contribute significantly to suicidal
behavior.
2. NGN FOCUS: MEDIC AL -SURGICAL PRIORITIZATION /
HYPOPARATHYROIDISM
SCENARIO:
A nurse on an acute medical-surgical unit is performing shift assessments on multiple clients
with varying diagnoses.
VITAL SIGNS (for context):
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Subject
Psychology