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ATI PN Comprehensive Predictor Exit Exam PN ATI
COMPREHENSIVE PREDICTOR EXIT NUR
PROCTORED EXAM 2023 WITH NGN {LATEST
2026 VERSION QUESTIONS}
SECTION 1: CARDIOVASCULAR MEDICATIONS (Questions 1-8)
Question 1
A nurse is reinforcing teaching with a client who has a new prescription for
furosemide. The nurse should instruct the client to report which of the following
adverse effects?
A. Weight gain of 1-2 lbs per week
B. Increased urination
C. Muscle weakness and cramps
D. Mild headache
CorreCt Answer: C
,2
Rationale: Furosemide is a loop diuretic that causes potassium excretion.
Hypokalemia (low potassium) presents with muscle weakness, leg cramps, fatigue,
and cardiac dysrhythmias. Clients should report these symptoms immediately.
Weight gain would indicate fluid retention (ineffective treatment). Increased
urination is the expected therapeutic effect.
Question 2
A client prescribed metoprolol should be monitored for which effect?
A. Increased heart rate
B. Decreased heart rate
C. Increased blood glucose
D. Decreased urine output
CorreCt Answer: B
,3
Rationale: Metoprolol is a beta-1 selective blocker that slows conduction through
the AV node and decreases heart rate. It is used for hypertension, heart failure,
and angina. The nurse should monitor for bradycardia (heart rate <60 bpm) and
withhold the medication if the pulse is below the prescribed parameter.
Question 3
Which finding indicates digoxin toxicity?
A. Increased appetite
B. Yellow or green vision halos
C. Hypertension
D. Tachycardia
CorreCt Answer: B
Rationale: Visual disturbances such as yellow or green halos (xanthopsia) are
classic signs of digoxin toxicity. Other signs include nausea, vomiting, anorexia,
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bradycardia, and cardiac dysrhythmias. Digoxin has a narrow therapeutic range
(0.8-2.0 ng/mL) and requires careful monitoring of serum levels.
Question 4
A client taking warfarin should be taught to avoid excessive intake of which food?
A. Red meat
B. Green leafy vegetables
C. Citrus fruits
D. Dairy products
CorreCt Answer: B
Rationale: Green leafy vegetables (spinach, kale, broccoli, lettuce) are high in
vitamin K, which can counteract the effects of warfarin and decrease its
anticoagulant action, increasing the risk of clot formation. Clients should maintain
consistent vitamin K intake rather than avoiding it completely.
ATI PN Comprehensive Predictor Exit Exam PN ATI
COMPREHENSIVE PREDICTOR EXIT NUR
PROCTORED EXAM 2023 WITH NGN {LATEST
2026 VERSION QUESTIONS}
SECTION 1: CARDIOVASCULAR MEDICATIONS (Questions 1-8)
Question 1
A nurse is reinforcing teaching with a client who has a new prescription for
furosemide. The nurse should instruct the client to report which of the following
adverse effects?
A. Weight gain of 1-2 lbs per week
B. Increased urination
C. Muscle weakness and cramps
D. Mild headache
CorreCt Answer: C
,2
Rationale: Furosemide is a loop diuretic that causes potassium excretion.
Hypokalemia (low potassium) presents with muscle weakness, leg cramps, fatigue,
and cardiac dysrhythmias. Clients should report these symptoms immediately.
Weight gain would indicate fluid retention (ineffective treatment). Increased
urination is the expected therapeutic effect.
Question 2
A client prescribed metoprolol should be monitored for which effect?
A. Increased heart rate
B. Decreased heart rate
C. Increased blood glucose
D. Decreased urine output
CorreCt Answer: B
,3
Rationale: Metoprolol is a beta-1 selective blocker that slows conduction through
the AV node and decreases heart rate. It is used for hypertension, heart failure,
and angina. The nurse should monitor for bradycardia (heart rate <60 bpm) and
withhold the medication if the pulse is below the prescribed parameter.
Question 3
Which finding indicates digoxin toxicity?
A. Increased appetite
B. Yellow or green vision halos
C. Hypertension
D. Tachycardia
CorreCt Answer: B
Rationale: Visual disturbances such as yellow or green halos (xanthopsia) are
classic signs of digoxin toxicity. Other signs include nausea, vomiting, anorexia,
, 4
bradycardia, and cardiac dysrhythmias. Digoxin has a narrow therapeutic range
(0.8-2.0 ng/mL) and requires careful monitoring of serum levels.
Question 4
A client taking warfarin should be taught to avoid excessive intake of which food?
A. Red meat
B. Green leafy vegetables
C. Citrus fruits
D. Dairy products
CorreCt Answer: B
Rationale: Green leafy vegetables (spinach, kale, broccoli, lettuce) are high in
vitamin K, which can counteract the effects of warfarin and decrease its
anticoagulant action, increasing the risk of clot formation. Clients should maintain
consistent vitamin K intake rather than avoiding it completely.
