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,ATI RN Comprehensive Predictor 2023-2025 Exit Exam with NGN 180 Questions & Answers # 2025 RN ATI Comprehensive Predictor Exit Exam with NGN 180 Questions & Answers
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ATI RN Comprehensive Predictor Exit Exam with NGN 180 Questions and Answers
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Question 1
A nurse is educating a group of clients about the prevention of osteoporosis. One of the clients
states that she does not like to consume dairy products and asks about alternative sources of
calcium. Which response by the nurse is most appropriate?
A. "You can meet your calcium needs by consuming foods such as fortified orange juice,
almonds, and green leafy vegetables."
B. "Since you don’t drink milk, you must take calcium supplements daily instead of eating
foods."
C. "The best choice for you is to increase your intake of red meat to strengthen your bones."
D. "Avoid dairy and other calcium-rich foods, since vitamin D is more important than calcium
for bone health."
Correct Answer: A. The rationale is that adequate calcium intake is essential for preventing
osteoporosis, and clients who do not consume dairy should be encouraged to obtain calcium
from alternative food sources such as fortified orange juice, fortified cereals, almonds, broccoli,
and kale. Option B is not the best first-line recommendation, as dietary intake is preferred over
supplements unless dietary sources are insufficient. Option C is incorrect because red meat does
not provide significant calcium. Option D is misleading because both calcium and vitamin D are
critical for bone health; vitamin D assists in calcium absorption but does not replace the need for
,ATI RN Comprehensive Predictor 2023-2025 Exit Exam with NGN 180 Questions & Answers # 2025 RN ATI Comprehensive Predictor Exit Exam with NGN 180 Questions & Answers
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it. Nurses play a key role in helping clients identify culturally acceptable and personal-
preference–appropriate foods to prevent long-term complications.
Question 2
A nurse is reviewing discharge teaching with a client who has heart failure and has been
prescribed digoxin. Which client statement indicates the need for further teaching?
A. "I will check my pulse every day before taking my digoxin dose."
B. "If I notice blurred vision or halos around lights, I will call my provider immediately."
C. "I will avoid taking antacids at the same time as digoxin because they can affect absorption."
D. "If my heart rate is below 60, I will still take my medication and then inform my provider."
Correct Answer: D. The rationale is that digoxin can cause bradycardia, and clients should hold
the medication if their pulse is below 60 bpm and contact their provider immediately. Continuing
the drug in this situation increases the risk of toxicity and cardiac complications. Option A is
correct teaching because daily pulse monitoring is essential. Option B is correct because blurred
vision, halos, nausea, and confusion are signs of digoxin toxicity and must be reported
immediately. Option C is correct teaching since antacids can interfere with digoxin absorption.
Therefore, option D reveals misunderstanding and indicates further teaching is required. Nurses
should reinforce safety practices in medication self-administration.
Question 3
A nurse is caring for a client with chronic kidney disease who reports fatigue, pallor, and
shortness of breath on exertion. Laboratory results show hemoglobin 8.5 g/dL and hematocrit
26%. The provider prescribes epoetin alfa. Which client statement indicates understanding of the
therapy?
A. "This medication will help stimulate my bone marrow to produce more red blood cells."
B. "Epoetin alfa will directly add iron into my bloodstream to treat my anemia."
C. "I don’t need to worry about monitoring my blood pressure while taking this medication."
D. "Once I receive this injection, I will not need any additional iron or folic acid supplements."
, ATI RN Comprehensive Predictor 2023-2025 Exit Exam with NGN 180 Questions & Answers # 2025 RN ATI Comprehensive Predictor Exit Exam with NGN 180 Questions & Answers
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Correct Answer: A. Epoetin alfa is a synthetic form of erythropoietin that stimulates bone
marrow to produce red blood cells, which helps correct anemia in clients with chronic kidney
disease. Option B is incorrect because epoetin alfa does not provide iron but requires adequate
iron stores to be effective. Option C is unsafe, as epoetin alfa can cause hypertension and
requires close blood pressure monitoring. Option D is incorrect because many clients also need
iron and folic acid supplementation for optimal red blood cell production. Teaching should
emphasize the purpose, potential side effects, and the need for adjunct therapy.
Question 4
A nurse is preparing to administer medications to a client who has an NG tube for continuous
enteral feeding. Which action by the nurse is correct?
A. Crush all medications together, mix with the feeding formula, and administer as one dose.
B. Stop the feeding, flush the tube with water, administer each medication separately, and flush
after each.
C. Administer the medications through the feeding tube port without interrupting the feeding.
D. Mix medications with warm tea to reduce irritation and enhance absorption.
Correct Answer: B. The correct procedure is to stop the feeding, flush the tube with 15–30 mL
of water, administer medications one at a time, flushing between each to prevent clogging, then
resume feeding. Option A is unsafe, as mixing drugs with formula may cause interactions and
block the tube. Option C is incorrect because medications must not be given during feeding due
to potential interactions. Option D is inappropriate since medications should never be mixed with
substances like tea or coffee. The nurse’s role is to maintain safe administration techniques that
prevent aspiration, ensure proper drug absorption, and avoid tube obstruction.
Question 5
A nurse is providing teaching for a client prescribed lithium for bipolar disorder. Which
statement by the client demonstrates an understanding of the medication regimen?
A. "I will avoid drinking too much water, since lithium causes fluid retention."
B. "If I develop vomiting or diarrhea, I should notify my provider immediately."