198 Questions and Answers Already Graded A+ Premium Exam
Tested And Verified
Subject Area Practical Nursing
Description This comprehensive exit exam evaluates the practical nursing student's mastery of
essential knowledge and clinical reasoning across all major domains: safe and
effective care environment, health promotion and maintenance, psychosocial
integrity, physiological integrity, and pharmacological therapies. The exam
incorporates the Next Generation NCLEX (NGN) style with clinical judgment
scenarios, requiring students to prioritize, delegate, and make evidence-based
decisions.
Expected Grade A+
Total Questions 198
Duration 3 hours
Learning Outcomes 1. Apply the nursing process and clinical judgment to prioritize safe,
patient-centered care.
2. Integrate pharmacological principles with patient assessment and monitoring
for adverse effects.
3. Demonstrate knowledge of infection control, safety, and emergency
preparedness.
4. Analyze psychosocial and cultural factors affecting patient health outcomes.
5. Interpret diagnostic data and implement appropriate nursing interventions.
Accreditation Accreditation Commission for Education in Nursing (ACEN) - aligned with
NCLEX-PN test plan and NGN clinical judgment measurement model.
Page 1
,ati. ATI PN Comprehensive Predictor 2023 Exit Exam with NGN - 198 Questions and
Answers Already Graded A+ Premium Exam Tested And Verified
Question: 1 of 198
A nurse is reviewing the medication administration record of a patient receiving
digoxin. Which finding would most likely indicate the need to withhold the medication
and notify the provider?
Serum potassium level of 3.8 mEq/L
Heart rate of 58 beats per minute
Blood pressure of 130/80 mm Hg
Serum digoxin level of 1.2 ng/mL
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Question: 2 of 198
A nurse is caring for a patient with a chest tube connected to a water-seal drainage
system. Which finding requires immediate intervention?
Continuous bubbling in the water-seal chamber
Intermittent bubbling in the water-seal chamber on exhalation
Fluctuation of the water level in the water-seal chamber with respiration
Drainage of 50 mL of serosanguinous fluid over 8 hours
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,ati. ATI PN Comprehensive Predictor 2023 Exit Exam with NGN - 198 Questions and
Answers Already Graded A+ Premium Exam Tested And Verified
Question: 3 of 198
A nurse is providing discharge teaching to a patient prescribed warfarin. Which
statement by the patient indicates a need for further teaching?
I will avoid eating large amounts of green leafy vegetables.
I will use an electric razor for shaving.
I will take aspirin for headaches instead of acetaminophen.
I will notify my dentist about this medication before any procedures.
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Question: 4 of 198
A nurse is assessing a patient who has just undergone a lumbar puncture. Which
finding is most concerning?
Patient reports a mild headache
Clear fluid leaking from the puncture site
Patient lying flat in bed
Slight tenderness at the puncture site
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, ati. ATI PN Comprehensive Predictor 2023 Exit Exam with NGN - 198 Questions and
Answers Already Graded A+ Premium Exam Tested And Verified
Question: 5 of 198
A nurse is evaluating a patient's arterial blood gas results: pH 7.30, PaCO2 50 mm Hg,
HCO3- 24 mEq/L. The nurse should identify this as which acid-base imbalance?
Respiratory alkalosis
Metabolic acidosis
Respiratory acidosis
Metabolic alkalosis
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Question: 6 of 198
A nurse is planning care for a patient with a new diagnosis of type 2 diabetes mellitus.
Which intervention should the nurse include to address the patient's psychosocial
needs?
Refer the patient to a diabetes support group
Teach the patient how to administer insulin injections
Instruct the patient on foot care techniques
Provide a list of foods to avoid
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