ATI PN COMPREHENSIVE PREDICTOR
2026 EXIT EXAM WITH NGN
1. A nurse is caring for a client who is receiving digoxin for heart failure. Which of the
following laboratory results should the nurse recognize as increasing the risk for digoxin
toxicity?
A. Calcium 9.5 mg/dL
B. Magnesium 2.0 mEq/L
C. Sodium 138 mEq/L
D. Potassium 3.2 mEq/L
Answer: D
Conceptual Explanation: Hypokalemia (potassium level below 3.5 mEq/L) increases the
risk of digoxin toxicity because low potassium levels enhance the effects of digoxin on the
heart.
2. A nurse is reviewing the plan of care for a client who has a prescription for soft wrist
restraints. Which of the following actions should the nurse include in the plan?
A. Tie the restraints to the side rails of the bed
,B. Renew the prescription every 48 hours
C. Ensure the restraint is tight enough to prevent one finger from fitting underneath
D. Remove the restraints every 2 hours to assess skin integrity
Answer: D
Conceptual Explanation: Restraints must be removed every 2 hours to assess skin
integrity, provide range-of-motion exercises, and ensure circulation. They should be tied to
the bed frame, not the rails, and prescriptions are usually renewed every 24 hours.
3. A nurse is triaging victims at the scene of a mass casualty event. Which of the following
clients should the nurse identify as the priority for transport to the hospital?
A. A client who has an open pneumothorax and is in respiratory distress
B. A client who has a 2-inch scalp laceration and is walking around
C. A client who has a compound fracture of the femur
D. A client who is pulseless and has fixed, dilated pupils
Answer: A
Conceptual Explanation: Using the triage system, the client with an open pneumothorax
(Red tag) requires immediate life-saving intervention. The compound fracture is urgent
(Yellow tag), the scalp laceration is non-urgent (Green tag), and the pulseless client is
expectant (Black tag).
, 4. A nurse is providing teaching to a client who has celiac disease. Which of the following food
choices should the nurse recommend?
A. Tapioca pudding
B. Barley soup
C. Whole-wheat crackers
D. Rye bread
Answer: A
Conceptual Explanation: Celiac disease requires a gluten-free diet. Tapioca, rice, and corn
are gluten-free. Wheat, barley, and rye contain gluten and must be avoided.
5. A nurse is monitoring a client who is taking lithium carbonate for bipolar disorder. Which
of the following findings should the nurse report to the provider as an indication of toxicity?
A. Fine hand tremors
B. Polyuria
C. Slurred speech
D. Mild thirst
Answer: C
Conceptual Explanation: Slurred speech, ataxia, and severe diarrhea are signs of lithium
toxicity. Fine hand tremors and mild thirst are common expected side effects.
2026 EXIT EXAM WITH NGN
1. A nurse is caring for a client who is receiving digoxin for heart failure. Which of the
following laboratory results should the nurse recognize as increasing the risk for digoxin
toxicity?
A. Calcium 9.5 mg/dL
B. Magnesium 2.0 mEq/L
C. Sodium 138 mEq/L
D. Potassium 3.2 mEq/L
Answer: D
Conceptual Explanation: Hypokalemia (potassium level below 3.5 mEq/L) increases the
risk of digoxin toxicity because low potassium levels enhance the effects of digoxin on the
heart.
2. A nurse is reviewing the plan of care for a client who has a prescription for soft wrist
restraints. Which of the following actions should the nurse include in the plan?
A. Tie the restraints to the side rails of the bed
,B. Renew the prescription every 48 hours
C. Ensure the restraint is tight enough to prevent one finger from fitting underneath
D. Remove the restraints every 2 hours to assess skin integrity
Answer: D
Conceptual Explanation: Restraints must be removed every 2 hours to assess skin
integrity, provide range-of-motion exercises, and ensure circulation. They should be tied to
the bed frame, not the rails, and prescriptions are usually renewed every 24 hours.
3. A nurse is triaging victims at the scene of a mass casualty event. Which of the following
clients should the nurse identify as the priority for transport to the hospital?
A. A client who has an open pneumothorax and is in respiratory distress
B. A client who has a 2-inch scalp laceration and is walking around
C. A client who has a compound fracture of the femur
D. A client who is pulseless and has fixed, dilated pupils
Answer: A
Conceptual Explanation: Using the triage system, the client with an open pneumothorax
(Red tag) requires immediate life-saving intervention. The compound fracture is urgent
(Yellow tag), the scalp laceration is non-urgent (Green tag), and the pulseless client is
expectant (Black tag).
, 4. A nurse is providing teaching to a client who has celiac disease. Which of the following food
choices should the nurse recommend?
A. Tapioca pudding
B. Barley soup
C. Whole-wheat crackers
D. Rye bread
Answer: A
Conceptual Explanation: Celiac disease requires a gluten-free diet. Tapioca, rice, and corn
are gluten-free. Wheat, barley, and rye contain gluten and must be avoided.
5. A nurse is monitoring a client who is taking lithium carbonate for bipolar disorder. Which
of the following findings should the nurse report to the provider as an indication of toxicity?
A. Fine hand tremors
B. Polyuria
C. Slurred speech
D. Mild thirst
Answer: C
Conceptual Explanation: Slurred speech, ataxia, and severe diarrhea are signs of lithium
toxicity. Fine hand tremors and mild thirst are common expected side effects.
