ATI PN COMPREHENSIVE PREDICTOR
WITH NGN MOCK EXAM QUESTIONS
AND ANSWERS
1. A nurse is caring for a client who is 24 hours postoperative following an abdominal surgery.
The client reports a ‘popping’ sensation and the nurse observes a loop of bowel protruding
through the incision. Which of the following actions should the nurse take first?
A. Notify the surgeon immediately to prepare for emergency surgery.
B. Place the client in a high-Fowler’s position to reduce abdominal pressure.
C. Apply a sterile dressing moistened with warm sterile normal saline.
D. Instruct the client to cough and deep breathe to expand the lungs.
Answer: C
Conceptual Explanation: The client is experiencing wound eviscertation. The immediate
priority is to protect the exposed organs by covering them with sterile, saline-moistened
dressings to prevent drying and infection.
,2. A nurse is monitoring a client who has a prescription for lithium carbonate for the
treatment of bipolar disorder. Which of the following laboratory findings should the nurse
report to the provider as an indication of toxicity?
A. Lithium level 0.8 mEq/L
B. Sodium level 140 mEq/L
C. Potassium level 4.2 mEq/L
D. Lithium level 1.8 mEq/L
Answer: D
Conceptual Explanation: A lithium level above 1.5 mEq/L is considered toxic. A level of
1.8 mEq/L indicates significant risk for severe manifestations of toxicity.
3. A nurse is caring for a client who has heart failure and is receiving furosemide. Which of the
following findings is the priority for the nurse to report to the provider?
A. Urine output of 50 mL/hr
B. Sodium 136 mEq/L
C. Weight gain of 0.5 kg (1.1 lb) in 24 hours
D. Potassium 2.8 mEq/L
Answer: D
, Conceptual Explanation: A potassium level of 2.8 mEq/L is significantly low
(hypokalemia) and poses a high risk for cardiac dysrhythmias, which is a life-threatening
complication of loop diuretics.
4. A nurse is caring for a client who is in the active phase of labor. The electronic fetal monitor
shows late decelerations. Which of the following actions should the nurse take first?
A. Increase the IV fluid infusion rate.
B. Assist the client into a lateral position.
C. Administer oxygen via nonrebreather mask at 8 to 10 L/min.
D. Notify the provider of the decelerations.
Answer: B
Conceptual Explanation: Late decelerations indicate uteroplacental insufficiency. The
first action using the nursing process is to reposition the client to the side to improve blood
flow to the placenta.
5. A nurse is preparing to administer digoxin to a client who has heart failure. Which of the
following findings should indicate to the nurse that the medication should be withheld?
A. Blood pressure 110/70 mmHg
B. Heart rate 52/min
C. Respiratory rate 18/min
D. Temperature 37 C (98.6 F)
WITH NGN MOCK EXAM QUESTIONS
AND ANSWERS
1. A nurse is caring for a client who is 24 hours postoperative following an abdominal surgery.
The client reports a ‘popping’ sensation and the nurse observes a loop of bowel protruding
through the incision. Which of the following actions should the nurse take first?
A. Notify the surgeon immediately to prepare for emergency surgery.
B. Place the client in a high-Fowler’s position to reduce abdominal pressure.
C. Apply a sterile dressing moistened with warm sterile normal saline.
D. Instruct the client to cough and deep breathe to expand the lungs.
Answer: C
Conceptual Explanation: The client is experiencing wound eviscertation. The immediate
priority is to protect the exposed organs by covering them with sterile, saline-moistened
dressings to prevent drying and infection.
,2. A nurse is monitoring a client who has a prescription for lithium carbonate for the
treatment of bipolar disorder. Which of the following laboratory findings should the nurse
report to the provider as an indication of toxicity?
A. Lithium level 0.8 mEq/L
B. Sodium level 140 mEq/L
C. Potassium level 4.2 mEq/L
D. Lithium level 1.8 mEq/L
Answer: D
Conceptual Explanation: A lithium level above 1.5 mEq/L is considered toxic. A level of
1.8 mEq/L indicates significant risk for severe manifestations of toxicity.
3. A nurse is caring for a client who has heart failure and is receiving furosemide. Which of the
following findings is the priority for the nurse to report to the provider?
A. Urine output of 50 mL/hr
B. Sodium 136 mEq/L
C. Weight gain of 0.5 kg (1.1 lb) in 24 hours
D. Potassium 2.8 mEq/L
Answer: D
, Conceptual Explanation: A potassium level of 2.8 mEq/L is significantly low
(hypokalemia) and poses a high risk for cardiac dysrhythmias, which is a life-threatening
complication of loop diuretics.
4. A nurse is caring for a client who is in the active phase of labor. The electronic fetal monitor
shows late decelerations. Which of the following actions should the nurse take first?
A. Increase the IV fluid infusion rate.
B. Assist the client into a lateral position.
C. Administer oxygen via nonrebreather mask at 8 to 10 L/min.
D. Notify the provider of the decelerations.
Answer: B
Conceptual Explanation: Late decelerations indicate uteroplacental insufficiency. The
first action using the nursing process is to reposition the client to the side to improve blood
flow to the placenta.
5. A nurse is preparing to administer digoxin to a client who has heart failure. Which of the
following findings should indicate to the nurse that the medication should be withheld?
A. Blood pressure 110/70 mmHg
B. Heart rate 52/min
C. Respiratory rate 18/min
D. Temperature 37 C (98.6 F)
