• ATI RN
Comprehensive 09/08/2026
Predictor
Ultimate ATI RN Comprehensive Predictor
2026 Exit Exam: 180 NGN Elite Level 3
Questions with Answers for Guaranteed Level
3 Pass and First Attempt– (2026) Actual
Questions & Answers (Chamberlain) 100%
Guarantee Pass
Desmopressin is prescribed to a client with diabetes insipidus. Which parameter does the nurse tell the client
that it is important to monitor while taking the medication?
P 1
, • ATI RN
Comprehensive 09/08/2026
Predictor
Appetite
Pulse rate
Bowel pattern
Intake and output –
Correct Answer :Intake and output
Rationale: The client is instructed to monitor and record daily intake and output of fluid. Diabetes insipidus is a
disorder of water metabolism caused by a deficiency of antidiuretic hormone. Desmopressin promotes renal
conservation of water. The hormone accomplishes this by acting on the collecting ducts of the kidney to
increase their permeability to water, resulting in increased water reabsorption. If the dose prescribed is
adequate, urine volume should rapidly drop to normal. Appetite, pulse rate, and changes in bowel pattern are
not associated with the use of this medication.
The nurse is giving discharge instructions to a client recently diagnosed with hypothyroidism. The client was also
given a prescription for levothyroxine by the primary health care provider. What comment by the client indicates
a need for further instruction?
"I'm glad constipation won't be such a problem anymore."
"I'll remember to take the medication without food in the morning."
"I'm looking forward to maybe losing some weight with this medication."
"I know I have to notify the primary health care provider if I have any problems with a slow heart rate."
Correct Answer :"I know I have to notify the primary health care provider if I have any problems with a slow
heart rate."
P 2
, • ATI RN
Comprehensive 09/08/2026
Predictor
Rationale: There is a need for further instruction if the client says, "I know I have to notify the primary health care
provider if I have any problems with a slow heart rate." The primary health care provider must be notified if the
client has any problems with tachycardia or fast heart rate, not slow heart rate. Excessive doses of levothyroxine
sodium can produce signs/symptoms of hyperthyroidism. These include tachycardia, chest pain, tremors,
nervousness, insomnia, hyperthermia, extreme heat intolerance, and sweating. The other comments are correct.
Iodine solution is prescribed to a client who is scheduled for subtotal thyroidectomy. The client calls the nurse at
the clinic and complains of a burning sensation in the mouth and soreness of the gums and teeth. What does the
nurse most appropriately tell the client?
To contact the primary health care provider
That these are expected side effects of the medication
That these discomforts will resolve with continued therapy
To stop the medication for the next 24 hours and then continue as prescribed –
Correct Answer :To contact the primary health care provider
Rationale: The client should most appropriately be instructed to notify the primary health care provider if the
client experiences burning sensation in the mouth and soreness of the gums and teeth. Iodine can produce
toxicity (iodism). The client should be instructed about the signs/symptoms of iodism, which includes a brassy
taste and burning sensation in the mouth, soreness of the gums and teeth, frontal headache, coryza, salivation,
and skin eruptions. The client's signs/symptoms are not expected side effects of the medication and will not
resolve with continued therapy; in fact, continued therapy will worsen the client's condition. Stopping the
medication for 24 hours and then continuing it as prescribed will also worsen the client's condition.
Levothyroxine is prescribed to a client with hypothyroidism. One week after beginning the medication, the client
calls the primary health care provider's office and tells the nurse that the medication has not helped. What does
the nurse most appropriately tell the client?
The medication will need to be changed
P 3
, • ATI RN
Comprehensive 09/08/2026
Predictor
The full therapeutic effect may take 4 weeks
An additional medication will have to be added to the regimen
The blood levels of the client's thyroid hormones will need to be rechecked
- Correct Answer :The full therapeutic effect may take 4 weeks
Rationale: The nurse most appropriately tells the client that full therapeutic effect may take 1 month. For this
reason, changing the medication and the addition of a medication are not necessary. Levothyroxine is used in
the treatment of hypothyroidism. Therapy with levothyroxine may begin with small doses that are gradually
increased. Blood levels of thyroid hormones are checked during therapy with levothyroxine, obtaining these
levels after 1 week of therapy will not provide useful information.
A nurse provides instructions to a client who will be taking levothyroxine for hypothyroidism. When does the
nurse tell the client that it is best to take the medication?
With milk
At bedtime
With an antacid
In the morning, before breakfast –
Correct Answer :In the morning, before breakfast
Rationale: The nurse tells the client that the best way and time to take the medication is on an empty stomach
and preferably in the morning, before breakfast. Levothyroxine, a synthetic preparation of thyroxine, a naturally
occurring thyroid hormone, is used to treat clients who require hormone-replacement therapy.
A client is brought to the emergency department by ambulance, and diabetic ketoacidosis is suspected. Blood
samples are taken, and the nurse obtains supplies that will be needed to treat the client. Which type of insulin
does the nurse take from the medication supply room for intravenous (IV) administration?
P 4
Comprehensive 09/08/2026
Predictor
Ultimate ATI RN Comprehensive Predictor
2026 Exit Exam: 180 NGN Elite Level 3
Questions with Answers for Guaranteed Level
3 Pass and First Attempt– (2026) Actual
Questions & Answers (Chamberlain) 100%
Guarantee Pass
Desmopressin is prescribed to a client with diabetes insipidus. Which parameter does the nurse tell the client
that it is important to monitor while taking the medication?
P 1
, • ATI RN
Comprehensive 09/08/2026
Predictor
Appetite
Pulse rate
Bowel pattern
Intake and output –
Correct Answer :Intake and output
Rationale: The client is instructed to monitor and record daily intake and output of fluid. Diabetes insipidus is a
disorder of water metabolism caused by a deficiency of antidiuretic hormone. Desmopressin promotes renal
conservation of water. The hormone accomplishes this by acting on the collecting ducts of the kidney to
increase their permeability to water, resulting in increased water reabsorption. If the dose prescribed is
adequate, urine volume should rapidly drop to normal. Appetite, pulse rate, and changes in bowel pattern are
not associated with the use of this medication.
The nurse is giving discharge instructions to a client recently diagnosed with hypothyroidism. The client was also
given a prescription for levothyroxine by the primary health care provider. What comment by the client indicates
a need for further instruction?
"I'm glad constipation won't be such a problem anymore."
"I'll remember to take the medication without food in the morning."
"I'm looking forward to maybe losing some weight with this medication."
"I know I have to notify the primary health care provider if I have any problems with a slow heart rate."
Correct Answer :"I know I have to notify the primary health care provider if I have any problems with a slow
heart rate."
P 2
, • ATI RN
Comprehensive 09/08/2026
Predictor
Rationale: There is a need for further instruction if the client says, "I know I have to notify the primary health care
provider if I have any problems with a slow heart rate." The primary health care provider must be notified if the
client has any problems with tachycardia or fast heart rate, not slow heart rate. Excessive doses of levothyroxine
sodium can produce signs/symptoms of hyperthyroidism. These include tachycardia, chest pain, tremors,
nervousness, insomnia, hyperthermia, extreme heat intolerance, and sweating. The other comments are correct.
Iodine solution is prescribed to a client who is scheduled for subtotal thyroidectomy. The client calls the nurse at
the clinic and complains of a burning sensation in the mouth and soreness of the gums and teeth. What does the
nurse most appropriately tell the client?
To contact the primary health care provider
That these are expected side effects of the medication
That these discomforts will resolve with continued therapy
To stop the medication for the next 24 hours and then continue as prescribed –
Correct Answer :To contact the primary health care provider
Rationale: The client should most appropriately be instructed to notify the primary health care provider if the
client experiences burning sensation in the mouth and soreness of the gums and teeth. Iodine can produce
toxicity (iodism). The client should be instructed about the signs/symptoms of iodism, which includes a brassy
taste and burning sensation in the mouth, soreness of the gums and teeth, frontal headache, coryza, salivation,
and skin eruptions. The client's signs/symptoms are not expected side effects of the medication and will not
resolve with continued therapy; in fact, continued therapy will worsen the client's condition. Stopping the
medication for 24 hours and then continuing it as prescribed will also worsen the client's condition.
Levothyroxine is prescribed to a client with hypothyroidism. One week after beginning the medication, the client
calls the primary health care provider's office and tells the nurse that the medication has not helped. What does
the nurse most appropriately tell the client?
The medication will need to be changed
P 3
, • ATI RN
Comprehensive 09/08/2026
Predictor
The full therapeutic effect may take 4 weeks
An additional medication will have to be added to the regimen
The blood levels of the client's thyroid hormones will need to be rechecked
- Correct Answer :The full therapeutic effect may take 4 weeks
Rationale: The nurse most appropriately tells the client that full therapeutic effect may take 1 month. For this
reason, changing the medication and the addition of a medication are not necessary. Levothyroxine is used in
the treatment of hypothyroidism. Therapy with levothyroxine may begin with small doses that are gradually
increased. Blood levels of thyroid hormones are checked during therapy with levothyroxine, obtaining these
levels after 1 week of therapy will not provide useful information.
A nurse provides instructions to a client who will be taking levothyroxine for hypothyroidism. When does the
nurse tell the client that it is best to take the medication?
With milk
At bedtime
With an antacid
In the morning, before breakfast –
Correct Answer :In the morning, before breakfast
Rationale: The nurse tells the client that the best way and time to take the medication is on an empty stomach
and preferably in the morning, before breakfast. Levothyroxine, a synthetic preparation of thyroxine, a naturally
occurring thyroid hormone, is used to treat clients who require hormone-replacement therapy.
A client is brought to the emergency department by ambulance, and diabetic ketoacidosis is suspected. Blood
samples are taken, and the nurse obtains supplies that will be needed to treat the client. Which type of insulin
does the nurse take from the medication supply room for intravenous (IV) administration?
P 4
