• ATI RN
Comprehensive 09/08/2026
Predictor
Ultimate ATI RN Comprehensive Predictor
2026 Exit Exam 3: 180 NGN Elite Level 3
Questions with Answers for Guaranteed Level
3 Pass and First Attempt– (2026) Actual
Questions & Answers (Chamberlain) 100%
Guarantee Pass
A client who has undergone knee-replacement surgery will be self-administering enoxaparin sodium at home.
The nurse teaches the client about the medication. What does the nurse tell the client?
P 1
, • ATI RN
Comprehensive 09/08/2026
Predictor
Store the medication in the refrigerator
Lie down to administer the subcutaneous injection
Inject the medication in the upper outer aspect of the arm
Discard the medication if the solution appears pale yellow - Correct Answer :Lie down to administer the
subcutaneous injection
Rationale: The client is instructed to lie down to administer the injection and to introduce the entire length of the
needle (½ inch [1.25 cm]) into a skin fold held between the thumb and forefinger. Enoxaparin sodium is an
anticoagulant that is administered by way of subcutaneous injection. It is injected into the abdominal wall. The
solution, which appears clear and colorless to pale yellow, is stored at room temperature.
An intravenous dose of adenosine is prescribed for a client to treat Wolff-Parkinson-White syndrome. Which
piece of equipment does the nurse make a priority of obtaining before administering the medication?
Pulse oximeter
Cardiac monitor
Blood-pressure cuff
Suction catheter and suction machine - Correct Answer :Cardiac monitor
Rationale: Obtaining a cardiac monitor is the priority. Wolff-Parkinson-White syndrome is an abnormality of
cardiac rhythm that is manifested as supraventricular tachycardia. Adenosine is an antidysrhythmic medication
used to treat this dysrhythmia. It is administered intravenously. A pulse oximeter and blood pressure cuff will
each provide information about the client's cardiovascular status, but neither is the priority. There is no
information in the question to indicate that a suction catheter and suction machine are necessary.
A nurse provides information about smoking-cessation measures to a client diagnosed with coronary artery
disease (CAD). Which statement by the client indicates a need for further information?
"A community support group will help me quit."
"I should drink a cup (235 ml) of coffee if I feel the urge to smoke."
P 2
, • ATI RN
Comprehensive 09/08/2026
Predictor
"Relaxation exercises will help control my urge to smoke."
"I can try chewing gum or sucking on hard candy if I feel the urge to smoke." - Correct Answer :"I should drink a
cup (235 ml) of coffee if I feel the urge to smoke."
Rationale: The nurse should reinforce education about the hazards of smoking and provide encouragement to
clients who are interested in or willing to try smoking cessation. The client should avoid using coffee and other
caffeine-containing products, which can cause restlessness and anxiety, increasing the urge to smoke. There are
appropriate strategies to assist in smoking cessation. Among these are community support groups, relaxation
exercises, and strategies such as chewing gum or sucking on hard candy if the urge to smoke arises.
Captopril is prescribed for a hospitalized client with heart failure. Which action is a priority once the nurse has
administered the first dose?
Checking the client's apical heart rate
Maintaining the client on bed rest for 3 hours
Monitoring the client for increased urine output
Checking the client's breath sounds for decreased wheezing - Correct Answer :Maintaining the client on bed
rest for 3 hours
Rationale: The client is closely monitored for hypotension at the start of therapy and is maintained on bed rest
for 3 hours after the initial dose. Captopril is an angiotensin-converting enzyme (ACE) inhibitor. Excessive
hypotension (first-dose syncope) may occur in the client with heart failure or in the client who is severely salt or
volume depleted. Checking the apical heart rate will provide information about the client's cardiac status but is
not an intervention specifically related to this medication. Increased urine output and decreased wheezing are
expected if the client has received a diuretic.
A client diagnosed with heart failure suddenly experiences profound dyspnea, pallor, audible wheezing, and
cyanosis, and the nurse suspects pulmonary edema. What should the nurse do first?
Obtain a pulse oximetry reading
Raise the head of the client's bed
P 3
, • ATI RN
Comprehensive 09/08/2026
Predictor
Administer a dose of morphine sulfate
Obtain a specimen for an arterial blood gas determination - Correct Answer :Raise the head of the client's bed
Rationale: The nurse would first raise the head of the client's bed and position the client to maximize chest
expansion to ease the air hunger that the client is experiencing. Acute pulmonary edema is characterized by
profound dyspnea, pallor, audible wheezing, and cyanosis. An arterial blood gas or pulse oximetry reading will
reveal the need for supplemental oxygen. Morphine sulfate may be administered because it blunts the
sympathetic response and promotes peripheral vasodilation. However, the nurse also needs to contact the
primary health case provider to prescribe that medication. On the basis of the options provided, however, the
initial action is placing the client in a head-elevated position.
The nurse administers intravenous morphine sulfate to a client in pulmonary edema. For which intended effect
of the medication does the nurse monitor the client?
Relief of pain
Relief of anxiety
Decreased urine output
Increased blood pressure - Correct Answer :Relief of anxiety
Rationale: Morphine sulfate reduces anxiety in the client in pulmonary edema. It blunts the sympathetic
response and increases venous capacitance, thereby decreasing left atrial pressure. It also promotes peripheral
vasodilation and causes blood to pool in the periphery. The client receiving morphine sulfate is monitored for
signs/symptoms of respiratory depression and extreme decreases in blood pressure, especially when the
medication is administered intravenously. Although morphine sulfate is an opioid analgesic and relieves pain, it is
not administered to the client with pulmonary edema for its analgesic effect. Furosemide is administered to the
client with pulmonary edema to increase urine output.
A nurse is providing home care instructions to a client diagnosed with coronary artery disease (CAD) who will be
discharged home and will be taking 1 aspirin daily. What does the nurse tell the client?
To stop the aspirin if nausea occurs
P 4
Comprehensive 09/08/2026
Predictor
Ultimate ATI RN Comprehensive Predictor
2026 Exit Exam 3: 180 NGN Elite Level 3
Questions with Answers for Guaranteed Level
3 Pass and First Attempt– (2026) Actual
Questions & Answers (Chamberlain) 100%
Guarantee Pass
A client who has undergone knee-replacement surgery will be self-administering enoxaparin sodium at home.
The nurse teaches the client about the medication. What does the nurse tell the client?
P 1
, • ATI RN
Comprehensive 09/08/2026
Predictor
Store the medication in the refrigerator
Lie down to administer the subcutaneous injection
Inject the medication in the upper outer aspect of the arm
Discard the medication if the solution appears pale yellow - Correct Answer :Lie down to administer the
subcutaneous injection
Rationale: The client is instructed to lie down to administer the injection and to introduce the entire length of the
needle (½ inch [1.25 cm]) into a skin fold held between the thumb and forefinger. Enoxaparin sodium is an
anticoagulant that is administered by way of subcutaneous injection. It is injected into the abdominal wall. The
solution, which appears clear and colorless to pale yellow, is stored at room temperature.
An intravenous dose of adenosine is prescribed for a client to treat Wolff-Parkinson-White syndrome. Which
piece of equipment does the nurse make a priority of obtaining before administering the medication?
Pulse oximeter
Cardiac monitor
Blood-pressure cuff
Suction catheter and suction machine - Correct Answer :Cardiac monitor
Rationale: Obtaining a cardiac monitor is the priority. Wolff-Parkinson-White syndrome is an abnormality of
cardiac rhythm that is manifested as supraventricular tachycardia. Adenosine is an antidysrhythmic medication
used to treat this dysrhythmia. It is administered intravenously. A pulse oximeter and blood pressure cuff will
each provide information about the client's cardiovascular status, but neither is the priority. There is no
information in the question to indicate that a suction catheter and suction machine are necessary.
A nurse provides information about smoking-cessation measures to a client diagnosed with coronary artery
disease (CAD). Which statement by the client indicates a need for further information?
"A community support group will help me quit."
"I should drink a cup (235 ml) of coffee if I feel the urge to smoke."
P 2
, • ATI RN
Comprehensive 09/08/2026
Predictor
"Relaxation exercises will help control my urge to smoke."
"I can try chewing gum or sucking on hard candy if I feel the urge to smoke." - Correct Answer :"I should drink a
cup (235 ml) of coffee if I feel the urge to smoke."
Rationale: The nurse should reinforce education about the hazards of smoking and provide encouragement to
clients who are interested in or willing to try smoking cessation. The client should avoid using coffee and other
caffeine-containing products, which can cause restlessness and anxiety, increasing the urge to smoke. There are
appropriate strategies to assist in smoking cessation. Among these are community support groups, relaxation
exercises, and strategies such as chewing gum or sucking on hard candy if the urge to smoke arises.
Captopril is prescribed for a hospitalized client with heart failure. Which action is a priority once the nurse has
administered the first dose?
Checking the client's apical heart rate
Maintaining the client on bed rest for 3 hours
Monitoring the client for increased urine output
Checking the client's breath sounds for decreased wheezing - Correct Answer :Maintaining the client on bed
rest for 3 hours
Rationale: The client is closely monitored for hypotension at the start of therapy and is maintained on bed rest
for 3 hours after the initial dose. Captopril is an angiotensin-converting enzyme (ACE) inhibitor. Excessive
hypotension (first-dose syncope) may occur in the client with heart failure or in the client who is severely salt or
volume depleted. Checking the apical heart rate will provide information about the client's cardiac status but is
not an intervention specifically related to this medication. Increased urine output and decreased wheezing are
expected if the client has received a diuretic.
A client diagnosed with heart failure suddenly experiences profound dyspnea, pallor, audible wheezing, and
cyanosis, and the nurse suspects pulmonary edema. What should the nurse do first?
Obtain a pulse oximetry reading
Raise the head of the client's bed
P 3
, • ATI RN
Comprehensive 09/08/2026
Predictor
Administer a dose of morphine sulfate
Obtain a specimen for an arterial blood gas determination - Correct Answer :Raise the head of the client's bed
Rationale: The nurse would first raise the head of the client's bed and position the client to maximize chest
expansion to ease the air hunger that the client is experiencing. Acute pulmonary edema is characterized by
profound dyspnea, pallor, audible wheezing, and cyanosis. An arterial blood gas or pulse oximetry reading will
reveal the need for supplemental oxygen. Morphine sulfate may be administered because it blunts the
sympathetic response and promotes peripheral vasodilation. However, the nurse also needs to contact the
primary health case provider to prescribe that medication. On the basis of the options provided, however, the
initial action is placing the client in a head-elevated position.
The nurse administers intravenous morphine sulfate to a client in pulmonary edema. For which intended effect
of the medication does the nurse monitor the client?
Relief of pain
Relief of anxiety
Decreased urine output
Increased blood pressure - Correct Answer :Relief of anxiety
Rationale: Morphine sulfate reduces anxiety in the client in pulmonary edema. It blunts the sympathetic
response and increases venous capacitance, thereby decreasing left atrial pressure. It also promotes peripheral
vasodilation and causes blood to pool in the periphery. The client receiving morphine sulfate is monitored for
signs/symptoms of respiratory depression and extreme decreases in blood pressure, especially when the
medication is administered intravenously. Although morphine sulfate is an opioid analgesic and relieves pain, it is
not administered to the client with pulmonary edema for its analgesic effect. Furosemide is administered to the
client with pulmonary edema to increase urine output.
A nurse is providing home care instructions to a client diagnosed with coronary artery disease (CAD) who will be
discharged home and will be taking 1 aspirin daily. What does the nurse tell the client?
To stop the aspirin if nausea occurs
P 4
