ATI RN COMPREHENSIVE PREDICTOR
2026 EXIT EXAM PRACTICE 50
QUESTIONS AND 100% CORRECT
ANSWERS
1. A nurse is assessing a client who has a prescription for lithium carbonate to treat bipolar
disorder. Which of the following findings should the nurse identify as an early indication of
lithium toxicity?
A. Coarse hand tremors
B. Severe hypertension
C. Urinary retention
D. Constipation
Answer: A
Conceptual Explanation: Coarse hand tremors are a common early sign of lithium toxicity.
Other signs include persistent gastrointestinal upset, mental confusion, and poor
coordination.
2. A nurse in the emergency department is triaging clients following a mass casualty event.
Which of the following clients should the nurse prioritize for immediate treatment?
A. A client who has a simple fracture of the lower leg
,B. A client who has a 2 cm head laceration and is alert
C. A client who is pulseless and has fixed, dilated pupils
D. A client who has a sucking chest wound and dyspnea
Answer: D
Conceptual Explanation: Using the survival potential framework, the client with a sucking
chest wound is in the ‘immediate’ (red tag) category because they have a life-threatening
injury but a high chance of survival with prompt intervention.
3. A nurse is caring for a client who is post-operative following a total thyroidectomy. The
nurse should monitor for which of the following findings as an indication of hypocalcemia?
A. Negative Chvostek’s sign
B. Tingling of the fingers and toes
C. Muscle flaccidity
D. Hyporeflexia
Answer: B
Conceptual Explanation: Hypocalcemia can occur following a thyroidectomy if the
parathyroid glands are damaged. Clinical manifestations include paresthesia (tingling) of
the extremities and circumoral area, as well as muscle twitching (positive Chvostek’s and
Trousseau’s signs).
, 4. A nurse is providing teaching to a client who has a new diagnosis of Type 1 Diabetes
Mellitus. Which of the following statements by the client indicates an understanding of the
Somogyi effect?
A. I should check my blood sugar in the middle of the night to see if it drops.
B. This happens when I eat too many carbohydrates before bed.
C. I need to increase my morning insulin dose to prevent this.
D. It is caused by a lack of insulin in the early morning hours.
Answer: A
Conceptual Explanation: The Somogyi effect is a rebound hyperglycemia in the morning
caused by hypoglycemia during the night. The client should monitor blood glucose levels
between 02:00 and 04:00 to identify the drop.
5. A nurse is preparing to administer digoxin to a client who has heart failure. Which of the
following findings should lead the nurse to withhold the medication?
A. Blood pressure 150/90 mmHg
B. Digoxin level 0.8 ng/mL
C. Heart rate 72/min
D. Potassium level 3.2 mEq/L
Answer: D
2026 EXIT EXAM PRACTICE 50
QUESTIONS AND 100% CORRECT
ANSWERS
1. A nurse is assessing a client who has a prescription for lithium carbonate to treat bipolar
disorder. Which of the following findings should the nurse identify as an early indication of
lithium toxicity?
A. Coarse hand tremors
B. Severe hypertension
C. Urinary retention
D. Constipation
Answer: A
Conceptual Explanation: Coarse hand tremors are a common early sign of lithium toxicity.
Other signs include persistent gastrointestinal upset, mental confusion, and poor
coordination.
2. A nurse in the emergency department is triaging clients following a mass casualty event.
Which of the following clients should the nurse prioritize for immediate treatment?
A. A client who has a simple fracture of the lower leg
,B. A client who has a 2 cm head laceration and is alert
C. A client who is pulseless and has fixed, dilated pupils
D. A client who has a sucking chest wound and dyspnea
Answer: D
Conceptual Explanation: Using the survival potential framework, the client with a sucking
chest wound is in the ‘immediate’ (red tag) category because they have a life-threatening
injury but a high chance of survival with prompt intervention.
3. A nurse is caring for a client who is post-operative following a total thyroidectomy. The
nurse should monitor for which of the following findings as an indication of hypocalcemia?
A. Negative Chvostek’s sign
B. Tingling of the fingers and toes
C. Muscle flaccidity
D. Hyporeflexia
Answer: B
Conceptual Explanation: Hypocalcemia can occur following a thyroidectomy if the
parathyroid glands are damaged. Clinical manifestations include paresthesia (tingling) of
the extremities and circumoral area, as well as muscle twitching (positive Chvostek’s and
Trousseau’s signs).
, 4. A nurse is providing teaching to a client who has a new diagnosis of Type 1 Diabetes
Mellitus. Which of the following statements by the client indicates an understanding of the
Somogyi effect?
A. I should check my blood sugar in the middle of the night to see if it drops.
B. This happens when I eat too many carbohydrates before bed.
C. I need to increase my morning insulin dose to prevent this.
D. It is caused by a lack of insulin in the early morning hours.
Answer: A
Conceptual Explanation: The Somogyi effect is a rebound hyperglycemia in the morning
caused by hypoglycemia during the night. The client should monitor blood glucose levels
between 02:00 and 04:00 to identify the drop.
5. A nurse is preparing to administer digoxin to a client who has heart failure. Which of the
following findings should lead the nurse to withhold the medication?
A. Blood pressure 150/90 mmHg
B. Digoxin level 0.8 ng/mL
C. Heart rate 72/min
D. Potassium level 3.2 mEq/L
Answer: D
