ATI RN COMPREHENSIVE PREDICTOR
EXIT EXAM WITH NGN 50 QUESTIONS
AND 100% CORRECT ANSWERS
1. A nurse is caring for a client who is in the active phase of labor and reports severe back
pain. Which of the following non-pharmacological interventions should the nurse perform?
A. Apply fundal pressure during contractions.
B. Provide a warm shower for 10 minutes.
C. Place the client in the lithotomy position.
D. Apply sacral counter-pressure.
Answer: D
Conceptual Explanation: Sacral counter-pressure is a technique used to relieve back pain
during labor, often caused by the fetus being in the occiput posterior position. Fundal
pressure is contraindicated, and lithotomy is rarely used for labor pain.
2. A nurse is assessing a client with a history of heart failure who is taking digoxin. Which of
the following findings is an early indication of digoxin toxicity?
A. Anorexia and nausea.
,B. Yellow-green halos around lights.
C. Photophobia and blurred vision.
D. Sinus bradycardia.
Answer: A
Conceptual Explanation: Gastrointestinal distress, such as anorexia, nausea, and
vomiting, are typically the earliest signs of digoxin toxicity. Visual changes and arrhythmias
occur later.
3. A nurse is reviewing the laboratory results of a client who has a prescription for lithium
carbonate. Which of the following results should the nurse report to the provider?
A. Lithium level 0.8 mEq/L.
B. Sodium level 140 mEq/L.
C. Sodium level 130 mEq/L.
D. Potassium level 4.2 mEq/L.
Answer: C
Conceptual Explanation: A low sodium level (hyponatremia) increases the risk of lithium
toxicity because the kidneys conserve lithium when sodium levels are low. The other
values are within normal reference ranges.
, 4. A nurse is preparing to administer a unit of packed RBCs to a client. Which of the following
actions is the priority?
A. Obtain pre-transfusion vital signs.
B. Ensure a 20-gauge IV is patent.
C. Prime the tubing with 0.9% sodium chloride.
D. Verify client identity with a second nurse.
Answer: D
Conceptual Explanation: While all steps are necessary, verifying the client’s identity and
matching it to the blood product with a second nurse is the critical safety step to prevent a
fatal hemolytic reaction.
5. A nurse is caring for a client who is post-operative following a thyroidectomy. The nurse
should have which of the following items at the bedside?
A. A tracheostomy tray.
B. A set of incentive spirometers.
C. A container of sterile water.
D. A bag-valve-mask device.
Answer: A
EXIT EXAM WITH NGN 50 QUESTIONS
AND 100% CORRECT ANSWERS
1. A nurse is caring for a client who is in the active phase of labor and reports severe back
pain. Which of the following non-pharmacological interventions should the nurse perform?
A. Apply fundal pressure during contractions.
B. Provide a warm shower for 10 minutes.
C. Place the client in the lithotomy position.
D. Apply sacral counter-pressure.
Answer: D
Conceptual Explanation: Sacral counter-pressure is a technique used to relieve back pain
during labor, often caused by the fetus being in the occiput posterior position. Fundal
pressure is contraindicated, and lithotomy is rarely used for labor pain.
2. A nurse is assessing a client with a history of heart failure who is taking digoxin. Which of
the following findings is an early indication of digoxin toxicity?
A. Anorexia and nausea.
,B. Yellow-green halos around lights.
C. Photophobia and blurred vision.
D. Sinus bradycardia.
Answer: A
Conceptual Explanation: Gastrointestinal distress, such as anorexia, nausea, and
vomiting, are typically the earliest signs of digoxin toxicity. Visual changes and arrhythmias
occur later.
3. A nurse is reviewing the laboratory results of a client who has a prescription for lithium
carbonate. Which of the following results should the nurse report to the provider?
A. Lithium level 0.8 mEq/L.
B. Sodium level 140 mEq/L.
C. Sodium level 130 mEq/L.
D. Potassium level 4.2 mEq/L.
Answer: C
Conceptual Explanation: A low sodium level (hyponatremia) increases the risk of lithium
toxicity because the kidneys conserve lithium when sodium levels are low. The other
values are within normal reference ranges.
, 4. A nurse is preparing to administer a unit of packed RBCs to a client. Which of the following
actions is the priority?
A. Obtain pre-transfusion vital signs.
B. Ensure a 20-gauge IV is patent.
C. Prime the tubing with 0.9% sodium chloride.
D. Verify client identity with a second nurse.
Answer: D
Conceptual Explanation: While all steps are necessary, verifying the client’s identity and
matching it to the blood product with a second nurse is the critical safety step to prevent a
fatal hemolytic reaction.
5. A nurse is caring for a client who is post-operative following a thyroidectomy. The nurse
should have which of the following items at the bedside?
A. A tracheostomy tray.
B. A set of incentive spirometers.
C. A container of sterile water.
D. A bag-valve-mask device.
Answer: A
