RN ATI COMPREHENSIVE PREDICTOR
EXIT ASSESSMENT 2026. 50 QUESTIONS
AND 100% CORRECT ANSWERS
1. A nurse is assessing a client who has a serum lithium level of 2.2 mEq/L. Which of the
following findings should the nurse expect?
A. Fine hand tremors
B. Blurred vision and ataxia
C. Polyuria
D. Weight gain
Answer: B
Conceptual Explanation: A lithium level of 2.2 mEq/L indicates severe toxicity. Expected
findings include blurred vision, ataxia, seizures, and severe hypotension. Fine hand tremors
and polyuria are common side effects at therapeutic levels.
2. A nurse in the emergency department is triaging clients following a mass casualty event.
Which of the following clients should the nurse identify as the priority?
A. A client who has a compound fracture of the femur
,B. A client who has a sucking chest wound
C. A client who has a 4-inch scalp laceration
D. A client who has fixed and dilated pupils
Answer: B
Conceptual Explanation: Using the disaster triage tagging system, a sucking chest wound
is a life-threatening injury that is treatable (Red Tag) and requires immediate intervention.
Fixed pupils signify a non-survivable injury (Black Tag).
3. A nurse is caring for a client who is experiencing autonomic dysreflexia. Which of the
following actions should the nurse take first?
A. Check the client for bladder distention.
B. Administer hydralazine intravenously.
C. Examine the client’s skin for pressure areas.
D. Place the client in a high-Fowler’s position.
Answer: D
Conceptual Explanation: The first action the nurse should take using the priority
framework is to sit the client up to lower blood pressure via orthostatic effect and reduce
intracranial pressure.
, 4. A nurse is providing discharge teaching to a client who has a new prescription for warfarin.
Which of the following instructions should the nurse include?
A. Increase intake of dark green leafy vegetables.
B. Use a soft-bristled toothbrush for oral care.
C. Take aspirin for minor headaches.
D. Expect urine to be reddish-orange in color.
Answer: B
Conceptual Explanation: Warfarin increases the risk of bleeding; a soft toothbrush
prevents gingival trauma. Leafy greens (Vitamin K) should be kept consistent, not
increased. Aspirin increases bleeding risk.
5. A nurse is caring for a client who is in the active phase of labor and has a fetal heart rate
(FHR) tracing showing late decelerations. Which of the following actions should the nurse
take?
A. Increase the oxytocin infusion rate.
B. Assist the client into a supine position.
C. Administer oxygen at 10 L/min via nonrebreather mask.
D. Perform a vaginal exam to check for cord prolapse.
Answer: C
EXIT ASSESSMENT 2026. 50 QUESTIONS
AND 100% CORRECT ANSWERS
1. A nurse is assessing a client who has a serum lithium level of 2.2 mEq/L. Which of the
following findings should the nurse expect?
A. Fine hand tremors
B. Blurred vision and ataxia
C. Polyuria
D. Weight gain
Answer: B
Conceptual Explanation: A lithium level of 2.2 mEq/L indicates severe toxicity. Expected
findings include blurred vision, ataxia, seizures, and severe hypotension. Fine hand tremors
and polyuria are common side effects at therapeutic levels.
2. A nurse in the emergency department is triaging clients following a mass casualty event.
Which of the following clients should the nurse identify as the priority?
A. A client who has a compound fracture of the femur
,B. A client who has a sucking chest wound
C. A client who has a 4-inch scalp laceration
D. A client who has fixed and dilated pupils
Answer: B
Conceptual Explanation: Using the disaster triage tagging system, a sucking chest wound
is a life-threatening injury that is treatable (Red Tag) and requires immediate intervention.
Fixed pupils signify a non-survivable injury (Black Tag).
3. A nurse is caring for a client who is experiencing autonomic dysreflexia. Which of the
following actions should the nurse take first?
A. Check the client for bladder distention.
B. Administer hydralazine intravenously.
C. Examine the client’s skin for pressure areas.
D. Place the client in a high-Fowler’s position.
Answer: D
Conceptual Explanation: The first action the nurse should take using the priority
framework is to sit the client up to lower blood pressure via orthostatic effect and reduce
intracranial pressure.
, 4. A nurse is providing discharge teaching to a client who has a new prescription for warfarin.
Which of the following instructions should the nurse include?
A. Increase intake of dark green leafy vegetables.
B. Use a soft-bristled toothbrush for oral care.
C. Take aspirin for minor headaches.
D. Expect urine to be reddish-orange in color.
Answer: B
Conceptual Explanation: Warfarin increases the risk of bleeding; a soft toothbrush
prevents gingival trauma. Leafy greens (Vitamin K) should be kept consistent, not
increased. Aspirin increases bleeding risk.
5. A nurse is caring for a client who is in the active phase of labor and has a fetal heart rate
(FHR) tracing showing late decelerations. Which of the following actions should the nurse
take?
A. Increase the oxytocin infusion rate.
B. Assist the client into a supine position.
C. Administer oxygen at 10 L/min via nonrebreather mask.
D. Perform a vaginal exam to check for cord prolapse.
Answer: C
