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ATI PN Comprehensive Predictor 2026 Exit Assessment
with NGN Practice 200 Questions and Answers | 100%
Pass Guaranteed | Graded A+
1. A nurse is caring for a client who is receiving digoxin. Which of the following findings
should the nurse identify as an indication of digoxin toxicity?
A. Heart rate of 58/min
B. Blood pressure of 138/88 mm Hg
C. Respiratory rate of 18/min
D. Temperature of 37.2°C (99°F)
☑ Correct Answer: A
☑ Explanation: A heart rate below 60/min in a client taking digoxin is a classic sign of
digoxin toxicity. Digoxin slows conduction through the AV node, and excessive effect can lead to
bradycardia. The other options are within normal limits and not directly associated with digoxin
toxicity.
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2. A nurse is assessing a client who has been diagnosed with a small bowel obstruction.
Which of the following findings should the nurse expect?
A. Bloody diarrhea
B. Projectile vomiting
C. Increased urine output
D. Hyperactive bowel sounds below the obstruction
☑ Correct Answer: B
☑ Explanation: Projectile vomiting is a common finding in small bowel obstruction due to
the buildup of gastric contents proximal to the obstruction. Bloody diarrhea is more associated
with inflammatory conditions. Urine output typically decreases due to dehydration. Bowel
sounds may be hyperactive initially but become hypoactive as the obstruction progresses.
3. A nurse is caring for a client who is 24 hours postoperative following a cesarean
delivery. Which of the following assessments should the nurse prioritize?
A. Fundal height and consistency
B. Deep tendon reflexes
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C. Pupillary response
D. Cranial nerve function
☑ Correct Answer: A
☑ Explanation: Assessing fundal height and consistency is critical in the immediate
postpartum period to detect uterine atony, which can lead to hemorrhage. The other
assessments are not priority for a post-cesarean client unless specific complications are
suspected.
4. A nurse is preparing to administer phytonadione (vitamin K) to a newborn. The nurse
should understand that this medication is given to prevent which of the following?
A. Respiratory distress syndrome
B. Hemorrhagic disease of the newborn
C. Neonatal jaundice
D. Hypoglycemia
☑ Correct Answer: B
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☑ Explanation: Phytonadione (vitamin K) is administered to newborns to prevent
hemorrhagic disease of the newborn (HDN) because newborns are born with insufficient vitamin
K, which is necessary for clotting factor synthesis. The other conditions are not prevented by
vitamin K administration.
5. A nurse is caring for a client who has heart failure and is prescribed furosemide. Which
of the following laboratory values should the nurse monitor most closely?
A. Serum sodium
B. Serum potassium
C. Serum calcium
D. Serum magnesium
☑ Correct Answer: B
☑ Explanation: Furosemide is a loop diuretic that causes potassium loss, leading to
hypokalemia. Monitoring serum potassium is essential to prevent complications such as
dysrhythmias. While other electrolytes can be affected, potassium is the most critical to monitor
with loop diuretic therapy.
ATI PN Comprehensive Predictor 2026 Exit Assessment
with NGN Practice 200 Questions and Answers | 100%
Pass Guaranteed | Graded A+
1. A nurse is caring for a client who is receiving digoxin. Which of the following findings
should the nurse identify as an indication of digoxin toxicity?
A. Heart rate of 58/min
B. Blood pressure of 138/88 mm Hg
C. Respiratory rate of 18/min
D. Temperature of 37.2°C (99°F)
☑ Correct Answer: A
☑ Explanation: A heart rate below 60/min in a client taking digoxin is a classic sign of
digoxin toxicity. Digoxin slows conduction through the AV node, and excessive effect can lead to
bradycardia. The other options are within normal limits and not directly associated with digoxin
toxicity.
,2
2. A nurse is assessing a client who has been diagnosed with a small bowel obstruction.
Which of the following findings should the nurse expect?
A. Bloody diarrhea
B. Projectile vomiting
C. Increased urine output
D. Hyperactive bowel sounds below the obstruction
☑ Correct Answer: B
☑ Explanation: Projectile vomiting is a common finding in small bowel obstruction due to
the buildup of gastric contents proximal to the obstruction. Bloody diarrhea is more associated
with inflammatory conditions. Urine output typically decreases due to dehydration. Bowel
sounds may be hyperactive initially but become hypoactive as the obstruction progresses.
3. A nurse is caring for a client who is 24 hours postoperative following a cesarean
delivery. Which of the following assessments should the nurse prioritize?
A. Fundal height and consistency
B. Deep tendon reflexes
,3
C. Pupillary response
D. Cranial nerve function
☑ Correct Answer: A
☑ Explanation: Assessing fundal height and consistency is critical in the immediate
postpartum period to detect uterine atony, which can lead to hemorrhage. The other
assessments are not priority for a post-cesarean client unless specific complications are
suspected.
4. A nurse is preparing to administer phytonadione (vitamin K) to a newborn. The nurse
should understand that this medication is given to prevent which of the following?
A. Respiratory distress syndrome
B. Hemorrhagic disease of the newborn
C. Neonatal jaundice
D. Hypoglycemia
☑ Correct Answer: B
, 4
☑ Explanation: Phytonadione (vitamin K) is administered to newborns to prevent
hemorrhagic disease of the newborn (HDN) because newborns are born with insufficient vitamin
K, which is necessary for clotting factor synthesis. The other conditions are not prevented by
vitamin K administration.
5. A nurse is caring for a client who has heart failure and is prescribed furosemide. Which
of the following laboratory values should the nurse monitor most closely?
A. Serum sodium
B. Serum potassium
C. Serum calcium
D. Serum magnesium
☑ Correct Answer: B
☑ Explanation: Furosemide is a loop diuretic that causes potassium loss, leading to
hypokalemia. Monitoring serum potassium is essential to prevent complications such as
dysrhythmias. While other electrolytes can be affected, potassium is the most critical to monitor
with loop diuretic therapy.
