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ATI NSG 4800 Exit Exam 2026 |
Comprehensive Predictor
Study Guide
Prepare for the ATI NSG 4800 Exit Exam and
Comprehensive Predictor with a focused 2026 study
guide. Review high-yield nursing concepts across
fundamentals, pharmacology, medical-surgical nursing,
cardiovascular and respiratory care, endocrine and renal
disorders, maternal-newborn, pediatrics, mental health,
leadership, prioritization, delegation, and NGN-style
clinical judgment. Includes practice questions and
rationales for efficient Senior Capstone review.
1. A nurse is assessing a client who reports shortness of breath. Which
finding requires immediate intervention?
A. Respiratory rate of 22/min
B. Oxygen saturation of 88%
C. Temperature of 37.4°C (99.3°F)
D. Heart rate of 92/min
Answer: B. Oxygen saturation of 88%
Rationale: An oxygen saturation of 88% indicates significant hypoxemia and
requires prompt assessment and intervention.
2. Which action should the nurse take when administering medication
through a feeding tube?
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A. Crush all medications together
B. Mix medications directly with formula
C. Flush the tube before and between medications
D. Place all medications in the tube at once
Answer: C. Flush the tube before and between medications
Rationale: Flushing helps maintain tube patency and prevents medications from
interacting with each other.
3. A client with diabetes mellitus is experiencing diaphoresis, tremors, and
confusion. Which condition should the nurse suspect?
A. Hyperglycemia
B. Hypoglycemia
C. Hyperkalemia
D. Ketoacidosis
Answer: B. Hypoglycemia
Rationale: Sweating, tremors, and altered mental status are classic
manifestations of low blood glucose.
4. Which laboratory value should the nurse monitor for a client receiving
warfarin?
A. INR
B. aPTT
C. Troponin
D. Amylase
Answer: A. INR
Rationale: The international normalized ratio is used to monitor the therapeutic
effect of warfarin.
5. A nurse is caring for a client who has a potassium level of 6.2 mEq/L.
Which finding is most concerning?
A. Muscle weakness
B. Nausea
C. Peaked T waves
D. Abdominal cramping
Answer: C. Peaked T waves
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Rationale: Hyperkalemia can cause life-threatening cardiac dysrhythmias.
Peaked T waves are a characteristic ECG finding.
6. Which intervention is appropriate for a client experiencing a seizure?
A. Insert an oral airway
B. Restrain the client's extremities
C. Turn the client to the side
D. Place a tongue blade in the mouth
Answer: C. Turn the client to the side
Rationale: Side-lying positioning helps maintain the airway and allows
secretions to drain.
7. Which assessment finding is expected in a client with left-sided heart
failure?
A. Ascites
B. Peripheral edema
C. Pulmonary crackles
D. Enlarged liver
Answer: C. Pulmonary crackles
Rationale: Left-sided heart failure causes pulmonary congestion, which can
produce crackles and dyspnea.
8. A client taking furosemide is at greatest risk for which electrolyte
imbalance?
A. Hypercalcemia
B. Hypokalemia
C. Hypernatremia
D. Hypermagnesemia
Answer: B. Hypokalemia
Rationale: Furosemide is a loop diuretic that increases urinary potassium
excretion.
9. Which finding is most characteristic of hypovolemic shock?
A. Bounding pulse
B. Bradycardia
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C. Hypotension and tachycardia
D. Hypertension and flushed skin
Answer: C. Hypotension and tachycardia
Rationale: Loss of circulating volume causes decreased blood pressure and
compensatory tachycardia.
10.A nurse is caring for a client with COPD. Which position generally
promotes easier breathing?
A. Supine
B. High-Fowler's
C. Trendelenburg
D. Prone
Answer: B. High-Fowler's
Rationale: Upright positioning improves lung expansion and can reduce the
work of breathing.
11.Which medication reverses the effects of opioid toxicity?
A. Naloxone
B. Flumazenil
C. Protamine sulfate
D. Vitamin K
Answer: A. Naloxone
Rationale: Naloxone is an opioid antagonist used to reverse opioid-induced
respiratory depression.
12.A client receiving digoxin has an apical pulse of 52/min. What should the
nurse do?
A. Administer the medication
B. Give an additional dose
C. Hold the medication and notify the provider
D. Administer the medication with food
Answer: C. Hold the medication and notify the provider
Rationale: Digoxin can cause bradycardia. The medication should generally be
withheld when the apical pulse is significantly below the prescribed parameter.
ATI NSG 4800 Exit Exam 2026 |
Comprehensive Predictor
Study Guide
Prepare for the ATI NSG 4800 Exit Exam and
Comprehensive Predictor with a focused 2026 study
guide. Review high-yield nursing concepts across
fundamentals, pharmacology, medical-surgical nursing,
cardiovascular and respiratory care, endocrine and renal
disorders, maternal-newborn, pediatrics, mental health,
leadership, prioritization, delegation, and NGN-style
clinical judgment. Includes practice questions and
rationales for efficient Senior Capstone review.
1. A nurse is assessing a client who reports shortness of breath. Which
finding requires immediate intervention?
A. Respiratory rate of 22/min
B. Oxygen saturation of 88%
C. Temperature of 37.4°C (99.3°F)
D. Heart rate of 92/min
Answer: B. Oxygen saturation of 88%
Rationale: An oxygen saturation of 88% indicates significant hypoxemia and
requires prompt assessment and intervention.
2. Which action should the nurse take when administering medication
through a feeding tube?
,2|Page
A. Crush all medications together
B. Mix medications directly with formula
C. Flush the tube before and between medications
D. Place all medications in the tube at once
Answer: C. Flush the tube before and between medications
Rationale: Flushing helps maintain tube patency and prevents medications from
interacting with each other.
3. A client with diabetes mellitus is experiencing diaphoresis, tremors, and
confusion. Which condition should the nurse suspect?
A. Hyperglycemia
B. Hypoglycemia
C. Hyperkalemia
D. Ketoacidosis
Answer: B. Hypoglycemia
Rationale: Sweating, tremors, and altered mental status are classic
manifestations of low blood glucose.
4. Which laboratory value should the nurse monitor for a client receiving
warfarin?
A. INR
B. aPTT
C. Troponin
D. Amylase
Answer: A. INR
Rationale: The international normalized ratio is used to monitor the therapeutic
effect of warfarin.
5. A nurse is caring for a client who has a potassium level of 6.2 mEq/L.
Which finding is most concerning?
A. Muscle weakness
B. Nausea
C. Peaked T waves
D. Abdominal cramping
Answer: C. Peaked T waves
,3|Page
Rationale: Hyperkalemia can cause life-threatening cardiac dysrhythmias.
Peaked T waves are a characteristic ECG finding.
6. Which intervention is appropriate for a client experiencing a seizure?
A. Insert an oral airway
B. Restrain the client's extremities
C. Turn the client to the side
D. Place a tongue blade in the mouth
Answer: C. Turn the client to the side
Rationale: Side-lying positioning helps maintain the airway and allows
secretions to drain.
7. Which assessment finding is expected in a client with left-sided heart
failure?
A. Ascites
B. Peripheral edema
C. Pulmonary crackles
D. Enlarged liver
Answer: C. Pulmonary crackles
Rationale: Left-sided heart failure causes pulmonary congestion, which can
produce crackles and dyspnea.
8. A client taking furosemide is at greatest risk for which electrolyte
imbalance?
A. Hypercalcemia
B. Hypokalemia
C. Hypernatremia
D. Hypermagnesemia
Answer: B. Hypokalemia
Rationale: Furosemide is a loop diuretic that increases urinary potassium
excretion.
9. Which finding is most characteristic of hypovolemic shock?
A. Bounding pulse
B. Bradycardia
, 4|Page
C. Hypotension and tachycardia
D. Hypertension and flushed skin
Answer: C. Hypotension and tachycardia
Rationale: Loss of circulating volume causes decreased blood pressure and
compensatory tachycardia.
10.A nurse is caring for a client with COPD. Which position generally
promotes easier breathing?
A. Supine
B. High-Fowler's
C. Trendelenburg
D. Prone
Answer: B. High-Fowler's
Rationale: Upright positioning improves lung expansion and can reduce the
work of breathing.
11.Which medication reverses the effects of opioid toxicity?
A. Naloxone
B. Flumazenil
C. Protamine sulfate
D. Vitamin K
Answer: A. Naloxone
Rationale: Naloxone is an opioid antagonist used to reverse opioid-induced
respiratory depression.
12.A client receiving digoxin has an apical pulse of 52/min. What should the
nurse do?
A. Administer the medication
B. Give an additional dose
C. Hold the medication and notify the provider
D. Administer the medication with food
Answer: C. Hold the medication and notify the provider
Rationale: Digoxin can cause bradycardia. The medication should generally be
withheld when the apical pulse is significantly below the prescribed parameter.
