Legit PN ATI Comprehensive Predictor 2026 Exit Exam
Level 3 with Forms A, B and C, NGN 180 Questions and
Answers for Final Exit Preparation
1. A nurse is assessing a client with heart failure. Which finding indicates fluid
overload?
A) Weight loss of 1 kg
B) Crackles in the lung bases
C) Blood pressure 110/70 mmHg
D) Heart rate 80 bpm
Correct Answer: B
Rationale: Crackles indicate pulmonary fluid accumulation, a sign of
worsening heart failure.
2. A nurse is teaching a client about warfarin. Which statement indicates
understanding?
A) “I will increase green leafy vegetables.”
B) “I will use a soft toothbrush and electric razor.”
C) “I can take aspirin for headaches.”
D) “I will stop the medication if I feel better.”
Correct Answer: B
Rationale: Warfarin increases bleeding risk; soft toothbrush and electric razor
reduce injury.
3. A nurse is assessing a client with suspected appendicitis. Which finding
requires immediate intervention?
A) Rebound tenderness in right lower quadrant
B) Pain relieved by lying still with knees flexed
C) Sudden relief of pain followed by rigid abdomen
D) Low-grade fever
Correct Answer: C
, Rationale: Sudden pain relief with a rigid abdomen suggests appendix rupture
and peritonitis.
4. A nurse calculates intake: 8 oz coffee, 4 oz juice, 12 oz water, and 50 mL IV
bolus. What is total intake in mL?
A) 720 mL
B) 770 mL
C) 820 mL
D) 670 mL
Correct Answer: B
Rationale: 8×30=240, 4×30=120, 12×30=360; oral 720 + IV 50 = 770 mL.
5. A postpartum client has a perineal pad saturated in 15 minutes. What should
the nurse do first?
A) Document as normal lochia
B) Assess fundus and notify provider
C) Ambulate the client
D) Apply a warm compress
Correct Answer: B
Rationale: Rapid pad saturation indicates postpartum hemorrhage; assess
fundus and notify provider.
6. A nurse is administering insulin. Which action is correct?
A) Massage the site after injection
B) Use a 45-degree angle for all clients
C) Rotate injection sites within the same area
D) Aspirate before injecting
Correct Answer: C
Rationale: Rotating within the same area promotes consistent absorption and
prevents lipohypertrophy.
7. A client with chronic kidney disease has potassium 6.2 mEq/L. Which action is
priority?
A) Administer potassium chloride
,B) Notify the provider immediately
C) Encourage bananas and oranges
D) Document and continue monitoring
Correct Answer: B
Rationale: Hyperkalemia is life-threatening due to dysrhythmia risk and
requires immediate intervention.
8. A nurse is teaching a client about levothyroxine. Which instruction is correct?
A) Take at bedtime with a snack
B) Take on an empty stomach in the morning
C) Take with calcium supplements
D) Stop when feeling better
Correct Answer: B
Rationale: Levothyroxine is best absorbed on an empty stomach 30–60
minutes before breakfast.
9. A newborn has grunting and nasal flaring. What should the nurse do first?
A) Document as normal
B) Feed the newborn
C) Assess respiratory status and notify provider
D) Place in a supine position
Correct Answer: C
Rationale: Grunting and nasal flaring indicate respiratory distress and require
immediate assessment.
10. A client with a chest tube has continuous bubbling in the water seal
chamber. What does this indicate?
A) Air leak in the system
B) Normal tidaling
C) Resolution of pneumothorax
D) Excess drainage
Correct Answer: A
, Rationale: Continuous bubbling in the water seal chamber indicates an air
leak.
11. A nurse is preparing to administer packed red blood cells. Which action is
priority?
A) Obtain a urine specimen
B) Verify blood type with another nurse
C) Prime tubing with D5W
D) Administer over 6 hours
Correct Answer: B
Rationale: Two licensed personnel must verify blood products to prevent
transfusion reactions.
12. A client with heart failure has new crackles in the lung bases. What does this
indicate?
A) Improvement
B) Worsening condition
C) Normal finding
D) Dehydration
Correct Answer: B
Rationale: New crackles indicate pulmonary edema and worsening heart
failure.
13. A nurse is teaching a client with gout about a low-purine diet. Which food
should be avoided?
A) Apples
B) Organ meats
C) White bread
D) Olive oil
Correct Answer: B
Rationale: Organ meats are high in purines, which increase uric acid and
worsen gout.
Level 3 with Forms A, B and C, NGN 180 Questions and
Answers for Final Exit Preparation
1. A nurse is assessing a client with heart failure. Which finding indicates fluid
overload?
A) Weight loss of 1 kg
B) Crackles in the lung bases
C) Blood pressure 110/70 mmHg
D) Heart rate 80 bpm
Correct Answer: B
Rationale: Crackles indicate pulmonary fluid accumulation, a sign of
worsening heart failure.
2. A nurse is teaching a client about warfarin. Which statement indicates
understanding?
A) “I will increase green leafy vegetables.”
B) “I will use a soft toothbrush and electric razor.”
C) “I can take aspirin for headaches.”
D) “I will stop the medication if I feel better.”
Correct Answer: B
Rationale: Warfarin increases bleeding risk; soft toothbrush and electric razor
reduce injury.
3. A nurse is assessing a client with suspected appendicitis. Which finding
requires immediate intervention?
A) Rebound tenderness in right lower quadrant
B) Pain relieved by lying still with knees flexed
C) Sudden relief of pain followed by rigid abdomen
D) Low-grade fever
Correct Answer: C
, Rationale: Sudden pain relief with a rigid abdomen suggests appendix rupture
and peritonitis.
4. A nurse calculates intake: 8 oz coffee, 4 oz juice, 12 oz water, and 50 mL IV
bolus. What is total intake in mL?
A) 720 mL
B) 770 mL
C) 820 mL
D) 670 mL
Correct Answer: B
Rationale: 8×30=240, 4×30=120, 12×30=360; oral 720 + IV 50 = 770 mL.
5. A postpartum client has a perineal pad saturated in 15 minutes. What should
the nurse do first?
A) Document as normal lochia
B) Assess fundus and notify provider
C) Ambulate the client
D) Apply a warm compress
Correct Answer: B
Rationale: Rapid pad saturation indicates postpartum hemorrhage; assess
fundus and notify provider.
6. A nurse is administering insulin. Which action is correct?
A) Massage the site after injection
B) Use a 45-degree angle for all clients
C) Rotate injection sites within the same area
D) Aspirate before injecting
Correct Answer: C
Rationale: Rotating within the same area promotes consistent absorption and
prevents lipohypertrophy.
7. A client with chronic kidney disease has potassium 6.2 mEq/L. Which action is
priority?
A) Administer potassium chloride
,B) Notify the provider immediately
C) Encourage bananas and oranges
D) Document and continue monitoring
Correct Answer: B
Rationale: Hyperkalemia is life-threatening due to dysrhythmia risk and
requires immediate intervention.
8. A nurse is teaching a client about levothyroxine. Which instruction is correct?
A) Take at bedtime with a snack
B) Take on an empty stomach in the morning
C) Take with calcium supplements
D) Stop when feeling better
Correct Answer: B
Rationale: Levothyroxine is best absorbed on an empty stomach 30–60
minutes before breakfast.
9. A newborn has grunting and nasal flaring. What should the nurse do first?
A) Document as normal
B) Feed the newborn
C) Assess respiratory status and notify provider
D) Place in a supine position
Correct Answer: C
Rationale: Grunting and nasal flaring indicate respiratory distress and require
immediate assessment.
10. A client with a chest tube has continuous bubbling in the water seal
chamber. What does this indicate?
A) Air leak in the system
B) Normal tidaling
C) Resolution of pneumothorax
D) Excess drainage
Correct Answer: A
, Rationale: Continuous bubbling in the water seal chamber indicates an air
leak.
11. A nurse is preparing to administer packed red blood cells. Which action is
priority?
A) Obtain a urine specimen
B) Verify blood type with another nurse
C) Prime tubing with D5W
D) Administer over 6 hours
Correct Answer: B
Rationale: Two licensed personnel must verify blood products to prevent
transfusion reactions.
12. A client with heart failure has new crackles in the lung bases. What does this
indicate?
A) Improvement
B) Worsening condition
C) Normal finding
D) Dehydration
Correct Answer: B
Rationale: New crackles indicate pulmonary edema and worsening heart
failure.
13. A nurse is teaching a client with gout about a low-purine diet. Which food
should be avoided?
A) Apples
B) Organ meats
C) White bread
D) Olive oil
Correct Answer: B
Rationale: Organ meats are high in purines, which increase uric acid and
worsen gout.
