ATI PN Comprehensive Predictor 2026 Exit Exam with NGN 180 Real Questions and
100% Correct Answers To Pass 2026 PN ATI Comprehensive Predictor Exit Exam
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Question: 3 of 180
Exhibit 1 Exhibit 2 Exhibit 3 Exhibit 4
A nurse is assisting with the care of a client.
The nurse is reviewing the electronic medical record for
Diagnostic Results:
the client.
Week 1:
Hct 42% (37 to 47%)
Select the findings that require immediate follow-up.
Hgb 15 g/dL (12 to 16 g/dL)
PT 16 sec (greater than 1.5 to 2x control)
INR 1.5 (referred INR for AF: 2 to 3)
WBC 8,000/mm³ (5,000 to 10,000/mm³)
Platelets 350,000/mm³ (150,000 to 400,000/mm³)
Week 2:
Hct 35% (37 to 47%)
Hgb 11 g/dL (12 to 16 g/dL)
PT 20 sec (>1.5 to 2x control)
INR 2.0 (referred INR for AF: 2 to 3)
WBC 9,000/mm³ (5,000 to 10,000/mm³)
Platelets 300,000/mm³ (150,000 to 400,000/mm³)
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☐ Heart rate
☑ Hgb
☑ Stools
☑ INR
☐ Blood pressure
☐ Skin assessment
CONTINUE ›
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✓ Correct Findings: Hgb | Stools | INR
Category: Laboratory Interpretation / NGN
Rationale: The Hgb has dropped from 15 to 11 g/dL (below normal), suggesting active bleeding or hemolytic process. Stool
assessment is critical because GI bleeding is a major cause of falling hemoglobin, particularly in clients on anticoagulant
therapy. The INR has risen to 2.0 — now within the therapeutic range but approaching supratherapeutic levels if the client's
condition changes, warranting close monitoring. Heart rate, blood pressure, and skin assessment are ongoing assessments
but are not the most immediately abnormal lab-based findings requiring follow-up.
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Time Remaining: 09:58:53 Pause Remaining: 00:05:00
Question: 4 of 180
Exhibit 1 Exhibit 2
A nurse is assisting with the care of a client.
Select the 2 actions the nurse should plan to take to
Nurses Notes:
manage the client's chest tube.
0800:
Client is postoperative day 2 following left lung
lobectomy. Client alert and oriented to person,
place, and time. Reports pain 3/10 (scale 0–10).
Dressing dry and intact to left chest.
Water seal chest tube drainage system has
serosanguinous drainage over 12 hr. Right lung
sounds clear. Left lung sounds diminished.
1015:
Client ambulated to bathroom with assistance.
Dressing at chest tube insertion site dry. Client
stated they lifted the edges of dressing to scratch
beneath tape. Serosanguinous drainage pooling in
tubing. Client's chest tube is below the level of
the client's chest.
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☑ Assure the chest tube remains below the level of the client's chest.
☐ Strip the tubing twice daily to ensure patency.
☐ Clamp the chest tube when the client ambulates.
☑ Reinforce loose dressing around the chest tube.
☐ Empty the collection chamber when the drainage covers the bottom of the tube.
CONTINUE ›
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✓ Correct Actions: Assure the chest tube remains below the level of the client's chest. | Reinforce loose dressing
around the chest tube.
Category: Respiratory / Chest Tube Management / NGN
Rationale: The chest tube collection system must always remain below the client's chest to maintain gravity drainage and
prevent backflow of drainage into the pleural space. The dressing should be reinforced — the client scratched under the
tape, which may have compromised the occlusive seal around the chest tube insertion site, creating a risk for
pneumothorax. Stripping tubing is not recommended as it creates excessive negative pressure. Clamping during ambulation
is contraindicated as it traps air. The collection chamber is emptied only when nearly full, not when drainage merely covers
the bottom.
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