2026 Nursing Student Mega Bundle | ATI Comprehensive
Predictor, HESI Exit & NCLEX-RN NGN
1.
A nurse is caring for a client receiving IV furosemide. Which assessment finding requires
immediate intervention?
A. Urine output 150 mL/hr B. Potassium 2.9 mEq/L C. BP 132/78 mmHg D. Mild thirst
Answer: B
Rationale: Severe hypokalemia increases the risk for life-threatening cardiac dysrhythmias.
2.
Which client should the nurse assess first?
A. Postoperative client reporting pain 8/10 B. Client with COPD and oxygen saturation
of 84% C. Client requesting discharge instructions D. Client waiting for morning
medications
Answer: B
Rationale: Airway and oxygenation take priority.
3.
A client receiving heparin develops bleeding gums. Which laboratory value should the
nurse review?
A. INR B. aPTT C. Hemoglobin A1C D. Platelet count only
Answer: B
Rationale: aPTT monitors therapeutic heparin therapy.
4.
Which finding indicates effective teaching about insulin injection?
A. Inject into the same site daily. B. Massage the injection site. C. Rotate sites within
the same anatomical area. D. Reuse needles twice.
Answer: C
Rationale: Rotating within one area promotes consistent absorption.
,5.
A client suddenly develops unilateral facial drooping and slurred speech. What should the
nurse do first?
A. Administer aspirin. B. Activate the stroke protocol. C. Obtain consent for surgery. D.
Encourage fluids.
Answer: B
Rationale: Rapid stroke assessment and intervention improve outcomes.
6.
Which electrolyte imbalance is expected with prolonged vomiting?
A. Hyperkalemia B. Hypokalemia C. Hypercalcemia D. Hypermagnesemia
Answer: B
Rationale: Vomiting causes potassium loss.
7.
Which assessment finding is expected in left-sided heart failure?
A. Ascites B. Jugular vein distention C. Crackles in the lungs D. Peripheral edema only
Answer: C
Rationale: Pulmonary congestion causes crackles.
8.
A nurse is teaching about warfarin therapy. Which statement indicates understanding?
A. “I’ll eat unlimited spinach.” B. “I’ll report unusual bleeding.” C. “I don’t need blood
tests.” D. “Ibuprofen is safe.”
Answer: B
Rationale: Bleeding is the major complication.
9.
Which client is at greatest risk for pressure injuries?
A. Ambulatory client B. Client on bedrest with poor nutrition C. Client with seasonal
allergies D. Client receiving antibiotics
, Answer: B
Rationale: Immobility and malnutrition greatly increase risk.
10.
Which action prevents catheter-associated urinary tract infections?
A. Disconnect tubing daily. B. Keep drainage bag below bladder level. C. Irrigate every
shift. D. Empty bag once weekly.
Answer: B
Rationale: Prevents urine backflow.
11.
A client receiving opioids has a respiratory rate of 8/min. Which medication should the
nurse anticipate?
A. Flumazenil B. Naloxone C. Protamine sulfate D. Vitamin K
Answer: B
Rationale: Naloxone reverses opioid-induced respiratory depression.
12.
Which laboratory result requires immediate reporting?
A. Sodium 139 mEq/L B. Potassium 6.2 mEq/L C. Calcium 9.1 mg/dL D. Magnesium 2.0
mg/dL
Answer: B
Rationale: Hyperkalemia can cause fatal dysrhythmias.
13.
A nurse is caring for a client after thyroidectomy. Which finding requires immediate
intervention?
A. Hoarse voice B. Tingling around the mouth C. Pain 5/10 D. Mild nausea
Answer: B
Rationale: Tingling suggests hypocalcemia from parathyroid injury.
14.
Predictor, HESI Exit & NCLEX-RN NGN
1.
A nurse is caring for a client receiving IV furosemide. Which assessment finding requires
immediate intervention?
A. Urine output 150 mL/hr B. Potassium 2.9 mEq/L C. BP 132/78 mmHg D. Mild thirst
Answer: B
Rationale: Severe hypokalemia increases the risk for life-threatening cardiac dysrhythmias.
2.
Which client should the nurse assess first?
A. Postoperative client reporting pain 8/10 B. Client with COPD and oxygen saturation
of 84% C. Client requesting discharge instructions D. Client waiting for morning
medications
Answer: B
Rationale: Airway and oxygenation take priority.
3.
A client receiving heparin develops bleeding gums. Which laboratory value should the
nurse review?
A. INR B. aPTT C. Hemoglobin A1C D. Platelet count only
Answer: B
Rationale: aPTT monitors therapeutic heparin therapy.
4.
Which finding indicates effective teaching about insulin injection?
A. Inject into the same site daily. B. Massage the injection site. C. Rotate sites within
the same anatomical area. D. Reuse needles twice.
Answer: C
Rationale: Rotating within one area promotes consistent absorption.
,5.
A client suddenly develops unilateral facial drooping and slurred speech. What should the
nurse do first?
A. Administer aspirin. B. Activate the stroke protocol. C. Obtain consent for surgery. D.
Encourage fluids.
Answer: B
Rationale: Rapid stroke assessment and intervention improve outcomes.
6.
Which electrolyte imbalance is expected with prolonged vomiting?
A. Hyperkalemia B. Hypokalemia C. Hypercalcemia D. Hypermagnesemia
Answer: B
Rationale: Vomiting causes potassium loss.
7.
Which assessment finding is expected in left-sided heart failure?
A. Ascites B. Jugular vein distention C. Crackles in the lungs D. Peripheral edema only
Answer: C
Rationale: Pulmonary congestion causes crackles.
8.
A nurse is teaching about warfarin therapy. Which statement indicates understanding?
A. “I’ll eat unlimited spinach.” B. “I’ll report unusual bleeding.” C. “I don’t need blood
tests.” D. “Ibuprofen is safe.”
Answer: B
Rationale: Bleeding is the major complication.
9.
Which client is at greatest risk for pressure injuries?
A. Ambulatory client B. Client on bedrest with poor nutrition C. Client with seasonal
allergies D. Client receiving antibiotics
, Answer: B
Rationale: Immobility and malnutrition greatly increase risk.
10.
Which action prevents catheter-associated urinary tract infections?
A. Disconnect tubing daily. B. Keep drainage bag below bladder level. C. Irrigate every
shift. D. Empty bag once weekly.
Answer: B
Rationale: Prevents urine backflow.
11.
A client receiving opioids has a respiratory rate of 8/min. Which medication should the
nurse anticipate?
A. Flumazenil B. Naloxone C. Protamine sulfate D. Vitamin K
Answer: B
Rationale: Naloxone reverses opioid-induced respiratory depression.
12.
Which laboratory result requires immediate reporting?
A. Sodium 139 mEq/L B. Potassium 6.2 mEq/L C. Calcium 9.1 mg/dL D. Magnesium 2.0
mg/dL
Answer: B
Rationale: Hyperkalemia can cause fatal dysrhythmias.
13.
A nurse is caring for a client after thyroidectomy. Which finding requires immediate
intervention?
A. Hoarse voice B. Tingling around the mouth C. Pain 5/10 D. Mild nausea
Answer: B
Rationale: Tingling suggests hypocalcemia from parathyroid injury.
14.
