ATI PN COMPREHENSIVE PREDICTOR
2026/2027 EXIT EXAM MOCK TEST
1. A nurse is caring for a client with end-stage renal disease (ESRD). Which of the following
findings should the nurse identify as a manifestation of uremic syndrome?
A. Hypokalemia
B. Increased urinary output
C. Crystallized deposits on the skin
D. Hypotension
Answer: C
Conceptual Explanation: Uremic frost, or crystallized urea deposits on the skin, is a
manifestation of uremic syndrome in ESRD due to high levels of urea in the sweat.
2. A nurse is administering digoxin to a client with heart failure. Which of the following
electrolyte imbalances increases the risk for digoxin toxicity?
A. Hypercalcemia
B. Hypernatremia
C. Hypomagnesemia
,D. Hypokalemia
Answer: D
Conceptual Explanation: Hypokalemia (low potassium) sensitizes the myocardium to
digoxin, significantly increasing the risk of toxicity even if the digoxin level is within the
therapeutic range.
3. A nurse is caring for a client following a thyroidectomy. Which of the following findings
should the nurse prioritize as an indication of a potential complication?
A. Sore throat when swallowing
B. Serosanguineous drainage on the dressing
C. Laryngeal stridor
D. Muscle soreness in the neck
Answer: C
Conceptual Explanation: Laryngeal stridor indicates airway obstruction, which can be
caused by laryngeal nerve damage or hypocalcemic tetany, and is a life-threatening
emergency.
4. A nurse is reinforcing teaching with a client who has a new prescription for lithium
carbonate to treat bipolar disorder. Which of the following instructions should the nurse
include?
A. Limit sodium intake to 1 gram per day.
, B. Expect a weight loss of 2 to 3 pounds in the first week.
C. Maintain a consistent fluid intake of 2 to 3 liters per day.
D. Take the medication on an empty stomach.
Answer: C
Conceptual Explanation: Lithium is a salt; maintaining adequate and consistent fluid
intake (2-3 L/day) and sodium intake prevents lithium toxicity.
5. A nurse in a long-term care facility is observing an assistive personnel (AP) repositioning a
client using a draw sheet. Which of the following actions by the AP indicates a need for
further instruction?
A. The AP lowers the side rails on the side they are working.
B. The AP stands with feet together while pulling.
C. The AP places the client’s arms across their chest.
D. The AP uses a smooth, synchronized motion with another staff member.
Answer: B
Conceptual Explanation: To maintain proper body mechanics and a broad base of
support, the AP should stand with feet shoulder-width apart, not together.
6. A nurse is caring for a client who has a prescription for a magnesium sulfate IV infusion for
preeclampsia. Which of the following findings should the nurse report to the provider?
A. Urine output of 40 mL/hr
2026/2027 EXIT EXAM MOCK TEST
1. A nurse is caring for a client with end-stage renal disease (ESRD). Which of the following
findings should the nurse identify as a manifestation of uremic syndrome?
A. Hypokalemia
B. Increased urinary output
C. Crystallized deposits on the skin
D. Hypotension
Answer: C
Conceptual Explanation: Uremic frost, or crystallized urea deposits on the skin, is a
manifestation of uremic syndrome in ESRD due to high levels of urea in the sweat.
2. A nurse is administering digoxin to a client with heart failure. Which of the following
electrolyte imbalances increases the risk for digoxin toxicity?
A. Hypercalcemia
B. Hypernatremia
C. Hypomagnesemia
,D. Hypokalemia
Answer: D
Conceptual Explanation: Hypokalemia (low potassium) sensitizes the myocardium to
digoxin, significantly increasing the risk of toxicity even if the digoxin level is within the
therapeutic range.
3. A nurse is caring for a client following a thyroidectomy. Which of the following findings
should the nurse prioritize as an indication of a potential complication?
A. Sore throat when swallowing
B. Serosanguineous drainage on the dressing
C. Laryngeal stridor
D. Muscle soreness in the neck
Answer: C
Conceptual Explanation: Laryngeal stridor indicates airway obstruction, which can be
caused by laryngeal nerve damage or hypocalcemic tetany, and is a life-threatening
emergency.
4. A nurse is reinforcing teaching with a client who has a new prescription for lithium
carbonate to treat bipolar disorder. Which of the following instructions should the nurse
include?
A. Limit sodium intake to 1 gram per day.
, B. Expect a weight loss of 2 to 3 pounds in the first week.
C. Maintain a consistent fluid intake of 2 to 3 liters per day.
D. Take the medication on an empty stomach.
Answer: C
Conceptual Explanation: Lithium is a salt; maintaining adequate and consistent fluid
intake (2-3 L/day) and sodium intake prevents lithium toxicity.
5. A nurse in a long-term care facility is observing an assistive personnel (AP) repositioning a
client using a draw sheet. Which of the following actions by the AP indicates a need for
further instruction?
A. The AP lowers the side rails on the side they are working.
B. The AP stands with feet together while pulling.
C. The AP places the client’s arms across their chest.
D. The AP uses a smooth, synchronized motion with another staff member.
Answer: B
Conceptual Explanation: To maintain proper body mechanics and a broad base of
support, the AP should stand with feet shoulder-width apart, not together.
6. A nurse is caring for a client who has a prescription for a magnesium sulfate IV infusion for
preeclampsia. Which of the following findings should the nurse report to the provider?
A. Urine output of 40 mL/hr
