• ATI RN
Comprehensive 09/08/2026
Predictor
Ultimate ATI RN Comprehensive Predictor
2026 Exit Exam 2: 180 NGN Elite Level 3
Questions with Answers for Guaranteed Level
3 Pass and First Attempt– (2026) Actual
Questions & Answers (Chamberlain) 100%
Guarantee Pass
A nurse in the cardiac care unit (CCU) is told that a client with a diagnosis of myocardial infarction (MI) will be
admitted from the emergency department (ED). Which item does the nurse give priority to placing at the client's
bedside?
P 1
, • ATI RN
Comprehensive 09/08/2026
Predictor
Bedside commode
Suctioning equipment
Electrocardiography machine
Oxygen cannula and flowmeter –
Correct Answer :Oxygen cannula and flowmeter
Rationale: The oxygen cannula and flowmeter are the priority. The client will require oxygen therapy after
myocardial infarction to improve oxygen supply to the myocardium and ease the pain resulting from ischemia.
Suctioning equipment is not the priority item but may be needed if a complication occurs. An electrocardiogram
machine and bedside commode may be necessary but are not the priority items.
A laxative has been prescribed for a client with diminished colonic motor response as a means of promoting
defecation. The nurse provides information to the client about the medication. What does the nurse tell the
client to do?
Increase fluid intake
Consume low-fiber foods
Consume foods that are low in potassium
Contact the primary health care provider if the urine turns yellow-brown –
Correct Answer :Increase fluid intake
Rationale: The nurse encourages the client to increase fluid intake, to consume a high-fiber diet, and to exercise.
Hypokalemia may result from use of a laxative, so the nurse encourages the client to consume foods high in
potassium. The client's urine may turn pink-red, red-violet, red-brown, or yellow-brown, but the client is told that
this is a temporary, harmless effect.
P 2
, • ATI RN
Comprehensive 09/08/2026
Predictor
Cyclobenzaprine is prescribed to a client with multiple sclerosis for the treatment of muscle spasms. For which
common side effect of this medication does the nurse monitor the client?
Diarrhea
Drowsiness
Abdominal pain
Increased salivation –
Correct Answer :Drowsiness
Rationale: Drowsiness, dizziness, and dry mouth are the most common side effects of cyclobenzaprine.
Cyclobenzaprine is a centrally acting skeletal muscle relaxant used in the management of muscle spasm
accompanying a variety of conditions. Rare side effects include fatigue, tiredness, blurred vision, headache,
nervousness, confusion, nausea, constipation, dyspepsia, and an unpleasant taste in the mouth.
A nurse administers nitroglycerin sublingually to a client diagnosed with angina pectoris who reports chest pain.
The medication is ineffective, so the nurse prepares to administer a second dose. Before administering the
nitroglycerin, which action does the nurse make a priority?
Checking the client's blood pressure
Obtaining blood levels of cardiac enzymes
Asking the client if experiencing headache
Obtaining a 12-lead electrocardiogram (ECG) - Correct Answer :Checking the client's blood pressure
Rationale: Nitroglycerin is a nitrate that dilates the coronary arteries. One adverse effect of the medication is
hypotension, and the nurse would assess the blood pressure and apical pulse before administration and
periodically after the dose is given. Blood levels of cardiac enzymes are obtained if prescribed, but the priority is
checking the client's blood pressure. Headache is a frequent side effect of the medication, mostly early in
therapy and usually disappearing with continued treatment. It is not necessary to obtain a 12-lead ECG before
P 3
, • ATI RN
Comprehensive 09/08/2026
Predictor
administering a second dose of nitroglycerin unless this is prescribed by the primary health care provider.
However, the client receiving intravenous nitroglycerin must have continuous ECG monitoring.
Ciprofloxacin hydrochloride is prescribed to a client with a urinary tract infection. The nurse provides instruction
about the medication. What does the nurse tell the client about how best to take the medication?
With milk
With an antacid
2 hours after meals
With aluminum hydroxide
- Correct Answer :2 hours after meals
Rationale: Ciprofloxacin hydrochloride is an anti-infective in the fluoroquinolone family. It may be taken without
regard to meals, but the best dosing time is 2 hours after a meal. Milk may affect absorption. Antacids (here,
aluminum hydroxide) may reduce absorption and should be administered 2 hours apart from the ciprofloxacin
hydrochloride.
A nurse provides home care instructions to a client with coronary artery disease (CAD) who is being discharged
from the hospital. Which statement by the client indicates a need for further instruction?
"I need to carry my nitroglycerin with me at all times."
"I need to check my pulse before, during, and after exercise."
"I need to avoid foods with saturated fats and foods high in cholesterol."
"I need to participate in aerobic and weightlifting exercise three times a week." - Correct Answer :"I need to
participate in aerobic and weightlifting exercise three times a week."
Rationale: There is a need for further instruction if the client states, "I need to participate in aerobic and
weightlifting exercise three times a week." The client should avoid activities that involve straining, including
weightlifting, push-ups and pull-ups, and straining during bowel movements. The client with CAD should
participate in a simple exercise program on a regular basis. The client may begin a simple walking program by
P 4
Comprehensive 09/08/2026
Predictor
Ultimate ATI RN Comprehensive Predictor
2026 Exit Exam 2: 180 NGN Elite Level 3
Questions with Answers for Guaranteed Level
3 Pass and First Attempt– (2026) Actual
Questions & Answers (Chamberlain) 100%
Guarantee Pass
A nurse in the cardiac care unit (CCU) is told that a client with a diagnosis of myocardial infarction (MI) will be
admitted from the emergency department (ED). Which item does the nurse give priority to placing at the client's
bedside?
P 1
, • ATI RN
Comprehensive 09/08/2026
Predictor
Bedside commode
Suctioning equipment
Electrocardiography machine
Oxygen cannula and flowmeter –
Correct Answer :Oxygen cannula and flowmeter
Rationale: The oxygen cannula and flowmeter are the priority. The client will require oxygen therapy after
myocardial infarction to improve oxygen supply to the myocardium and ease the pain resulting from ischemia.
Suctioning equipment is not the priority item but may be needed if a complication occurs. An electrocardiogram
machine and bedside commode may be necessary but are not the priority items.
A laxative has been prescribed for a client with diminished colonic motor response as a means of promoting
defecation. The nurse provides information to the client about the medication. What does the nurse tell the
client to do?
Increase fluid intake
Consume low-fiber foods
Consume foods that are low in potassium
Contact the primary health care provider if the urine turns yellow-brown –
Correct Answer :Increase fluid intake
Rationale: The nurse encourages the client to increase fluid intake, to consume a high-fiber diet, and to exercise.
Hypokalemia may result from use of a laxative, so the nurse encourages the client to consume foods high in
potassium. The client's urine may turn pink-red, red-violet, red-brown, or yellow-brown, but the client is told that
this is a temporary, harmless effect.
P 2
, • ATI RN
Comprehensive 09/08/2026
Predictor
Cyclobenzaprine is prescribed to a client with multiple sclerosis for the treatment of muscle spasms. For which
common side effect of this medication does the nurse monitor the client?
Diarrhea
Drowsiness
Abdominal pain
Increased salivation –
Correct Answer :Drowsiness
Rationale: Drowsiness, dizziness, and dry mouth are the most common side effects of cyclobenzaprine.
Cyclobenzaprine is a centrally acting skeletal muscle relaxant used in the management of muscle spasm
accompanying a variety of conditions. Rare side effects include fatigue, tiredness, blurred vision, headache,
nervousness, confusion, nausea, constipation, dyspepsia, and an unpleasant taste in the mouth.
A nurse administers nitroglycerin sublingually to a client diagnosed with angina pectoris who reports chest pain.
The medication is ineffective, so the nurse prepares to administer a second dose. Before administering the
nitroglycerin, which action does the nurse make a priority?
Checking the client's blood pressure
Obtaining blood levels of cardiac enzymes
Asking the client if experiencing headache
Obtaining a 12-lead electrocardiogram (ECG) - Correct Answer :Checking the client's blood pressure
Rationale: Nitroglycerin is a nitrate that dilates the coronary arteries. One adverse effect of the medication is
hypotension, and the nurse would assess the blood pressure and apical pulse before administration and
periodically after the dose is given. Blood levels of cardiac enzymes are obtained if prescribed, but the priority is
checking the client's blood pressure. Headache is a frequent side effect of the medication, mostly early in
therapy and usually disappearing with continued treatment. It is not necessary to obtain a 12-lead ECG before
P 3
, • ATI RN
Comprehensive 09/08/2026
Predictor
administering a second dose of nitroglycerin unless this is prescribed by the primary health care provider.
However, the client receiving intravenous nitroglycerin must have continuous ECG monitoring.
Ciprofloxacin hydrochloride is prescribed to a client with a urinary tract infection. The nurse provides instruction
about the medication. What does the nurse tell the client about how best to take the medication?
With milk
With an antacid
2 hours after meals
With aluminum hydroxide
- Correct Answer :2 hours after meals
Rationale: Ciprofloxacin hydrochloride is an anti-infective in the fluoroquinolone family. It may be taken without
regard to meals, but the best dosing time is 2 hours after a meal. Milk may affect absorption. Antacids (here,
aluminum hydroxide) may reduce absorption and should be administered 2 hours apart from the ciprofloxacin
hydrochloride.
A nurse provides home care instructions to a client with coronary artery disease (CAD) who is being discharged
from the hospital. Which statement by the client indicates a need for further instruction?
"I need to carry my nitroglycerin with me at all times."
"I need to check my pulse before, during, and after exercise."
"I need to avoid foods with saturated fats and foods high in cholesterol."
"I need to participate in aerobic and weightlifting exercise three times a week." - Correct Answer :"I need to
participate in aerobic and weightlifting exercise three times a week."
Rationale: There is a need for further instruction if the client states, "I need to participate in aerobic and
weightlifting exercise three times a week." The client should avoid activities that involve straining, including
weightlifting, push-ups and pull-ups, and straining during bowel movements. The client with CAD should
participate in a simple exercise program on a regular basis. The client may begin a simple walking program by
P 4
