RN ATI COMPREHENSIVE PREDICTOR
EXIT ASSESSMENT 2026/2027. 50
QUESTIONS AND 100% CORRECT
ANSWERS
1. A nurse is caring for a client who is in the active phase of labor and has a fetal heart rate
(FHR) pattern showing late decelerations. Which of the following actions should the nurse
prioritize?
A. Administer oxygen at 8 to 10 L/min via a nonrebreather mask.
B. Assist the client into a lithotomy position.
C. Increase the rate of the oxytocin infusion.
D. Perform a vaginal exam to check for cord prolapse.
Answer: A
Conceptual Explanation: Late decelerations indicate uteroplacental insufficiency. The
priority intervention is to improve fetal oxygenation, which involves turning the client to a
lateral position, increasing IV fluids, and administering oxygen.
,2. A nurse is preparing to administer digoxin 0.125 mg PO to an adult client. Which of the
following findings should the nurse report to the provider before administration?
A. Heart rate of 72/min.
B. Digoxin level of 0.8 ng/mL.
C. Potassium level of 3.1 mEq/L.
D. Blood pressure of 142/92 mmHg.
Answer: C
Conceptual Explanation: Hypokalemia (potassium < 3.5 mEq/L) significantly increases
the risk of digoxin toxicity. Digoxin levels should be 0.5-2.0 ng/mL, and the heart rate
should be above 60/min.
3. A nurse is assessing a client who has a chest tube connected to a suction drainage system.
The nurse notes continuous bubbling in the water seal chamber. Which of the following is an
appropriate interpretation?
A. The system is functioning correctly.
B. There is an air leak in the system.
C. The client has developed a tension pneumothorax.
D. The suction pressure is set too high.
Answer: B
, Conceptual Explanation: Continuous bubbling in the water seal chamber indicates an air
leak. Intermittent bubbling is normal during expiration or coughing in a client with a
pneumothorax, but continuous bubbling requires immediate intervention.
4. A nurse is caring for a client with end-stage renal disease (ESRD). Which of the following lab
values should the nurse expect to find?
A. Hypophosphatemia.
B. Hypercalcemia.
C. Elevated BUN and Creatinine.
D. Metabolic alkalosis.
Answer: C
Conceptual Explanation: ESRD leads to the accumulation of nitrogenous wastes (elevated
BUN/Creatinine). Clients typically experience hyperphosphatemia, hypocalcemia, and
metabolic acidosis.
5. A nurse in the emergency department is assessing a client with suspected epiglottitis.
Which of the following actions should the nurse avoid?
A. Auscultating breath sounds.
B. Obtaining a throat culture.
C. Administering humidified oxygen.
D. Monitoring pulse oximetry.
EXIT ASSESSMENT 2026/2027. 50
QUESTIONS AND 100% CORRECT
ANSWERS
1. A nurse is caring for a client who is in the active phase of labor and has a fetal heart rate
(FHR) pattern showing late decelerations. Which of the following actions should the nurse
prioritize?
A. Administer oxygen at 8 to 10 L/min via a nonrebreather mask.
B. Assist the client into a lithotomy position.
C. Increase the rate of the oxytocin infusion.
D. Perform a vaginal exam to check for cord prolapse.
Answer: A
Conceptual Explanation: Late decelerations indicate uteroplacental insufficiency. The
priority intervention is to improve fetal oxygenation, which involves turning the client to a
lateral position, increasing IV fluids, and administering oxygen.
,2. A nurse is preparing to administer digoxin 0.125 mg PO to an adult client. Which of the
following findings should the nurse report to the provider before administration?
A. Heart rate of 72/min.
B. Digoxin level of 0.8 ng/mL.
C. Potassium level of 3.1 mEq/L.
D. Blood pressure of 142/92 mmHg.
Answer: C
Conceptual Explanation: Hypokalemia (potassium < 3.5 mEq/L) significantly increases
the risk of digoxin toxicity. Digoxin levels should be 0.5-2.0 ng/mL, and the heart rate
should be above 60/min.
3. A nurse is assessing a client who has a chest tube connected to a suction drainage system.
The nurse notes continuous bubbling in the water seal chamber. Which of the following is an
appropriate interpretation?
A. The system is functioning correctly.
B. There is an air leak in the system.
C. The client has developed a tension pneumothorax.
D. The suction pressure is set too high.
Answer: B
, Conceptual Explanation: Continuous bubbling in the water seal chamber indicates an air
leak. Intermittent bubbling is normal during expiration or coughing in a client with a
pneumothorax, but continuous bubbling requires immediate intervention.
4. A nurse is caring for a client with end-stage renal disease (ESRD). Which of the following lab
values should the nurse expect to find?
A. Hypophosphatemia.
B. Hypercalcemia.
C. Elevated BUN and Creatinine.
D. Metabolic alkalosis.
Answer: C
Conceptual Explanation: ESRD leads to the accumulation of nitrogenous wastes (elevated
BUN/Creatinine). Clients typically experience hyperphosphatemia, hypocalcemia, and
metabolic acidosis.
5. A nurse in the emergency department is assessing a client with suspected epiglottitis.
Which of the following actions should the nurse avoid?
A. Auscultating breath sounds.
B. Obtaining a throat culture.
C. Administering humidified oxygen.
D. Monitoring pulse oximetry.
