Latest ATI PN Comprehensive Predictor 2026
Exit Exam Containing NGN and All 180
Questions and Answers
1. A nurse is caring for a client with dehydration. Which finding indicates fluid
volume deficit?
A. Bounding pulse
B. Crackles in lungs
C. Urine specific gravity 1.030
D. Weight gain 2 kg
Correct: C
Rationale: Increased urine specific gravity indicates concentrated urine
due to fluid deficit. Bounding pulse, crackles, and weight gain indicate fluid
excess.
2. A client is prescribed furosemide. Which lab value should the nurse
monitor?
A. Potassium
B. Calcium
C. Magnesium
D. Phosphorus
Correct: A
Rationale: Furosemide is a loop diuretic that causes potassium loss;
monitor for hypokalemia.
3. A nurse is teaching about warfarin. Which statement indicates
understanding?
A. “I will increase vitamin K foods.”
B. “I will use a soft toothbrush.”
C. “I will take aspirin for headaches.”
D. “I will double the dose if I miss one.”
Correct: B
, Rationale: Warfarin increases bleeding risk; a soft toothbrush reduces
gum bleeding. Vitamin K antagonizes warfarin, aspirin increases bleeding,
and doubling doses is dangerous.
4. A client with COPD. Which position promotes breathing?
A. Supine
B. High Fowler’s
C. Trendelenburg
D. Prone
Correct: B
Rationale: High Fowler’s allows maximum chest expansion and reduces
dyspnea.
5. A nurse is assessing a client with suspected appendicitis. Which sign is
expected?
A. Rebound tenderness at McBurney’s point
B. Left lower quadrant pain
C. Pain relieved by walking
D. Bloody diarrhea
Correct: A
Rationale: Appendicitis causes RLQ pain at McBurney’s point with
rebound tenderness.
6. A client is on isolation for C. difficile. Which PPE is required?
A. N95 respirator
B. Gown and gloves
C. Eye protection only
D. Surgical mask only
Correct: B
Rationale: C. diff requires contact precautions: gown and gloves. Hand
hygiene with soap and water.
7. A nurse is preparing to administer insulin. Which site is preferred for fastest
absorption?
, A. Abdomen
B. Thigh
C. Upper arm
D. Buttock
Correct: A
Rationale: The abdomen has the fastest absorption, then arms, thighs,
and buttocks.
8. A client with heart failure is prescribed digoxin. Which finding indicates
toxicity?
A. Heart rate 58
B. Visual disturbances
C. Weight loss
D. Blood pressure 130/80
Correct: B
Rationale: Digoxin toxicity signs include visual changes (yellow-green
halos), nausea, and bradycardia.
9. A nurse is caring for a client after cataract surgery. Which instruction is
correct?
A. Sleep on the operative side
B. Bend at the waist to pick up objects
C. Avoid lifting heavy objects
D. Rub the eye if itchy
Correct: C
Rationale: Avoid heavy lifting, bending, and rubbing the eye to prevent
increased intraocular pressure.
10.A client with preeclampsia is receiving magnesium sulfate. Which finding
indicates magnesium toxicity?
A. Deep tendon reflexes 2+
B. Respiratory rate 10/min
C. Urine output 50 mL/hr
D. Blood pressure 140/90
, Correct: B
Rationale: Magnesium toxicity causes respiratory depression (<12/min),
loss of DTRs, and oliguria. Antidote is calcium gluconate.
11.A nurse is teaching a client about levothyroxine. Which statement indicates
need for further teaching?
A. “I will take it in the morning before breakfast.”
B. “I will take it with an antacid.”
C. “I will report palpitations.”
D. “I will not stop abruptly.”
Correct: B
Rationale: Antacids decrease levothyroxine absorption; take on an
empty stomach 30–60 min before breakfast.
12.A client with a new colostomy. Which stoma appearance is normal?
A. Pale pink and dry
B. Dark purple and moist
C. Red and moist
D. Black and dry
Correct: C
Rationale: A normal stoma is red/pink, moist, like oral mucosa.
Dark/black indicates ischemia.
13.A nurse is assessing a client with increased intracranial pressure. Which
finding is an early sign?
A. Decreased level of consciousness
B. Fixed dilated pupils
C. Decerebrate posturing
D. Respiratory arrest
Correct: A
Rationale: The earliest sign of ICP is a change in LOC. Others are late
signs.
Exit Exam Containing NGN and All 180
Questions and Answers
1. A nurse is caring for a client with dehydration. Which finding indicates fluid
volume deficit?
A. Bounding pulse
B. Crackles in lungs
C. Urine specific gravity 1.030
D. Weight gain 2 kg
Correct: C
Rationale: Increased urine specific gravity indicates concentrated urine
due to fluid deficit. Bounding pulse, crackles, and weight gain indicate fluid
excess.
2. A client is prescribed furosemide. Which lab value should the nurse
monitor?
A. Potassium
B. Calcium
C. Magnesium
D. Phosphorus
Correct: A
Rationale: Furosemide is a loop diuretic that causes potassium loss;
monitor for hypokalemia.
3. A nurse is teaching about warfarin. Which statement indicates
understanding?
A. “I will increase vitamin K foods.”
B. “I will use a soft toothbrush.”
C. “I will take aspirin for headaches.”
D. “I will double the dose if I miss one.”
Correct: B
, Rationale: Warfarin increases bleeding risk; a soft toothbrush reduces
gum bleeding. Vitamin K antagonizes warfarin, aspirin increases bleeding,
and doubling doses is dangerous.
4. A client with COPD. Which position promotes breathing?
A. Supine
B. High Fowler’s
C. Trendelenburg
D. Prone
Correct: B
Rationale: High Fowler’s allows maximum chest expansion and reduces
dyspnea.
5. A nurse is assessing a client with suspected appendicitis. Which sign is
expected?
A. Rebound tenderness at McBurney’s point
B. Left lower quadrant pain
C. Pain relieved by walking
D. Bloody diarrhea
Correct: A
Rationale: Appendicitis causes RLQ pain at McBurney’s point with
rebound tenderness.
6. A client is on isolation for C. difficile. Which PPE is required?
A. N95 respirator
B. Gown and gloves
C. Eye protection only
D. Surgical mask only
Correct: B
Rationale: C. diff requires contact precautions: gown and gloves. Hand
hygiene with soap and water.
7. A nurse is preparing to administer insulin. Which site is preferred for fastest
absorption?
, A. Abdomen
B. Thigh
C. Upper arm
D. Buttock
Correct: A
Rationale: The abdomen has the fastest absorption, then arms, thighs,
and buttocks.
8. A client with heart failure is prescribed digoxin. Which finding indicates
toxicity?
A. Heart rate 58
B. Visual disturbances
C. Weight loss
D. Blood pressure 130/80
Correct: B
Rationale: Digoxin toxicity signs include visual changes (yellow-green
halos), nausea, and bradycardia.
9. A nurse is caring for a client after cataract surgery. Which instruction is
correct?
A. Sleep on the operative side
B. Bend at the waist to pick up objects
C. Avoid lifting heavy objects
D. Rub the eye if itchy
Correct: C
Rationale: Avoid heavy lifting, bending, and rubbing the eye to prevent
increased intraocular pressure.
10.A client with preeclampsia is receiving magnesium sulfate. Which finding
indicates magnesium toxicity?
A. Deep tendon reflexes 2+
B. Respiratory rate 10/min
C. Urine output 50 mL/hr
D. Blood pressure 140/90
, Correct: B
Rationale: Magnesium toxicity causes respiratory depression (<12/min),
loss of DTRs, and oliguria. Antidote is calcium gluconate.
11.A nurse is teaching a client about levothyroxine. Which statement indicates
need for further teaching?
A. “I will take it in the morning before breakfast.”
B. “I will take it with an antacid.”
C. “I will report palpitations.”
D. “I will not stop abruptly.”
Correct: B
Rationale: Antacids decrease levothyroxine absorption; take on an
empty stomach 30–60 min before breakfast.
12.A client with a new colostomy. Which stoma appearance is normal?
A. Pale pink and dry
B. Dark purple and moist
C. Red and moist
D. Black and dry
Correct: C
Rationale: A normal stoma is red/pink, moist, like oral mucosa.
Dark/black indicates ischemia.
13.A nurse is assessing a client with increased intracranial pressure. Which
finding is an early sign?
A. Decreased level of consciousness
B. Fixed dilated pupils
C. Decerebrate posturing
D. Respiratory arrest
Correct: A
Rationale: The earliest sign of ICP is a change in LOC. Others are late
signs.
