NEXT GEN ATI RN Comprehensive Predictor Exit
Exam Level 3 2026 Newest Proctored Exit Exam |
Real Screenshot-Based Questions and Correct
Answers — Pass on First Attempt
Question 1 of 7
A nurse is caring for a client who has a new diagnosis of type 2 diabetes mellitus.
Which of the following statements by the client indicates an understanding of a
healthy eating plan?
A. "I will eat three large meals per day with no snacks."
B. "I should avoid all carbohydrates to control my blood sugar."
C. "I will include lean proteins and non-starchy vegetables in my meals."
D. "I can eat unlimited amounts of sugar-free desserts."
✓ C. "I will include lean proteins and non-starchy vegetables in my meals."
Rationale: A healthy eating plan for diabetes includes balanced meals with lean
proteins, non-starchy vegetables, and controlled carbohydrates. Large meals and
avoiding all carbs are not recommended. Sugar-free desserts still contain
carbohydrates and calories.
Question 2 of 7
A nurse is preparing to administer a subcutaneous injection of heparin to a client.
Which of the following actions should the nurse take?
A. Aspirate before injecting.
B. Massage the site after injection.
C. Insert the needle at a 90-degree angle.
D. Administer into the deltoid muscle.
✓ C. Insert the needle at a 90-degree angle.
,*Rationale: Subcutaneous heparin is given at a 90-degree angle (or 45 if thin) into
the abdomen. Do not aspirate (risk of bleeding). Do not massage (increases
bruising/hematoma). Do not give IM.*
Question 3 of 7
A nurse is assessing a client who has a new diagnosis of hypothyroidism. Which of
the following findings should the nurse expect?
A. Weight loss
B. Diarrhea
C. Cold intolerance
D. Tachycardia
✓ C. Cold intolerance
Rationale: Hypothyroidism causes decreased metabolic rate, leading to cold
intolerance, weight gain, constipation, and bradycardia. Weight loss, diarrhea, and
tachycardia are seen in hyperthyroidism.
Question 4 of 7
A nurse is caring for a client who is receiving a blood transfusion. Fifteen minutes
after starting, the client reports low back pain and chills. Which of the following
actions should the nurse take first?
A. Administer acetaminophen.
B. Stop the transfusion.
C. Slow the infusion rate.
D. Obtain a urine sample.
✓ B. Stop the transfusion.
Rationale: Back pain and chills suggest an acute hemolytic reaction. The nurse must
stop the transfusion immediately, then keep the IV line open with saline and notify the
provider.
,Question 5 of 7
A nurse is providing discharge teaching to a client who has a new prescription for
warfarin. Which of the following statements by the client indicates an understanding
of the teaching?
A. "I will eat more green leafy vegetables."
B. "I will use a straight razor to shave."
C. "I will have my blood tested regularly as prescribed."
D. "I will take ibuprofen for my headaches."
✓ C. "I will have my blood tested regularly as prescribed."
Rationale: Regular INR monitoring is essential. Green leafy vegetables (vitamin K)
should be consistent, not increased. Use an electric razor to avoid bleeding. Ibuprofen
increases bleeding risk and should be avoided.
Question 6 of 7
A nurse is assessing a client who has a potassium level of 2.9 mEq/L. Which of the
following findings should the nurse expect?
A. Hyperactive bowel sounds
B. Muscle weakness
C. Tented T waves on ECG
D. Hypertension
✓ B. Muscle weakness
*Rationale: Hypokalemia (normal 3.5–5.0 mEq/L) causes muscle weakness,
hyporeflexia, ileus (hypoactive bowel sounds), flat T waves, and hypotension.
Hyperactive bowel sounds and tented T waves are seen in hyperkalemia.*
Question 7 of 7
A nurse is caring for a client who has a new prescription for lisinopril. Which of the
following adverse effects should the nurse instruct the client to report?
A. Dry, nonproductive cough
B. Increased urination
, C. Weight gain of 1 lb per week
D. Flushing of the face
✓ A. Dry, nonproductive cough
Rationale: Lisinopril (ACE inhibitor) commonly causes a persistent dry cough that may
require discontinuation. Weight gain from fluid retention is not typical; ACE inhibitors
cause vasodilation. Flushing is not common.
Question 8 of 180
A nurse is assessing a client who is 2 hours postoperative following abdominal
surgery. Which of the following findings should the nurse report to the provider first?
A. Heart rate of 110/min
B. Respiratory rate of 18/min
C. Temperature of 37.2°C (99°F)
D. Blood pressure of 110/70 mm Hg
✓ A. Heart rate of 110/min
Rationale: Tachycardia in the immediate postoperative period may indicate
hypovolemia, pain, or early shock. The nurse should report this finding first. The other
options are within normal limits.
Question 9 of 180
A nurse is caring for a client who has a new diagnosis of type 1 diabetes mellitus.
Which of the following statements by the client indicates an understanding of insulin
administration?
A. "I will store my unopened insulin vials in the freezer."
B. "I need to rotate injection sites within the same anatomic region."
C. "I should draw up the cloudy insulin before the clear insulin."
D. "I can use the same syringe for up to 3 days if I keep it clean."
✓ B. "I need to rotate injection sites within the same anatomic region."
Exam Level 3 2026 Newest Proctored Exit Exam |
Real Screenshot-Based Questions and Correct
Answers — Pass on First Attempt
Question 1 of 7
A nurse is caring for a client who has a new diagnosis of type 2 diabetes mellitus.
Which of the following statements by the client indicates an understanding of a
healthy eating plan?
A. "I will eat three large meals per day with no snacks."
B. "I should avoid all carbohydrates to control my blood sugar."
C. "I will include lean proteins and non-starchy vegetables in my meals."
D. "I can eat unlimited amounts of sugar-free desserts."
✓ C. "I will include lean proteins and non-starchy vegetables in my meals."
Rationale: A healthy eating plan for diabetes includes balanced meals with lean
proteins, non-starchy vegetables, and controlled carbohydrates. Large meals and
avoiding all carbs are not recommended. Sugar-free desserts still contain
carbohydrates and calories.
Question 2 of 7
A nurse is preparing to administer a subcutaneous injection of heparin to a client.
Which of the following actions should the nurse take?
A. Aspirate before injecting.
B. Massage the site after injection.
C. Insert the needle at a 90-degree angle.
D. Administer into the deltoid muscle.
✓ C. Insert the needle at a 90-degree angle.
,*Rationale: Subcutaneous heparin is given at a 90-degree angle (or 45 if thin) into
the abdomen. Do not aspirate (risk of bleeding). Do not massage (increases
bruising/hematoma). Do not give IM.*
Question 3 of 7
A nurse is assessing a client who has a new diagnosis of hypothyroidism. Which of
the following findings should the nurse expect?
A. Weight loss
B. Diarrhea
C. Cold intolerance
D. Tachycardia
✓ C. Cold intolerance
Rationale: Hypothyroidism causes decreased metabolic rate, leading to cold
intolerance, weight gain, constipation, and bradycardia. Weight loss, diarrhea, and
tachycardia are seen in hyperthyroidism.
Question 4 of 7
A nurse is caring for a client who is receiving a blood transfusion. Fifteen minutes
after starting, the client reports low back pain and chills. Which of the following
actions should the nurse take first?
A. Administer acetaminophen.
B. Stop the transfusion.
C. Slow the infusion rate.
D. Obtain a urine sample.
✓ B. Stop the transfusion.
Rationale: Back pain and chills suggest an acute hemolytic reaction. The nurse must
stop the transfusion immediately, then keep the IV line open with saline and notify the
provider.
,Question 5 of 7
A nurse is providing discharge teaching to a client who has a new prescription for
warfarin. Which of the following statements by the client indicates an understanding
of the teaching?
A. "I will eat more green leafy vegetables."
B. "I will use a straight razor to shave."
C. "I will have my blood tested regularly as prescribed."
D. "I will take ibuprofen for my headaches."
✓ C. "I will have my blood tested regularly as prescribed."
Rationale: Regular INR monitoring is essential. Green leafy vegetables (vitamin K)
should be consistent, not increased. Use an electric razor to avoid bleeding. Ibuprofen
increases bleeding risk and should be avoided.
Question 6 of 7
A nurse is assessing a client who has a potassium level of 2.9 mEq/L. Which of the
following findings should the nurse expect?
A. Hyperactive bowel sounds
B. Muscle weakness
C. Tented T waves on ECG
D. Hypertension
✓ B. Muscle weakness
*Rationale: Hypokalemia (normal 3.5–5.0 mEq/L) causes muscle weakness,
hyporeflexia, ileus (hypoactive bowel sounds), flat T waves, and hypotension.
Hyperactive bowel sounds and tented T waves are seen in hyperkalemia.*
Question 7 of 7
A nurse is caring for a client who has a new prescription for lisinopril. Which of the
following adverse effects should the nurse instruct the client to report?
A. Dry, nonproductive cough
B. Increased urination
, C. Weight gain of 1 lb per week
D. Flushing of the face
✓ A. Dry, nonproductive cough
Rationale: Lisinopril (ACE inhibitor) commonly causes a persistent dry cough that may
require discontinuation. Weight gain from fluid retention is not typical; ACE inhibitors
cause vasodilation. Flushing is not common.
Question 8 of 180
A nurse is assessing a client who is 2 hours postoperative following abdominal
surgery. Which of the following findings should the nurse report to the provider first?
A. Heart rate of 110/min
B. Respiratory rate of 18/min
C. Temperature of 37.2°C (99°F)
D. Blood pressure of 110/70 mm Hg
✓ A. Heart rate of 110/min
Rationale: Tachycardia in the immediate postoperative period may indicate
hypovolemia, pain, or early shock. The nurse should report this finding first. The other
options are within normal limits.
Question 9 of 180
A nurse is caring for a client who has a new diagnosis of type 1 diabetes mellitus.
Which of the following statements by the client indicates an understanding of insulin
administration?
A. "I will store my unopened insulin vials in the freezer."
B. "I need to rotate injection sites within the same anatomic region."
C. "I should draw up the cloudy insulin before the clear insulin."
D. "I can use the same syringe for up to 3 days if I keep it clean."
✓ B. "I need to rotate injection sites within the same anatomic region."
