ATI RN Comprehensive Predictor Exit Level 3 Exam – 180
NGN-Style Practice Questions with Answers & Rationales
Question 1
A competent adult client refuses a blood transfusion for religious reasons. Which actions should
the nurse take? (Select all that apply.)
A. Verify the client understands risks
B. Document the refusal
C. Administer the transfusion if Hgb is critical
D. Notify the provider
E. Ask the family to override the decision
Answers: A, B, D
,Rationale: Competent adults have autonomy. The nurse ensures informed refusal, documents,
and notifies the provider.
Question 2
Which client should the nurse assess first?
A. Post-op day 2 with pain 6/10
B. COPD client with O₂ sat 88% on room air
C. Client waiting for discharge teaching
D. Stable diabetic requesting a snack
Answer: B
Rationale: Airway and oxygenation take priority.
Question 3
Condition: Sepsis
Cause:
Infection
Inflammatory response
,Actions:
Administer broad-spectrum antibiotics
Obtain blood cultures
Start IV fluids
Outcomes:
Improved BP
Decreased lactate
Correct linkage: All actions correctly address the condition.
Question 4
Which findings indicate digoxin toxicity?
A. Bradycardia
B. Green-yellow halos
C. Hypokalemia
D. Tachycardia
, E. Hyperkalemia
Answers: A, B, C
Rationale: Low potassium increases digoxin toxicity; visual disturbances and bradycardia are
classic signs.
Question 5
Which task can the RN delegate to an AP?
A. Assess pain
B. Reinforce teaching
C. Obtain vital signs on stable client
D. Administer IV antibiotics
Answer: C
Rationale: APs can perform routine, non-assessment tasks.
Question 6
Intervention Prevents Infection Treats Infection
Hand hygiene
Antibiotics
NGN-Style Practice Questions with Answers & Rationales
Question 1
A competent adult client refuses a blood transfusion for religious reasons. Which actions should
the nurse take? (Select all that apply.)
A. Verify the client understands risks
B. Document the refusal
C. Administer the transfusion if Hgb is critical
D. Notify the provider
E. Ask the family to override the decision
Answers: A, B, D
,Rationale: Competent adults have autonomy. The nurse ensures informed refusal, documents,
and notifies the provider.
Question 2
Which client should the nurse assess first?
A. Post-op day 2 with pain 6/10
B. COPD client with O₂ sat 88% on room air
C. Client waiting for discharge teaching
D. Stable diabetic requesting a snack
Answer: B
Rationale: Airway and oxygenation take priority.
Question 3
Condition: Sepsis
Cause:
Infection
Inflammatory response
,Actions:
Administer broad-spectrum antibiotics
Obtain blood cultures
Start IV fluids
Outcomes:
Improved BP
Decreased lactate
Correct linkage: All actions correctly address the condition.
Question 4
Which findings indicate digoxin toxicity?
A. Bradycardia
B. Green-yellow halos
C. Hypokalemia
D. Tachycardia
, E. Hyperkalemia
Answers: A, B, C
Rationale: Low potassium increases digoxin toxicity; visual disturbances and bradycardia are
classic signs.
Question 5
Which task can the RN delegate to an AP?
A. Assess pain
B. Reinforce teaching
C. Obtain vital signs on stable client
D. Administer IV antibiotics
Answer: C
Rationale: APs can perform routine, non-assessment tasks.
Question 6
Intervention Prevents Infection Treats Infection
Hand hygiene
Antibiotics
