ATI PN COMPREHENSIVE PREDICTOR
EXIT EXAM WITH NGN QUESTIONS
AND ANSWERS
1. A nurse is caring for a client who is 4 hours postoperative following a subtotal
thyroidectomy. Which of the following findings should the nurse report to the provider first?
A. Sore throat when swallowing
B. Laryngeal stridor
C. Heart rate of 92/min
D. Incisional pain reported as 6 on a 1-10 scale
Answer: B
Conceptual Explanation: Laryngeal stridor is a sign of upper airway obstruction and
indicates a medical emergency. The other findings are expected or less urgent than airway
compromise.
2. A nurse is preparing to administer digoxin to a client with heart failure. Which of the
following laboratory results should the nurse review before administration?
A. Serum sodium level
B. Serum creatinine level
,C. Serum calcium level
D. Serum potassium level
Answer: D
Conceptual Explanation: Hypokalemia (low potassium) increases the risk of digoxin
toxicity, so the nurse must check potassium levels before giving the medication.
3. A nurse is reinforcing teaching with a client who has a new prescription for warfarin. Which
of the following instructions should the nurse include?
A. Report any black, tarry stools to the provider.
B. Use a firm-bristled toothbrush for oral care.
C. Take aspirin for minor headaches.
D. Increase intake of dark green leafy vegetables.
E.
Answer: A
Conceptual Explanation: Black, tarry stools can indicate gastrointestinal bleeding, a
serious side effect of anticoagulant therapy. Vitamin K in green vegetables should be
consistent, not increased, and soft brushes should be used.
4. A nurse is monitoring a client who is receiving a blood transfusion. Which of the following
findings indicates a hemolytic transfusion reaction?
A. Low back pain and apprehension
, B. Urticaria and itching
C. Distended neck veins and dyspnea
D. Fever and chills without pain
Answer: A
Conceptual Explanation: Low back pain, apprehension, and hypotension are classic signs
of a hemolytic reaction caused by blood incompatibility. Urticaria is allergic; distended
veins indicate fluid overload.
5. A nurse is caring for a client who has a new prescription for lithium carbonate to treat
bipolar disorder. Which of the following statements by the client indicates an understanding
of the teaching?
A. I will limit my fluid intake to 1 liter per day.
B. I should eat a low-sodium diet while taking this medication.
C. I will call my doctor if I experience excessive thirst or diarrhea.
D. I can stop taking the medication once my mood stabilizes.
Answer: C
Conceptual Explanation: Excessive thirst and diarrhea are early signs of lithium toxicity.
Clients should maintain normal sodium intake and high fluid intake (2-3 L/day) to prevent
toxicity.
EXIT EXAM WITH NGN QUESTIONS
AND ANSWERS
1. A nurse is caring for a client who is 4 hours postoperative following a subtotal
thyroidectomy. Which of the following findings should the nurse report to the provider first?
A. Sore throat when swallowing
B. Laryngeal stridor
C. Heart rate of 92/min
D. Incisional pain reported as 6 on a 1-10 scale
Answer: B
Conceptual Explanation: Laryngeal stridor is a sign of upper airway obstruction and
indicates a medical emergency. The other findings are expected or less urgent than airway
compromise.
2. A nurse is preparing to administer digoxin to a client with heart failure. Which of the
following laboratory results should the nurse review before administration?
A. Serum sodium level
B. Serum creatinine level
,C. Serum calcium level
D. Serum potassium level
Answer: D
Conceptual Explanation: Hypokalemia (low potassium) increases the risk of digoxin
toxicity, so the nurse must check potassium levels before giving the medication.
3. A nurse is reinforcing teaching with a client who has a new prescription for warfarin. Which
of the following instructions should the nurse include?
A. Report any black, tarry stools to the provider.
B. Use a firm-bristled toothbrush for oral care.
C. Take aspirin for minor headaches.
D. Increase intake of dark green leafy vegetables.
E.
Answer: A
Conceptual Explanation: Black, tarry stools can indicate gastrointestinal bleeding, a
serious side effect of anticoagulant therapy. Vitamin K in green vegetables should be
consistent, not increased, and soft brushes should be used.
4. A nurse is monitoring a client who is receiving a blood transfusion. Which of the following
findings indicates a hemolytic transfusion reaction?
A. Low back pain and apprehension
, B. Urticaria and itching
C. Distended neck veins and dyspnea
D. Fever and chills without pain
Answer: A
Conceptual Explanation: Low back pain, apprehension, and hypotension are classic signs
of a hemolytic reaction caused by blood incompatibility. Urticaria is allergic; distended
veins indicate fluid overload.
5. A nurse is caring for a client who has a new prescription for lithium carbonate to treat
bipolar disorder. Which of the following statements by the client indicates an understanding
of the teaching?
A. I will limit my fluid intake to 1 liter per day.
B. I should eat a low-sodium diet while taking this medication.
C. I will call my doctor if I experience excessive thirst or diarrhea.
D. I can stop taking the medication once my mood stabilizes.
Answer: C
Conceptual Explanation: Excessive thirst and diarrhea are early signs of lithium toxicity.
Clients should maintain normal sodium intake and high fluid intake (2-3 L/day) to prevent
toxicity.
