ATI PN COMPREHENSIVE PREDICTOR
EXIT EXAM | NGN FINAL VERSION |
QUESTIONS AND CORRECT ANSWERS
WITH RATIONALES GRADED A+
LATEST
1. A nurse is caring for a client with chronic heart failure who reports
increased shortness of breath and swelling in the ankles. Which intervention
should the nurse prioritize?
A. Encourage increased fluid intake
B. Administer prescribed diuretic
C. Provide a high-sodium snack
D. Increase the room temperature
Answer: B
Rationale: Diuretics reduce fluid overload, relieve edema, and improve breathing.
Fluid restriction and sodium restriction are also common, but the priority is to treat
fluid overload.
,2. A client with diabetes mellitus has a blood glucose level of 320 mg/dL and
reports nausea. Which finding is most concerning?
A. Dry mouth
B. Fruity breath odor
C. Mild headache
D. Hunger
Answer: B
Rationale: Fruity breath indicates ketone buildup and possible diabetic
ketoacidosis (DKA), which is an emergency.
3. A nurse is teaching a client about taking warfarin. Which statement
indicates the client understands the teaching?
A. “I will take aspirin for headaches.”
B. “I will eat the same amount of leafy greens daily.”
C. “I can stop the medication once I feel better.”
D. “I will take my medication only when my INR is high.”
Answer: B
Rationale: Consistent vitamin K intake prevents INR fluctuations. Aspirin
increases bleeding risk and warfarin should not be stopped without provider
approval.
4. A client is admitted with suspected stroke. Which action should the nurse
perform first?
A. Obtain a detailed neurological history
B. Check blood glucose level
C. Prepare for CT scan
D. Administer aspirin
Answer: B
Rationale: Hypoglycemia can mimic stroke symptoms and must be ruled out
immediately.
,5. A client with COPD is receiving oxygen at 2 L/min via nasal cannula. The
nurse notes increased confusion and drowsiness. What should the nurse do
first?
A. Increase oxygen flow rate
B. Call the physician
C. Assess respiratory status and ABGs
D. Encourage the client to cough
Answer: C
Rationale: Confusion may indicate CO2 retention; assess respiratory status and
ABGs before changing oxygen therapy.
6. A postoperative client is receiving morphine PCA. The nurse should
monitor for which adverse effect?
A. Hypertension
B. Bradycardia
C. Respiratory depression
D. Hyperactivity
Answer: C
Rationale: Opioids can suppress respiratory drive; monitoring is essential.
7. A client with a urinary catheter reports lower abdominal discomfort. The
nurse notes the urine is cloudy and foul-smelling. What is the priority action?
A. Change the catheter
B. Increase fluid intake
C. Collect a urine specimen for culture
D. Provide a heating pad
Answer: C
Rationale: Cloudy, foul urine suggests infection. Culture confirms diagnosis
before antibiotics are started.
, 8. A nurse is caring for a client with hypothyroidism. Which symptom is
expected?
A. Weight loss
B. Heat intolerance
C. Bradycardia
D. Tremors
Answer: C
Rationale: Hypothyroidism causes slowed metabolism, resulting in bradycardia,
weight gain, and cold intolerance.
9. A client with an NG tube for gastric decompression becomes restless and
complains of nausea. What should the nurse do first?
A. Reposition the client
B. Check tube placement
C. Increase suction
D. Administer antiemetic
Answer: B
Rationale: Restlessness and nausea may indicate tube displacement or obstruction.
Confirm placement before interventions.
10. A client is scheduled for surgery and refuses to sign the consent form.
What should the nurse do?
A. Explain the risks again
B. Document refusal and notify the provider
C. Have family sign instead
D. Proceed with surgery anyway
Answer: B
Rationale: Consent is required; refusal must be documented and reported. Family
cannot sign unless designated.
EXIT EXAM | NGN FINAL VERSION |
QUESTIONS AND CORRECT ANSWERS
WITH RATIONALES GRADED A+
LATEST
1. A nurse is caring for a client with chronic heart failure who reports
increased shortness of breath and swelling in the ankles. Which intervention
should the nurse prioritize?
A. Encourage increased fluid intake
B. Administer prescribed diuretic
C. Provide a high-sodium snack
D. Increase the room temperature
Answer: B
Rationale: Diuretics reduce fluid overload, relieve edema, and improve breathing.
Fluid restriction and sodium restriction are also common, but the priority is to treat
fluid overload.
,2. A client with diabetes mellitus has a blood glucose level of 320 mg/dL and
reports nausea. Which finding is most concerning?
A. Dry mouth
B. Fruity breath odor
C. Mild headache
D. Hunger
Answer: B
Rationale: Fruity breath indicates ketone buildup and possible diabetic
ketoacidosis (DKA), which is an emergency.
3. A nurse is teaching a client about taking warfarin. Which statement
indicates the client understands the teaching?
A. “I will take aspirin for headaches.”
B. “I will eat the same amount of leafy greens daily.”
C. “I can stop the medication once I feel better.”
D. “I will take my medication only when my INR is high.”
Answer: B
Rationale: Consistent vitamin K intake prevents INR fluctuations. Aspirin
increases bleeding risk and warfarin should not be stopped without provider
approval.
4. A client is admitted with suspected stroke. Which action should the nurse
perform first?
A. Obtain a detailed neurological history
B. Check blood glucose level
C. Prepare for CT scan
D. Administer aspirin
Answer: B
Rationale: Hypoglycemia can mimic stroke symptoms and must be ruled out
immediately.
,5. A client with COPD is receiving oxygen at 2 L/min via nasal cannula. The
nurse notes increased confusion and drowsiness. What should the nurse do
first?
A. Increase oxygen flow rate
B. Call the physician
C. Assess respiratory status and ABGs
D. Encourage the client to cough
Answer: C
Rationale: Confusion may indicate CO2 retention; assess respiratory status and
ABGs before changing oxygen therapy.
6. A postoperative client is receiving morphine PCA. The nurse should
monitor for which adverse effect?
A. Hypertension
B. Bradycardia
C. Respiratory depression
D. Hyperactivity
Answer: C
Rationale: Opioids can suppress respiratory drive; monitoring is essential.
7. A client with a urinary catheter reports lower abdominal discomfort. The
nurse notes the urine is cloudy and foul-smelling. What is the priority action?
A. Change the catheter
B. Increase fluid intake
C. Collect a urine specimen for culture
D. Provide a heating pad
Answer: C
Rationale: Cloudy, foul urine suggests infection. Culture confirms diagnosis
before antibiotics are started.
, 8. A nurse is caring for a client with hypothyroidism. Which symptom is
expected?
A. Weight loss
B. Heat intolerance
C. Bradycardia
D. Tremors
Answer: C
Rationale: Hypothyroidism causes slowed metabolism, resulting in bradycardia,
weight gain, and cold intolerance.
9. A client with an NG tube for gastric decompression becomes restless and
complains of nausea. What should the nurse do first?
A. Reposition the client
B. Check tube placement
C. Increase suction
D. Administer antiemetic
Answer: B
Rationale: Restlessness and nausea may indicate tube displacement or obstruction.
Confirm placement before interventions.
10. A client is scheduled for surgery and refuses to sign the consent form.
What should the nurse do?
A. Explain the risks again
B. Document refusal and notify the provider
C. Have family sign instead
D. Proceed with surgery anyway
Answer: B
Rationale: Consent is required; refusal must be documented and reported. Family
cannot sign unless designated.
