ATI PN Comprehensive Predictor
2023 Exit Exam with NGN: 50
Questions & 100% Correct
Answers | ATI PN Comprehensive
Predictor Exit Exam with NGN 180
Q & A: Latest Actual Exam Version
EXAM
Question 1
A practical nurse is caring for a client with heart failure who reports sudden shortness of
breath, crackles in lung bases, and jugular vein distention.
Complete the following bow-tie question by selecting one condition, one
intervention, and one monitoring parameter.
Potential Condition Potential Intervention Potential Monitoring Parameter
A. Dehydration D. Administer furosemide IV G. Serum potassium level
B. Pulmonary edema E. Place in Trendelenburg position H. Blood glucose level
C. Pneumothorax F. Restrict fluids to 500 mL/day I. Urine specific gravity
Answer: Condition: B. Pulmonary edema | Intervention: D. Administer furosemide IV |
Monitoring: G. Serum potassium level
,Rationale: Pulmonary edema is a life-threatening complication of heart failure.
Furosemide reduces preload and relieves pulmonary congestion. Potassium levels must
be monitored due to diuretic-induced hypokalemia.
Question 2
A nurse is reinforcing teaching with a client who has a new diagnosis of type 2 diabetes
mellitus. Which of the following statements indicate the client understands the
teaching? (Select all that apply.)
A. "I will check my blood glucose before meals."
B. "I can skip my medication if my glucose is normal."
C. "I should inspect my feet daily for cuts or blisters."
D. "I will avoid all carbohydrates in my diet."
E. "I need to carry a source of fast-acting sugar with me."
Answers: A, C, E
Rationale: Pre-meal glucose monitoring helps guide insulin/food intake. Daily foot
inspection prevents complications. Fast-acting sugar treats hypoglycemia. Medications
should not be skipped without provider guidance; carbohydrates are needed in
moderation.
Question 3
A nurse is caring for a client who is postoperative day 1 following a total knee
arthroplasty. The client reports pain rated 7/10 and the knee is warm, swollen, and
erythematous.
,Complete the following sentence using the dropdown options.
The nurse should first assess the client for _______________.
Options: A. fever and calf tenderness / B. surgical incision drainage / C. urinary output /
D. bowel sounds
Answer: A. fever and calf tenderness
Rationale: Postoperative warmth, swelling, erythema, and pain raise suspicion for deep
vein thrombosis (DVT). Fever and calf tenderness are key DVT assessment findings. This
takes priority over incision drainage, urinary output, or bowel sounds
Question 4
A nurse is reinforcing discharge instructions to a client prescribed warfarin. Which of the
following statements by the client indicates a need for further teaching?
A. "I will use an electric razor for shaving."
B. "I will eat more green leafy vegetables."
C. "I will report any bruising to my provider."
D. "I will wear a medical alert bracelet."
Answer: B. "I will eat more green leafy vegetables."
Rationale: Green leafy vegetables are high in vitamin K, which antagonizes warfarin's
effects. Consistent intake is acceptable, but increasing intake can decrease INR and
reduce anticoagulation efficacy.
Question 5
A nurse is caring for a client experiencing anaphylaxis after receiving IV antibiotics. Place
the following interventions in the correct order of priority.
, 1. Administer epinephrine
2. Establish a patent airway
3. Start IV fluids
4. Apply oxygen
Answer: 2, 4, 1, 3
Rationale: Airway patency is always first. Oxygen should be applied immediately.
Epinephrine is the drug of choice for anaphylaxis and should be given promptly. IV
fluids support blood pressure after initial stabilization.
Question 6
A nurse is caring for a client with a nasogastric (NG) tube set to continuous low suction.
The nurse notes the tube is not draining. Which action should the nurse take first?
A. Irrigate the tube with sterile water
B. Reposition the client
C. Verify tube placement
D. Notify the provider
Answer: C. Verify tube placement
Rationale: Before any intervention, the nurse must confirm the NG tube is correctly
positioned in the stomach. Irrigating or repositioning without verification could cause
harm if the tube is malpositioned.
Question 7
A nurse is reviewing laboratory results for four clients. For each client, indicate if the
finding requires follow-up or is within expected range.
2023 Exit Exam with NGN: 50
Questions & 100% Correct
Answers | ATI PN Comprehensive
Predictor Exit Exam with NGN 180
Q & A: Latest Actual Exam Version
EXAM
Question 1
A practical nurse is caring for a client with heart failure who reports sudden shortness of
breath, crackles in lung bases, and jugular vein distention.
Complete the following bow-tie question by selecting one condition, one
intervention, and one monitoring parameter.
Potential Condition Potential Intervention Potential Monitoring Parameter
A. Dehydration D. Administer furosemide IV G. Serum potassium level
B. Pulmonary edema E. Place in Trendelenburg position H. Blood glucose level
C. Pneumothorax F. Restrict fluids to 500 mL/day I. Urine specific gravity
Answer: Condition: B. Pulmonary edema | Intervention: D. Administer furosemide IV |
Monitoring: G. Serum potassium level
,Rationale: Pulmonary edema is a life-threatening complication of heart failure.
Furosemide reduces preload and relieves pulmonary congestion. Potassium levels must
be monitored due to diuretic-induced hypokalemia.
Question 2
A nurse is reinforcing teaching with a client who has a new diagnosis of type 2 diabetes
mellitus. Which of the following statements indicate the client understands the
teaching? (Select all that apply.)
A. "I will check my blood glucose before meals."
B. "I can skip my medication if my glucose is normal."
C. "I should inspect my feet daily for cuts or blisters."
D. "I will avoid all carbohydrates in my diet."
E. "I need to carry a source of fast-acting sugar with me."
Answers: A, C, E
Rationale: Pre-meal glucose monitoring helps guide insulin/food intake. Daily foot
inspection prevents complications. Fast-acting sugar treats hypoglycemia. Medications
should not be skipped without provider guidance; carbohydrates are needed in
moderation.
Question 3
A nurse is caring for a client who is postoperative day 1 following a total knee
arthroplasty. The client reports pain rated 7/10 and the knee is warm, swollen, and
erythematous.
,Complete the following sentence using the dropdown options.
The nurse should first assess the client for _______________.
Options: A. fever and calf tenderness / B. surgical incision drainage / C. urinary output /
D. bowel sounds
Answer: A. fever and calf tenderness
Rationale: Postoperative warmth, swelling, erythema, and pain raise suspicion for deep
vein thrombosis (DVT). Fever and calf tenderness are key DVT assessment findings. This
takes priority over incision drainage, urinary output, or bowel sounds
Question 4
A nurse is reinforcing discharge instructions to a client prescribed warfarin. Which of the
following statements by the client indicates a need for further teaching?
A. "I will use an electric razor for shaving."
B. "I will eat more green leafy vegetables."
C. "I will report any bruising to my provider."
D. "I will wear a medical alert bracelet."
Answer: B. "I will eat more green leafy vegetables."
Rationale: Green leafy vegetables are high in vitamin K, which antagonizes warfarin's
effects. Consistent intake is acceptable, but increasing intake can decrease INR and
reduce anticoagulation efficacy.
Question 5
A nurse is caring for a client experiencing anaphylaxis after receiving IV antibiotics. Place
the following interventions in the correct order of priority.
, 1. Administer epinephrine
2. Establish a patent airway
3. Start IV fluids
4. Apply oxygen
Answer: 2, 4, 1, 3
Rationale: Airway patency is always first. Oxygen should be applied immediately.
Epinephrine is the drug of choice for anaphylaxis and should be given promptly. IV
fluids support blood pressure after initial stabilization.
Question 6
A nurse is caring for a client with a nasogastric (NG) tube set to continuous low suction.
The nurse notes the tube is not draining. Which action should the nurse take first?
A. Irrigate the tube with sterile water
B. Reposition the client
C. Verify tube placement
D. Notify the provider
Answer: C. Verify tube placement
Rationale: Before any intervention, the nurse must confirm the NG tube is correctly
positioned in the stomach. Irrigating or repositioning without verification could cause
harm if the tube is malpositioned.
Question 7
A nurse is reviewing laboratory results for four clients. For each client, indicate if the
finding requires follow-up or is within expected range.
