ATI RN COMPREHENSIVE PREDICTOR 2023 NGN REAL
EXAM : 70 Real Exam Questions and Answers/ATI
comprehensive practice B, ATI Comprehensive Final Quiz,
RN Comprehensive Predictor 2023/2026
,Medical-Surgical Nursing (Questions 1-15)
1. A nurse is caring for a client who has congestive heart failure and is receiving
furosemide and digoxin. Which of the following laboratory values indicates that
the client is at risk for developing digoxin toxicity?
• A) Glucose 150 mg/dL
• B) Magnesium 1.3 mEq/L
• C) Potassium 3.1 mEq/L
• D) Sodium 134 mEq/L
• Answer: C) Potassium 3.1 mEq/L
, • Rationale: Hypokalemia (potassium <3.5 mEq/L) increases the risk of
digoxin toxicity because digoxin binds to the same sodium-potassium
ATPase pump, and low potassium enhances its effects .
2. A nurse is caring for a client who had an embolic stroke and has a prescription
for alteplase. Which of the following in the client's history should the nurse
identify as a contraindication for receiving alteplase?
• A) Hip arthroplasty 1 week ago
• B) Obstructive lung disease
• C) Retinal detachment
• D) Acute kidney failure 6 months ago
• Answer: A) Hip arthroplasty 1 week ago
• Rationale: Recent major surgery (within 14 days) is a contraindication for
thrombolytic therapy due to increased bleeding risk .
3. A nurse is assessing a client who has COPD. Which of the following findings
should the nurse expect?
• A) pH 7.31
• B) PaO2 85 mm Hg
• C) PaCO2 38 mm Hg
• D) HCO3 24 mEq/L
• Answer: A) pH 7.31
• Rationale: COPD leads to chronic hypercapnia and respiratory acidosis. A
pH of 7.31 indicates acidosis (normal 7.35-7.45) .
4. A nurse is caring for a client who has a new prescription for clonidine. Which of
the following findings is an adverse effect of this medication?
• A) Diarrhea
• B) Dry mouth
• C) Photophobia
EXAM : 70 Real Exam Questions and Answers/ATI
comprehensive practice B, ATI Comprehensive Final Quiz,
RN Comprehensive Predictor 2023/2026
,Medical-Surgical Nursing (Questions 1-15)
1. A nurse is caring for a client who has congestive heart failure and is receiving
furosemide and digoxin. Which of the following laboratory values indicates that
the client is at risk for developing digoxin toxicity?
• A) Glucose 150 mg/dL
• B) Magnesium 1.3 mEq/L
• C) Potassium 3.1 mEq/L
• D) Sodium 134 mEq/L
• Answer: C) Potassium 3.1 mEq/L
, • Rationale: Hypokalemia (potassium <3.5 mEq/L) increases the risk of
digoxin toxicity because digoxin binds to the same sodium-potassium
ATPase pump, and low potassium enhances its effects .
2. A nurse is caring for a client who had an embolic stroke and has a prescription
for alteplase. Which of the following in the client's history should the nurse
identify as a contraindication for receiving alteplase?
• A) Hip arthroplasty 1 week ago
• B) Obstructive lung disease
• C) Retinal detachment
• D) Acute kidney failure 6 months ago
• Answer: A) Hip arthroplasty 1 week ago
• Rationale: Recent major surgery (within 14 days) is a contraindication for
thrombolytic therapy due to increased bleeding risk .
3. A nurse is assessing a client who has COPD. Which of the following findings
should the nurse expect?
• A) pH 7.31
• B) PaO2 85 mm Hg
• C) PaCO2 38 mm Hg
• D) HCO3 24 mEq/L
• Answer: A) pH 7.31
• Rationale: COPD leads to chronic hypercapnia and respiratory acidosis. A
pH of 7.31 indicates acidosis (normal 7.35-7.45) .
4. A nurse is caring for a client who has a new prescription for clonidine. Which of
the following findings is an adverse effect of this medication?
• A) Diarrhea
• B) Dry mouth
• C) Photophobia
