NGN ATI RN Comprehensive Exit Retake Exam (Versions
1–4) Nursing Exam Prep Complete Study Guide with
Questions and Answers
THIS EXAM COVERS THHE FOLLOWING TOPICS:
• Cardiovascular (30)
• Respiratory (25)
• Neurology (20)
• Hematology/Oncology (20)
• Maternal-Newborn (20)
• Endocrine (20)
• Gastrointestinal (15)
• Leadership/Ethics (10)
• Renal (10)
• Fundamentals (10)
• Mental Health (10)
• Musculoskeletal (10)
• Pharmacology (10)
,NGN ATI RN Comprehensive Exit Retake Exam
1. A nurse is assessing a client with heart failure. Which finding is most
concerning?
A) Jugular vein distention
B) 2+ pitting edema in lower extremities
C) Crackles in bilateral lung bases
D) Weight gain of 2 kg in 24 hours
Answer: D – Rapid weight gain indicates worsening fluid retention and
possible acute decompensation.
2. A client on digoxin reports nausea, vomiting, and yellow vision. What
action should the nurse take first?
A) Administer antiemetic
B) Check apical pulse
C) Hold next dose and check digoxin level
D) Notify provider
Answer: C – Symptoms suggest digoxin toxicity; hold dose and obtain
level.
3. Post-cardiac catheterization via femoral artery, which finding
requires immediate action?
A) Bruising at insertion site
B) Pulse rate of 88/min
,C) Complaints of back pain
D) Cool, pale right foot
Answer: D – Signs of arterial occlusion (cool, pale extremity) require
immediate intervention.
4. A client with hypertension is prescribed hydrochlorothiazide. Which
lab value should the nurse monitor?
A) Sodium
B) Potassium
C) Calcium
D) Magnesium
Answer: B – Thiazides cause hypokalemia.
5. A nurse is teaching a client with stable angina about nitroglycerin.
Which statement indicates understanding?
A) "I can take up to 5 tablets in 15 minutes."
B) "I will store tablets in a brown bottle."
C) "I should swallow the tablet with water."
D) "I will take one tablet daily in the morning."
Answer: B – Nitroglycerin is light-sensitive; store in original brown
bottle.
, 6. A client with atrial fibrillation is on warfarin. INR is 4.5. What action
should the nurse take?
A) Administer vitamin K
B) Hold next dose and notify provider
C) Increase warfarin dose
D) Continue warfarin as ordered
Answer: B – INR target is 2–3; 4.5 is high; hold dose and notify provider.
7. A client with an acute myocardial infarction has an SpO2 of 88%.
Which intervention first?
A) Apply oxygen at 2 L/min via nasal cannula
B) Position in supine
C) Administer morphine
D) Obtain ABG
Answer: A – Hypoxia requires immediate oxygen therapy.
8. A nurse is caring for a client with an abdominal aortic aneurysm
(AAA). Which finding suggests rupture?
A) Pulsating abdominal mass
B) Back pain and hypotension
C) Bruit on auscultation
D) Nausea and vomiting
1–4) Nursing Exam Prep Complete Study Guide with
Questions and Answers
THIS EXAM COVERS THHE FOLLOWING TOPICS:
• Cardiovascular (30)
• Respiratory (25)
• Neurology (20)
• Hematology/Oncology (20)
• Maternal-Newborn (20)
• Endocrine (20)
• Gastrointestinal (15)
• Leadership/Ethics (10)
• Renal (10)
• Fundamentals (10)
• Mental Health (10)
• Musculoskeletal (10)
• Pharmacology (10)
,NGN ATI RN Comprehensive Exit Retake Exam
1. A nurse is assessing a client with heart failure. Which finding is most
concerning?
A) Jugular vein distention
B) 2+ pitting edema in lower extremities
C) Crackles in bilateral lung bases
D) Weight gain of 2 kg in 24 hours
Answer: D – Rapid weight gain indicates worsening fluid retention and
possible acute decompensation.
2. A client on digoxin reports nausea, vomiting, and yellow vision. What
action should the nurse take first?
A) Administer antiemetic
B) Check apical pulse
C) Hold next dose and check digoxin level
D) Notify provider
Answer: C – Symptoms suggest digoxin toxicity; hold dose and obtain
level.
3. Post-cardiac catheterization via femoral artery, which finding
requires immediate action?
A) Bruising at insertion site
B) Pulse rate of 88/min
,C) Complaints of back pain
D) Cool, pale right foot
Answer: D – Signs of arterial occlusion (cool, pale extremity) require
immediate intervention.
4. A client with hypertension is prescribed hydrochlorothiazide. Which
lab value should the nurse monitor?
A) Sodium
B) Potassium
C) Calcium
D) Magnesium
Answer: B – Thiazides cause hypokalemia.
5. A nurse is teaching a client with stable angina about nitroglycerin.
Which statement indicates understanding?
A) "I can take up to 5 tablets in 15 minutes."
B) "I will store tablets in a brown bottle."
C) "I should swallow the tablet with water."
D) "I will take one tablet daily in the morning."
Answer: B – Nitroglycerin is light-sensitive; store in original brown
bottle.
, 6. A client with atrial fibrillation is on warfarin. INR is 4.5. What action
should the nurse take?
A) Administer vitamin K
B) Hold next dose and notify provider
C) Increase warfarin dose
D) Continue warfarin as ordered
Answer: B – INR target is 2–3; 4.5 is high; hold dose and notify provider.
7. A client with an acute myocardial infarction has an SpO2 of 88%.
Which intervention first?
A) Apply oxygen at 2 L/min via nasal cannula
B) Position in supine
C) Administer morphine
D) Obtain ABG
Answer: A – Hypoxia requires immediate oxygen therapy.
8. A nurse is caring for a client with an abdominal aortic aneurysm
(AAA). Which finding suggests rupture?
A) Pulsating abdominal mass
B) Back pain and hypotension
C) Bruit on auscultation
D) Nausea and vomiting
