NGN ATI RN VATI COMPREHENSIVE PREDICTOR 2025
(LATEST UPDATE) ACTUAL EXAM/TEST
QUESTIONS AND 100% VERIFIED ANSWERS| A+ GRADE
FORM A - ATI RN VATI COMPREHENSIVE PREDICTOR 2025
Q1. A client with CHF is on furosemide and digoxin. Which finding should
the nurse report immediately?
A. Serum potassium 3.0 mEq/L
B. Digoxin level 1.0 ng/mL
C. Oxygen saturation 95% on room air
D. Crackles in lung bases
Answer: A. Serum potassium 3.0 mEq/L
Rationale: Hypokalemia predisposes to digoxin toxicity and dysrhythmias. D
igoxin level is within normal, O2 sat 95% is adequate, crackles are expected
but not as urgent.
Q2. The nurse admits a client with pulmonary edema due to CHF. Which in
itial action should the nurse take?
A. Restrict fluids to 1,200 mL/day
B. Place the client in high Fowler’s position
C. Insert an indwelling urinary catheter
D. Prepare to administer furosemide IV
,Answer: B. Place the client in high Fowler’s position
Rationale: Positioning improves oxygenation immediately. Medications and fluid
restriction come after airway optimization.
Q3. A nurse teaches a client about digoxin. Which statement indicates a need fo
r further teaching?
A. “I will take my pulse before each dose.”
B. “If I feel nauseated, I will stop the medication.”
C. “I will take my medication at the same time each day.”
D. “If my vision becomes blurred, I’ll call my provider.”
Answer: B. “If I feel nauseated, I will stop the medication.”
Rationale: Client should report symptoms to provider, not stop medication a
bruptly.
Q4. The nurse observes a client with CHF developing acute dyspnea and frothy
sputum. Which intervention is priority?
A. Notify the provider
B. Increase- oxygen- flow- rate
C. Place- client- upright- with- legs- dangling
D. Prepare- for- morphine- administration
Answer:- C.- Place- client- upright- with- legs- dangling
Rationale:- Position- improves- gas- exchange- and- reduces- preload- immediately.
,Q5.- Which- laboratory- finding- should- the- nurse- monitor- closely- in- a- client- rece-
iving- furosemide?
A. Hemoglobin
B. Potassium
C. Sodium
D. Glucose
Answer:- B.- Potassium
Rationale:- Loop- diuretics- cause- potassium- loss,- increasing- risk- for- dysrhythmias.
Case- Study- 2:- Preeclampsia
Q6.- A- pregnant- client- at- 34- weeks- with- preeclampsia- is- receiving- magnesium-
sulfate.- Which- finding- requires- immediate- action?
A. Urine- output- 25- mL/hr
B. BP- 150/98- mmHg
C. Fetal- heart- rate- 140/min
D. Reflexes- +3
Answer:- A.- Urine- output- 25- mL/hr
Rationale:- Oliguria- indicates- risk- for- magnesium- toxicity- since- the- drug- is- renall-
y- excreted.
Q7.- Which- of- the- following- is- the- antidote- for- magnesium- sulfate- toxicity?
A. Calcium- gluconate
B. Sodium- bicarbonate
, C. Naloxone
D. Atropine
Answer:- A.- Calcium- gluconate
Rationale:- Calcium- gluconate- reverses- CNS- and- respiratory- depression- caused- by-
magnesium.
Q8.- A- client- on- magnesium- sulfate- reports- feeling- flushed- and- warm.- What-should-
the- nurse- do?
A. Stop- the- infusion- immediately
B. Document- the- finding- as- expected
C. Administer- calcium- gluconate
D. Notify- the- provider
Answer:- B.- Document- the- finding- as- expected
Rationale:- Flushing- and- warmth- are- common- side- effects,- not- toxicity.
Q9.- Which- of- the- following- fetal- monitoring- patterns- indicates- uteroplacental- ins-
ufficiency?
A. Variable- decelerations
B. Late- decelerations
C. Early- decelerations
D. Accelerations
Answer:- B.- Late- decelerations
Rationale:- Late- decelerations- reflect- poor- placental- perfusion- and- oxygen- deli-
very- to- the- fetus.
(LATEST UPDATE) ACTUAL EXAM/TEST
QUESTIONS AND 100% VERIFIED ANSWERS| A+ GRADE
FORM A - ATI RN VATI COMPREHENSIVE PREDICTOR 2025
Q1. A client with CHF is on furosemide and digoxin. Which finding should
the nurse report immediately?
A. Serum potassium 3.0 mEq/L
B. Digoxin level 1.0 ng/mL
C. Oxygen saturation 95% on room air
D. Crackles in lung bases
Answer: A. Serum potassium 3.0 mEq/L
Rationale: Hypokalemia predisposes to digoxin toxicity and dysrhythmias. D
igoxin level is within normal, O2 sat 95% is adequate, crackles are expected
but not as urgent.
Q2. The nurse admits a client with pulmonary edema due to CHF. Which in
itial action should the nurse take?
A. Restrict fluids to 1,200 mL/day
B. Place the client in high Fowler’s position
C. Insert an indwelling urinary catheter
D. Prepare to administer furosemide IV
,Answer: B. Place the client in high Fowler’s position
Rationale: Positioning improves oxygenation immediately. Medications and fluid
restriction come after airway optimization.
Q3. A nurse teaches a client about digoxin. Which statement indicates a need fo
r further teaching?
A. “I will take my pulse before each dose.”
B. “If I feel nauseated, I will stop the medication.”
C. “I will take my medication at the same time each day.”
D. “If my vision becomes blurred, I’ll call my provider.”
Answer: B. “If I feel nauseated, I will stop the medication.”
Rationale: Client should report symptoms to provider, not stop medication a
bruptly.
Q4. The nurse observes a client with CHF developing acute dyspnea and frothy
sputum. Which intervention is priority?
A. Notify the provider
B. Increase- oxygen- flow- rate
C. Place- client- upright- with- legs- dangling
D. Prepare- for- morphine- administration
Answer:- C.- Place- client- upright- with- legs- dangling
Rationale:- Position- improves- gas- exchange- and- reduces- preload- immediately.
,Q5.- Which- laboratory- finding- should- the- nurse- monitor- closely- in- a- client- rece-
iving- furosemide?
A. Hemoglobin
B. Potassium
C. Sodium
D. Glucose
Answer:- B.- Potassium
Rationale:- Loop- diuretics- cause- potassium- loss,- increasing- risk- for- dysrhythmias.
Case- Study- 2:- Preeclampsia
Q6.- A- pregnant- client- at- 34- weeks- with- preeclampsia- is- receiving- magnesium-
sulfate.- Which- finding- requires- immediate- action?
A. Urine- output- 25- mL/hr
B. BP- 150/98- mmHg
C. Fetal- heart- rate- 140/min
D. Reflexes- +3
Answer:- A.- Urine- output- 25- mL/hr
Rationale:- Oliguria- indicates- risk- for- magnesium- toxicity- since- the- drug- is- renall-
y- excreted.
Q7.- Which- of- the- following- is- the- antidote- for- magnesium- sulfate- toxicity?
A. Calcium- gluconate
B. Sodium- bicarbonate
, C. Naloxone
D. Atropine
Answer:- A.- Calcium- gluconate
Rationale:- Calcium- gluconate- reverses- CNS- and- respiratory- depression- caused- by-
magnesium.
Q8.- A- client- on- magnesium- sulfate- reports- feeling- flushed- and- warm.- What-should-
the- nurse- do?
A. Stop- the- infusion- immediately
B. Document- the- finding- as- expected
C. Administer- calcium- gluconate
D. Notify- the- provider
Answer:- B.- Document- the- finding- as- expected
Rationale:- Flushing- and- warmth- are- common- side- effects,- not- toxicity.
Q9.- Which- of- the- following- fetal- monitoring- patterns- indicates- uteroplacental- ins-
ufficiency?
A. Variable- decelerations
B. Late- decelerations
C. Early- decelerations
D. Accelerations
Answer:- B.- Late- decelerations
Rationale:- Late- decelerations- reflect- poor- placental- perfusion- and- oxygen- deli-
very- to- the- fetus.
