VATI GREEN LIGHT COMPREHENSIVE
PREDICTOR FORMS A, B & C 2026 ACTUAL
EXAM QUESTIONS AND VERIFIED ANSWERS
WITH DETAILED RATIONALES | UPDATED
ATI RN EXIT EXAM PREP STUDY GUIDE
GUARANTEED SUCCESS
• This study guide features 200 original practice questions modeled after the ATI RN
Comprehensive Predictor format, covering all core NCLEX-RN content areas with
verified answers and detailed EXPERT RATIONALE to reinforce clinical reasoning.
• Use this material by reading each question carefully, selecting your answer before
revealing the correct one, then studying the EXPERT RATIONALE deeply — focus
extra time on any topic where you answer incorrectly.
VATI GREEN LIGHT COMPREHENSIVE PREDICTOR — FORMS A, B & C
200 Practice Questions with Answers & EXPERT RATIONALE
QUESTION 1 A nurse is caring for a client who has heart failure and a new
prescription for furosemide. Which of the following findings should the nurse
monitor as an adverse effect of this medication?
A. Hyperkalemia
B. Hypernatremia
C. Hypokalemia
D. Hypercalcemia
E. Hypermagnesemia
Correct Answer: C. Hypokalemia
EXPERT RATIONALE: Furosemide is a loop diuretic that causes the kidneys to
excrete potassium along with sodium and water. This places the client at risk for
hypokalemia, which can lead to cardiac dysrhythmias. The nurse should monitor
,serum potassium levels and assess for muscle weakness, fatigue, and irregular
heart rate.
QUESTION 2 A nurse is assessing a client who has pneumonia. Which of the
following findings should the nurse expect?
A. Decreased respiratory rate
B. Dullness on percussion over the affected area
C. Diminished breath sounds bilaterally
D. Hyperresonance on auscultation
E. Decreased fremitus
Correct Answer: B. Dullness on percussion over the affected area
EXPERT RATIONALE: Pneumonia causes consolidation of lung tissue due to
fluid and exudate filling the alveoli. Percussion over consolidated lung tissue
produces a dull sound rather than the normal resonant tone. Increased tactile
fremitus and bronchial breath sounds over the affected area are also expected.
QUESTION 3 A nurse is providing teaching to a client who has a new diagnosis of
type 2 diabetes mellitus. Which of the following statements by the client indicates
an understanding of the teaching?
A. "I should skip meals if my blood sugar is elevated."
B. "I need to check my feet once a week."
C. "I will inspect my feet every day for sores or changes."
D. "I can stop taking my medication when my glucose is normal."
E. "Exercise will increase my blood sugar levels."
Correct Answer: C. "I will inspect my feet every day for sores or changes."
, EXPERT RATIONALE: Clients with type 2 diabetes are at high risk for peripheral
neuropathy and poor wound healing. Daily foot inspection helps detect injuries
early before they progress to serious infections or ulcerations. Skipping meals,
stopping medications, and reducing exercise are all incorrect practices.
QUESTION 4 A nurse is caring for a client who is postoperative following abdominal
surgery. The client reports pain of 7 on a 0–10 scale. Which of the following actions
should the nurse take first?
A. Reposition the client
B. Notify the provider
C. Administer the prescribed analgesic
D. Apply a warm compress
E. Offer distraction techniques
Correct Answer: C. Administer the prescribed analgesic
EXPERT RATIONALE: Using the nursing process, the priority action is to address
the client's immediate need for pain relief by administering the prescribed
analgesic. Unrelieved postoperative pain can lead to complications such as shallow
breathing and immobility. Other comfort measures may supplement but do not
replace pharmacologic pain management.
QUESTION 5 A nurse is reviewing laboratory results for a client receiving warfarin
therapy. Which value indicates the medication is at a therapeutic level?
A. INR 0.8
B. INR 1.1
C. INR 2.5
D. INR 5.0
E. INR 6.2
, Correct Answer: C. INR 2.5
EXPERT RATIONALE: The therapeutic INR range for a client on warfarin therapy
for most indications (e.g., atrial fibrillation, DVT prevention) is 2.0–3.0. An INR below
2.0 indicates subtherapeutic levels with increased clotting risk, while an INR above
3.0 indicates supratherapeutic levels with increased bleeding risk.
QUESTION 6 A nurse is caring for a client who has a nasogastric tube for enteral
feedings. Which of the following actions should the nurse take to prevent
aspiration?
A. Position the client supine during feedings
B. Elevate the head of the bed to 30–45 degrees
C. Administer feedings rapidly to reduce exposure time
D. Check residual volume every 8 hours
E. Flush the tube with normal saline after feeding
Correct Answer: B. Elevate the head of the bed to 30–45 degrees
EXPERT RATIONALE: Elevating the head of the bed to 30–45 degrees during and
after enteral feedings reduces the risk of aspiration by using gravity to keep
stomach contents from refluxing into the esophagus and airway. Supine positioning
significantly increases aspiration risk.
QUESTION 7 A nurse is assessing a newborn 1 hour after birth. Which of the
following findings requires immediate intervention?
A. Heart rate of 148/min
B. Respiratory rate of 48/min
C. Grunting and nasal flaring
D. Acrocyanosis of the hands and feet
E. Milia on the nose and cheeks
PREDICTOR FORMS A, B & C 2026 ACTUAL
EXAM QUESTIONS AND VERIFIED ANSWERS
WITH DETAILED RATIONALES | UPDATED
ATI RN EXIT EXAM PREP STUDY GUIDE
GUARANTEED SUCCESS
• This study guide features 200 original practice questions modeled after the ATI RN
Comprehensive Predictor format, covering all core NCLEX-RN content areas with
verified answers and detailed EXPERT RATIONALE to reinforce clinical reasoning.
• Use this material by reading each question carefully, selecting your answer before
revealing the correct one, then studying the EXPERT RATIONALE deeply — focus
extra time on any topic where you answer incorrectly.
VATI GREEN LIGHT COMPREHENSIVE PREDICTOR — FORMS A, B & C
200 Practice Questions with Answers & EXPERT RATIONALE
QUESTION 1 A nurse is caring for a client who has heart failure and a new
prescription for furosemide. Which of the following findings should the nurse
monitor as an adverse effect of this medication?
A. Hyperkalemia
B. Hypernatremia
C. Hypokalemia
D. Hypercalcemia
E. Hypermagnesemia
Correct Answer: C. Hypokalemia
EXPERT RATIONALE: Furosemide is a loop diuretic that causes the kidneys to
excrete potassium along with sodium and water. This places the client at risk for
hypokalemia, which can lead to cardiac dysrhythmias. The nurse should monitor
,serum potassium levels and assess for muscle weakness, fatigue, and irregular
heart rate.
QUESTION 2 A nurse is assessing a client who has pneumonia. Which of the
following findings should the nurse expect?
A. Decreased respiratory rate
B. Dullness on percussion over the affected area
C. Diminished breath sounds bilaterally
D. Hyperresonance on auscultation
E. Decreased fremitus
Correct Answer: B. Dullness on percussion over the affected area
EXPERT RATIONALE: Pneumonia causes consolidation of lung tissue due to
fluid and exudate filling the alveoli. Percussion over consolidated lung tissue
produces a dull sound rather than the normal resonant tone. Increased tactile
fremitus and bronchial breath sounds over the affected area are also expected.
QUESTION 3 A nurse is providing teaching to a client who has a new diagnosis of
type 2 diabetes mellitus. Which of the following statements by the client indicates
an understanding of the teaching?
A. "I should skip meals if my blood sugar is elevated."
B. "I need to check my feet once a week."
C. "I will inspect my feet every day for sores or changes."
D. "I can stop taking my medication when my glucose is normal."
E. "Exercise will increase my blood sugar levels."
Correct Answer: C. "I will inspect my feet every day for sores or changes."
, EXPERT RATIONALE: Clients with type 2 diabetes are at high risk for peripheral
neuropathy and poor wound healing. Daily foot inspection helps detect injuries
early before they progress to serious infections or ulcerations. Skipping meals,
stopping medications, and reducing exercise are all incorrect practices.
QUESTION 4 A nurse is caring for a client who is postoperative following abdominal
surgery. The client reports pain of 7 on a 0–10 scale. Which of the following actions
should the nurse take first?
A. Reposition the client
B. Notify the provider
C. Administer the prescribed analgesic
D. Apply a warm compress
E. Offer distraction techniques
Correct Answer: C. Administer the prescribed analgesic
EXPERT RATIONALE: Using the nursing process, the priority action is to address
the client's immediate need for pain relief by administering the prescribed
analgesic. Unrelieved postoperative pain can lead to complications such as shallow
breathing and immobility. Other comfort measures may supplement but do not
replace pharmacologic pain management.
QUESTION 5 A nurse is reviewing laboratory results for a client receiving warfarin
therapy. Which value indicates the medication is at a therapeutic level?
A. INR 0.8
B. INR 1.1
C. INR 2.5
D. INR 5.0
E. INR 6.2
, Correct Answer: C. INR 2.5
EXPERT RATIONALE: The therapeutic INR range for a client on warfarin therapy
for most indications (e.g., atrial fibrillation, DVT prevention) is 2.0–3.0. An INR below
2.0 indicates subtherapeutic levels with increased clotting risk, while an INR above
3.0 indicates supratherapeutic levels with increased bleeding risk.
QUESTION 6 A nurse is caring for a client who has a nasogastric tube for enteral
feedings. Which of the following actions should the nurse take to prevent
aspiration?
A. Position the client supine during feedings
B. Elevate the head of the bed to 30–45 degrees
C. Administer feedings rapidly to reduce exposure time
D. Check residual volume every 8 hours
E. Flush the tube with normal saline after feeding
Correct Answer: B. Elevate the head of the bed to 30–45 degrees
EXPERT RATIONALE: Elevating the head of the bed to 30–45 degrees during and
after enteral feedings reduces the risk of aspiration by using gravity to keep
stomach contents from refluxing into the esophagus and airway. Supine positioning
significantly increases aspiration risk.
QUESTION 7 A nurse is assessing a newborn 1 hour after birth. Which of the
following findings requires immediate intervention?
A. Heart rate of 148/min
B. Respiratory rate of 48/min
C. Grunting and nasal flaring
D. Acrocyanosis of the hands and feet
E. Milia on the nose and cheeks
