RN ATI COMPREHENSIVE PREDICTOR EXIT EXAM
2026 | 180 EXAM-LEVEL QUESTIONS WITH
2026 Exam · 189 Questions · With Rationales
R EXIT EXAM 2026ati.
| 180 EXAM-LEVEL QUESTIONS WITH ANSWERS | COMPLETE RN SOLUTIONS & RATIONALES | LEVEL 3 | ATI PROCTORE
Question: 1 of 189
A patient with a history of chronic obstructive pulmonary disease (COPD) is admitted with acute respiratory
failure. Arterial blood gas results show pH 7.25, PaCO2 65 mm Hg, PaO2 55 mm Hg, HCO3- 26 mEq/L. The
A. PaO2 increases to 70 mm Hg and PaCO2 decreases to 50 mm Hg
B. Respiratory rate decreases from 32 to 28 breaths/min
C. Patient's oxygen saturation increases to 92% on 40% FiO2
D. pH rises to 7.30 and PaCO2 drops to 55 mm Hg
PREVIOUS CONTINUE
A patient with a history of chronic obstructive pulmonary disease (COPD) is admitted with
acute respiratory failure. Arterial blood gas results show pH 7.25, PaCO2 65 mm Hg, PaO2
55 mm Hg, HCO3- 26 mEq/L. The provider prescribes noninvasive positive pressure
ventilation (NIPPV). Which finding indicates the therapy is effective?
' A. PaO2 increases to 70 mm Hg and PaCO2 decreases to 50 mm Hg
B. Respiratory rate decreases from 32 to 28 breaths/min
C. Patient's oxygen saturation increases to 92% on 40% FiO2
D. pH rises to 7.30 and PaCO2 drops to 55 mm Hg
Correct Answer: A
The goal of NIPPV in acute hypercapnic respiratory failure is to improve oxygenation and ventilation. Option A
shows both improved oxygenation (PaO2 70) and ventilation (PaCO2 50), indicating effective alveolar
ventilation. Options B and C suggest partial improvement but do not confirm adequate ventilation. Option D
shows insufficient reduction in PaCO2.
TOR EXIT EXAM 2026 | 180 EXAM-LEVEL QUESTIONS WITH ANSWERS | COMPLETE RN SOLUTIONS & RATIONALES | LEVEL 3 | ATI PROCTO
, RN ATI COMPREHENSIVE PREDICTOR EXIT EXAM
2026 | 180 EXAM-LEVEL QUESTIONS WITH
2026 Exam · 189 Questions · With Rationales
R EXIT EXAM 2026ati.
| 180 EXAM-LEVEL QUESTIONS WITH ANSWERS | COMPLETE RN SOLUTIONS & RATIONALES | LEVEL 3 | ATI PROCTORE
Question: 2 of 189
A nurse is caring for a patient receiving a continuous intravenous infusion of heparin at 18 units/kg/hr. The
patient weighs 75 kg. The heparin concentration is 25,000 units in 500 mL of D5W. How many mL/hr should
A. 27 mL/hr
B. 30 mL/hr
C. 33 mL/hr
D. 36 mL/hr
PREVIOUS CONTINUE
A nurse is caring for a patient receiving a continuous intravenous infusion of heparin at 18
units/kg/hr. The patient weighs 75 kg. The heparin concentration is 25,000 units in 500 mL
of D5W. How many mL/hr should the nurse set the infusion pump? (Round to the nearest
whole number.)
' A. 27 mL/hr
B. 30 mL/hr
C. 33 mL/hr
D. 36 mL/hr
Correct Answer: A
First, calculate units/hr: 18 units/kg/hr × 75 kg = 1350 units/hr. Then, concentration: 25,000 units/500 mL = 50
units/mL. Infusion rate = 1350 units/hr ÷ 50 units/mL = 27 mL/hr. Option B results from miscalculating
concentration, C from incorrect weight, D from using 20 units/kg/hr.
TOR EXIT EXAM 2026 | 180 EXAM-LEVEL QUESTIONS WITH ANSWERS | COMPLETE RN SOLUTIONS & RATIONALES | LEVEL 3 | ATI PROCTO
, RN ATI COMPREHENSIVE PREDICTOR EXIT EXAM
2026 | 180 EXAM-LEVEL QUESTIONS WITH
2026 Exam · 189 Questions · With Rationales
R EXIT EXAM 2026ati.
| 180 EXAM-LEVEL QUESTIONS WITH ANSWERS | COMPLETE RN SOLUTIONS & RATIONALES | LEVEL 3 | ATI PROCTORE
Question: 3 of 189
A patient with schizophrenia is prescribed clozapine. The nurse reviews the patient's laboratory results: white
blood cell (WBC) count 3,200/mm³, absolute neutrophil count (ANC) 1,200/mm³. Which action should the
A. Administer the clozapine as prescribed and monitor for side effects
B. Hold the clozapine and notify the provider immediately
C. Administer the clozapine and request a repeat WBC in 1 week
D. Decrease the clozapine dose and monitor for infection
PREVIOUS CONTINUE
A patient with schizophrenia is prescribed clozapine. The nurse reviews the patient's
laboratory results: white blood cell (WBC) count 3,200/mm³, absolute neutrophil count
(ANC) 1,200/mm³. Which action should the nurse take?
A. Administer the clozapine as prescribed and monitor for side effects
' B. Hold the clozapine and notify the provider immediately
C. Administer the clozapine and request a repeat WBC in 1 week
D. Decrease the clozapine dose and monitor for infection
Correct Answer: B
Clozapine can cause agranulocytosis; monitoring of WBC and ANC is mandatory. An ANC < 1500/mm³ or
WBC < 3500/mm³ requires immediate cessation of clozapine to prevent life-threatening neutropenia. Option A
is unsafe; options C and D delay necessary intervention.
TOR EXIT EXAM 2026 | 180 EXAM-LEVEL QUESTIONS WITH ANSWERS | COMPLETE RN SOLUTIONS & RATIONALES | LEVEL 3 | ATI PROCTO
, RN ATI COMPREHENSIVE PREDICTOR EXIT EXAM
2026 | 180 EXAM-LEVEL QUESTIONS WITH
2026 Exam · 189 Questions · With Rationales
R EXIT EXAM 2026ati.
| 180 EXAM-LEVEL QUESTIONS WITH ANSWERS | COMPLETE RN SOLUTIONS & RATIONALES | LEVEL 3 | ATI PROCTORE
Question: 4 of 189
A nurse is assessing a patient who has a chest tube connected to a closed drainage system with suction. The
nurse notes continuous bubbling in the water seal chamber. Which action should the nurse take first?
A. Clamp the chest tube near the insertion site
B. Check the chest tube connections for leaks
C. Increase the suction pressure until bubbling stops
D. Replace the drainage system
PREVIOUS CONTINUE
A nurse is assessing a patient who has a chest tube connected to a closed drainage
system with suction. The nurse notes continuous bubbling in the water seal chamber.
Which action should the nurse take first?
A. Clamp the chest tube near the insertion site
' B. Check the chest tube connections for leaks
C. Increase the suction pressure until bubbling stops
D. Replace the drainage system
Correct Answer: B
Continuous bubbling in the water seal chamber indicates an air leak, which can occur from disconnections or
loose connections. The nurse should first check all connections and tighten them. Clamping (A) could cause
tension pneumothorax. Increasing suction (C) is not appropriate. Replacing the system (D) is premature.
TOR EXIT EXAM 2026 | 180 EXAM-LEVEL QUESTIONS WITH ANSWERS | COMPLETE RN SOLUTIONS & RATIONALES | LEVEL 3 | ATI PROCTO
2026 | 180 EXAM-LEVEL QUESTIONS WITH
2026 Exam · 189 Questions · With Rationales
R EXIT EXAM 2026ati.
| 180 EXAM-LEVEL QUESTIONS WITH ANSWERS | COMPLETE RN SOLUTIONS & RATIONALES | LEVEL 3 | ATI PROCTORE
Question: 1 of 189
A patient with a history of chronic obstructive pulmonary disease (COPD) is admitted with acute respiratory
failure. Arterial blood gas results show pH 7.25, PaCO2 65 mm Hg, PaO2 55 mm Hg, HCO3- 26 mEq/L. The
A. PaO2 increases to 70 mm Hg and PaCO2 decreases to 50 mm Hg
B. Respiratory rate decreases from 32 to 28 breaths/min
C. Patient's oxygen saturation increases to 92% on 40% FiO2
D. pH rises to 7.30 and PaCO2 drops to 55 mm Hg
PREVIOUS CONTINUE
A patient with a history of chronic obstructive pulmonary disease (COPD) is admitted with
acute respiratory failure. Arterial blood gas results show pH 7.25, PaCO2 65 mm Hg, PaO2
55 mm Hg, HCO3- 26 mEq/L. The provider prescribes noninvasive positive pressure
ventilation (NIPPV). Which finding indicates the therapy is effective?
' A. PaO2 increases to 70 mm Hg and PaCO2 decreases to 50 mm Hg
B. Respiratory rate decreases from 32 to 28 breaths/min
C. Patient's oxygen saturation increases to 92% on 40% FiO2
D. pH rises to 7.30 and PaCO2 drops to 55 mm Hg
Correct Answer: A
The goal of NIPPV in acute hypercapnic respiratory failure is to improve oxygenation and ventilation. Option A
shows both improved oxygenation (PaO2 70) and ventilation (PaCO2 50), indicating effective alveolar
ventilation. Options B and C suggest partial improvement but do not confirm adequate ventilation. Option D
shows insufficient reduction in PaCO2.
TOR EXIT EXAM 2026 | 180 EXAM-LEVEL QUESTIONS WITH ANSWERS | COMPLETE RN SOLUTIONS & RATIONALES | LEVEL 3 | ATI PROCTO
, RN ATI COMPREHENSIVE PREDICTOR EXIT EXAM
2026 | 180 EXAM-LEVEL QUESTIONS WITH
2026 Exam · 189 Questions · With Rationales
R EXIT EXAM 2026ati.
| 180 EXAM-LEVEL QUESTIONS WITH ANSWERS | COMPLETE RN SOLUTIONS & RATIONALES | LEVEL 3 | ATI PROCTORE
Question: 2 of 189
A nurse is caring for a patient receiving a continuous intravenous infusion of heparin at 18 units/kg/hr. The
patient weighs 75 kg. The heparin concentration is 25,000 units in 500 mL of D5W. How many mL/hr should
A. 27 mL/hr
B. 30 mL/hr
C. 33 mL/hr
D. 36 mL/hr
PREVIOUS CONTINUE
A nurse is caring for a patient receiving a continuous intravenous infusion of heparin at 18
units/kg/hr. The patient weighs 75 kg. The heparin concentration is 25,000 units in 500 mL
of D5W. How many mL/hr should the nurse set the infusion pump? (Round to the nearest
whole number.)
' A. 27 mL/hr
B. 30 mL/hr
C. 33 mL/hr
D. 36 mL/hr
Correct Answer: A
First, calculate units/hr: 18 units/kg/hr × 75 kg = 1350 units/hr. Then, concentration: 25,000 units/500 mL = 50
units/mL. Infusion rate = 1350 units/hr ÷ 50 units/mL = 27 mL/hr. Option B results from miscalculating
concentration, C from incorrect weight, D from using 20 units/kg/hr.
TOR EXIT EXAM 2026 | 180 EXAM-LEVEL QUESTIONS WITH ANSWERS | COMPLETE RN SOLUTIONS & RATIONALES | LEVEL 3 | ATI PROCTO
, RN ATI COMPREHENSIVE PREDICTOR EXIT EXAM
2026 | 180 EXAM-LEVEL QUESTIONS WITH
2026 Exam · 189 Questions · With Rationales
R EXIT EXAM 2026ati.
| 180 EXAM-LEVEL QUESTIONS WITH ANSWERS | COMPLETE RN SOLUTIONS & RATIONALES | LEVEL 3 | ATI PROCTORE
Question: 3 of 189
A patient with schizophrenia is prescribed clozapine. The nurse reviews the patient's laboratory results: white
blood cell (WBC) count 3,200/mm³, absolute neutrophil count (ANC) 1,200/mm³. Which action should the
A. Administer the clozapine as prescribed and monitor for side effects
B. Hold the clozapine and notify the provider immediately
C. Administer the clozapine and request a repeat WBC in 1 week
D. Decrease the clozapine dose and monitor for infection
PREVIOUS CONTINUE
A patient with schizophrenia is prescribed clozapine. The nurse reviews the patient's
laboratory results: white blood cell (WBC) count 3,200/mm³, absolute neutrophil count
(ANC) 1,200/mm³. Which action should the nurse take?
A. Administer the clozapine as prescribed and monitor for side effects
' B. Hold the clozapine and notify the provider immediately
C. Administer the clozapine and request a repeat WBC in 1 week
D. Decrease the clozapine dose and monitor for infection
Correct Answer: B
Clozapine can cause agranulocytosis; monitoring of WBC and ANC is mandatory. An ANC < 1500/mm³ or
WBC < 3500/mm³ requires immediate cessation of clozapine to prevent life-threatening neutropenia. Option A
is unsafe; options C and D delay necessary intervention.
TOR EXIT EXAM 2026 | 180 EXAM-LEVEL QUESTIONS WITH ANSWERS | COMPLETE RN SOLUTIONS & RATIONALES | LEVEL 3 | ATI PROCTO
, RN ATI COMPREHENSIVE PREDICTOR EXIT EXAM
2026 | 180 EXAM-LEVEL QUESTIONS WITH
2026 Exam · 189 Questions · With Rationales
R EXIT EXAM 2026ati.
| 180 EXAM-LEVEL QUESTIONS WITH ANSWERS | COMPLETE RN SOLUTIONS & RATIONALES | LEVEL 3 | ATI PROCTORE
Question: 4 of 189
A nurse is assessing a patient who has a chest tube connected to a closed drainage system with suction. The
nurse notes continuous bubbling in the water seal chamber. Which action should the nurse take first?
A. Clamp the chest tube near the insertion site
B. Check the chest tube connections for leaks
C. Increase the suction pressure until bubbling stops
D. Replace the drainage system
PREVIOUS CONTINUE
A nurse is assessing a patient who has a chest tube connected to a closed drainage
system with suction. The nurse notes continuous bubbling in the water seal chamber.
Which action should the nurse take first?
A. Clamp the chest tube near the insertion site
' B. Check the chest tube connections for leaks
C. Increase the suction pressure until bubbling stops
D. Replace the drainage system
Correct Answer: B
Continuous bubbling in the water seal chamber indicates an air leak, which can occur from disconnections or
loose connections. The nurse should first check all connections and tighten them. Clamping (A) could cause
tension pneumothorax. Increasing suction (C) is not appropriate. Replacing the system (D) is premature.
TOR EXIT EXAM 2026 | 180 EXAM-LEVEL QUESTIONS WITH ANSWERS | COMPLETE RN SOLUTIONS & RATIONALES | LEVEL 3 | ATI PROCTO
