ATI RN Comprehensive Exit Exam 2025–2026 | 170+
NGN Questions with Verified Answers & Rationales |
A+ Predictor Test Bank
Question 1
A nurse is caring for a client with heart failure who is prescribed
furosemide. Which finding requires immediate intervention?
A. Serum potassium 3.8 mEq/L
B. Blood pressure 108/70 mmHg
C. Crackles in bilateral lower lung fields
D. Urine output of 40 mL/hr
✅ Correct Answer: C
Rationale: Crackles indicate fluid overload, suggesting the furosemide is
not effective — this is a priority finding in heart failure management.
Question 2
,A client with chronic kidney disease reports muscle weakness and has a
serum potassium level of 6.2 mEq/L. What is the nurse’s priority action?
A. Monitor cardiac rhythm
B. Prepare for dialysis
C. Administer sodium polystyrene sulfonate (Kayexalate)
D. Place the client on a low-protein diet
✅ Correct Answer: C
Rationale: This drug removes potassium via the GI tract and is the first-
line treatment for moderate hyperkalemia.
Question 3
Which client is at highest risk for a deep vein thrombosis (DVT)?
A. 32-year-old postpartum client
B. 75-year-old post-hip replacement patient
C. 44-year-old with pneumonia
D. 28-year-old with a sprained ankle
✅ Correct Answer: B
Rationale: Age + immobility + recent surgery (especially orthopedic) =
high DVT risk.
Question 4
A client with COPD is on 2 L/min oxygen via nasal cannula. Which
assessment requires immediate attention?
,A. Respiratory rate of 8/min
B. O2 saturation of 89%
C. Barrel chest
D. Productive cough
✅ Correct Answer: A
Rationale: Low RR can indicate CO2 retention or respiratory depression,
especially in COPD clients with hypoxic drive.
Question 5
What is the priority nursing action for a client experiencing
hypoglycemia?
A. Administer regular insulin
B. Provide 15g of fast-acting carbohydrates
C. Call the healthcare provider
D. Recheck glucose in 1 hour
✅ Correct Answer: B
Rationale: Follow the “Rule of 15” — give 15g carbs, recheck glucose
in 15 minutes.
Question 6
A client with liver cirrhosis develops confusion and asterixis. Which lab
value supports this finding?
A. Ammonia 110 mcg/dL
, B. ALT 25 U/L
C. Albumin 3.5 g/dL
D. Bilirubin 1.0 mg/dL
✅ Correct Answer: A
Rationale: Elevated ammonia causes hepatic encephalopathy →
confusion, tremors, altered mental status.
Question 7
Which lab should be monitored closely in a client receiving heparin?
A. INR
B. Hemoglobin
C. aPTT
D. Creatinine
✅ Correct Answer: C
Rationale: Heparin’s effect is measured by aPTT. Therapeutic range is
typically 1.5–2x baseline.
Question 8
What dietary teaching is appropriate for a client with hypertension?
A. Increase sodium intake
B. Eat canned soup for lunch
C. Choose fresh fruits and vegetables
D. Drink 3 cups of coffee daily
NGN Questions with Verified Answers & Rationales |
A+ Predictor Test Bank
Question 1
A nurse is caring for a client with heart failure who is prescribed
furosemide. Which finding requires immediate intervention?
A. Serum potassium 3.8 mEq/L
B. Blood pressure 108/70 mmHg
C. Crackles in bilateral lower lung fields
D. Urine output of 40 mL/hr
✅ Correct Answer: C
Rationale: Crackles indicate fluid overload, suggesting the furosemide is
not effective — this is a priority finding in heart failure management.
Question 2
,A client with chronic kidney disease reports muscle weakness and has a
serum potassium level of 6.2 mEq/L. What is the nurse’s priority action?
A. Monitor cardiac rhythm
B. Prepare for dialysis
C. Administer sodium polystyrene sulfonate (Kayexalate)
D. Place the client on a low-protein diet
✅ Correct Answer: C
Rationale: This drug removes potassium via the GI tract and is the first-
line treatment for moderate hyperkalemia.
Question 3
Which client is at highest risk for a deep vein thrombosis (DVT)?
A. 32-year-old postpartum client
B. 75-year-old post-hip replacement patient
C. 44-year-old with pneumonia
D. 28-year-old with a sprained ankle
✅ Correct Answer: B
Rationale: Age + immobility + recent surgery (especially orthopedic) =
high DVT risk.
Question 4
A client with COPD is on 2 L/min oxygen via nasal cannula. Which
assessment requires immediate attention?
,A. Respiratory rate of 8/min
B. O2 saturation of 89%
C. Barrel chest
D. Productive cough
✅ Correct Answer: A
Rationale: Low RR can indicate CO2 retention or respiratory depression,
especially in COPD clients with hypoxic drive.
Question 5
What is the priority nursing action for a client experiencing
hypoglycemia?
A. Administer regular insulin
B. Provide 15g of fast-acting carbohydrates
C. Call the healthcare provider
D. Recheck glucose in 1 hour
✅ Correct Answer: B
Rationale: Follow the “Rule of 15” — give 15g carbs, recheck glucose
in 15 minutes.
Question 6
A client with liver cirrhosis develops confusion and asterixis. Which lab
value supports this finding?
A. Ammonia 110 mcg/dL
, B. ALT 25 U/L
C. Albumin 3.5 g/dL
D. Bilirubin 1.0 mg/dL
✅ Correct Answer: A
Rationale: Elevated ammonia causes hepatic encephalopathy →
confusion, tremors, altered mental status.
Question 7
Which lab should be monitored closely in a client receiving heparin?
A. INR
B. Hemoglobin
C. aPTT
D. Creatinine
✅ Correct Answer: C
Rationale: Heparin’s effect is measured by aPTT. Therapeutic range is
typically 1.5–2x baseline.
Question 8
What dietary teaching is appropriate for a client with hypertension?
A. Increase sodium intake
B. Eat canned soup for lunch
C. Choose fresh fruits and vegetables
D. Drink 3 cups of coffee daily
