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.
Digoxin 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 initial
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 for
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
abruptly.
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 receiving
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 renally
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
insufficiency?
A. Variable decelerations
B. Late decelerations
C. Early decelerations
D. Accelerations
Answer: B. Late decelerations
Rationale: Late decelerations reflect poor placental perfusion and oxygen delivery
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.
Digoxin 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 initial
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 for
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
abruptly.
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 receiving
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 renally
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
insufficiency?
A. Variable decelerations
B. Late decelerations
C. Early decelerations
D. Accelerations
Answer: B. Late decelerations
Rationale: Late decelerations reflect poor placental perfusion and oxygen delivery
to the fetus.
