ATI RN Comprehensive Predictor 2026 with NGN
PROCTORED EXAM
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Question 1 Pause Remaining
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A nurse is preparing to administer medication to a client who has gout. The nurse discovers that an error was made during the previous shift and the client received
atenolol instead of allopurinol. Which of the following actions should the nurse take first?
Obtain the client's blood pressure.
Contact the client's provider.
Inform the charge nurse.
Complete an incident report.
CONTINUE ➔
🟢 PROCTOR VERIFIED ANSWER KEY: A. Obtain the client's blood pressure.
NCLEX Blueprint Rationale: Atenolol is a beta-blocker that actively lowers blood pressure and heart rate. Assessment of vital signs to ensure client safety must always
precede reporting steps.
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Question 2 Pause Remaining
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A nurse is assessing a client who is experiencing hypokalemia. Which of the following findings should the nurse expect? (Select all that apply.)
Muscle weakness
Abdominal distention
Hyperactive deep tendon reflexes
Cardiac dysrhythmias
Inverted T waves on ECG
CONTINUE ➔
🟢 PROCTOR VERIFIED ANSWER KEY: A, B, D, E
NCLEX Blueprint Rationale: Hypokalemia decreases neuromuscular excitability, leading to muscle weakness, smooth muscle sluggishness (causing abdominal
distention/paralytic ileus), cardiac dysrhythmias, and characteristic ECG modifications like flat/inverted T waves and prominent U waves.
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Question 3 Pause Remaining
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A nurse is assessing a client who has a serum potassium level of 6.2 mEq/L. Which of the following electrocardiogram (ECG) changes should the nurse expect to
observe?
Presence of prominent U-waves
Prolonged QT interval
Tall, peaked T-waves
ST-segment depression
CONTINUE ➔
🟢 PROCTOR VERIFIED ANSWER KEY: C. Tall, peaked T-waves
NCLEX Blueprint Rationale: Hyperkalemia causes rapid cardiac repolarization manifested directly as tall, peaked, narrow T-waves on a 12-lead electrocardiogram track.
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Page 3 of 180
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Question 4 Pause Remaining
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A nurse is caring for a client who has preeclampsia and is receiving a continuous intravenous infusion of magnesium sulfate. Which of the following manifestations
should indicate to the nurse that the client is developing magnesium toxicity? (Select all that apply.)
Respiratory rate 10/min
Hyperactive patellar reflexes
Urinary output 15 mL/hr
Decreased level of consciousness
Sudden drop in blood pressure
CONTINUE ➔
🟢 PROCTOR VERIFIED ANSWER KEY: A, C, D
NCLEX Blueprint Rationale: Signs of magnesium sulfate toxicity include central nervous system depression characterized by bradypnea (<12/min), absent or diminished
deep tendon reflexes, hypouria (<30 mL/hr), and profound lethargy/decreased responsiveness.
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PROCTORED EXAM
Time Remaining
Question 1 Pause Remaining
●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●
A nurse is preparing to administer medication to a client who has gout. The nurse discovers that an error was made during the previous shift and the client received
atenolol instead of allopurinol. Which of the following actions should the nurse take first?
Obtain the client's blood pressure.
Contact the client's provider.
Inform the charge nurse.
Complete an incident report.
CONTINUE ➔
🟢 PROCTOR VERIFIED ANSWER KEY: A. Obtain the client's blood pressure.
NCLEX Blueprint Rationale: Atenolol is a beta-blocker that actively lowers blood pressure and heart rate. Assessment of vital signs to ensure client safety must always
precede reporting steps.
Page 1 of 180
, Time Remaining
Question 2 Pause Remaining
●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●
A nurse is assessing a client who is experiencing hypokalemia. Which of the following findings should the nurse expect? (Select all that apply.)
Muscle weakness
Abdominal distention
Hyperactive deep tendon reflexes
Cardiac dysrhythmias
Inverted T waves on ECG
CONTINUE ➔
🟢 PROCTOR VERIFIED ANSWER KEY: A, B, D, E
NCLEX Blueprint Rationale: Hypokalemia decreases neuromuscular excitability, leading to muscle weakness, smooth muscle sluggishness (causing abdominal
distention/paralytic ileus), cardiac dysrhythmias, and characteristic ECG modifications like flat/inverted T waves and prominent U waves.
PREVIOUS
Page 2 of 180
, Time Remaining
Question 3 Pause Remaining
●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●
A nurse is assessing a client who has a serum potassium level of 6.2 mEq/L. Which of the following electrocardiogram (ECG) changes should the nurse expect to
observe?
Presence of prominent U-waves
Prolonged QT interval
Tall, peaked T-waves
ST-segment depression
CONTINUE ➔
🟢 PROCTOR VERIFIED ANSWER KEY: C. Tall, peaked T-waves
NCLEX Blueprint Rationale: Hyperkalemia causes rapid cardiac repolarization manifested directly as tall, peaked, narrow T-waves on a 12-lead electrocardiogram track.
PREVIOUS
Page 3 of 180
, Time Remaining
Question 4 Pause Remaining
●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●
A nurse is caring for a client who has preeclampsia and is receiving a continuous intravenous infusion of magnesium sulfate. Which of the following manifestations
should indicate to the nurse that the client is developing magnesium toxicity? (Select all that apply.)
Respiratory rate 10/min
Hyperactive patellar reflexes
Urinary output 15 mL/hr
Decreased level of consciousness
Sudden drop in blood pressure
CONTINUE ➔
🟢 PROCTOR VERIFIED ANSWER KEY: A, C, D
NCLEX Blueprint Rationale: Signs of magnesium sulfate toxicity include central nervous system depression characterized by bradypnea (<12/min), absent or diminished
deep tendon reflexes, hypouria (<30 mL/hr), and profound lethargy/decreased responsiveness.
PREVIOUS
Page 4 of 180
