ATI RN Comprehensive Predictor
2026 Exit Exam with NGN 180
Questions and 100% Verified Answers
Question: 1 of 180
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Time Remaining: 03:58:31
Pause Remaining: 00:05:00
A nurse is caring for a client who has been taking lithium carbonate for bipolar
disorder. The client reports nausea, vomiting, and blurred vision. Which of the
following findings should the nurse identify as a manifestation of lithium toxicity?
• Polyuria
• Tremors
• Hypotension
• Tachycardia
Rationale: Tremors are a common early manifestation of lithium toxicity. Other
manifestations include nausea, vomiting, diarrhea, blurred vision, and ataxia.
Question: 2 of 180
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Time Remaining: 03:58:12
Pause Remaining: 00:05:00
A nurse is preparing to initiate intravenous fluids via infusion pump for a client.
Which of the following actions should the nurse take?
, • Obtain a surge protector that can accommodate the pump and several other
appliances.
• Verify that the extension cord for the pump is ungrounded.
• Report the pump has a frayed cord and proceed with the infusion.
• Check the expiration date on the safety inspection sticker of the pump.
Rationale: The nurse should check the expiration date on the safety inspection
sticker to ensure the pump has been properly maintained and is safe for use.
Question: 3 of 180
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Time Remaining: 03:57:45
Pause Remaining: 00:05:00
A nurse is caring for a client who has a prescription for enoxaparin. Which of the
following actions should the nurse take?
• Administer the medication via subcutaneous injection in the abdomen.
• Administer the medication via deep intramuscular injection in the gluteal
muscle.
• Massage the injection site after administration.
• Aspirate for blood return before injecting the medication.
Rationale: Enoxaparin is administered subcutaneously in the abdomen. The nurse
should not aspirate, massage, or administer IM.
Question: 4 of 180
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Time Remaining: 03:57:20
Pause Remaining: 00:05:00
,A nurse is assessing a client who has heart failure. Which of the following findings
should the nurse expect?
• Jugular venous distention
• Decreased blood pressure
• Bradycardia
• Increased urine output
Rationale: Jugular venous distention is a sign of right-sided heart failure due to
increased venous pressure.
Question: 5 of 180
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Time Remaining: 03:56:05
Pause Remaining: 00:05:00
A nurse is caring for an older adult client.
Exhibit 1 Exhibit 2
Nurses' Notes
0945
Adult child accompanying parent reports cognitive and physical decline in the
client, expressing concern memory loss, thought processes, appetites, and self-care.
Adult child states, "My sibling and I hired help at home for my parent. We thought
that might help, but it has not. I found the title to the car signed over to me."
Client makes poor eye contact, speaks in a monotone voice, and has a flat facial
expression.
1030
Client reports sleeping 7 hr a night and getting up "once or twice per night to go to
the bathroom." Client states not wanting to talk.
Click to highlight the findings that require immediate follow-up.
Findings to highlight:
, • Client makes poor eye contact, speaks in a monotone voice, and has a
flat facial expression
• Client says, "Why don't you just leave me? I am of no use."
• Adult child reports cognitive and physical decline
Rationale: These findings indicate possible depression, elder abuse, or neglect
requiring immediate follow-up.
Question: 6 of 180
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Time Remaining: 03:55:30
Pause Remaining: 00:05:00
A nurse is caring for a client on a psychiatric unit.
Nurses' Notes
0700
Client is admitted to the unit. They deny suicidal ideations at this time. Client
states, "I am an assistant to a powerful spirit." Client is poorly groomed and has
body odor.
0900
Called to the client's room. Client states, "I cannot believe you put me in a room
with spiders on the wall." Client requests immediate transfer to room.
1200
Psychiatrist is at the bedside evaluating the client. After history and physical,
psychiatrist states that they have diagnosed the client with schizophrenia. Client is
to be started on medications.
For each potential action, click to specify if the action is Indicated or
Contraindicated.
2026 Exit Exam with NGN 180
Questions and 100% Verified Answers
Question: 1 of 180
--
Time Remaining: 03:58:31
Pause Remaining: 00:05:00
A nurse is caring for a client who has been taking lithium carbonate for bipolar
disorder. The client reports nausea, vomiting, and blurred vision. Which of the
following findings should the nurse identify as a manifestation of lithium toxicity?
• Polyuria
• Tremors
• Hypotension
• Tachycardia
Rationale: Tremors are a common early manifestation of lithium toxicity. Other
manifestations include nausea, vomiting, diarrhea, blurred vision, and ataxia.
Question: 2 of 180
--
Time Remaining: 03:58:12
Pause Remaining: 00:05:00
A nurse is preparing to initiate intravenous fluids via infusion pump for a client.
Which of the following actions should the nurse take?
, • Obtain a surge protector that can accommodate the pump and several other
appliances.
• Verify that the extension cord for the pump is ungrounded.
• Report the pump has a frayed cord and proceed with the infusion.
• Check the expiration date on the safety inspection sticker of the pump.
Rationale: The nurse should check the expiration date on the safety inspection
sticker to ensure the pump has been properly maintained and is safe for use.
Question: 3 of 180
--
Time Remaining: 03:57:45
Pause Remaining: 00:05:00
A nurse is caring for a client who has a prescription for enoxaparin. Which of the
following actions should the nurse take?
• Administer the medication via subcutaneous injection in the abdomen.
• Administer the medication via deep intramuscular injection in the gluteal
muscle.
• Massage the injection site after administration.
• Aspirate for blood return before injecting the medication.
Rationale: Enoxaparin is administered subcutaneously in the abdomen. The nurse
should not aspirate, massage, or administer IM.
Question: 4 of 180
--
Time Remaining: 03:57:20
Pause Remaining: 00:05:00
,A nurse is assessing a client who has heart failure. Which of the following findings
should the nurse expect?
• Jugular venous distention
• Decreased blood pressure
• Bradycardia
• Increased urine output
Rationale: Jugular venous distention is a sign of right-sided heart failure due to
increased venous pressure.
Question: 5 of 180
--
Time Remaining: 03:56:05
Pause Remaining: 00:05:00
A nurse is caring for an older adult client.
Exhibit 1 Exhibit 2
Nurses' Notes
0945
Adult child accompanying parent reports cognitive and physical decline in the
client, expressing concern memory loss, thought processes, appetites, and self-care.
Adult child states, "My sibling and I hired help at home for my parent. We thought
that might help, but it has not. I found the title to the car signed over to me."
Client makes poor eye contact, speaks in a monotone voice, and has a flat facial
expression.
1030
Client reports sleeping 7 hr a night and getting up "once or twice per night to go to
the bathroom." Client states not wanting to talk.
Click to highlight the findings that require immediate follow-up.
Findings to highlight:
, • Client makes poor eye contact, speaks in a monotone voice, and has a
flat facial expression
• Client says, "Why don't you just leave me? I am of no use."
• Adult child reports cognitive and physical decline
Rationale: These findings indicate possible depression, elder abuse, or neglect
requiring immediate follow-up.
Question: 6 of 180
--
Time Remaining: 03:55:30
Pause Remaining: 00:05:00
A nurse is caring for a client on a psychiatric unit.
Nurses' Notes
0700
Client is admitted to the unit. They deny suicidal ideations at this time. Client
states, "I am an assistant to a powerful spirit." Client is poorly groomed and has
body odor.
0900
Called to the client's room. Client states, "I cannot believe you put me in a room
with spiders on the wall." Client requests immediate transfer to room.
1200
Psychiatrist is at the bedside evaluating the client. After history and physical,
psychiatrist states that they have diagnosed the client with schizophrenia. Client is
to be started on medications.
For each potential action, click to specify if the action is Indicated or
Contraindicated.
