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RN ATI COMPREHENSIVE ASSESSMENT EXAM BUNDLE 2026 V1,V2, V3, V4, V5 . (Includes Both Exam and Retake Versions

HEAL100 Health Care — exam and revision material · Other

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Health Care exam material, 87 pages. Originally published on StudyMerit.

Pages
87
Academic year
2025/2026
Language
English

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Actual 2026 Version ATI RN Comprehensive Predictor 2023-2026 Exit Exam | Practice Questions with NGN 180 Questions and Answers to Pass RN ATI | Comprehensive Predictor 2023/2026 Exit Exam with NGN Latest Update Graded A+ Question 1 A 68-year-old male is admitted with acute exacerbation of COPD. His oxygen saturation is 86% on room air. The nurse initiates oxygen at 2 L/min via nasal cannula. Fifteen minutes later, the patient becomes drowsy and his respiratory rate drops from 22 to 8 breaths/min. What is the priority nursing action? ○ Increase oxygen to 4 L/min to improve saturation ○ Place the patient in Trendelenburg position ○ Prepare for immediate intubation Examiners notes COPD patients with chronic hypercapnia rely on hypoxic drive. Too much oxygen can cause respiratory depression. Aim for SpO₂ 88– 92%. ○ Decrease oxygen to 1 L/min and reassess

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Question 2 A nurse is caring for a patient receiving continuous tube feeding via a nasogastric tube. The nurse notes that the residual volume is 400 mL after 4 hours of feeding. Which action should the nurse take first? ○ Discard the residual and continue the feeding ○ Increase the infusion rate to compensate ○ Flush the tube with 30 mL of warm water Examiners notes A residual greater than 250–300 mL suggests delayed gastric emptying. Hold feeding, assess for distension and nausea, and notify provider. Question 3 A nurse is reviewing laboratory results for a patient receiving spironolactone. Which finding indicates a therapeutic response? ○ Serum potassium decreases from 6.1 to 4.8 mEq/L ○ Serum sodium increases from 135 to 140 mEq/L ○ Urine output increases from 20 to 60 mL/hour Examiners notes Spironolactone is a potassium-sparing diuretic used for hypertension and heart failure. A decrease in blood pressure is the intended therapeutic response. Monitoring potassium for hyperkalemia is important for safety, not efficacy. ○ Hold the feeding and reassess abdominal assessment ○ Blood pressure decreases from 150/90 to 130/80 mm Hg

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Question 4 A nurse is assessing a 78-year-old female two days after a right hip replacement. She suddenly reports shortness of breath and pleuritic chest pain. Vital signs: HR 120, RR 32, BP 90/60, SpO₂ 89% on 2 L nasal cannula. The nurse suspects pulmonary embolism. Select the three priority actions. ○ Place patient in high Fowler's position ○ Apply oxygen at 4–6 L/min via mask Examiners notes Pulmonary embolism is a life-threatening emergency. High Fowler's position, high-flow oxygen, IV access, and rapid response notification are priorities. Do not ambulate or massage the affected leg as this can dislodge more clots. Question 5 A nurse is monitoring a patient receiving IV potassium chloride 20 mEq in 100 mL of normal saline over one hour. Which finding requires immediate intervention? ○ Serum potassium level of 3.8 mEq/L ○ Urine output of 40 mL over the last hour ○ Mild ST-segment depression on cardiac monitor Examiners notes IV potassium is a vesicant. Burning pain at the site indicates possible infiltration or phlebitis, which can lead to tissue necrosis. Stop the infusion immediately and notify the provider. Never administer potassium by IV push. Maximum infusion rate is 10–20 mEq/hour via peripheral line. ○ Notify the rapid response team ○ Massage the surgical leg to improve circulation ○ Patient reports burning pain at the IV site ○ Prepare for IV access and anticoagulation orders ○ Ambulate the patient to prevent further clots

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