ATI NCLEX-PN COMPREHENSIVE PREDICTOR

ATI NCLEX-PN COMPREHENSIVE PREDICTOR

PRACTICE EXAM 1 WITH NGN (2025 / 2026)

QUESTIONS AND REVISED CORRECT ANSWERS

WITH RATIONALES |GUARANTEED PASS

• A nurse is reinforcing teaching with a client who has a new prescription for

digoxin. Which of the following instructions should the nurse include?

• Take the medication with high-fiber meals.
• Report nausea and vomiting to the provider.
• Increase potassium-rich foods.
• Avoid dairy products while taking this medication.

Rationale: Nausea and vomiting are signs of digoxin toxicity and should be

reported immediately.

• A client who has COPD is experiencing dyspnea. Which of the following

positions should the nurse assist the client into?

• Supine
• Sims
• High-Fowler’s 1 / 3

• Prone

Rationale: High-Fowler’s position allows maximum lung expansion and

improves oxygenation.

• A nurse is reinforcing teaching with a client about how to use a metered-dose

inhaler (MDI). Which of the following actions indicates understanding?

• Exhales immediately after inhaling the medication
• Holds breath for 10 seconds after inhaling the medication
• Waits 30 seconds between puffs
• Inhales through the nose

Rationale: Holding the breath allows the medication to be absorbed into the

lungs.

• A nurse is caring for a client with a new diagnosis of hypothyroidism. Which

of the following findings should the nurse expect?

• Heat intolerance
• Tachycardia
• Cold intolerance
• Diarrhea

Rationale: Clients with hypothyroidism have decreased metabolism, resulting in

cold intolerance.

• A nurse is caring for a client who is postoperative following a

cholecystectomy and has a Penrose drain in place. Which of the following 2 / 3

actions should the nurse take?

• Place absorbent dressings around the drain.
• Clamp the drain once per shift
• Irrigate the drain every 8 hours
• Flush the drain with heparin

Rationale: A Penrose drain allows passive drainage, so dressings should absorb

drainage and protect the skin.

• Which of the following should the nurse recognize as a manifestation of

lithium toxicity?

• Constipation
• Tremors
• Increased appetite
• Hypotension

Rationale: Fine hand tremors are an early sign of lithium toxicity.

• A nurse is caring for a client with a pressure injury that has a moist, red

wound bed with no slough. Which stage is this pressure injury?

• Stage 1
• Stage 2
• Stage 3
• Unstageable

Rationale: A Stage 3 injury involves full-thickness skin loss and may present with visible granulation tissue.

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