ATI NCLEX-PN COMPREHENSIVE PREDICTOR

ATI NCLEX-PN COMPREHENSIVE PREDICTOR

PRACTICE EXAM 2 WITH NGN (2025 / 2026)

QUESTIONS AND REVISED

WITH RATIONALES

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

digoxin. Which of the following statements indicates an understanding of the teaching?

• “I will take my pulse before taking this medication.”
• “I will call the doctor if my pulse is below 60.”
• “I will stop the medication if I feel nauseated.”
• “I will double my dose if I miss one.”

Rationale: Digoxin can cause bradycardia. Clients should notify the provider if

their pulse is less than 60 bpm.

• A client who has heart failure is receiving furosemide. Which of the following

findings should the nurse report to the provider? 1 / 3

• Urine output of 1,000 mL/day
• Potassium level of 2.8 mEq/L
• Blood pressure of 110/70 mm Hg
• Weight loss of 2 lb in 24 hours

Rationale: Furosemide is a loop diuretic that can cause hypokalemia. A

potassium level below 3.5 mEq/L is critical.

• A nurse is caring for a client who is post-op and requests pain medication.

What should the nurse do first?

• Check the MAR for the last dose given
• Reposition the client for comfort
• Assess the client's pain level
• Call the provider for an order

Rationale: The nurse must assess pain before deciding the appropriate

intervention.

• A nurse is contributing to the plan of care for a client who is immobile. Which

intervention should be included to prevent skin breakdown?

• Reposition the client every 2 hours
• Massage bony prominences
• Apply cold packs to the heels
• Use baby powder on the skin 2 / 3

Rationale: Regular repositioning improves circulation and prevents pressure

ulcers.

• A nurse is reinforcing teaching with a client about insulin administration.

Which of the following statements indicates understanding?

• “I will rotate injection sites within the same area.”
• “I will inject insulin into my thigh before exercising.”
• “I will store all insulin in the freezer.”
• “I will stop taking insulin when my glucose is normal.”

Rationale: Rotating injection sites in the same area prevents lipodystrophy and

ensures consistent absorption.

• A nurse is reviewing a client's lab results. Which value should be reported

immediately?

• Sodium 138 mEq/L
• Hemoglobin 12.5 g/dL
• Potassium 6.2 mEq/L
• WBC count 6,500/mm³

Rationale: Hyperkalemia can lead to cardiac arrhythmias and should be

reported immediately.

• A client with tuberculosis is started on isoniazid (INH). What teaching should

the nurse reinforce?

• / 3