ATI NCLEX-RN COMPREHENSIVE PREDICTOR

ATI NCLEX-RN COMPREHENSIVE PREDICTOR

PRACTICE EXAM 2 WITH NGN (2025 / 2026)

QUESTIONS AND REVISED

WITH RATIONALES

• A client with heart failure is prescribed furosemide. Which of the following

findings should the nurse report to the provider?

• Blood pressure of 120/76 mm Hg
• Serum potassium level of 2.9 mEq/L
• Presence of 1+ pitting edema
• Heart rate of 88 bpm

Furosemide causes potassium loss; a level of 2.9 mEq/L indicates hypokalemia, which may lead to dysrhythmias.

• A nurse is caring for a client who is scheduled for a colonoscopy. Which of the

following client statements indicates understanding of the procedure?

• "I can eat solid food until midnight the night before."
• "I will need to drink a bowel prep solution the day before the test." 1 / 3

• "I will be fully awake during the test."
• "I can drive myself home after the procedure."

Clients are usually required to drink a bowel prep solution to cleanse the colon before a colonoscopy.

• A nurse is teaching a client how to use a metered-dose inhaler. Which of the

following actions indicates correct use?

• The client exhales forcefully into the inhaler
• The client shakes the inhaler before use
• The client inhales through the nose during administration
• The client holds the breath for 2 seconds after inhalation

Shaking the inhaler ensures the medication is properly mixed for effective delivery.

• A client with diabetes mellitus is sweating and has tremors. Which action

should the nurse take first?

• Check the client's blood glucose level
• Administer 1 mg glucagon
• Notify the provider
• Give 4 oz of orange juice

Checking blood glucose helps confirm if the symptoms are due to hypoglycemia before treatment.

• / 3

• A nurse is reviewing lab results for a client receiving warfarin therapy. Which

result indicates therapeutic effect?

A. INR 1.0

B. INR 2.5

C. INR 5.0

D. INR 0.8

The therapeutic INR range for warfarin is typically 2.0–3.0.

• Which action should the nurse take when administering ear drops to a 2-year-

old child?

• Pull the pinna upward and back
• Pull the pinna downward and back
• Insert the dropper deep into the ear canal
• Have the child remain standing

For children under 3 years old, the ear should be pulled down and back to straighten the canal.

• Which of the following actions should the nurse take first when a fire alarm

sounds in the hospital?

• Extinguish the fire
• Close all doors
• Remove any clients in immediate danger
• Activate the fire alarm
• / 3