Newest ATI RN
Comprehensive
Predictor 2026 Exit
Exam
NGN Style | 100% Verified Answers & Rationales |
Questions
Question 1 of 180
A nurse is assisting the provider with a lumbar puncture for a client suspected of meningitis.
Which position should the nurse assist the client into?
A. Supine with legs extended
B. Head flexed to chest and knees drawn to abdomen
C. Prone with arms extended
D. High Fowler’s position
Answer: B
Rationale: The correct position for a lumbar puncture is the side-lying fetal position (head
flexed, knees to chest) to open intervertebral spaces for needle insertion.
Question 2 of 180
A nurse is caring for a client with COPD whose oxygen saturation is 88% on room air. Which
action should the nurse take first?
,A. Encourage coughing
B. Notify the provider
C. Apply oxygen via nasal cannula
D. Obtain ABG results
Answer: C
Rationale: According to ABC priority, oxygenation is the immediate concern. Supplemental
oxygen should be applied first.
Question 3 of 180 (SATA)
A nurse is teaching a client about digoxin toxicity. Which findings should the nurse include?
(Select all that apply.)
A. Bradycardia
B. Yellow-green halos
C. Nausea and vomiting
D. Hypertension
E. Confusion
Answers: A, B, C, E
Rationale: Digoxin toxicity commonly presents with visual disturbances, GI upset,
bradycardia, and confusion.
Question 4 of 180
A nurse is assessing a client receiving furosemide. Which electrolyte imbalance is the client at
greatest risk for?
A. Hyperkalemia
B. Hypernatremia
C. Hypokalemia
D. Hypercalcemia
Answer: C
Rationale: Loop diuretics like furosemide cause potassium loss, leading to hypokalemia.
,Question 5 of 180
A nurse is caring for a client with a nasogastric tube on suction. Which lab value requires
immediate intervention?
A. Sodium 138 mEq/L
B. Potassium 4.0 mEq/L
C. Potassium 3.0 mEq/L
D. Chloride 100 mEq/L
Answer: C
Rationale: NG suction can cause hypokalemia, which can lead to life-threatening arrhythmias.
Question 6 of 180 (Priority)
Which client should the nurse assess first?
A. Post-op client with pain 6/10
B. Client awaiting discharge instructions
C. Stable diabetic client requesting food
D. Client with oxygen saturation of 88%
Answer: D
Rationale: Airway and oxygenation take priority under ABC framework.
Question 7 of 180
A nurse is preparing to access an implanted port. Which device should be used?
A. Butterfly needle
B. IV catheter
C. Non-coring (Huber) needle
D. 25-gauge needle
Answer: C
Rationale: A non-coring needle prevents damage to the port septum.
, Question 8 of 180 (NGN Case)
Case: A client presents with sepsis: BP 88/50, HR 120, lactate elevated.
Which interventions should the nurse anticipate?
A. Administer IV fluids
B. Obtain blood cultures
C. Delay antibiotics
D. Administer broad-spectrum antibiotics
Answers: A, B, D
Rationale: Sepsis treatment includes fluids, cultures, and early antibiotics to prevent septic
shock.
Question 9 of 180
A nurse is teaching a client about basal body temperature tracking. Which instruction is correct?
A. Take temperature after breakfast
B. Take temperature at bedtime
C. Take temperature immediately upon waking
D. Take temperature after exercise
Answer: C
Rationale: Basal temperature must be taken before any activity for accuracy.
Question 10 of 180
A nurse is evaluating a tuberculin skin test. Which result is considered positive in most clients?
A. Redness of 5 mm
B. Induration of 10 mm
C. Redness of 10 mm
D. Induration of 3 mm
Answer: B
Rationale: A ≥10 mm induration is considered positive in most populations.
Comprehensive
Predictor 2026 Exit
Exam
NGN Style | 100% Verified Answers & Rationales |
Questions
Question 1 of 180
A nurse is assisting the provider with a lumbar puncture for a client suspected of meningitis.
Which position should the nurse assist the client into?
A. Supine with legs extended
B. Head flexed to chest and knees drawn to abdomen
C. Prone with arms extended
D. High Fowler’s position
Answer: B
Rationale: The correct position for a lumbar puncture is the side-lying fetal position (head
flexed, knees to chest) to open intervertebral spaces for needle insertion.
Question 2 of 180
A nurse is caring for a client with COPD whose oxygen saturation is 88% on room air. Which
action should the nurse take first?
,A. Encourage coughing
B. Notify the provider
C. Apply oxygen via nasal cannula
D. Obtain ABG results
Answer: C
Rationale: According to ABC priority, oxygenation is the immediate concern. Supplemental
oxygen should be applied first.
Question 3 of 180 (SATA)
A nurse is teaching a client about digoxin toxicity. Which findings should the nurse include?
(Select all that apply.)
A. Bradycardia
B. Yellow-green halos
C. Nausea and vomiting
D. Hypertension
E. Confusion
Answers: A, B, C, E
Rationale: Digoxin toxicity commonly presents with visual disturbances, GI upset,
bradycardia, and confusion.
Question 4 of 180
A nurse is assessing a client receiving furosemide. Which electrolyte imbalance is the client at
greatest risk for?
A. Hyperkalemia
B. Hypernatremia
C. Hypokalemia
D. Hypercalcemia
Answer: C
Rationale: Loop diuretics like furosemide cause potassium loss, leading to hypokalemia.
,Question 5 of 180
A nurse is caring for a client with a nasogastric tube on suction. Which lab value requires
immediate intervention?
A. Sodium 138 mEq/L
B. Potassium 4.0 mEq/L
C. Potassium 3.0 mEq/L
D. Chloride 100 mEq/L
Answer: C
Rationale: NG suction can cause hypokalemia, which can lead to life-threatening arrhythmias.
Question 6 of 180 (Priority)
Which client should the nurse assess first?
A. Post-op client with pain 6/10
B. Client awaiting discharge instructions
C. Stable diabetic client requesting food
D. Client with oxygen saturation of 88%
Answer: D
Rationale: Airway and oxygenation take priority under ABC framework.
Question 7 of 180
A nurse is preparing to access an implanted port. Which device should be used?
A. Butterfly needle
B. IV catheter
C. Non-coring (Huber) needle
D. 25-gauge needle
Answer: C
Rationale: A non-coring needle prevents damage to the port septum.
, Question 8 of 180 (NGN Case)
Case: A client presents with sepsis: BP 88/50, HR 120, lactate elevated.
Which interventions should the nurse anticipate?
A. Administer IV fluids
B. Obtain blood cultures
C. Delay antibiotics
D. Administer broad-spectrum antibiotics
Answers: A, B, D
Rationale: Sepsis treatment includes fluids, cultures, and early antibiotics to prevent septic
shock.
Question 9 of 180
A nurse is teaching a client about basal body temperature tracking. Which instruction is correct?
A. Take temperature after breakfast
B. Take temperature at bedtime
C. Take temperature immediately upon waking
D. Take temperature after exercise
Answer: C
Rationale: Basal temperature must be taken before any activity for accuracy.
Question 10 of 180
A nurse is evaluating a tuberculin skin test. Which result is considered positive in most clients?
A. Redness of 5 mm
B. Induration of 10 mm
C. Redness of 10 mm
D. Induration of 3 mm
Answer: B
Rationale: A ≥10 mm induration is considered positive in most populations.
