ATI RN Comprehensive Predictor 2026 – 180 NGN
Practice Questions with 100%Correct VERIFid Answer:s
& Rationales
Based on the available search results, I have compiled a comprehensive set of practice
questions for the ATI RN Comprehensive Predictor Exam. These questions are derived
from unofficial student-shared resources and are designed to help you prepare for the
2026 exam format. Please note: This is a practice resource, not the actual exam.
SECTION 1: NGN CASE STUDIES & CLINICAL JUDGMENT
(Questions 1-20)
NGN Case Study 1: Heart Failure with Pulmonary Edema
A 72-year-old client with a history of heart failure presents to the emergency
department with severe shortness of breath. The client is sitting upright, leaning
forward, and using accessory muscles to breathe. Vital signs: BP 170/95, HR 118, RR 34,
SpO2 84% on room air. Lung sounds reveal crackles in all fields. The client has pink,
frothy sputum.
Question 1 (NGN - Recognizing Cues)
Which assessment findings are consistent with acute pulmonary edema? (Select all that
apply.)
A) Sitting upright and leaning forward
B) Accessory muscle use
C) Pink, frothy sputum
D) Bradycardia
E) Crackles in all lung fields
F) SpO2 84%
Correct 100%Correct VERIFid Answer:s: A, B, C, E, F
Rationale: Acute pulmonary edema presents with orthopnea (sitting upright), accessory
muscle use, pink frothy sputum, crackles, and hypoxemia (SpO2 <90%). Bradycardia is not
a typical finding; tachycardia is expected due to sympathetic stimulation and hypoxia.
,Question 2 (NGN - Prioritizing Hypotheses)
Based on the assessment findings, which condition is the client most likely experiencing?
A) Cardiogenic shock
B) Pulmonary edema
C) Pneumothorax
D) Asthma exacerbation
Correct 100%Correct VERIFid Answer:: B
Rationale: Pink frothy sputum with crackles and orthopnea are classic signs of pulmonary
edema from heart failure exacerbation. Cardiogenic shock may develop as a complication,
but the primary condition is pulmonary edema.
Question 3 (NGN - Generate Solutions)
The provider orders furosemide 80 mg IV push. Which action should the nurse take
before administering?
A) Check the client's potassium level
B) Check the client's blood pressure
C) Place the client on a cardiac monitor
D) Obtain a baseline weight
Correct 100%Correct VERIFid Answer:: B
Rationale: Furosemide is a potent loop diuretic that can cause significant hypotension.
Baseline blood pressure must be assessed before administration to monitor for adverse
effects. While potassium levels are important, the immediate safety concern is
hypotension.
Question 4 (NGN - Take Action)
The client's SpO2 remains 85% on 4 L/min via nasal cannula. Which action should the
nurse take?
A) Increase oxygen to 6 L/min via nasal cannula
B) Apply a non-rebreather mask at 15 L/min
, C) Notify the provider for BiPAP
D) Position the client in high Fowler's position
Correct 100%Correct VERIFid Answer:: B
Rationale: A non-rebreather mask delivers high FiO2 (60-80%) for severe hypoxemia. High
Fowler's position is already implemented. BiPAP may be needed if non-rebreather is
insufficient, but the immediate action is to increase oxygen delivery.
Question 5 (NGN - Evaluating Outcomes)
The client receives furosemide and oxygen. Which finding indicates the treatment is
effective?
A) Urine output of 50 mL in the past hour
B) Respiratory rate decreases from 34 to 22
C) Blood pressure increases to 180/90
D) Client reports dry mouth
Correct 100%Correct VERIFid Answer:: B
Rationale: Decreasing respiratory rate indicates improved oxygenation and reduced work
of breathing, the desired outcome. Urine output of 50 mL/hr is adequate but not the
primary indicator of respiratory improvement.
NGN Case Study 2: Postoperative Pulmonary Embolism
A 58-year-old client is 24 hours post-operative following a total hip replacement. The
client suddenly reports sharp chest pain and difficulty breathing. Vital signs: BP 100/60,
HR 125, RR 32, SpO2 86% on 2 L/min nasal cannula.
Question 6 (NGN - Recognizing Cues)
Which condition is the client most likely experiencing?
A) Atelectasis
B) Pulmonary embolism (PE)
C) Pneumonia
D) Myocardial infarction
Practice Questions with 100%Correct VERIFid Answer:s
& Rationales
Based on the available search results, I have compiled a comprehensive set of practice
questions for the ATI RN Comprehensive Predictor Exam. These questions are derived
from unofficial student-shared resources and are designed to help you prepare for the
2026 exam format. Please note: This is a practice resource, not the actual exam.
SECTION 1: NGN CASE STUDIES & CLINICAL JUDGMENT
(Questions 1-20)
NGN Case Study 1: Heart Failure with Pulmonary Edema
A 72-year-old client with a history of heart failure presents to the emergency
department with severe shortness of breath. The client is sitting upright, leaning
forward, and using accessory muscles to breathe. Vital signs: BP 170/95, HR 118, RR 34,
SpO2 84% on room air. Lung sounds reveal crackles in all fields. The client has pink,
frothy sputum.
Question 1 (NGN - Recognizing Cues)
Which assessment findings are consistent with acute pulmonary edema? (Select all that
apply.)
A) Sitting upright and leaning forward
B) Accessory muscle use
C) Pink, frothy sputum
D) Bradycardia
E) Crackles in all lung fields
F) SpO2 84%
Correct 100%Correct VERIFid Answer:s: A, B, C, E, F
Rationale: Acute pulmonary edema presents with orthopnea (sitting upright), accessory
muscle use, pink frothy sputum, crackles, and hypoxemia (SpO2 <90%). Bradycardia is not
a typical finding; tachycardia is expected due to sympathetic stimulation and hypoxia.
,Question 2 (NGN - Prioritizing Hypotheses)
Based on the assessment findings, which condition is the client most likely experiencing?
A) Cardiogenic shock
B) Pulmonary edema
C) Pneumothorax
D) Asthma exacerbation
Correct 100%Correct VERIFid Answer:: B
Rationale: Pink frothy sputum with crackles and orthopnea are classic signs of pulmonary
edema from heart failure exacerbation. Cardiogenic shock may develop as a complication,
but the primary condition is pulmonary edema.
Question 3 (NGN - Generate Solutions)
The provider orders furosemide 80 mg IV push. Which action should the nurse take
before administering?
A) Check the client's potassium level
B) Check the client's blood pressure
C) Place the client on a cardiac monitor
D) Obtain a baseline weight
Correct 100%Correct VERIFid Answer:: B
Rationale: Furosemide is a potent loop diuretic that can cause significant hypotension.
Baseline blood pressure must be assessed before administration to monitor for adverse
effects. While potassium levels are important, the immediate safety concern is
hypotension.
Question 4 (NGN - Take Action)
The client's SpO2 remains 85% on 4 L/min via nasal cannula. Which action should the
nurse take?
A) Increase oxygen to 6 L/min via nasal cannula
B) Apply a non-rebreather mask at 15 L/min
, C) Notify the provider for BiPAP
D) Position the client in high Fowler's position
Correct 100%Correct VERIFid Answer:: B
Rationale: A non-rebreather mask delivers high FiO2 (60-80%) for severe hypoxemia. High
Fowler's position is already implemented. BiPAP may be needed if non-rebreather is
insufficient, but the immediate action is to increase oxygen delivery.
Question 5 (NGN - Evaluating Outcomes)
The client receives furosemide and oxygen. Which finding indicates the treatment is
effective?
A) Urine output of 50 mL in the past hour
B) Respiratory rate decreases from 34 to 22
C) Blood pressure increases to 180/90
D) Client reports dry mouth
Correct 100%Correct VERIFid Answer:: B
Rationale: Decreasing respiratory rate indicates improved oxygenation and reduced work
of breathing, the desired outcome. Urine output of 50 mL/hr is adequate but not the
primary indicator of respiratory improvement.
NGN Case Study 2: Postoperative Pulmonary Embolism
A 58-year-old client is 24 hours post-operative following a total hip replacement. The
client suddenly reports sharp chest pain and difficulty breathing. Vital signs: BP 100/60,
HR 125, RR 32, SpO2 86% on 2 L/min nasal cannula.
Question 6 (NGN - Recognizing Cues)
Which condition is the client most likely experiencing?
A) Atelectasis
B) Pulmonary embolism (PE)
C) Pneumonia
D) Myocardial infarction
