NGN ATI Comprehensive Exit Retake Exam Test
Bank | Complete Questions & Answers
2026/2027 | ACTUAL Exam Preparation With
Detailed Rationales
SECTION 1: MANAGEMENT OF CARE (Delegation,
Ethics, Prioritization, Legal Issues)
1. A nurse is caring for a client with heart failure
who reports worsening shortness of breath and
weight gain of 3 kg (6.6 lb) in 2 days. Which
action should the nurse take first?
A) Administer furosemide 40 mg IV push as
prescribed.
B) Auscultate breath sounds.
C) Restrict oral fluids to 1,500 mL/day.
D) Place the client in high-Fowler's position.
Answer: D
Rationale: High-Fowler's position uses gravity to
,reduce preload and improve ventilation, providing
immediate relief of dyspnea. After positioning, the
nurse auscultates breath sounds (B) to assess
severity, then administers furosemide (A) as
prescribed. Fluid restriction (C) is a longer-term
intervention.
2. A nurse in an emergency department is
assessing four clients. Which client should the
nurse assess first?
A) A client with COPD and oxygen saturation of 88%
on room air
B) A client with chest pain rating 4/10 waiting for an
ECG
C) A client with abdominal pain and temperature of
38.3°C (100.9°F)
D) A client with a leg fracture requesting pain
medication
Answer: A
Rationale: A client with SpO₂ of 88% is hypoxemic
,and requires immediate intervention to prevent
respiratory failure. The ABC (Airway, Breathing,
Circulation) framework guides prioritization;
oxygenation is a breathing priority before chest pain
evaluation or other stable clients.
3. A charge nurse is teaching newly licensed
nurses about the correct use of restraints. Which
instruction should the nurse include?
A) Place a belt restraint on a school-age child who
has seizures
B) Secure wrist restraints to the bed rails for an
adolescent
C) Apply elbow immobilizers for an infant receiving
cleft lip repair
D) Keep the side rails of a toddler's crib elevated
Answer: C
Rationale: Elbow immobilizers prevent infants from
touching surgical sites (cleft lip/palate repair).
Restraints should never be secured to bed rails (risk
, of entrapment); belt restraints are contraindicated
for seizure clients.
4. A nurse is reinforcing discharge teaching with
a client who has a new prescription for warfarin.
Which statement by the client indicates a need
for further teaching?
A) "I will use an electric razor to shave."
B) "I will eat the same amount of green leafy
vegetables each week."
C) "I will take ibuprofen if I have a headache."
D) "I will get my blood drawn regularly as
scheduled."
Answer: C
Rationale: Ibuprofen (NSAID) increases bleeding risk
and should be avoided. Acetaminophen is safer.
Electric razor (A) prevents cuts. Consistent vitamin K
intake from greens (B) is correct. Regular INR
monitoring (D) is essential.
Bank | Complete Questions & Answers
2026/2027 | ACTUAL Exam Preparation With
Detailed Rationales
SECTION 1: MANAGEMENT OF CARE (Delegation,
Ethics, Prioritization, Legal Issues)
1. A nurse is caring for a client with heart failure
who reports worsening shortness of breath and
weight gain of 3 kg (6.6 lb) in 2 days. Which
action should the nurse take first?
A) Administer furosemide 40 mg IV push as
prescribed.
B) Auscultate breath sounds.
C) Restrict oral fluids to 1,500 mL/day.
D) Place the client in high-Fowler's position.
Answer: D
Rationale: High-Fowler's position uses gravity to
,reduce preload and improve ventilation, providing
immediate relief of dyspnea. After positioning, the
nurse auscultates breath sounds (B) to assess
severity, then administers furosemide (A) as
prescribed. Fluid restriction (C) is a longer-term
intervention.
2. A nurse in an emergency department is
assessing four clients. Which client should the
nurse assess first?
A) A client with COPD and oxygen saturation of 88%
on room air
B) A client with chest pain rating 4/10 waiting for an
ECG
C) A client with abdominal pain and temperature of
38.3°C (100.9°F)
D) A client with a leg fracture requesting pain
medication
Answer: A
Rationale: A client with SpO₂ of 88% is hypoxemic
,and requires immediate intervention to prevent
respiratory failure. The ABC (Airway, Breathing,
Circulation) framework guides prioritization;
oxygenation is a breathing priority before chest pain
evaluation or other stable clients.
3. A charge nurse is teaching newly licensed
nurses about the correct use of restraints. Which
instruction should the nurse include?
A) Place a belt restraint on a school-age child who
has seizures
B) Secure wrist restraints to the bed rails for an
adolescent
C) Apply elbow immobilizers for an infant receiving
cleft lip repair
D) Keep the side rails of a toddler's crib elevated
Answer: C
Rationale: Elbow immobilizers prevent infants from
touching surgical sites (cleft lip/palate repair).
Restraints should never be secured to bed rails (risk
, of entrapment); belt restraints are contraindicated
for seizure clients.
4. A nurse is reinforcing discharge teaching with
a client who has a new prescription for warfarin.
Which statement by the client indicates a need
for further teaching?
A) "I will use an electric razor to shave."
B) "I will eat the same amount of green leafy
vegetables each week."
C) "I will take ibuprofen if I have a headache."
D) "I will get my blood drawn regularly as
scheduled."
Answer: C
Rationale: Ibuprofen (NSAID) increases bleeding risk
and should be avoided. Acetaminophen is safer.
Electric razor (A) prevents cuts. Consistent vitamin K
intake from greens (B) is correct. Regular INR
monitoring (D) is essential.
