NGN RN ATI Proctored Comprehensive Predictor Form C Exam
Actual Exam 2026/2027 Complete Exam-Style Questions with
Detailed Rationales | 100% Verified Pass Guaranteed – A+ Graded
SECTION 1: Management of Care (Safety, Delegation, Prioritization)
Question 1
A nurse is delegating tasks for a group of clients on a medical-surgical unit. Which task
is most appropriate to assign to an unlicensed assistive personnel (UAP)?
A. Obtain a blood glucose reading using a fingerstick glucometer
B. Administer an oral antihypertensive medication to a stable client
C. Assess a postoperative client's surgical incision for signs of infection
D. Teach a newly diagnosed diabetic client about carbohydrate counting
Correct Answer: A
Rationale: UAPs can perform fingerstick blood glucose monitoring as it is a routine,
standardized procedure with a predictable outcome. Option B is incorrect because
medication administration is within the scope of the licensed nurse (RN or LPN). Option
C is incorrect because assessment of surgical incisions requires nursing judgment and
is an RN responsibility. Option D is incorrect because client education requires RN-level
assessment of learning needs and evaluation of understanding. This question tests
delegation principles under Management of Care.
Question 2
A nurse in the emergency department is caring for four clients. Which client should the
nurse assess FIRST?
A. A 45-year-old with chest pain who is receiving nitroglycerin and reports a headache
B. A 28-year-old with a fractured ankle who has a new cast and reports tingling in the
toes
C. A 62-year-old with exacerbation of COPD who has an oxygen saturation of 88% on 2L
nasal cannula
,D. A 55-year-old with nausea who has a nasogastric tube to low intermittent suction
Correct Answer: C
Rationale: Using the ABCs (Airway, Breathing, Circulation) prioritization framework, the
client with COPD and SpO2 88% has compromised oxygenation requiring immediate
intervention. A headache from nitroglycerin (Option A) is an expected side effect but not
life-threatening. Tingling in toes (Option B) indicates possible neurovascular
compromise but is not immediately life-threatening. Option D involves expected
postoperative nausea management. The nurse must prioritize the client with the
greatest threat to physiological stability.
Question 3
A charge nurse is making assignments for the shift. Which client should be assigned to
the registered nurse (RN) rather than the licensed practical nurse (LPN)?
A. A client with stable heart failure who requires routine oral medications
B. A client 2 hours post-thoracentesis who has a small pneumothorax on chest x-ray
C. A client with a Stage 2 pressure injury who requires a sterile dressing change
D. A client with newly diagnosed type 2 diabetes who needs reinforcement of foot care
Correct Answer: B
Rationale: The client with a new pneumothorax post-thoracentesis is unstable and
requires ongoing RN assessment, monitoring for respiratory deterioration, and potential
intervention. While LPNs can care for stable clients with predictable outcomes (Option
A), perform sterile dressing changes on stable wounds (Option C), and reinforce
teaching (Option D), they cannot manage unstable clients or those with potential for
rapid deterioration. This reflects the 2026 NCLEX emphasis on delegation based on
client stability and predictability.
Question 4
A nurse is caring for four clients on a busy medical unit. Based on Maslow's hierarchy of
needs and the ABCs of prioritization, which nursing action should be performed FIRST?
,A. Reassure a client experiencing anxiety related to an upcoming cardiac catheterization
B. Reposition a client who is complaining of pressure pain on the coccyx
C. Reassess a client who had a total thyroidectomy and now has a respiratory rate of
28/min with stridor
D. Reinforce teaching with a client who is being discharged on warfarin therapy
Correct Answer: C
Rationale: The client with post-thyroidectomy stridor and tachypnea is experiencing
airway compromise, which is the highest priority according to both the ABCs and
Maslow's physiological needs. Airway always takes precedence over pain (Option B),
anxiety (Option A - psychosocial need), and discharge teaching (Option D).
Post-thyroidectomy stridor indicates possible laryngeal edema or recurrent laryngeal
nerve injury, requiring immediate RN intervention.
Question 5
A nurse is preparing to insert a urinary catheter for a client. According to current
evidence-based practice and the 2026 NCLEX emphasis on infection prevention and
control, which action demonstrates the highest priority for safety?
A. Selecting a catheter size of 18 Fr to ensure adequate drainage
B. Performing hand hygiene before and after donning sterile gloves
C. Cleansing the perineal area with soap and water prior to antiseptic preparation
D. Inflating the balloon with 10 mL of sterile water before insertion to test patency
Correct Answer: B
Rationale: Hand hygiene before and after glove use is the most critical action to prevent
healthcare-associated infections (HAIs) and catheter-associated urinary tract infections
(CAUTI). While appropriate catheter size (Option A) and perineal cleansing (Option C)
are important, hand hygiene is the foundational infection prevention measure. Option D
is incorrect because the balloon should never be inflated before insertion as it causes
urethral trauma. The 2026 test plan emphasizes proactive infection prevention rather
than reactive control.
, Question 6
A nurse witnesses a colleague documenting care in a client's electronic health record
using the workstation in the hallway. The colleague minimizes the screen when another
visitor walks by. Which action by the nurse demonstrates the highest level of
professional accountability regarding privacy and the updated 2026 NCLEX standards?
A. Report the colleague to the state board of nursing immediately
B. Discuss the observed behavior with the colleague privately and report to the nurse
manager if it continues
C. Ignore the behavior because no client information was visibly exposed to the visitor
D. Document the observation in the client's medical record as an incident report
Correct Answer: B
Rationale: The 2026 NCLEX test plan modernizes confidentiality expectations to
explicitly include social media and electronic documentation standards. The nurse
should first address the colleague directly using a professional, non-confrontational
approach (assertive communication). If the behavior persists, escalation to the nurse
manager is appropriate. Option A is premature without first attempting collegial
resolution. Option C violates professional responsibility to protect client privacy. Option
D is incorrect because incident reports are not documented in the client's medical
record; they are filed separately.
Question 7
During a mass casualty incident, a nurse is triaging victims using the START (Simple
Triage and Rapid Treatment) method. Which client should be tagged as the HIGHEST
priority for immediate transport?
A. A client with a respiratory rate of 32/min who is unable to follow commands
B. A client with a compound fracture of the femur who has a palpable radial pulse
C. A client with partial-thickness burns covering 40% of the body surface area who is
ambulatory
D. A client with an open abdominal wound who is not breathing even after airway
repositioning
Actual Exam 2026/2027 Complete Exam-Style Questions with
Detailed Rationales | 100% Verified Pass Guaranteed – A+ Graded
SECTION 1: Management of Care (Safety, Delegation, Prioritization)
Question 1
A nurse is delegating tasks for a group of clients on a medical-surgical unit. Which task
is most appropriate to assign to an unlicensed assistive personnel (UAP)?
A. Obtain a blood glucose reading using a fingerstick glucometer
B. Administer an oral antihypertensive medication to a stable client
C. Assess a postoperative client's surgical incision for signs of infection
D. Teach a newly diagnosed diabetic client about carbohydrate counting
Correct Answer: A
Rationale: UAPs can perform fingerstick blood glucose monitoring as it is a routine,
standardized procedure with a predictable outcome. Option B is incorrect because
medication administration is within the scope of the licensed nurse (RN or LPN). Option
C is incorrect because assessment of surgical incisions requires nursing judgment and
is an RN responsibility. Option D is incorrect because client education requires RN-level
assessment of learning needs and evaluation of understanding. This question tests
delegation principles under Management of Care.
Question 2
A nurse in the emergency department is caring for four clients. Which client should the
nurse assess FIRST?
A. A 45-year-old with chest pain who is receiving nitroglycerin and reports a headache
B. A 28-year-old with a fractured ankle who has a new cast and reports tingling in the
toes
C. A 62-year-old with exacerbation of COPD who has an oxygen saturation of 88% on 2L
nasal cannula
,D. A 55-year-old with nausea who has a nasogastric tube to low intermittent suction
Correct Answer: C
Rationale: Using the ABCs (Airway, Breathing, Circulation) prioritization framework, the
client with COPD and SpO2 88% has compromised oxygenation requiring immediate
intervention. A headache from nitroglycerin (Option A) is an expected side effect but not
life-threatening. Tingling in toes (Option B) indicates possible neurovascular
compromise but is not immediately life-threatening. Option D involves expected
postoperative nausea management. The nurse must prioritize the client with the
greatest threat to physiological stability.
Question 3
A charge nurse is making assignments for the shift. Which client should be assigned to
the registered nurse (RN) rather than the licensed practical nurse (LPN)?
A. A client with stable heart failure who requires routine oral medications
B. A client 2 hours post-thoracentesis who has a small pneumothorax on chest x-ray
C. A client with a Stage 2 pressure injury who requires a sterile dressing change
D. A client with newly diagnosed type 2 diabetes who needs reinforcement of foot care
Correct Answer: B
Rationale: The client with a new pneumothorax post-thoracentesis is unstable and
requires ongoing RN assessment, monitoring for respiratory deterioration, and potential
intervention. While LPNs can care for stable clients with predictable outcomes (Option
A), perform sterile dressing changes on stable wounds (Option C), and reinforce
teaching (Option D), they cannot manage unstable clients or those with potential for
rapid deterioration. This reflects the 2026 NCLEX emphasis on delegation based on
client stability and predictability.
Question 4
A nurse is caring for four clients on a busy medical unit. Based on Maslow's hierarchy of
needs and the ABCs of prioritization, which nursing action should be performed FIRST?
,A. Reassure a client experiencing anxiety related to an upcoming cardiac catheterization
B. Reposition a client who is complaining of pressure pain on the coccyx
C. Reassess a client who had a total thyroidectomy and now has a respiratory rate of
28/min with stridor
D. Reinforce teaching with a client who is being discharged on warfarin therapy
Correct Answer: C
Rationale: The client with post-thyroidectomy stridor and tachypnea is experiencing
airway compromise, which is the highest priority according to both the ABCs and
Maslow's physiological needs. Airway always takes precedence over pain (Option B),
anxiety (Option A - psychosocial need), and discharge teaching (Option D).
Post-thyroidectomy stridor indicates possible laryngeal edema or recurrent laryngeal
nerve injury, requiring immediate RN intervention.
Question 5
A nurse is preparing to insert a urinary catheter for a client. According to current
evidence-based practice and the 2026 NCLEX emphasis on infection prevention and
control, which action demonstrates the highest priority for safety?
A. Selecting a catheter size of 18 Fr to ensure adequate drainage
B. Performing hand hygiene before and after donning sterile gloves
C. Cleansing the perineal area with soap and water prior to antiseptic preparation
D. Inflating the balloon with 10 mL of sterile water before insertion to test patency
Correct Answer: B
Rationale: Hand hygiene before and after glove use is the most critical action to prevent
healthcare-associated infections (HAIs) and catheter-associated urinary tract infections
(CAUTI). While appropriate catheter size (Option A) and perineal cleansing (Option C)
are important, hand hygiene is the foundational infection prevention measure. Option D
is incorrect because the balloon should never be inflated before insertion as it causes
urethral trauma. The 2026 test plan emphasizes proactive infection prevention rather
than reactive control.
, Question 6
A nurse witnesses a colleague documenting care in a client's electronic health record
using the workstation in the hallway. The colleague minimizes the screen when another
visitor walks by. Which action by the nurse demonstrates the highest level of
professional accountability regarding privacy and the updated 2026 NCLEX standards?
A. Report the colleague to the state board of nursing immediately
B. Discuss the observed behavior with the colleague privately and report to the nurse
manager if it continues
C. Ignore the behavior because no client information was visibly exposed to the visitor
D. Document the observation in the client's medical record as an incident report
Correct Answer: B
Rationale: The 2026 NCLEX test plan modernizes confidentiality expectations to
explicitly include social media and electronic documentation standards. The nurse
should first address the colleague directly using a professional, non-confrontational
approach (assertive communication). If the behavior persists, escalation to the nurse
manager is appropriate. Option A is premature without first attempting collegial
resolution. Option C violates professional responsibility to protect client privacy. Option
D is incorrect because incident reports are not documented in the client's medical
record; they are filed separately.
Question 7
During a mass casualty incident, a nurse is triaging victims using the START (Simple
Triage and Rapid Treatment) method. Which client should be tagged as the HIGHEST
priority for immediate transport?
A. A client with a respiratory rate of 32/min who is unable to follow commands
B. A client with a compound fracture of the femur who has a palpable radial pulse
C. A client with partial-thickness burns covering 40% of the body surface area who is
ambulatory
D. A client with an open abdominal wound who is not breathing even after airway
repositioning
