NGN-ATI RN COMPREHENSIVE PREDICTOR 2026
RETAKE EXAM LATEST UPDATED VERSION QUESTIONS
AND ANSWERS.pdf - 98 Questions
This exam assesses advanced competencies in nursing management of care, including delegation, prioritization,
resource allocation, interdisciplinary collaboration, ethical decision-making, and quality improvement. It aligns
with NGN-ATI RN Comprehensive Predictor standards for senior nursing students. It contains 98 multiple-choice
questions, each with four distractors and a fully worked rationale that explains why the keyed answer is correct.
Content is organized into 8 focused sections: Management of Care, Safety and Infection Control, Health
Promotion and Maintenance, Psychosocial Integrity, Basic Care and Comfort, Pharmacological Therapies,
Reduction of Risk Potential, Physiological Adaptation. Targeted learning outcomes include: Evaluate delegation
and supervision principles to ensure safe, effective care.; Prioritize patient care interventions based on acuity,
resources, and evidence.; Apply ethical and legal frameworks to complex clinical scenarios.; Coordinate
interdisciplinary team communication and conflict resolution.. Every item has been reviewed for clinical
accuracy, current guidelines, and clarity so that students can study with confidence and self-correct as they work
through the bank. Use it as a high-yield review immediately before the exam, or as a structured practice tool
during the unit - the rationales double as concise teaching notes. The recommended writing time is 3 hours, with a
passing score of 80%. Aligned with Accredited by the Commission on Collegiate Nursing Education (CCNE) and
aligned with AACN Baccalaureate Essentials. standards and reflects the question style commonly seen on
Section 1: Management of Care (Questions 1-12)
1 A charge nurse on a medical-surgical unit is assigning patients to staff.
Which patient should be assigned to the most experienced registered nurse
(RN)?
A) A patient with newly diagnosed diabetes mellitus requiring insulin
education
B) A patient with heart failure receiving intravenous furosemide and daily
weights
C) A patient with pneumonia requiring intravenous antibiotics and chest
physiotherapy
D) A patient with acute pancreatitis who is unstable with hemodynamic
monitoring
Answer: D
Rationale: The unstable patient with acute pancreatitis requires advanced
assessment and critical thinking, best managed by the most experienced RN.
Options A, B, and C involve stable patients who can be managed by less
experienced staff or LPNs under supervision.
,2 A nurse manager is reviewing staffing patterns and notes that the unit has a
higher patient acuity than usual. Which action should the nurse manager take
first?
A) Request additional staff from the float pool
B) Reassign unlicensed assistive personnel to assist with complex tasks
C) Cancel all non-urgent admissions to the unit
D) Implement a modified staffing matrix based on patient needs
Answer: A
Rationale: The first action is to request additional staff to address the increased
acuity, ensuring safe patient ratios. Reassigning unlicensed personnel to
complex tasks is unsafe. Canceling admissions may be necessary but is not the
first step. Modifying the staffing matrix is a longer-term solution.
3 A nurse is delegating tasks to a licensed practical nurse (LPN) and a nursing
assistant. Which task should the nurse assign to the LPN?
A) Administer a blood transfusion to a stable patient
B) Perform a sterile dressing change on a surgical wound
C) Assess a patient's lung sounds after a respiratory treatment
D) Ambulate a patient who has a history of falls
Answer: B
Rationale: A sterile dressing change is within the LPN's scope of practice.
Administering a blood transfusion requires an RN. Assessing lung sounds is an
RN responsibility. Ambulation can be delegated to the nursing assistant.
4 A nurse is caring for four patients. After receiving shift report, which patient
should the nurse assess first?
A) A patient with a chest tube who reports shortness of breath and has an
oxygen saturation of 88%
B) A patient with a new colostomy who is crying and refuses to look at the
stoma
C) A patient with diabetes mellitus who has a blood glucose level of 180
mg/dL
D) A patient with hypertension who has a blood pressure of 148/90 mm Hg
Answer: A
Rationale: The patient with hypoxia and shortness of breath is the priority due
to potential respiratory compromise. The other patients are stable or have
,non-urgent needs.
5 A nurse is preparing to administer a high-alert medication. Which action by
the nurse demonstrates adherence to safe medication administration
principles?
A) Double-checking the medication with another nurse before administration
B) Administering the medication based on the verbal order given during
rounds
C) Documenting the medication administration immediately after giving it
D) Crushing the tablet and mixing it with applesauce for easier swallowing
Answer: A
Rationale: Double-checking high-alert medications with another nurse reduces
error risk. Verbal orders are acceptable only in emergencies and must be signed
within 24 hours. Documentation is important but not the primary safety action.
Crushing tablets requires verification that the medication is safe to crush.
6 A nurse is caring for a patient who refuses a prescribed treatment. The
patient is alert and oriented. Which action should the nurse take?
A) Explain the consequences of refusal and document the patient's decision
B) Notify the healthcare provider and request a psychiatric consultation
C) Administer the treatment anyway because it is medically necessary
D) Ask the patient's family to persuade the patient to accept treatment
Answer: A
Rationale: An alert, oriented patient has the right to refuse treatment. The nurse
should explain consequences, respect the decision, and document. Involuntary
treatment is not justified. Psychiatric consultation is not indicated unless
competence is questioned. Family involvement is not a substitute for patient
autonomy.
7 A nurse is leading a quality improvement project to reduce
catheter-associated urinary tract infections (CAUTIs). Which intervention
should the nurse implement first?
A) Educate staff on proper catheter insertion technique
B) Review current CAUTI rates and identify contributing factors
C) Implement a daily checklist for catheter necessity
D) Discontinue all indwelling urinary catheters immediately
, Answer: B
Rationale: The first step in quality improvement is to assess the current
situation and identify root causes. Education and checklists are interventions
that follow the assessment. Discontinuing all catheters is not evidence-based
and may be inappropriate.
8 A nurse is caring for a patient with a do-not-resuscitate (DNR) order. The
patient becomes pulseless and apneic. Which action should the nurse take?
A) Initiate cardiopulmonary resuscitation (CPR) until the family arrives
B) Provide comfort measures and allow natural death
C) Begin CPR and call the code team while verifying the DNR order
D) Administer atropine per the advanced cardiac life support protocol
Answer: B
Rationale: A valid DNR order means no resuscitation efforts should be
initiated. The nurse should provide comfort care. Starting CPR would violate
the patient's wishes. Verifying the order is important, but CPR should not be
started.
9 A nurse is coordinating care for a patient with multiple chronic conditions.
Which member of the interdisciplinary team should the nurse consult to
address the patient's difficulty managing medications at home?
A) Social worker
B) Pharmacist
C) Occupational therapist
D) Case manager
Answer: B
Rationale: A pharmacist specializes in medication management and can assess
barriers, simplify regimens, and provide education. A social worker addresses
psychosocial needs. An occupational therapist focuses on functional tasks. A
case manager coordinates overall care but medication issues are best addressed
by a pharmacist.
10 A nurse is evaluating the effectiveness of a new fall prevention protocol.
Which outcome measure indicates that the protocol is effective?
A) Decreased number of falls with injury per 1,000 patient days
B) Increased staff documentation of fall risk assessments
RETAKE EXAM LATEST UPDATED VERSION QUESTIONS
AND ANSWERS.pdf - 98 Questions
This exam assesses advanced competencies in nursing management of care, including delegation, prioritization,
resource allocation, interdisciplinary collaboration, ethical decision-making, and quality improvement. It aligns
with NGN-ATI RN Comprehensive Predictor standards for senior nursing students. It contains 98 multiple-choice
questions, each with four distractors and a fully worked rationale that explains why the keyed answer is correct.
Content is organized into 8 focused sections: Management of Care, Safety and Infection Control, Health
Promotion and Maintenance, Psychosocial Integrity, Basic Care and Comfort, Pharmacological Therapies,
Reduction of Risk Potential, Physiological Adaptation. Targeted learning outcomes include: Evaluate delegation
and supervision principles to ensure safe, effective care.; Prioritize patient care interventions based on acuity,
resources, and evidence.; Apply ethical and legal frameworks to complex clinical scenarios.; Coordinate
interdisciplinary team communication and conflict resolution.. Every item has been reviewed for clinical
accuracy, current guidelines, and clarity so that students can study with confidence and self-correct as they work
through the bank. Use it as a high-yield review immediately before the exam, or as a structured practice tool
during the unit - the rationales double as concise teaching notes. The recommended writing time is 3 hours, with a
passing score of 80%. Aligned with Accredited by the Commission on Collegiate Nursing Education (CCNE) and
aligned with AACN Baccalaureate Essentials. standards and reflects the question style commonly seen on
Section 1: Management of Care (Questions 1-12)
1 A charge nurse on a medical-surgical unit is assigning patients to staff.
Which patient should be assigned to the most experienced registered nurse
(RN)?
A) A patient with newly diagnosed diabetes mellitus requiring insulin
education
B) A patient with heart failure receiving intravenous furosemide and daily
weights
C) A patient with pneumonia requiring intravenous antibiotics and chest
physiotherapy
D) A patient with acute pancreatitis who is unstable with hemodynamic
monitoring
Answer: D
Rationale: The unstable patient with acute pancreatitis requires advanced
assessment and critical thinking, best managed by the most experienced RN.
Options A, B, and C involve stable patients who can be managed by less
experienced staff or LPNs under supervision.
,2 A nurse manager is reviewing staffing patterns and notes that the unit has a
higher patient acuity than usual. Which action should the nurse manager take
first?
A) Request additional staff from the float pool
B) Reassign unlicensed assistive personnel to assist with complex tasks
C) Cancel all non-urgent admissions to the unit
D) Implement a modified staffing matrix based on patient needs
Answer: A
Rationale: The first action is to request additional staff to address the increased
acuity, ensuring safe patient ratios. Reassigning unlicensed personnel to
complex tasks is unsafe. Canceling admissions may be necessary but is not the
first step. Modifying the staffing matrix is a longer-term solution.
3 A nurse is delegating tasks to a licensed practical nurse (LPN) and a nursing
assistant. Which task should the nurse assign to the LPN?
A) Administer a blood transfusion to a stable patient
B) Perform a sterile dressing change on a surgical wound
C) Assess a patient's lung sounds after a respiratory treatment
D) Ambulate a patient who has a history of falls
Answer: B
Rationale: A sterile dressing change is within the LPN's scope of practice.
Administering a blood transfusion requires an RN. Assessing lung sounds is an
RN responsibility. Ambulation can be delegated to the nursing assistant.
4 A nurse is caring for four patients. After receiving shift report, which patient
should the nurse assess first?
A) A patient with a chest tube who reports shortness of breath and has an
oxygen saturation of 88%
B) A patient with a new colostomy who is crying and refuses to look at the
stoma
C) A patient with diabetes mellitus who has a blood glucose level of 180
mg/dL
D) A patient with hypertension who has a blood pressure of 148/90 mm Hg
Answer: A
Rationale: The patient with hypoxia and shortness of breath is the priority due
to potential respiratory compromise. The other patients are stable or have
,non-urgent needs.
5 A nurse is preparing to administer a high-alert medication. Which action by
the nurse demonstrates adherence to safe medication administration
principles?
A) Double-checking the medication with another nurse before administration
B) Administering the medication based on the verbal order given during
rounds
C) Documenting the medication administration immediately after giving it
D) Crushing the tablet and mixing it with applesauce for easier swallowing
Answer: A
Rationale: Double-checking high-alert medications with another nurse reduces
error risk. Verbal orders are acceptable only in emergencies and must be signed
within 24 hours. Documentation is important but not the primary safety action.
Crushing tablets requires verification that the medication is safe to crush.
6 A nurse is caring for a patient who refuses a prescribed treatment. The
patient is alert and oriented. Which action should the nurse take?
A) Explain the consequences of refusal and document the patient's decision
B) Notify the healthcare provider and request a psychiatric consultation
C) Administer the treatment anyway because it is medically necessary
D) Ask the patient's family to persuade the patient to accept treatment
Answer: A
Rationale: An alert, oriented patient has the right to refuse treatment. The nurse
should explain consequences, respect the decision, and document. Involuntary
treatment is not justified. Psychiatric consultation is not indicated unless
competence is questioned. Family involvement is not a substitute for patient
autonomy.
7 A nurse is leading a quality improvement project to reduce
catheter-associated urinary tract infections (CAUTIs). Which intervention
should the nurse implement first?
A) Educate staff on proper catheter insertion technique
B) Review current CAUTI rates and identify contributing factors
C) Implement a daily checklist for catheter necessity
D) Discontinue all indwelling urinary catheters immediately
, Answer: B
Rationale: The first step in quality improvement is to assess the current
situation and identify root causes. Education and checklists are interventions
that follow the assessment. Discontinuing all catheters is not evidence-based
and may be inappropriate.
8 A nurse is caring for a patient with a do-not-resuscitate (DNR) order. The
patient becomes pulseless and apneic. Which action should the nurse take?
A) Initiate cardiopulmonary resuscitation (CPR) until the family arrives
B) Provide comfort measures and allow natural death
C) Begin CPR and call the code team while verifying the DNR order
D) Administer atropine per the advanced cardiac life support protocol
Answer: B
Rationale: A valid DNR order means no resuscitation efforts should be
initiated. The nurse should provide comfort care. Starting CPR would violate
the patient's wishes. Verifying the order is important, but CPR should not be
started.
9 A nurse is coordinating care for a patient with multiple chronic conditions.
Which member of the interdisciplinary team should the nurse consult to
address the patient's difficulty managing medications at home?
A) Social worker
B) Pharmacist
C) Occupational therapist
D) Case manager
Answer: B
Rationale: A pharmacist specializes in medication management and can assess
barriers, simplify regimens, and provide education. A social worker addresses
psychosocial needs. An occupational therapist focuses on functional tasks. A
case manager coordinates overall care but medication issues are best addressed
by a pharmacist.
10 A nurse is evaluating the effectiveness of a new fall prevention protocol.
Which outcome measure indicates that the protocol is effective?
A) Decreased number of falls with injury per 1,000 patient days
B) Increased staff documentation of fall risk assessments
