ATI RN Comprehensive Predictor 2026 – NGN-
Style Exam 2 Practice Questions with Answers
and Detailed Rationales Top Rated Latest
Version
Question 1 — Clinical Judgment (Adult Medical-Surgical)
A nurse is caring for a client admitted with heart failure. The client
reports increasing shortness of breath and fatigue. Assessment findings
include:
• BP: 168/92 mm Hg
• HR: 104/min
• RR: 28/min
• Oxygen saturation: 88% on room air
• Bilateral crackles in lung bases
• 3+ bilateral lower extremity edema
Which action should the nurse take first?
A. Administer the prescribed IV furosemide
B. Place the client in a high-Fowler’s position
C. Restrict the client’s oral fluid intake
D. Notify the provider of worsening heart failure
Correct Answer: B. Place the client in a high-Fowler’s position
Rationale:
The client is experiencing acute worsening heart failure with
pulmonary congestion. Using the ABC priority framework, improving
oxygenation is the priority. High-Fowler’s position decreases venous
return and improves lung expansion.
,A. Administer IV furosemide
• Appropriate intervention, but improving oxygenation comes first.
C. Restrict fluids
• May be prescribed but does not immediately address respiratory
distress.
D. Notify provider
• The provider may need notification, but the nurse must first
stabilize the client.
Question 2 — NGN Bow-Tie Question (Sepsis)
A nurse is caring for a client who presents with:
• Temperature: 39.2°C (102.6°F)
• HR: 122/min
• BP: 86/48 mm Hg
• Confusion
• Lactate: 5 mmol/L
• WBC: 19,000/mm³
The nurse suspects septic shock.
Select the appropriate findings, interventions, and outcomes.
Condition:
⬜ Septic shock
⬜ Hypoglycemia
⬜ Pulmonary embolism
⬜ Acute kidney stone
,Actions:
Select 3:
⬜ Obtain blood cultures
⬜ Administer broad-spectrum antibiotics
⬜ Begin IV fluid resuscitation
⬜ Restrict fluids
⬜ Place client on fluid restriction
Expected Outcomes:
Select 2:
⬜ Improved blood pressure
⬜ Decreased lactate level
⬜ Increased infection severity
⬜ Worsening confusion
Correct Answer:
Condition:
✅ Septic shock
Actions:
✅ Obtain blood cultures
✅ Administer broad-spectrum antibiotics
✅ Begin IV fluid resuscitation
Expected Outcomes:
✅ Improved blood pressure
✅ Decreased lactate level
Rationale:
The client demonstrates classic septic shock findings:
, • Infection
• Hypotension
• Elevated lactate
• Altered mental status
Early treatment includes:
1. Blood cultures before antibiotics when possible
2. Broad-spectrum antibiotics
3. Rapid IV fluids
Question 3 — Pharmacology
A nurse is teaching a client who is prescribed warfarin. Which statement
indicates understanding?
A. “I will increase my intake of leafy green vegetables.”
B. “I will use aspirin for minor pain relief.”
C. “I will have my INR levels checked regularly.”
D. “I can stop taking this medication when I feel better.”
Correct Answer: C. “I will have my INR levels checked regularly.”
Rationale:
Warfarin requires monitoring of INR to evaluate effectiveness and
prevent bleeding.
A. Increase leafy greens
• Vitamin K decreases warfarin effectiveness. Intake should remain
consistent.
B. Aspirin
• Increases bleeding risk.
Style Exam 2 Practice Questions with Answers
and Detailed Rationales Top Rated Latest
Version
Question 1 — Clinical Judgment (Adult Medical-Surgical)
A nurse is caring for a client admitted with heart failure. The client
reports increasing shortness of breath and fatigue. Assessment findings
include:
• BP: 168/92 mm Hg
• HR: 104/min
• RR: 28/min
• Oxygen saturation: 88% on room air
• Bilateral crackles in lung bases
• 3+ bilateral lower extremity edema
Which action should the nurse take first?
A. Administer the prescribed IV furosemide
B. Place the client in a high-Fowler’s position
C. Restrict the client’s oral fluid intake
D. Notify the provider of worsening heart failure
Correct Answer: B. Place the client in a high-Fowler’s position
Rationale:
The client is experiencing acute worsening heart failure with
pulmonary congestion. Using the ABC priority framework, improving
oxygenation is the priority. High-Fowler’s position decreases venous
return and improves lung expansion.
,A. Administer IV furosemide
• Appropriate intervention, but improving oxygenation comes first.
C. Restrict fluids
• May be prescribed but does not immediately address respiratory
distress.
D. Notify provider
• The provider may need notification, but the nurse must first
stabilize the client.
Question 2 — NGN Bow-Tie Question (Sepsis)
A nurse is caring for a client who presents with:
• Temperature: 39.2°C (102.6°F)
• HR: 122/min
• BP: 86/48 mm Hg
• Confusion
• Lactate: 5 mmol/L
• WBC: 19,000/mm³
The nurse suspects septic shock.
Select the appropriate findings, interventions, and outcomes.
Condition:
⬜ Septic shock
⬜ Hypoglycemia
⬜ Pulmonary embolism
⬜ Acute kidney stone
,Actions:
Select 3:
⬜ Obtain blood cultures
⬜ Administer broad-spectrum antibiotics
⬜ Begin IV fluid resuscitation
⬜ Restrict fluids
⬜ Place client on fluid restriction
Expected Outcomes:
Select 2:
⬜ Improved blood pressure
⬜ Decreased lactate level
⬜ Increased infection severity
⬜ Worsening confusion
Correct Answer:
Condition:
✅ Septic shock
Actions:
✅ Obtain blood cultures
✅ Administer broad-spectrum antibiotics
✅ Begin IV fluid resuscitation
Expected Outcomes:
✅ Improved blood pressure
✅ Decreased lactate level
Rationale:
The client demonstrates classic septic shock findings:
, • Infection
• Hypotension
• Elevated lactate
• Altered mental status
Early treatment includes:
1. Blood cultures before antibiotics when possible
2. Broad-spectrum antibiotics
3. Rapid IV fluids
Question 3 — Pharmacology
A nurse is teaching a client who is prescribed warfarin. Which statement
indicates understanding?
A. “I will increase my intake of leafy green vegetables.”
B. “I will use aspirin for minor pain relief.”
C. “I will have my INR levels checked regularly.”
D. “I can stop taking this medication when I feel better.”
Correct Answer: C. “I will have my INR levels checked regularly.”
Rationale:
Warfarin requires monitoring of INR to evaluate effectiveness and
prevent bleeding.
A. Increase leafy greens
• Vitamin K decreases warfarin effectiveness. Intake should remain
consistent.
B. Aspirin
• Increases bleeding risk.
