ATI PN Comprehensive Predictor Exit
Exam 2026: NGN Practice Questions
with Detailed Rationales
(Fundamentals, Pharm, Med-Surg,
Maternal, Peds, Psych)
Fundamentals of Nursing
Question 1: A nurse is preparing to insert an indwelling urinary catheter for
a female client. Which action maintains sterile technique?
A) Place the sterile drape between the client's legs
B) Open the catheter kit facing away from the client
C) Use clean gloves to perform perineal care before inserting
D) Secure the catheter to the client's thigh with tape
Answer: A – The sterile drape creates a sterile field. Opening the kit away
from the client is incorrect; it should face toward you. Clean gloves are for
perineal care, but sterile gloves are for insertion. Securing is done after.
Question 2: A client is on fall precautions. Which intervention is most
important?
A) Keep the bed in the lowest position
, B) Place the call light within reach
C) Lock the bed brakes
D) Use a bed alarm
Answer: A – Keeping the bed in the lowest position minimizes injury risk if
the client falls. While all options are important fall prevention measures, the
lowest bed position is the most critical for injury prevention.
Question 3: A client with an NPO status asks for water. What is the nurse's
best response?
A) "I can give you a small sip."
B) "You cannot have anything by mouth until your procedure."
C) "Let me check with the provider."
D) "You can have ice chips only."
Answer: B – NPO means nothing by mouth. The nurse must explain this
clearly while reinforcing the reason (e.g., aspiration risk).
Question 4: A nurse is applying restraints to a confused client. Which
action is correct?
A) Tie restraints to the bed side rails
B) Check circulation and skin integrity every 2 hours
C) Apply restraints tightly to prevent movement
D) Remove restraints every 4 hours
Answer: B – Circulation and skin must be checked every 2 hours. Restraints
should be tied to the bed frame (not side rails), applied with 2-finger slack,
and removed every 2 hours for ROM and toileting.
, Question 5: Which client is at highest risk for falls?
A) A 45-year-old with hypertension
B) A 70-year-old with a history of stroke and use of a cane
C) A 30-year-old post-operative day 1
D) A 60-year-old with osteoarthritis
Answer: B – Older age, mobility deficits, and history of stroke significantly
increase fall risk.
Question 6: A nurse is assessing a client's vital signs. The client's blood
pressure is 158/94 mm Hg. Which action should the nurse take first?
A) Administer an antihypertensive medication
B) Retake the blood pressure in the same arm after 2 minutes
C) Notify the provider immediately
D) Document the finding and continue the assessment
Answer: B – When a single blood pressure reading is elevated, the nurse
should first verify the reading by retaking it after allowing the client to rest
for 1-2 minutes. This rules out factors like anxiety, incorrect cuff size, or
improper positioning.
Question 7: A client is on fall precautions. Which interventions should the
nurse implement? (Select all that apply.)
A) Keep the bed in the lowest position
B) Raise all four side rails
C) Place a fall risk bracelet on the client
, D) Ensure the call light is within reach
Answer: A, C, D – Keeping the bed low reduces injury risk. A fall risk
bracelet alerts staff. The call light enables the client to request assistance.
Raising all four side rails is considered a restraint and can increase fall risk if
the client attempts to climb over them.
Question 8: A nurse is preparing to administer a medication via the Z-track
method. Which is the correct technique?
A) Pull the skin laterally before injection and release after
B) Assist the client to a sitting position
C) Apply a gait belt around the client's waist
D) Place the wheelchair at a 45-degree angle
Answer: A – The Z-track technique involves pulling the skin laterally to one
side before injection and releasing after needle withdrawal to seal the
medication in the muscle and prevent leakage.
Pharmacology
Question 9: A nurse is caring for a client with heart failure prescribed
furosemide. Which finding should the nurse identify as an adverse effect?
A) Increased blood pressure
B) Hypokalemia
C) Weight gain
D) Bradycardia
Exam 2026: NGN Practice Questions
with Detailed Rationales
(Fundamentals, Pharm, Med-Surg,
Maternal, Peds, Psych)
Fundamentals of Nursing
Question 1: A nurse is preparing to insert an indwelling urinary catheter for
a female client. Which action maintains sterile technique?
A) Place the sterile drape between the client's legs
B) Open the catheter kit facing away from the client
C) Use clean gloves to perform perineal care before inserting
D) Secure the catheter to the client's thigh with tape
Answer: A – The sterile drape creates a sterile field. Opening the kit away
from the client is incorrect; it should face toward you. Clean gloves are for
perineal care, but sterile gloves are for insertion. Securing is done after.
Question 2: A client is on fall precautions. Which intervention is most
important?
A) Keep the bed in the lowest position
, B) Place the call light within reach
C) Lock the bed brakes
D) Use a bed alarm
Answer: A – Keeping the bed in the lowest position minimizes injury risk if
the client falls. While all options are important fall prevention measures, the
lowest bed position is the most critical for injury prevention.
Question 3: A client with an NPO status asks for water. What is the nurse's
best response?
A) "I can give you a small sip."
B) "You cannot have anything by mouth until your procedure."
C) "Let me check with the provider."
D) "You can have ice chips only."
Answer: B – NPO means nothing by mouth. The nurse must explain this
clearly while reinforcing the reason (e.g., aspiration risk).
Question 4: A nurse is applying restraints to a confused client. Which
action is correct?
A) Tie restraints to the bed side rails
B) Check circulation and skin integrity every 2 hours
C) Apply restraints tightly to prevent movement
D) Remove restraints every 4 hours
Answer: B – Circulation and skin must be checked every 2 hours. Restraints
should be tied to the bed frame (not side rails), applied with 2-finger slack,
and removed every 2 hours for ROM and toileting.
, Question 5: Which client is at highest risk for falls?
A) A 45-year-old with hypertension
B) A 70-year-old with a history of stroke and use of a cane
C) A 30-year-old post-operative day 1
D) A 60-year-old with osteoarthritis
Answer: B – Older age, mobility deficits, and history of stroke significantly
increase fall risk.
Question 6: A nurse is assessing a client's vital signs. The client's blood
pressure is 158/94 mm Hg. Which action should the nurse take first?
A) Administer an antihypertensive medication
B) Retake the blood pressure in the same arm after 2 minutes
C) Notify the provider immediately
D) Document the finding and continue the assessment
Answer: B – When a single blood pressure reading is elevated, the nurse
should first verify the reading by retaking it after allowing the client to rest
for 1-2 minutes. This rules out factors like anxiety, incorrect cuff size, or
improper positioning.
Question 7: A client is on fall precautions. Which interventions should the
nurse implement? (Select all that apply.)
A) Keep the bed in the lowest position
B) Raise all four side rails
C) Place a fall risk bracelet on the client
, D) Ensure the call light is within reach
Answer: A, C, D – Keeping the bed low reduces injury risk. A fall risk
bracelet alerts staff. The call light enables the client to request assistance.
Raising all four side rails is considered a restraint and can increase fall risk if
the client attempts to climb over them.
Question 8: A nurse is preparing to administer a medication via the Z-track
method. Which is the correct technique?
A) Pull the skin laterally before injection and release after
B) Assist the client to a sitting position
C) Apply a gait belt around the client's waist
D) Place the wheelchair at a 45-degree angle
Answer: A – The Z-track technique involves pulling the skin laterally to one
side before injection and releasing after needle withdrawal to seal the
medication in the muscle and prevent leakage.
Pharmacology
Question 9: A nurse is caring for a client with heart failure prescribed
furosemide. Which finding should the nurse identify as an adverse effect?
A) Increased blood pressure
B) Hypokalemia
C) Weight gain
D) Bradycardia
