ATI RN Comprehensive Predictor 2023
NGN Exit Exam – 180 Questions &
Answers (Latest 2026 Version)
Expert-verified, actual NGN exam format with clinical judgment, prioritization, delegation, and
patient safety questions for guaranteed NCLEX-RN success!
1. A nurse is assisting the provider with a lumbar puncture for a client who has
manifestations of meningitis. Into which of the following should the nurse assist
the client?
a) Side-lying with knees pulled to chest
b) High Fowler's with arms above head
c) Prone with neck hyperextended
d) Supine with knees extended
2. A nurse is caring for a client who has generalized anxiety disorder and is
hyperventilating. Which of the following is the priority nursing action?
a) Encourage deep breathing into paper bag (address physiological need first)
b) Teach progressive muscle relaxation
c) Administer lorazepam IM
d) Place in quiet, darkened room
3. A nurse is providing discharge teaching to a client who has heart failure and a
new prescription for spironolactone. Which of the following should the nurse
include?
a) Avoid foods high in potassium
b) Take in morning to avoid daytime urination
c) Expect increased libido
d) Weigh weekly
4. A nurse is assessing a client who is receiving IV furosemide. Which of the
following findings requires immediate intervention?
a) Blood pressure 90/60 mm Hg (hypotension)
b) Potassium 3.8 mEq/L
c) Heart rate 88/min
d) Urine output 40 mL/hr
5. A nurse is caring for a newborn immediately following birth. Which of the
following is the priority assessment?
a) Respiratory status
, b) Temperature
c) Heart rate
d) Reflexes
6. A nurse is teaching a client who has asthma about peak expiratory flow rate
(PEFR) monitoring. Which of the following indicates correct personal best?
a) 80-100% predicted or personal best
b) 50-80% yellow zone
c) <50% red zone
d) >100% acceptable
7. A nurse is planning care for a toddler who has a compound fracture of the femur.
Which of the following interventions should the nurse include?
a) Keep extremity at heart level
b) Place on Buck's traction
c) Apply heat to affected extremity
d) Encourage weight bearing
8. A nurse is administering medications to a client who has schizophrenia. Which of
the following should the nurse question?
a) Risperidone 2 mg PO (monitor for EPS)
b) Haloperidol 5 mg IM
c) Lithium 300 mg PO
d) Benztropine 1 mg PO
9. A nurse is reviewing the laboratory results of a client who has acute pancreatitis.
Which of the following values should the nurse expect?
a) Amylase 450 units/L (elevated)
b) WBC 6,000/mm³
c) Glucose 90 mg/dL
d) Calcium 10.5 mg/dL
10.A nurse is caring for a client who is 2 days postoperative following a total hip
arthroplasty. Which of the following is the priority action if the client reports
sudden foot pain and numbness?
a) Assess peripheral pulses
b) Administer pain medication
c) Apply Buck's traction
d) Increase IV fluids
11.A nurse is providing teaching to a client who has diabetes mellitus about foot
care. Which of the following instructions should the nurse include?
a) Inspect feet daily for cuts and abrasions
b) Apply lotion between toes
, c) Soak feet in hot water daily
d) Wear cotton socks
12.A nurse is caring for a client who is receiving enteral nutrition via NG tube. Which
of the following actions should the nurse take first if residual gastric volume is
150 mL?
a) Hold next feeding
b) Irrigate tubing
c) Advance tube 2 cm
d) Notify provider
13.A nurse is assessing a client who has schizophrenia and is experiencing auditory
hallucinations. Which of the following findings indicates a need for immediate
intervention?
a) States voices tell him to hurt himself
b) Reports voices are getting louder
c) Has flat affect
d) Poor eye contact
14.A nurse is teaching a prenatal class about labor stages. Which of the following
defines the transition phase?
a) 8-10 cm dilation, complete cervical dilation
b) 0-3 cm dilation, early labor
c) 4-7 cm dilation, active labor
d) Complete dilation to birth
15.A nurse is caring for a school-age child who has asthma. Which of the following
findings indicates status asthmaticus?
a) No improvement after albuterol nebulizer
b) Wheezing on auscultation
c) Heart rate 110/min
d) SpO2 95%
16.A nurse is preparing to administer a blood transfusion. Which of the following is
the first action after obtaining blood from blood bank?
a) Verify blood with second RN and client
b) Start 0.9% saline IV
c) Take baseline vital signs
d) Administer PRBC over 4 hr
17.A nurse is assessing a client who has dehydration. Which of the following
findings requires immediate intervention?
a) Heart rate 120/min
b) Skin turgor 2 seconds
, c) Urine specific gravity 1.025
d) Dry mucous membranes
18.A nurse is providing discharge teaching for a client who has a new prescription
for warfarin. Which of the following should be included?
a) Take at same time daily
b) Use barrier contraception
c) Avoid alcohol completely
d) Expect orange urine
19.A nurse is caring for a client who has COPD and is receiving oxygen at 2 L/min.
Which of the following is the most important action?
a) Monitor SpO2 continuously
b) Encourage coughing hourly
c) Administer bronchodilators
d) Perform chest physiotherapy
20.A nurse is assessing a client who is receiving parenteral nutrition. Which of the
following laboratory values indicates a complication?
a) Blood glucose 220 mg/dL
b) BUN 18 mg/dL
c) Serum osmolality 280 mOsm/kg
d) Platelets 150,000/mm³
21.A nurse is caring for a client who has a new ileostomy. Which of the following is
the priority assessment?
a) Stoma color and size
b) Bowel sounds
c) Skin integrity around stoma
d) Fluid and electrolyte balance
22.A nurse is teaching a client who has hypertension about dietary modifications.
Which of the following should the nurse recommend?
a) DASH diet (fruits, vegetables, low-fat dairy)
b) Limit sodium to 2,300 mg/day
c) Increase saturated fats
d) High protein diet
23.A nurse is caring for a client who has atrial fibrillation and is receiving heparin.
Which of the following should the nurse monitor?
a) aPTT levels
b) INR
c) Platelet count
NGN Exit Exam – 180 Questions &
Answers (Latest 2026 Version)
Expert-verified, actual NGN exam format with clinical judgment, prioritization, delegation, and
patient safety questions for guaranteed NCLEX-RN success!
1. A nurse is assisting the provider with a lumbar puncture for a client who has
manifestations of meningitis. Into which of the following should the nurse assist
the client?
a) Side-lying with knees pulled to chest
b) High Fowler's with arms above head
c) Prone with neck hyperextended
d) Supine with knees extended
2. A nurse is caring for a client who has generalized anxiety disorder and is
hyperventilating. Which of the following is the priority nursing action?
a) Encourage deep breathing into paper bag (address physiological need first)
b) Teach progressive muscle relaxation
c) Administer lorazepam IM
d) Place in quiet, darkened room
3. A nurse is providing discharge teaching to a client who has heart failure and a
new prescription for spironolactone. Which of the following should the nurse
include?
a) Avoid foods high in potassium
b) Take in morning to avoid daytime urination
c) Expect increased libido
d) Weigh weekly
4. A nurse is assessing a client who is receiving IV furosemide. Which of the
following findings requires immediate intervention?
a) Blood pressure 90/60 mm Hg (hypotension)
b) Potassium 3.8 mEq/L
c) Heart rate 88/min
d) Urine output 40 mL/hr
5. A nurse is caring for a newborn immediately following birth. Which of the
following is the priority assessment?
a) Respiratory status
, b) Temperature
c) Heart rate
d) Reflexes
6. A nurse is teaching a client who has asthma about peak expiratory flow rate
(PEFR) monitoring. Which of the following indicates correct personal best?
a) 80-100% predicted or personal best
b) 50-80% yellow zone
c) <50% red zone
d) >100% acceptable
7. A nurse is planning care for a toddler who has a compound fracture of the femur.
Which of the following interventions should the nurse include?
a) Keep extremity at heart level
b) Place on Buck's traction
c) Apply heat to affected extremity
d) Encourage weight bearing
8. A nurse is administering medications to a client who has schizophrenia. Which of
the following should the nurse question?
a) Risperidone 2 mg PO (monitor for EPS)
b) Haloperidol 5 mg IM
c) Lithium 300 mg PO
d) Benztropine 1 mg PO
9. A nurse is reviewing the laboratory results of a client who has acute pancreatitis.
Which of the following values should the nurse expect?
a) Amylase 450 units/L (elevated)
b) WBC 6,000/mm³
c) Glucose 90 mg/dL
d) Calcium 10.5 mg/dL
10.A nurse is caring for a client who is 2 days postoperative following a total hip
arthroplasty. Which of the following is the priority action if the client reports
sudden foot pain and numbness?
a) Assess peripheral pulses
b) Administer pain medication
c) Apply Buck's traction
d) Increase IV fluids
11.A nurse is providing teaching to a client who has diabetes mellitus about foot
care. Which of the following instructions should the nurse include?
a) Inspect feet daily for cuts and abrasions
b) Apply lotion between toes
, c) Soak feet in hot water daily
d) Wear cotton socks
12.A nurse is caring for a client who is receiving enteral nutrition via NG tube. Which
of the following actions should the nurse take first if residual gastric volume is
150 mL?
a) Hold next feeding
b) Irrigate tubing
c) Advance tube 2 cm
d) Notify provider
13.A nurse is assessing a client who has schizophrenia and is experiencing auditory
hallucinations. Which of the following findings indicates a need for immediate
intervention?
a) States voices tell him to hurt himself
b) Reports voices are getting louder
c) Has flat affect
d) Poor eye contact
14.A nurse is teaching a prenatal class about labor stages. Which of the following
defines the transition phase?
a) 8-10 cm dilation, complete cervical dilation
b) 0-3 cm dilation, early labor
c) 4-7 cm dilation, active labor
d) Complete dilation to birth
15.A nurse is caring for a school-age child who has asthma. Which of the following
findings indicates status asthmaticus?
a) No improvement after albuterol nebulizer
b) Wheezing on auscultation
c) Heart rate 110/min
d) SpO2 95%
16.A nurse is preparing to administer a blood transfusion. Which of the following is
the first action after obtaining blood from blood bank?
a) Verify blood with second RN and client
b) Start 0.9% saline IV
c) Take baseline vital signs
d) Administer PRBC over 4 hr
17.A nurse is assessing a client who has dehydration. Which of the following
findings requires immediate intervention?
a) Heart rate 120/min
b) Skin turgor 2 seconds
, c) Urine specific gravity 1.025
d) Dry mucous membranes
18.A nurse is providing discharge teaching for a client who has a new prescription
for warfarin. Which of the following should be included?
a) Take at same time daily
b) Use barrier contraception
c) Avoid alcohol completely
d) Expect orange urine
19.A nurse is caring for a client who has COPD and is receiving oxygen at 2 L/min.
Which of the following is the most important action?
a) Monitor SpO2 continuously
b) Encourage coughing hourly
c) Administer bronchodilators
d) Perform chest physiotherapy
20.A nurse is assessing a client who is receiving parenteral nutrition. Which of the
following laboratory values indicates a complication?
a) Blood glucose 220 mg/dL
b) BUN 18 mg/dL
c) Serum osmolality 280 mOsm/kg
d) Platelets 150,000/mm³
21.A nurse is caring for a client who has a new ileostomy. Which of the following is
the priority assessment?
a) Stoma color and size
b) Bowel sounds
c) Skin integrity around stoma
d) Fluid and electrolyte balance
22.A nurse is teaching a client who has hypertension about dietary modifications.
Which of the following should the nurse recommend?
a) DASH diet (fruits, vegetables, low-fat dairy)
b) Limit sodium to 2,300 mg/day
c) Increase saturated fats
d) High protein diet
23.A nurse is caring for a client who has atrial fibrillation and is receiving heparin.
Which of the following should the nurse monitor?
a) aPTT levels
b) INR
c) Platelet count
