ATI RN Comprehensive Predictor 2026 Exit with NGN –
180 Questions and Answers
[Multiple Choice]
1. Anurse is caring for a client who is scheduled for a colonoscopy. The client
asks the nurse, "What does the doctor mean when they say I need to be
NPO?" Which of the following responses by the nurse is appropriate?
A. 'NPO means you should not eat or drink anything after midnight before the
procedure.'
B. 'NPO means you can have clear liquids up to 2 hours before the procedure.'
C. 'NPO means you need to follow a low-residue diet for 24 hours.'
D. 'NPO means you should only drink water on the day of the procedure.'
[Multiple Choice]
2. A
nurse is assigning tasks to an LPN and a UAP on a medical-surgical unit.
Which of the following tasks should the nurse delegate to the UAP?
A. 'Performing a sterile wound dressing change on a postoperative client.'
B. 'Measuring and recording intake and output for a client with heart failure.'
C. 'Assessing a client's respiratory status after receiving morphine.'
D. 'Teaching a client newly diagnosed with diabetes about insulin administration.'
[Multiple Choice]
3. Anurse is reviewing the medical record of a client admitted with
pneumonia. Which of the following findings should the nurse identify as the
priority to report to the provider?
A. 'Crackles auscultated in the bilateral lower lung fields.'
B. 'Oxygen saturation of 88% on room air.'
C. 'Productive cough with yellow-green sputum.'
D. 'Temperature of 38.5 degrees C (101.3 degrees F).'
[Multiple Choice]
4. A nurse is receiving a change-of-shift report for four clients. Which of the
following clients should the nurse assess first?
A. 'A client who is 1 day postoperative following a cholecystectomy and reports
incisional pain.'
B. 'A client who has a new onset of confusion and a blood pressure of 90/60 mm
Page 1
, Hg.'
C. 'A client who is scheduled for physical therapy at 1000 and is awaiting
transport.'
D. 'A client who has a prescription for a wound irrigation that is overdue by 30
minutes.'
[Multiple Choice]
5. Anurse is planning care for a client who has a prescription for contact
precautions due to Clostridioides difficile infection. Which of the following
interventions should the nurse include in the plan?
A. 'Placethe client in a room with negative-pressure airflow.'
B. 'Wear a gown and gloves when entering the client's room.'
C. 'Apply a surgical mask when within 3 feet of the client.'
D. 'Use an alcohol-based hand sanitizer after removing gloves.'
[Multiple Choice]
6. Anurse is caring for a client who is receiving continuous enteral feedings
via a nasogastric tube. The nurse should identify that which of the following
findings requires immediate intervention?
A. 'The feeding bag was last changed 12 hours ago.'
B. 'The client has a residual volume of 350 mL.'
C. 'The tube feeding is infusing at the prescribed rate of 60 mL/hr.'
D. 'The head of the bed is elevated to 30 degrees.'
Page 2
,[Multiple Choice]
7. A nurse is reviewing the laboratory results of a client who is taking
warfarin. Which of the following laboratory values should the nurse report
to the provider immediately?
A. 'INR of 2.5'
B. 'INR of 1.0'
C. 'INR of 5.8'
D. 'INR of 3.0'
[Multiple Choice]
8. A charge nurse is making client assignments for the shift. Which of the
following clients is most appropriate to assign to a new graduate nurse
who has completed orientation?
A. 'A client who is 6 hours post-myocardial infarction receiving a heparin
infusion.'
B. 'A client who has a new tracheostomy with copious secretions requiring
frequent suctioning.'
C. 'A client who is being discharged home with a new prescription for home
oxygen therapy.'
D. 'A client who has an acute exacerbation of heart failure with a 10-pound weight
gain.'
[Multiple Choice]
9. A nurse is providing discharge teaching to a client who has a new prescription
for furosemide. Which of the following statements by the client indicates an
understanding of the teaching?
A. 'I will eat foods high in potassium, such as bananas and oranges.'
B. 'I will take this medication at bedtime to prevent dizziness during the day.'
C. 'I will limit my fluid intake to no more than 500 mL per day.'
D. 'I will weigh myself once a month to monitor for fluid retention.'
[Multiple Choice]
10. Anurse is caring for a client who has a do-not-resuscitate (DNR) order.
The client's family member expresses concern that the client is not receiving
adequate care. Which of the following responses by the nurse is appropriate?
A. 'A DNR order means we will not perform CPR, but all other care will
continue.'
B. 'A DNR order means we will provide only comfort measures at this point.'
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, C. 'Iunderstand your concern, but the provider has already made this decision.'
D. 'We can cancel the DNR order if you would prefer more aggressive treatment.'
[Select All That Apply]
11. A
nurse is caring for a client who is 2 days postoperative following an
abdominal hysterectomy. Which of the following findings should the nurse
report to the surgeon? (Select all that apply.)
A. The client reports sudden onset of sharp abdominal pain.
B. The wound edges are approximated with no drainage.
C. The client has a temperature of 38.8 degrees C (101.8 degrees F).
D. The client reports passing flatus.
E. The surgical incision has a 3-cm area of separation with serous drainage.
[Multiple Choice]
12. Anurse is preparing to administer blood to a client. Which of the following
actions should the nurse take first?
A. 'Verify the blood type and Rh factor with another licensed nurse.'
B. 'Obtain the client's vital signs.'
C. 'Prime the blood administration tubing with normal saline.'
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180 Questions and Answers
[Multiple Choice]
1. Anurse is caring for a client who is scheduled for a colonoscopy. The client
asks the nurse, "What does the doctor mean when they say I need to be
NPO?" Which of the following responses by the nurse is appropriate?
A. 'NPO means you should not eat or drink anything after midnight before the
procedure.'
B. 'NPO means you can have clear liquids up to 2 hours before the procedure.'
C. 'NPO means you need to follow a low-residue diet for 24 hours.'
D. 'NPO means you should only drink water on the day of the procedure.'
[Multiple Choice]
2. A
nurse is assigning tasks to an LPN and a UAP on a medical-surgical unit.
Which of the following tasks should the nurse delegate to the UAP?
A. 'Performing a sterile wound dressing change on a postoperative client.'
B. 'Measuring and recording intake and output for a client with heart failure.'
C. 'Assessing a client's respiratory status after receiving morphine.'
D. 'Teaching a client newly diagnosed with diabetes about insulin administration.'
[Multiple Choice]
3. Anurse is reviewing the medical record of a client admitted with
pneumonia. Which of the following findings should the nurse identify as the
priority to report to the provider?
A. 'Crackles auscultated in the bilateral lower lung fields.'
B. 'Oxygen saturation of 88% on room air.'
C. 'Productive cough with yellow-green sputum.'
D. 'Temperature of 38.5 degrees C (101.3 degrees F).'
[Multiple Choice]
4. A nurse is receiving a change-of-shift report for four clients. Which of the
following clients should the nurse assess first?
A. 'A client who is 1 day postoperative following a cholecystectomy and reports
incisional pain.'
B. 'A client who has a new onset of confusion and a blood pressure of 90/60 mm
Page 1
, Hg.'
C. 'A client who is scheduled for physical therapy at 1000 and is awaiting
transport.'
D. 'A client who has a prescription for a wound irrigation that is overdue by 30
minutes.'
[Multiple Choice]
5. Anurse is planning care for a client who has a prescription for contact
precautions due to Clostridioides difficile infection. Which of the following
interventions should the nurse include in the plan?
A. 'Placethe client in a room with negative-pressure airflow.'
B. 'Wear a gown and gloves when entering the client's room.'
C. 'Apply a surgical mask when within 3 feet of the client.'
D. 'Use an alcohol-based hand sanitizer after removing gloves.'
[Multiple Choice]
6. Anurse is caring for a client who is receiving continuous enteral feedings
via a nasogastric tube. The nurse should identify that which of the following
findings requires immediate intervention?
A. 'The feeding bag was last changed 12 hours ago.'
B. 'The client has a residual volume of 350 mL.'
C. 'The tube feeding is infusing at the prescribed rate of 60 mL/hr.'
D. 'The head of the bed is elevated to 30 degrees.'
Page 2
,[Multiple Choice]
7. A nurse is reviewing the laboratory results of a client who is taking
warfarin. Which of the following laboratory values should the nurse report
to the provider immediately?
A. 'INR of 2.5'
B. 'INR of 1.0'
C. 'INR of 5.8'
D. 'INR of 3.0'
[Multiple Choice]
8. A charge nurse is making client assignments for the shift. Which of the
following clients is most appropriate to assign to a new graduate nurse
who has completed orientation?
A. 'A client who is 6 hours post-myocardial infarction receiving a heparin
infusion.'
B. 'A client who has a new tracheostomy with copious secretions requiring
frequent suctioning.'
C. 'A client who is being discharged home with a new prescription for home
oxygen therapy.'
D. 'A client who has an acute exacerbation of heart failure with a 10-pound weight
gain.'
[Multiple Choice]
9. A nurse is providing discharge teaching to a client who has a new prescription
for furosemide. Which of the following statements by the client indicates an
understanding of the teaching?
A. 'I will eat foods high in potassium, such as bananas and oranges.'
B. 'I will take this medication at bedtime to prevent dizziness during the day.'
C. 'I will limit my fluid intake to no more than 500 mL per day.'
D. 'I will weigh myself once a month to monitor for fluid retention.'
[Multiple Choice]
10. Anurse is caring for a client who has a do-not-resuscitate (DNR) order.
The client's family member expresses concern that the client is not receiving
adequate care. Which of the following responses by the nurse is appropriate?
A. 'A DNR order means we will not perform CPR, but all other care will
continue.'
B. 'A DNR order means we will provide only comfort measures at this point.'
Page 3
, C. 'Iunderstand your concern, but the provider has already made this decision.'
D. 'We can cancel the DNR order if you would prefer more aggressive treatment.'
[Select All That Apply]
11. A
nurse is caring for a client who is 2 days postoperative following an
abdominal hysterectomy. Which of the following findings should the nurse
report to the surgeon? (Select all that apply.)
A. The client reports sudden onset of sharp abdominal pain.
B. The wound edges are approximated with no drainage.
C. The client has a temperature of 38.8 degrees C (101.8 degrees F).
D. The client reports passing flatus.
E. The surgical incision has a 3-cm area of separation with serous drainage.
[Multiple Choice]
12. Anurse is preparing to administer blood to a client. Which of the following
actions should the nurse take first?
A. 'Verify the blood type and Rh factor with another licensed nurse.'
B. 'Obtain the client's vital signs.'
C. 'Prime the blood administration tubing with normal saline.'
Page 4
