ATI RN Comprehensive Predictor Exit Exam
with NGN with 180 real questions and
answers 2026
Questions 1–20: Fundamentals & Safety
1. A nurse is assessing a client who has a newly applied cast on
the lower leg. Which finding requires immediate intervention?
A. Mild itching under the cast
B. Warm toes with brisk capillary refill
C. Severe pain unrelieved by prescribed analgesics
D. Mild swelling during the first 24 hr
Answer: C
Rationale: Severe, disproportionate pain that is not relieved by
analgesics can indicate compartment syndrome, which requires
immediate intervention.
2. A nurse is caring for a client who has dysphagia following a
stroke. Which action is appropriate?
A. Offer thin liquids with meals
B. Position the client upright during meals
C. Encourage the client to use a straw
D. Place food on the affected side of the mouth
Answer: B
Rationale: Upright positioning reduces aspiration risk. Thin
liquids and straws can increase aspiration in clients with
dysphagia.
,3. Which intervention is most appropriate when transferring a
client from bed to wheelchair?
A. Lock the wheelchair wheels
B. Keep the wheelchair several feet from the bed
C. Pull the client by the arms
D. Allow the client to stand without assistance
Answer: A
Rationale: Locking the wheelchair prevents movement and
reduces fall risk.
4. A nurse discovers that a client received the wrong medication.
What should the nurse do first?
A. Notify the provider
B. Complete an incident report
C. Assess the client
D. Notify the pharmacy
Answer: C
Rationale: The client's immediate safety and condition must be
assessed first.
5. A client has a prescription for oxygen at 2 L/min via nasal
cannula. Which finding requires intervention?
A. Respiratory rate 18/min
B. Oxygen saturation 96%
,C. Oxygen tubing connected to a petroleum-based product
D. Client reports mild nasal dryness
Answer: C
Rationale: Petroleum products are combustible and should not
be used around oxygen.
6. Which client should the nurse assess first?
A. Client with chronic arthritis reporting pain of 6/10
B. Client with pneumonia and oxygen saturation of 86%
C. Client requesting assistance with bathing
D. Client awaiting discharge instructions
Answer: B
Rationale: Hypoxemia is an immediate threat to life and takes
priority.
7. A nurse is teaching a client how to use a walker. Which
instruction is correct?
A. Move the affected leg first, then the walker
B. Move the walker forward, then step into it
C. Keep the walker behind the body when walking
D. Lift the walker and move it several feet forward
Answer: B
Rationale: The client advances the walker, then steps forward
into the walker while maintaining stability.
, 8. A nurse is caring for a client on contact precautions. Which
PPE is generally required when entering the room?
A. Surgical mask only
B. N95 respirator only
C. Gown and gloves
D. Sterile gloves and face shield
Answer: C
Rationale: Contact precautions generally require gown and
gloves upon room entry.
9. A client begins having a seizure while in bed. What is the
nurse's priority action?
A. Insert an oral airway
B. Restrain the client's extremities
C. Turn the client to the side
D. Leave the room to obtain medication
Answer: C
Rationale: Side-lying positioning helps maintain the airway and
reduces aspiration risk.
10. Which finding indicates effective hand hygiene?
A. Wearing gloves instead of washing hands
B. Washing hands only after client contact
C. Cleaning hands before and after client contact
D. Using hand sanitizer after visible contamination
with NGN with 180 real questions and
answers 2026
Questions 1–20: Fundamentals & Safety
1. A nurse is assessing a client who has a newly applied cast on
the lower leg. Which finding requires immediate intervention?
A. Mild itching under the cast
B. Warm toes with brisk capillary refill
C. Severe pain unrelieved by prescribed analgesics
D. Mild swelling during the first 24 hr
Answer: C
Rationale: Severe, disproportionate pain that is not relieved by
analgesics can indicate compartment syndrome, which requires
immediate intervention.
2. A nurse is caring for a client who has dysphagia following a
stroke. Which action is appropriate?
A. Offer thin liquids with meals
B. Position the client upright during meals
C. Encourage the client to use a straw
D. Place food on the affected side of the mouth
Answer: B
Rationale: Upright positioning reduces aspiration risk. Thin
liquids and straws can increase aspiration in clients with
dysphagia.
,3. Which intervention is most appropriate when transferring a
client from bed to wheelchair?
A. Lock the wheelchair wheels
B. Keep the wheelchair several feet from the bed
C. Pull the client by the arms
D. Allow the client to stand without assistance
Answer: A
Rationale: Locking the wheelchair prevents movement and
reduces fall risk.
4. A nurse discovers that a client received the wrong medication.
What should the nurse do first?
A. Notify the provider
B. Complete an incident report
C. Assess the client
D. Notify the pharmacy
Answer: C
Rationale: The client's immediate safety and condition must be
assessed first.
5. A client has a prescription for oxygen at 2 L/min via nasal
cannula. Which finding requires intervention?
A. Respiratory rate 18/min
B. Oxygen saturation 96%
,C. Oxygen tubing connected to a petroleum-based product
D. Client reports mild nasal dryness
Answer: C
Rationale: Petroleum products are combustible and should not
be used around oxygen.
6. Which client should the nurse assess first?
A. Client with chronic arthritis reporting pain of 6/10
B. Client with pneumonia and oxygen saturation of 86%
C. Client requesting assistance with bathing
D. Client awaiting discharge instructions
Answer: B
Rationale: Hypoxemia is an immediate threat to life and takes
priority.
7. A nurse is teaching a client how to use a walker. Which
instruction is correct?
A. Move the affected leg first, then the walker
B. Move the walker forward, then step into it
C. Keep the walker behind the body when walking
D. Lift the walker and move it several feet forward
Answer: B
Rationale: The client advances the walker, then steps forward
into the walker while maintaining stability.
, 8. A nurse is caring for a client on contact precautions. Which
PPE is generally required when entering the room?
A. Surgical mask only
B. N95 respirator only
C. Gown and gloves
D. Sterile gloves and face shield
Answer: C
Rationale: Contact precautions generally require gown and
gloves upon room entry.
9. A client begins having a seizure while in bed. What is the
nurse's priority action?
A. Insert an oral airway
B. Restrain the client's extremities
C. Turn the client to the side
D. Leave the room to obtain medication
Answer: C
Rationale: Side-lying positioning helps maintain the airway and
reduces aspiration risk.
10. Which finding indicates effective hand hygiene?
A. Wearing gloves instead of washing hands
B. Washing hands only after client contact
C. Cleaning hands before and after client contact
D. Using hand sanitizer after visible contamination
