Actual ATI RN Comprehensive Predictor 2026 Exit Exam with
NGN Questions and Verified Answers with Rationales
Question 1
A home health nurse is caring for a child who has Lyme disease. Which
of the following is an appropriate action for the nurse to take?
A. Ensure the state health department has been notified.
B. Administer antitoxin.
C. Educate the family to avoid sharing personal belongings.
D. Assess for skin necrosis.
Correct Answer: A. Ensure the state health department has been
notified.
Rationale: Lyme disease is a reportable communicable disease in
most states. The nurse should ensure proper notification of the
state health department to facilitate surveillance and prevent
further transmission. Antitoxins are used for botulism or tetanus,
and transmission occurs via tick bites rather than person-to-person
contact.
Question 2
A nurse is preparing to administer a blood transfusion to a client. Which
of the following actions should the nurse take first?
A. Verify the client's identity using two identifiers.
B. Check the expiration date on the blood product.
C. Assess the client's vital signs.
, D. Obtain informed consent from the client.
Correct Answer: A. Verify the client's identity using two
identifiers.
Rationale: The priority action before any blood administration is to
verify the client's identity using two unique identifiers (e.g., name,
date of birth) to prevent fatal transfusion errors. Expiration checks,
baseline vital signs, and consent verification follow after
identification is confirmed.
Question 3
A nurse is assessing a client who is postoperative following abdominal
surgery. Which of the following findings should indicate to the nurse
that the client is developing a wound infection?
A. Serous drainage from the incision site.
B. Wound edges that are well-approximated.
C. Erythema and warmth around the incision.
D. Pain rated as 3 on a 0-10 scale.
Correct Answer: C. Erythema and warmth around the incision.
Rationale: Erythema (redness), localized warmth, swelling, and
purulent drainage are classic local indicators of a wound infection.
Serous drainage and well-approximated edges reflect normal
wound healing.
Question 4
A nurse is caring for a client with heart failure who has been prescribed
furosemide. Which of the following laboratory values should the nurse
monitor closely?
, A. Serum potassium.
B. Serum calcium.
C. Serum sodium.
D. Serum magnesium.
Correct Answer: A. Serum potassium.
Rationale: Furosemide is a loop diuretic that causes potassium
wasting, putting the client at significant risk for hypokalemia and
subsequent cardiac arrhythmias.
Question 5
A competent adult client refuses a blood transfusion for religious
reasons. Which actions should the nurse take? (Select all that apply.)
A. Verify the client understands risks.
B. Document the refusal.
C. Administer the transfusion if Hgb is critical.
D. Notify the provider.
E. Ask the family to override the decision.
Correct Answers: A, B, D
Rationale: Competent adult clients maintain legal and ethical
autonomy to refuse medical therapies. The nurse's role is to ensure
the refusal is informed, document it accurately, and notify the
primary provider. Forcing care or utilizing family to override
consent violates client rights and constitutes battery.
Question 6
, A nurse is providing discharge teaching to a client who has a new
prescription for warfarin. Which of the following statements by the
client indicates an understanding of the teaching?
A. "I will eat a large salad every day to ensure I get enough vitamin
K."
B. "I will use a soft-bristled toothbrush for daily oral hygiene."
C. "I can take aspirin for headaches while taking this medication."
D. "I will increase my intake of green leafy vegetables consistently."
Correct Answer: B. "I will use a soft-bristled toothbrush for daily
oral hygiene."
Rationale: Warfarin is an anticoagulant that increases the risk of
bleeding. Using a soft-bristled toothbrush and an electric razor
minimizes the risk of gum trauma and bleeding. Clients should
maintain a consistent (not increased or fluctuating) intake of
vitamin K-rich foods like green leafy vegetables, and they should
avoid NSAIDs such as aspirin due to increased bleeding risks.
Question 7
A nurse is assessing a client who has acute hypovolemic shock. Which
of the following findings should the nurse expect?
A. Bradycardia
B. Warm, flushed skin
C. Increased urinary output
D. Hypotension
Correct Answer: D. Hypotension
NGN Questions and Verified Answers with Rationales
Question 1
A home health nurse is caring for a child who has Lyme disease. Which
of the following is an appropriate action for the nurse to take?
A. Ensure the state health department has been notified.
B. Administer antitoxin.
C. Educate the family to avoid sharing personal belongings.
D. Assess for skin necrosis.
Correct Answer: A. Ensure the state health department has been
notified.
Rationale: Lyme disease is a reportable communicable disease in
most states. The nurse should ensure proper notification of the
state health department to facilitate surveillance and prevent
further transmission. Antitoxins are used for botulism or tetanus,
and transmission occurs via tick bites rather than person-to-person
contact.
Question 2
A nurse is preparing to administer a blood transfusion to a client. Which
of the following actions should the nurse take first?
A. Verify the client's identity using two identifiers.
B. Check the expiration date on the blood product.
C. Assess the client's vital signs.
, D. Obtain informed consent from the client.
Correct Answer: A. Verify the client's identity using two
identifiers.
Rationale: The priority action before any blood administration is to
verify the client's identity using two unique identifiers (e.g., name,
date of birth) to prevent fatal transfusion errors. Expiration checks,
baseline vital signs, and consent verification follow after
identification is confirmed.
Question 3
A nurse is assessing a client who is postoperative following abdominal
surgery. Which of the following findings should indicate to the nurse
that the client is developing a wound infection?
A. Serous drainage from the incision site.
B. Wound edges that are well-approximated.
C. Erythema and warmth around the incision.
D. Pain rated as 3 on a 0-10 scale.
Correct Answer: C. Erythema and warmth around the incision.
Rationale: Erythema (redness), localized warmth, swelling, and
purulent drainage are classic local indicators of a wound infection.
Serous drainage and well-approximated edges reflect normal
wound healing.
Question 4
A nurse is caring for a client with heart failure who has been prescribed
furosemide. Which of the following laboratory values should the nurse
monitor closely?
, A. Serum potassium.
B. Serum calcium.
C. Serum sodium.
D. Serum magnesium.
Correct Answer: A. Serum potassium.
Rationale: Furosemide is a loop diuretic that causes potassium
wasting, putting the client at significant risk for hypokalemia and
subsequent cardiac arrhythmias.
Question 5
A competent adult client refuses a blood transfusion for religious
reasons. Which actions should the nurse take? (Select all that apply.)
A. Verify the client understands risks.
B. Document the refusal.
C. Administer the transfusion if Hgb is critical.
D. Notify the provider.
E. Ask the family to override the decision.
Correct Answers: A, B, D
Rationale: Competent adult clients maintain legal and ethical
autonomy to refuse medical therapies. The nurse's role is to ensure
the refusal is informed, document it accurately, and notify the
primary provider. Forcing care or utilizing family to override
consent violates client rights and constitutes battery.
Question 6
, A nurse is providing discharge teaching to a client who has a new
prescription for warfarin. Which of the following statements by the
client indicates an understanding of the teaching?
A. "I will eat a large salad every day to ensure I get enough vitamin
K."
B. "I will use a soft-bristled toothbrush for daily oral hygiene."
C. "I can take aspirin for headaches while taking this medication."
D. "I will increase my intake of green leafy vegetables consistently."
Correct Answer: B. "I will use a soft-bristled toothbrush for daily
oral hygiene."
Rationale: Warfarin is an anticoagulant that increases the risk of
bleeding. Using a soft-bristled toothbrush and an electric razor
minimizes the risk of gum trauma and bleeding. Clients should
maintain a consistent (not increased or fluctuating) intake of
vitamin K-rich foods like green leafy vegetables, and they should
avoid NSAIDs such as aspirin due to increased bleeding risks.
Question 7
A nurse is assessing a client who has acute hypovolemic shock. Which
of the following findings should the nurse expect?
A. Bradycardia
B. Warm, flushed skin
C. Increased urinary output
D. Hypotension
Correct Answer: D. Hypotension
