NGN ATI Comprehensive Exit Retake
Exam Test Bank: The Complete 4-
Volume NCLEX-RN Mastery Collection
Featuring , NGN-Style Questions with
Expert-Verified Answers, In-Depth
Clinical Judgment Rationales, High
Yield Content Review, and Strategic
Test-
Core Domains
Management of Care and Prioritization
Safety and Infection Control
Pharmacological and Parenteral Therapies
Physiological Adaptation
Reduction of Risk Potential
Basic Care and Comfort
Health Promotion and Maintenance
Psychosocial Integrity
Introduction
The NGN ATI Comprehensive Exit Retake Exam assesses the
clinical judgment and nursing knowledge required for safe,
,effective entry-level practice. It evaluates competency across
major client-need categories, including management of care,
safety, pharmacology, physiological adaptation, and psychosocial
integrity. The exam employs Next Generation NCLEX-style
multiple-choice and scenario-based questions to test real-world
application and decision-making. Candidates must demonstrate
the ability to analyze clinical data, prioritize care, and apply
evidence-based nursing interventions across diverse patient
populations.
Question 1
A charge nurse is assigning clients on a medical-surgical unit.
Which client should be assigned to the most experienced RN?
A. Client with diabetes mellitus requiring routine insulin
administration
B. Client with pneumonia requiring vital signs every 4 hours
C. Client with chest tubes and new-onset respiratory distress
D. Client with a urinary tract infection requiring IV antibiotics
C. Client with chest tubes and new-onset respiratory distress
RATIONALE: The client with chest tubes and new-onset
respiratory distress is unstable and requires complex assessment
and intervention. This client should be assigned to the most
experienced RN. Prioritization follows the ABC framework—Airway,
Breathing, Circulation—and respiratory distress indicates an
immediate threat to breathing.
Question 2
A nurse is delegating tasks to a licensed practical nurse (LPN).
Which task is appropriate to delegate?
A. Performing the initial admission assessment on a newly
admitted client
,B. Inserting a nasogastric tube for gastric decompression on a
stable client
C. Teaching a client with diabetes about proper insulin injection
technique
D. Evaluating the effectiveness of a client's pain medication
B. Inserting a nasogastric tube for gastric decompression on a
stable client
RATIONALE: LPNs can perform stable, standard procedures
like inserting a nasogastric tube. Initial assessment, teaching,
and evaluation require RN-level education and scope of practice.
Question 3
A nurse is caring for four clients. Which client should the nurse
assess first?
A. Client with COPD and SpO2 of 89% on 2 L oxygen via nasal
cannula
B. Client post-appendectomy day 2 with a temperature of 38.3°C
(101°F)
C. Client with heart failure and 3+ pitting edema in the lower
extremities
D. Client with new-onset confusion and a bounding pulse
D. Client with new-onset confusion and a bounding pulse
RATIONALE: New-onset confusion with a bounding pulse
suggests hypercapnia or fluid overload affecting cerebral
perfusion. This represents a change in neurological status, which
is always the priority. Option A is an expected finding in COPD.
Question 4
A nurse is using the nursing process to care for a patient. Which
step involves establishing measurable outcomes?
, A. Assessment
B. Diagnosis
C. Planning
D. Implementation
C. Planning
RATIONALE: During the planning phase, the nurse establishes
measurable, patient-centered outcomes and develops
interventions to achieve those outcomes. This follows assessment
and diagnosis, and precedes implementation and evaluation.
Question 5
A nurse is prioritizing care for four patients. Which patient should
the nurse assess first?
A. A patient requesting pain medication
B. A patient with new onset shortness of breath
C. A patient who needs discharge teaching
D. A patient scheduled for a diagnostic test
B. A patient with new onset shortness of breath
RATIONALE: Using the ABCs (Airway, Breathing, Circulation)
prioritization framework, a patient with new onset shortness of
breath takes priority as this indicates a potential airway or
breathing problem that requires immediate assessment and
intervention.
Question 6
Which statement by a nursing student indicates understanding of
evidence-based practice?
A. "I only use information from my textbooks"
B. "I integrate research evidence, clinical expertise, and patient
preferences"
Exam Test Bank: The Complete 4-
Volume NCLEX-RN Mastery Collection
Featuring , NGN-Style Questions with
Expert-Verified Answers, In-Depth
Clinical Judgment Rationales, High
Yield Content Review, and Strategic
Test-
Core Domains
Management of Care and Prioritization
Safety and Infection Control
Pharmacological and Parenteral Therapies
Physiological Adaptation
Reduction of Risk Potential
Basic Care and Comfort
Health Promotion and Maintenance
Psychosocial Integrity
Introduction
The NGN ATI Comprehensive Exit Retake Exam assesses the
clinical judgment and nursing knowledge required for safe,
,effective entry-level practice. It evaluates competency across
major client-need categories, including management of care,
safety, pharmacology, physiological adaptation, and psychosocial
integrity. The exam employs Next Generation NCLEX-style
multiple-choice and scenario-based questions to test real-world
application and decision-making. Candidates must demonstrate
the ability to analyze clinical data, prioritize care, and apply
evidence-based nursing interventions across diverse patient
populations.
Question 1
A charge nurse is assigning clients on a medical-surgical unit.
Which client should be assigned to the most experienced RN?
A. Client with diabetes mellitus requiring routine insulin
administration
B. Client with pneumonia requiring vital signs every 4 hours
C. Client with chest tubes and new-onset respiratory distress
D. Client with a urinary tract infection requiring IV antibiotics
C. Client with chest tubes and new-onset respiratory distress
RATIONALE: The client with chest tubes and new-onset
respiratory distress is unstable and requires complex assessment
and intervention. This client should be assigned to the most
experienced RN. Prioritization follows the ABC framework—Airway,
Breathing, Circulation—and respiratory distress indicates an
immediate threat to breathing.
Question 2
A nurse is delegating tasks to a licensed practical nurse (LPN).
Which task is appropriate to delegate?
A. Performing the initial admission assessment on a newly
admitted client
,B. Inserting a nasogastric tube for gastric decompression on a
stable client
C. Teaching a client with diabetes about proper insulin injection
technique
D. Evaluating the effectiveness of a client's pain medication
B. Inserting a nasogastric tube for gastric decompression on a
stable client
RATIONALE: LPNs can perform stable, standard procedures
like inserting a nasogastric tube. Initial assessment, teaching,
and evaluation require RN-level education and scope of practice.
Question 3
A nurse is caring for four clients. Which client should the nurse
assess first?
A. Client with COPD and SpO2 of 89% on 2 L oxygen via nasal
cannula
B. Client post-appendectomy day 2 with a temperature of 38.3°C
(101°F)
C. Client with heart failure and 3+ pitting edema in the lower
extremities
D. Client with new-onset confusion and a bounding pulse
D. Client with new-onset confusion and a bounding pulse
RATIONALE: New-onset confusion with a bounding pulse
suggests hypercapnia or fluid overload affecting cerebral
perfusion. This represents a change in neurological status, which
is always the priority. Option A is an expected finding in COPD.
Question 4
A nurse is using the nursing process to care for a patient. Which
step involves establishing measurable outcomes?
, A. Assessment
B. Diagnosis
C. Planning
D. Implementation
C. Planning
RATIONALE: During the planning phase, the nurse establishes
measurable, patient-centered outcomes and develops
interventions to achieve those outcomes. This follows assessment
and diagnosis, and precedes implementation and evaluation.
Question 5
A nurse is prioritizing care for four patients. Which patient should
the nurse assess first?
A. A patient requesting pain medication
B. A patient with new onset shortness of breath
C. A patient who needs discharge teaching
D. A patient scheduled for a diagnostic test
B. A patient with new onset shortness of breath
RATIONALE: Using the ABCs (Airway, Breathing, Circulation)
prioritization framework, a patient with new onset shortness of
breath takes priority as this indicates a potential airway or
breathing problem that requires immediate assessment and
intervention.
Question 6
Which statement by a nursing student indicates understanding of
evidence-based practice?
A. "I only use information from my textbooks"
B. "I integrate research evidence, clinical expertise, and patient
preferences"
