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-TAKING
CORE DOMAINS
Management of Care
Safety and Infection Control
Pharmacological and Parenteral Therapies
Reduction of Risk Potential
Physiological Adaptation
Health Promotion and Maintenance
Psychosocial Integrity
Basic Care and Comfort
INTRODUCTION
The NGN ATI Comprehensive Exit Retake Examination assesses the graduating
nursing student's readiness for entry-level professional practice and NCLEX-
RN success. The examination evaluates clinical judgment through Next
Generation NCLEX-style items including unfolding case studies, bow-tie,
matrix, and extended multiple-response formats. Content covers all Client
Needs categories with emphasis on management of care, safety, pharmacology,
and physiological adaptation. This assessment measures the candidate's ability
to recognize and analyze cues, prioritize hypotheses, generate solutions, and
,evaluate outcomes in realistic clinical scenarios requiring sound nursing
judgment and professional decision-making.
SECTION ONE: QUESTIONS 1–100
1. A nurse receives report on a group of clients. Which client should the
nurse attend to FIRST?
A. A client who was admitted with asthma and has an SpO2 of 92% while
receiving oxygen at 1 L/min via nasal cannula
B. A client who was admitted with angina and reports left arm pain of 4 on a
scale of 0 to 10
C. A client with type II diabetes mellitus whose blood glucose level is 80
mg/dL
D. A client who had a gastric endoscopy and whose nasogastric tube is
draining 30 mL per hour of green fluid
Correct answer: B
RATIONALE: The client with angina reporting left arm pain is
experiencing unstable angina or possible myocardial infarction, which
requires immediate assessment and intervention. Left arm pain is a classic
sign of cardiac ischemia that can progress to infarction if not treated
promptly. The other clients are stable: SpO2 of 92% on oxygen is acceptable,
glucose of 80 mg/dL is within normal limits, and green NG drainage is
expected post-endoscopy .
2. A client at 38 weeks of gestation enters the emergency department.
The nurse should recognize that which of the following indicates that
the client is in the latent phase of labor?
A. The client reports the urge to push
B. The cervix is dilated 2 cm
,C. Contractions are 2 to 3 minutes apart
D. The client reports nausea and vomiting
Correct answer: B
RATIONALE: The latent phase of labor is characterized by cervical
dilation from 0 to 3 cm with contractions that are typically irregular and mild
to moderate. The urge to push and contractions 2 to 3 minutes apart indicate
the active or transition phase of labor. Nausea and vomiting are not specific
indicators of the latent phase .
3. The charge nurse for a medical-surgical unit discovers client care
assignments that should be reassigned. Which of the following
delegated tasks should be reassigned?
A. An AP is to calculate intake and output every two hours for a client in acute
renal failure
B. An AP is to collect vital signs every 30 minutes for a client who had a
cholecystectomy
C. A licensed practical nurse is to check nasogastric tube placement for a
client who had a bowel resection
D. A licensed practical nurse is to provide initial feeding for a client who had a
cerebrovascular accident
Correct answer: D
RATIONALE: Initial feeding for a client who had a cerebrovascular
accident requires assessment of swallowing function and aspiration risk,
which is beyond the scope of practice for an LPN. This task requires RN-level
assessment and clinical judgment. Checking NG tube placement and
collecting vital signs are within appropriate scope for LPN and AP respectively
.
, 4. A nurse is caring for a client who is 2 hours postoperative following a
total hip arthroplasty. The client reports sudden shortness of breath
and chest pain. Which action should the nurse take FIRST?
A. Administer the prescribed PRN opioid analgesic
B. Apply oxygen via nasal cannula at 2 L/min
C. Assess the client's oxygen saturation and vital signs
D. Notify the provider immediately
Correct answer: C
RATIONALE: The nurse must first assess the client to gather objective
data before implementing interventions or notifying the provider. Sudden
shortness of breath and chest pain postoperatively may indicate pulmonary
embolism, a life-threatening complication. Assessment of oxygen saturation,
respiratory rate, heart rate, and blood pressure provides critical information
to guide subsequent actions .
5. A nurse is preparing to administer digoxin 0.125 mg PO to a client
with heart failure. The client's apical pulse is 58 beats per minute.
Which action should the nurse take?
A. Administer the medication as prescribed
B. Hold the dose and notify the provider
C. Administer half the prescribed dose
D. Recheck the pulse in 30 minutes
Correct answer: B
RATIONALE: Digoxin is a cardiac glycoside that can cause bradycardia.
The standard parameter for holding digoxin is an apical pulse below 60 beats
per minute in adults. Administering digoxin when the pulse is 58 bpm
increases the risk of severe bradycardia and heart block. The nurse should
hold the dose and notify the provider .
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-TAKING
CORE DOMAINS
Management of Care
Safety and Infection Control
Pharmacological and Parenteral Therapies
Reduction of Risk Potential
Physiological Adaptation
Health Promotion and Maintenance
Psychosocial Integrity
Basic Care and Comfort
INTRODUCTION
The NGN ATI Comprehensive Exit Retake Examination assesses the graduating
nursing student's readiness for entry-level professional practice and NCLEX-
RN success. The examination evaluates clinical judgment through Next
Generation NCLEX-style items including unfolding case studies, bow-tie,
matrix, and extended multiple-response formats. Content covers all Client
Needs categories with emphasis on management of care, safety, pharmacology,
and physiological adaptation. This assessment measures the candidate's ability
to recognize and analyze cues, prioritize hypotheses, generate solutions, and
,evaluate outcomes in realistic clinical scenarios requiring sound nursing
judgment and professional decision-making.
SECTION ONE: QUESTIONS 1–100
1. A nurse receives report on a group of clients. Which client should the
nurse attend to FIRST?
A. A client who was admitted with asthma and has an SpO2 of 92% while
receiving oxygen at 1 L/min via nasal cannula
B. A client who was admitted with angina and reports left arm pain of 4 on a
scale of 0 to 10
C. A client with type II diabetes mellitus whose blood glucose level is 80
mg/dL
D. A client who had a gastric endoscopy and whose nasogastric tube is
draining 30 mL per hour of green fluid
Correct answer: B
RATIONALE: The client with angina reporting left arm pain is
experiencing unstable angina or possible myocardial infarction, which
requires immediate assessment and intervention. Left arm pain is a classic
sign of cardiac ischemia that can progress to infarction if not treated
promptly. The other clients are stable: SpO2 of 92% on oxygen is acceptable,
glucose of 80 mg/dL is within normal limits, and green NG drainage is
expected post-endoscopy .
2. A client at 38 weeks of gestation enters the emergency department.
The nurse should recognize that which of the following indicates that
the client is in the latent phase of labor?
A. The client reports the urge to push
B. The cervix is dilated 2 cm
,C. Contractions are 2 to 3 minutes apart
D. The client reports nausea and vomiting
Correct answer: B
RATIONALE: The latent phase of labor is characterized by cervical
dilation from 0 to 3 cm with contractions that are typically irregular and mild
to moderate. The urge to push and contractions 2 to 3 minutes apart indicate
the active or transition phase of labor. Nausea and vomiting are not specific
indicators of the latent phase .
3. The charge nurse for a medical-surgical unit discovers client care
assignments that should be reassigned. Which of the following
delegated tasks should be reassigned?
A. An AP is to calculate intake and output every two hours for a client in acute
renal failure
B. An AP is to collect vital signs every 30 minutes for a client who had a
cholecystectomy
C. A licensed practical nurse is to check nasogastric tube placement for a
client who had a bowel resection
D. A licensed practical nurse is to provide initial feeding for a client who had a
cerebrovascular accident
Correct answer: D
RATIONALE: Initial feeding for a client who had a cerebrovascular
accident requires assessment of swallowing function and aspiration risk,
which is beyond the scope of practice for an LPN. This task requires RN-level
assessment and clinical judgment. Checking NG tube placement and
collecting vital signs are within appropriate scope for LPN and AP respectively
.
, 4. A nurse is caring for a client who is 2 hours postoperative following a
total hip arthroplasty. The client reports sudden shortness of breath
and chest pain. Which action should the nurse take FIRST?
A. Administer the prescribed PRN opioid analgesic
B. Apply oxygen via nasal cannula at 2 L/min
C. Assess the client's oxygen saturation and vital signs
D. Notify the provider immediately
Correct answer: C
RATIONALE: The nurse must first assess the client to gather objective
data before implementing interventions or notifying the provider. Sudden
shortness of breath and chest pain postoperatively may indicate pulmonary
embolism, a life-threatening complication. Assessment of oxygen saturation,
respiratory rate, heart rate, and blood pressure provides critical information
to guide subsequent actions .
5. A nurse is preparing to administer digoxin 0.125 mg PO to a client
with heart failure. The client's apical pulse is 58 beats per minute.
Which action should the nurse take?
A. Administer the medication as prescribed
B. Hold the dose and notify the provider
C. Administer half the prescribed dose
D. Recheck the pulse in 30 minutes
Correct answer: B
RATIONALE: Digoxin is a cardiac glycoside that can cause bradycardia.
The standard parameter for holding digoxin is an apical pulse below 60 beats
per minute in adults. Administering digoxin when the pulse is 58 bpm
increases the risk of severe bradycardia and heart block. The nurse should
hold the dose and notify the provider .
