Latest ATI RN Comprehensive Predictor
2026 Exit Exam Level 3 with NGN 180
Questions and Answers for RN Exam
Review
Section 1: Management of Care
Question 1
• A nurse is preparing to delegate tasks to unlicensed assistive personnel
(UAP). Which task is appropriate for the nurse to delegate?
• A. Administering oral medications to a stable client
• B. Assessing a newly admitted client's pain level
• C. Assisting a client with ambulation to the bathroom
• D. Teaching a client how to self-administer insulin
• Rationale: Assisting with ambulation is a standard, non-invasive task
within the UAP scope of practice. Medication administration (A),
assessment (B), and teaching (D) are professional nursing responsibilities
that cannot be delegated. Delegation requires the nurse to match the task
to the UAP's training and the client's stability.
Question 2
• A nurse is caring for a client who has a new prescription for a potassium-
sparing diuretic. Which food should the nurse instruct the client to avoid?
• A. Bananas
• B. Oranges
, • C. Salt substitutes
• D. Potatoes
• Rationale: Salt substitutes often contain potassium chloride. Clients
taking potassium-sparing diuretics are at risk for hyperkalemia and should
avoid additional potassium sources. Bananas (A), oranges (B), and potatoes
(D) are also high in potassium but are generally acceptable in moderation;
salt substitutes are the most concentrated and dangerous source.
Question 3
• A nurse is reviewing advance directives with a newly admitted client.
Which statement by the client indicates understanding?
• A. "I can change my living will at any time while I am competent."
• B. "My family can override my durable power of attorney for healthcare."
• C. "A living will takes effect immediately upon admission."
• D. "Advance directives are only for clients who are terminally ill."
• Rationale: Advance directives, including living wills, can be modified or
revoked by the client at any time while they retain decision-making
capacity. Family members (B) cannot override a valid durable power of
attorney. A living will (C) takes effect only when the client loses capacity.
Advance directives (D) are appropriate for all adults, not only terminally ill
clients.
Question 4
• A nurse is prioritizing care for four clients. Which client should the nurse
assess first?
• A. A client who is 2 days postoperative and requests pain medication
, • B. A client who has a new diagnosis of diabetes and needs discharge
teaching
• C. A client who is 6 hours postoperative and has a saturated surgical
dressing
• D. A client who is scheduled for a blood transfusion and has signed consent
• Rationale: A saturated surgical dressing 6 hours postoperative indicates
possible hemorrhage or evisceration, requiring immediate assessment. Pain
medication requests (A) and discharge teaching (B) are important but not
urgent. A signed consent (D) indicates readiness for a scheduled procedure,
not an acute emergency.
Question 5
• A nurse is serving on a committee to improve client safety. Which strategy
is the priority for reducing medication errors?
• A. Increasing the number of medication passes per shift
• B. Implementing a barcode medication administration system
• C. Allowing nurses to pre-pour medications for the next shift
• D. Reducing the number of nurses assigned to medication administration
• Rationale: Barcode medication administration (BCMA) is an evidence-
based strategy that verifies the "five rights" of medication administration
and significantly reduces errors. Pre-pouring medications (C) increases error
risk. Reducing staffing (D) is unsafe. Increasing medication passes (A) does
not address the root cause of errors.
Question 6
, • A nurse is caring for a client who speaks limited English. Which action
should the nurse take to ensure informed consent?
• A. Use a certified medical interpreter to explain the procedure.
• B. Ask a family member to translate the consent form.
• C. Have the client sign the consent form without explanation.
• D. Provide written materials in English only.
• Rationale: Informed consent requires the client to understand the
procedure, risks, and alternatives. A certified medical interpreter ensures
accurate communication. Family members (B) may misinterpret or filter
information. Signing without explanation (C) is a violation of informed
consent. English-only materials (D) do not meet the client's language needs.
Question 7
• A nurse is reviewing a client's chart and notes a "DNR" order. Which
action should the nurse take?
• A. Withhold all medications and treatments.
• B. Avoid discussing the order with the client.
• C. Verify the order with the healthcare provider and document it.
• D. Initiate CPR if the client experiences cardiac arrest.
• Rationale: A DNR (Do Not Resuscitate) order must be verified and
documented according to facility policy. It does not mean withholding all
care (A); comfort measures and other treatments continue. The nurse
should discuss the order with the client (B) if appropriate. CPR (D) is
contraindicated when a valid DNR order is in place.
Question 8
2026 Exit Exam Level 3 with NGN 180
Questions and Answers for RN Exam
Review
Section 1: Management of Care
Question 1
• A nurse is preparing to delegate tasks to unlicensed assistive personnel
(UAP). Which task is appropriate for the nurse to delegate?
• A. Administering oral medications to a stable client
• B. Assessing a newly admitted client's pain level
• C. Assisting a client with ambulation to the bathroom
• D. Teaching a client how to self-administer insulin
• Rationale: Assisting with ambulation is a standard, non-invasive task
within the UAP scope of practice. Medication administration (A),
assessment (B), and teaching (D) are professional nursing responsibilities
that cannot be delegated. Delegation requires the nurse to match the task
to the UAP's training and the client's stability.
Question 2
• A nurse is caring for a client who has a new prescription for a potassium-
sparing diuretic. Which food should the nurse instruct the client to avoid?
• A. Bananas
• B. Oranges
, • C. Salt substitutes
• D. Potatoes
• Rationale: Salt substitutes often contain potassium chloride. Clients
taking potassium-sparing diuretics are at risk for hyperkalemia and should
avoid additional potassium sources. Bananas (A), oranges (B), and potatoes
(D) are also high in potassium but are generally acceptable in moderation;
salt substitutes are the most concentrated and dangerous source.
Question 3
• A nurse is reviewing advance directives with a newly admitted client.
Which statement by the client indicates understanding?
• A. "I can change my living will at any time while I am competent."
• B. "My family can override my durable power of attorney for healthcare."
• C. "A living will takes effect immediately upon admission."
• D. "Advance directives are only for clients who are terminally ill."
• Rationale: Advance directives, including living wills, can be modified or
revoked by the client at any time while they retain decision-making
capacity. Family members (B) cannot override a valid durable power of
attorney. A living will (C) takes effect only when the client loses capacity.
Advance directives (D) are appropriate for all adults, not only terminally ill
clients.
Question 4
• A nurse is prioritizing care for four clients. Which client should the nurse
assess first?
• A. A client who is 2 days postoperative and requests pain medication
, • B. A client who has a new diagnosis of diabetes and needs discharge
teaching
• C. A client who is 6 hours postoperative and has a saturated surgical
dressing
• D. A client who is scheduled for a blood transfusion and has signed consent
• Rationale: A saturated surgical dressing 6 hours postoperative indicates
possible hemorrhage or evisceration, requiring immediate assessment. Pain
medication requests (A) and discharge teaching (B) are important but not
urgent. A signed consent (D) indicates readiness for a scheduled procedure,
not an acute emergency.
Question 5
• A nurse is serving on a committee to improve client safety. Which strategy
is the priority for reducing medication errors?
• A. Increasing the number of medication passes per shift
• B. Implementing a barcode medication administration system
• C. Allowing nurses to pre-pour medications for the next shift
• D. Reducing the number of nurses assigned to medication administration
• Rationale: Barcode medication administration (BCMA) is an evidence-
based strategy that verifies the "five rights" of medication administration
and significantly reduces errors. Pre-pouring medications (C) increases error
risk. Reducing staffing (D) is unsafe. Increasing medication passes (A) does
not address the root cause of errors.
Question 6
, • A nurse is caring for a client who speaks limited English. Which action
should the nurse take to ensure informed consent?
• A. Use a certified medical interpreter to explain the procedure.
• B. Ask a family member to translate the consent form.
• C. Have the client sign the consent form without explanation.
• D. Provide written materials in English only.
• Rationale: Informed consent requires the client to understand the
procedure, risks, and alternatives. A certified medical interpreter ensures
accurate communication. Family members (B) may misinterpret or filter
information. Signing without explanation (C) is a violation of informed
consent. English-only materials (D) do not meet the client's language needs.
Question 7
• A nurse is reviewing a client's chart and notes a "DNR" order. Which
action should the nurse take?
• A. Withhold all medications and treatments.
• B. Avoid discussing the order with the client.
• C. Verify the order with the healthcare provider and document it.
• D. Initiate CPR if the client experiences cardiac arrest.
• Rationale: A DNR (Do Not Resuscitate) order must be verified and
documented according to facility policy. It does not mean withholding all
care (A); comfort measures and other treatments continue. The nurse
should discuss the order with the client (B) if appropriate. CPR (D) is
contraindicated when a valid DNR order is in place.
Question 8
