ATI PN Comprehensive Predictor Exit
2026 NGN Actual Exam Practice Test
For Nursing Students With Questions
And Answers With Rationales/Graded
A+/2026 Update/100% Correct
Section 1: Fundamentals of Nursing (Questions 1-12)
Question 1
A nurse is preparing to administer a nasogastric tube feeding to a client. Which of
the following actions should the nurse take FIRST?
A. Warm the formula to room temperature
B. Place the client in Fowler's position
C. Verify tube placement by aspirating gastric contents
D. Flush the tube with 30 mL of water
Rationale: Before administering any tube feeding, the priority action is to verify
correct tube placement to prevent aspiration. Aspiration of gastric contents with pH
testing is the standard method. While positioning in Fowler's position is important,
safety verification takes priority .
Question 2
A nurse observes a small fire in a client's trash can. Which action should the nurse
take FIRST?
A. Pull the fire alarm
B. Extinguish the fire with a fire extinguisher
C. Rescue the client from the room
D. Close the doors to contain the fire
,Rationale: The mnemonic RACE outlines priority actions during a fire: Rescue
anyone in immediate danger, Alarm (pull the alarm), Contain the fire (close doors),
Extinguish. The nurse's first priority is always to protect the client from harm by
moving them to safety .
Question 3
A nurse is caring for a client who has a new prescription for wrist restraints. Which
of the following actions is appropriate?
A. Tie the restraints to the bed frame using a quick-release knot
B. Apply restraints tightly to prevent movement
C. Remove restraints every 4 hours
D. Document the client's behavior every shift
Rationale: Restraints must be tied to a movable part of the bed frame using a
quick-release knot to allow rapid removal in an emergency. They should be
removed every 2 hours for range of motion and skin assessment, and documented
at least every 1-2 hours .
Question 4
A nurse is caring for a client who reports shortness of breath and has an oxygen
saturation of 88% on room air. Which action should the nurse take FIRST?
A. Notify the provider
B. Increase the flow rate on the client's oxygen
C. Place the client in high-Fowler's position
D. Obtain an arterial blood gas sample
Rationale: Positioning the client to maximize lung expansion is the priority initial
action. High-Fowler's position promotes ventilation before other measures are
initiated. The other options are appropriate but follow repositioning .
Question 5
A nurse is reinforcing teaching with a client who has a new prescription for
warfarin. Which statement by the client indicates an understanding of the teaching?
, A. "I will increase my intake of leafy green vegetables"
B. "I will take aspirin for headaches"
C. "I will use an electric razor for shaving"
D. "I will take this medication on an empty stomach"
Rationale: Warfarin is an anticoagulant that increases bleeding risk. Using an
electric razor minimizes the risk of cuts and bleeding. Leafy green vegetables
contain vitamin K, which antagonizes warfarin's effects .
Question 6
A nurse is preparing to insert an indwelling urinary catheter for a female client.
Which action should the nurse take?
A. Place the client in a supine position with legs extended
B. Cleanse the meatus from the clitoris toward the anus
C. Use a single cotton ball to cleanse the labia
D. Inflate the balloon before inserting the catheter
Rationale: Cleaning from the clitoris toward the anus helps prevent introducing
microorganisms from the rectal area into the urethra. The balloon should never be
inflated before insertion as this would cause trauma .
Question 7
A nurse is caring for a client who has a tracheostomy. Which finding requires
immediate intervention?
A. Small amount of blood-tinged secretions
B. Crackles auscultated in the lung bases
C. Sudden difficulty passing a suction catheter
D. Tracheostomy ties that are snug
Rationale: Sudden difficulty passing a suction catheter may indicate an obstructed
airway or mucus plug that requires immediate intervention. This is a priority safety
concern .
2026 NGN Actual Exam Practice Test
For Nursing Students With Questions
And Answers With Rationales/Graded
A+/2026 Update/100% Correct
Section 1: Fundamentals of Nursing (Questions 1-12)
Question 1
A nurse is preparing to administer a nasogastric tube feeding to a client. Which of
the following actions should the nurse take FIRST?
A. Warm the formula to room temperature
B. Place the client in Fowler's position
C. Verify tube placement by aspirating gastric contents
D. Flush the tube with 30 mL of water
Rationale: Before administering any tube feeding, the priority action is to verify
correct tube placement to prevent aspiration. Aspiration of gastric contents with pH
testing is the standard method. While positioning in Fowler's position is important,
safety verification takes priority .
Question 2
A nurse observes a small fire in a client's trash can. Which action should the nurse
take FIRST?
A. Pull the fire alarm
B. Extinguish the fire with a fire extinguisher
C. Rescue the client from the room
D. Close the doors to contain the fire
,Rationale: The mnemonic RACE outlines priority actions during a fire: Rescue
anyone in immediate danger, Alarm (pull the alarm), Contain the fire (close doors),
Extinguish. The nurse's first priority is always to protect the client from harm by
moving them to safety .
Question 3
A nurse is caring for a client who has a new prescription for wrist restraints. Which
of the following actions is appropriate?
A. Tie the restraints to the bed frame using a quick-release knot
B. Apply restraints tightly to prevent movement
C. Remove restraints every 4 hours
D. Document the client's behavior every shift
Rationale: Restraints must be tied to a movable part of the bed frame using a
quick-release knot to allow rapid removal in an emergency. They should be
removed every 2 hours for range of motion and skin assessment, and documented
at least every 1-2 hours .
Question 4
A nurse is caring for a client who reports shortness of breath and has an oxygen
saturation of 88% on room air. Which action should the nurse take FIRST?
A. Notify the provider
B. Increase the flow rate on the client's oxygen
C. Place the client in high-Fowler's position
D. Obtain an arterial blood gas sample
Rationale: Positioning the client to maximize lung expansion is the priority initial
action. High-Fowler's position promotes ventilation before other measures are
initiated. The other options are appropriate but follow repositioning .
Question 5
A nurse is reinforcing teaching with a client who has a new prescription for
warfarin. Which statement by the client indicates an understanding of the teaching?
, A. "I will increase my intake of leafy green vegetables"
B. "I will take aspirin for headaches"
C. "I will use an electric razor for shaving"
D. "I will take this medication on an empty stomach"
Rationale: Warfarin is an anticoagulant that increases bleeding risk. Using an
electric razor minimizes the risk of cuts and bleeding. Leafy green vegetables
contain vitamin K, which antagonizes warfarin's effects .
Question 6
A nurse is preparing to insert an indwelling urinary catheter for a female client.
Which action should the nurse take?
A. Place the client in a supine position with legs extended
B. Cleanse the meatus from the clitoris toward the anus
C. Use a single cotton ball to cleanse the labia
D. Inflate the balloon before inserting the catheter
Rationale: Cleaning from the clitoris toward the anus helps prevent introducing
microorganisms from the rectal area into the urethra. The balloon should never be
inflated before insertion as this would cause trauma .
Question 7
A nurse is caring for a client who has a tracheostomy. Which finding requires
immediate intervention?
A. Small amount of blood-tinged secretions
B. Crackles auscultated in the lung bases
C. Sudden difficulty passing a suction catheter
D. Tracheostomy ties that are snug
Rationale: Sudden difficulty passing a suction catheter may indicate an obstructed
airway or mucus plug that requires immediate intervention. This is a priority safety
concern .
