ATI_RN_Predictor_2026_Practice_Exam_180
QUESTIONS:(165 MC + 15 NGN Case Studies):
NCLEX-Style, NGN (Bow-tie, Matrix, Drag-and-Drop,
Case Study) 2026 NGN Blueprint Original Content –
Ethical Study Resource
TABLE OF CONTENTS
SECTION 1: Management of Care (Q1-Q25)
SECTION 2: Safety & Infection Control (Q26-Q40)
SECTION 3: Health Promotion & Maintenance (Q41-Q55)
SECTION 4: Psychosocial Integrity (Q56-Q70)
SECTION 5: Basic Care & Comfort (Q71-Q80)
SECTION 6: Pharmacology (Q81-Q105)
SECTION 7: Reduction of Risk Potential (Q106-Q125)
SECTION 8: Physiological Adaptation (Q126-Q145)
SECTION 9: NGN Case Studies (Q146-Q165)
========================================
SECTION 1: MANAGEMENT OF CARE (25 questions)
========================================
Q1. A charge nurse is assigning client rooms on a medical-surgical unit.
Which client should be assigned to a private room?
A) A client with pneumonia who requires droplet precautions
B) A client with heart failure who has a productive cough
C) A client with diabetic ketoacidosis receiving an insulin drip
D) A client with methicillin-resistant Staphylococcus aureus (MRSA) in a
,wound
Answer: A
Rationale: A private room is required for clients on droplet precautions
(pneumonia, influenza, meningitis) to prevent transmission via
respiratory droplets. Clients with MRSA require contact precautions but
can be cohort if necessary; DKA and heart failure do not require
isolation. [citation:3][citation:4]
Q2. A nurse is caring for a client who is scheduled for a procedure and
has signed the informed consent. The client asks the nurse, "What are the
risks of this procedure?" What is the nurse's best response?
A) "You already signed the consent form, so the risks were explained
then."
B) "I will call the healthcare provider to come back and answer your
questions."
C) "The risks are minimal, so you don't need to worry about them."
D) "I can explain the risks to you since I have seen this procedure many
times."
Answer: B
Rationale: Informed consent requires that the healthcare provider (not the
nurse) explain the risks, benefits, and alternatives. If the client has
questions, the nurse must notify the provider. The nurse can witness the
signature and confirm understanding but cannot provide the initial
explanation. [citation:8]
Q3. A nurse manager is reviewing informed consent with newly licensed
nurses. Which statement by a new nurse indicates a need for further
teaching?
A) "The nurse is responsible for explaining the procedure to the client."
B) "A witness signature confirms the client gave voluntary consent."
,C) "Informed consent is required for all invasive procedures."
D) "A client can withdraw consent at any time before the procedure."
Answer: A
Rationale: The healthcare provider (not the nurse) is legally responsible
for explaining the procedure, risks, and alternatives to obtain informed
consent. The nurse's role is to witness the signature and confirm the client
appears competent and not coerced. [citation:8]
Q4. A charge nurse is making client assignments on a medical-surgical
unit. Which client should be assigned to the most experienced RN?
A) A client with diabetes mellitus requiring routine insulin administration
B) A client with pneumonia requiring vital signs every 4 hours
C) A client with chest tubes and new onset of respiratory distress
D) A client with a urinary tract infection receiving IV antibiotics
Answer: C
Rationale: The client with chest tubes and respiratory distress is unstable
and requires complex assessment and intervention. This client should be
assigned to the most experienced RN. Stable clients with routine care can
be assigned to less experienced RNs or LPNs under supervision.
[citation:8]
Q5. A nurse is caring for a client who refuses a blood transfusion due to
religious beliefs. The client's family requests that the transfusion be given
anyway. What is the nurse's priority action?
A) Administer the transfusion as the family requests
B) Notify the healthcare provider of the client's refusal
C) Contact the ethics committee for a consultation
D) Ask the client to reconsider the family's wishes
Answer: B
, Rationale: The nurse must respect the client's autonomy and right to
refuse treatment. The healthcare provider should be notified so
alternative treatments can be considered. The client's decision must be
honored regardless of family wishes. [citation:8]
Q6. A nurse is assisting with mass casualty triage after a train derailment.
Which client should the nurse identify as the priority for immediate
treatment (RED tag)?
A) A client with an open fracture of the lower extremity
B) A client with agonal breathing and no palpable pulse
C) A client with a tension pneumothorax and hypotension
D) A client with full-thickness burns to the face and trunk
Answer: C
Rationale: Tension pneumothorax is immediately life-threatening but
treatable (needle decompression). In mass casualty triage, this is
"immediate" (RED tag). Clients with no pulse/agonal breathing are
"expectant" (BLACK tag) in mass casualty settings due to low
survivability with limited resources. [citation:8]
Q7. A nurse is caring for a client who has a new diagnosis of terminal
cancer. The client tells the nurse, "I don't want any heroic measures. I just
want to be comfortable." Which action should the nurse take first?
A) Ask the client if they have discussed their wishes with their family
B) Provide the client with information about advance directives
C) Notify the healthcare provider of the client's statement
D) Document the client's statement in the medical record
Answer: B
Rationale: The nurse should first provide information about advance
directives (living will, durable power of attorney for healthcare) to help
the client formally document their wishes. After education, notifying the
QUESTIONS:(165 MC + 15 NGN Case Studies):
NCLEX-Style, NGN (Bow-tie, Matrix, Drag-and-Drop,
Case Study) 2026 NGN Blueprint Original Content –
Ethical Study Resource
TABLE OF CONTENTS
SECTION 1: Management of Care (Q1-Q25)
SECTION 2: Safety & Infection Control (Q26-Q40)
SECTION 3: Health Promotion & Maintenance (Q41-Q55)
SECTION 4: Psychosocial Integrity (Q56-Q70)
SECTION 5: Basic Care & Comfort (Q71-Q80)
SECTION 6: Pharmacology (Q81-Q105)
SECTION 7: Reduction of Risk Potential (Q106-Q125)
SECTION 8: Physiological Adaptation (Q126-Q145)
SECTION 9: NGN Case Studies (Q146-Q165)
========================================
SECTION 1: MANAGEMENT OF CARE (25 questions)
========================================
Q1. A charge nurse is assigning client rooms on a medical-surgical unit.
Which client should be assigned to a private room?
A) A client with pneumonia who requires droplet precautions
B) A client with heart failure who has a productive cough
C) A client with diabetic ketoacidosis receiving an insulin drip
D) A client with methicillin-resistant Staphylococcus aureus (MRSA) in a
,wound
Answer: A
Rationale: A private room is required for clients on droplet precautions
(pneumonia, influenza, meningitis) to prevent transmission via
respiratory droplets. Clients with MRSA require contact precautions but
can be cohort if necessary; DKA and heart failure do not require
isolation. [citation:3][citation:4]
Q2. A nurse is caring for a client who is scheduled for a procedure and
has signed the informed consent. The client asks the nurse, "What are the
risks of this procedure?" What is the nurse's best response?
A) "You already signed the consent form, so the risks were explained
then."
B) "I will call the healthcare provider to come back and answer your
questions."
C) "The risks are minimal, so you don't need to worry about them."
D) "I can explain the risks to you since I have seen this procedure many
times."
Answer: B
Rationale: Informed consent requires that the healthcare provider (not the
nurse) explain the risks, benefits, and alternatives. If the client has
questions, the nurse must notify the provider. The nurse can witness the
signature and confirm understanding but cannot provide the initial
explanation. [citation:8]
Q3. A nurse manager is reviewing informed consent with newly licensed
nurses. Which statement by a new nurse indicates a need for further
teaching?
A) "The nurse is responsible for explaining the procedure to the client."
B) "A witness signature confirms the client gave voluntary consent."
,C) "Informed consent is required for all invasive procedures."
D) "A client can withdraw consent at any time before the procedure."
Answer: A
Rationale: The healthcare provider (not the nurse) is legally responsible
for explaining the procedure, risks, and alternatives to obtain informed
consent. The nurse's role is to witness the signature and confirm the client
appears competent and not coerced. [citation:8]
Q4. A charge nurse is making client assignments on a medical-surgical
unit. Which client should be assigned to the most experienced RN?
A) A client with diabetes mellitus requiring routine insulin administration
B) A client with pneumonia requiring vital signs every 4 hours
C) A client with chest tubes and new onset of respiratory distress
D) A client with a urinary tract infection receiving IV antibiotics
Answer: C
Rationale: The client with chest tubes and respiratory distress is unstable
and requires complex assessment and intervention. This client should be
assigned to the most experienced RN. Stable clients with routine care can
be assigned to less experienced RNs or LPNs under supervision.
[citation:8]
Q5. A nurse is caring for a client who refuses a blood transfusion due to
religious beliefs. The client's family requests that the transfusion be given
anyway. What is the nurse's priority action?
A) Administer the transfusion as the family requests
B) Notify the healthcare provider of the client's refusal
C) Contact the ethics committee for a consultation
D) Ask the client to reconsider the family's wishes
Answer: B
, Rationale: The nurse must respect the client's autonomy and right to
refuse treatment. The healthcare provider should be notified so
alternative treatments can be considered. The client's decision must be
honored regardless of family wishes. [citation:8]
Q6. A nurse is assisting with mass casualty triage after a train derailment.
Which client should the nurse identify as the priority for immediate
treatment (RED tag)?
A) A client with an open fracture of the lower extremity
B) A client with agonal breathing and no palpable pulse
C) A client with a tension pneumothorax and hypotension
D) A client with full-thickness burns to the face and trunk
Answer: C
Rationale: Tension pneumothorax is immediately life-threatening but
treatable (needle decompression). In mass casualty triage, this is
"immediate" (RED tag). Clients with no pulse/agonal breathing are
"expectant" (BLACK tag) in mass casualty settings due to low
survivability with limited resources. [citation:8]
Q7. A nurse is caring for a client who has a new diagnosis of terminal
cancer. The client tells the nurse, "I don't want any heroic measures. I just
want to be comfortable." Which action should the nurse take first?
A) Ask the client if they have discussed their wishes with their family
B) Provide the client with information about advance directives
C) Notify the healthcare provider of the client's statement
D) Document the client's statement in the medical record
Answer: B
Rationale: The nurse should first provide information about advance
directives (living will, durable power of attorney for healthcare) to help
the client formally document their wishes. After education, notifying the
