Latest ATI RN Comprehensive Predictor 2026 Exit Exam with
NGN 180 Questions and Answers
Exam
SECTION 1: Management of Care
Q1. A nurse is receiving change-of-shift report on four clients. Which client
should the nurse assess first?
A. A client with a dressing that needs reinforcement
B. A client reporting pain rated 6/10
C. A client whose urinary output was 100 mL in 12 hours
D. A client scheduled for discharge
Answer: C
Rationale: Low urine output (100 mL in 12 hours) indicates possible renal failure
or hypovolemia—an urgent finding requiring immediate assessment . Urine
output should be at least 30 mL/hour (240 mL in 8 hours). Pain and dressing
reinforcement are important but not the priority .
Q2. A charge nurse is making assignments for a float nurse from the medical
unit to the pediatric unit. Which client is appropriate to assign to the float
nurse?
A. A 10-year-old with pneumonia receiving respiratory treatments
B. A 4-year-old with a Wilms tumor receiving chemotherapy
C. An 8-month-old scheduled for surgical repair of a ventricular septal defect
D. A 14-year-old scheduled for discharge following placement of a Harrington rod
Answer: A
Rationale: A float nurse from a medical unit is most competent to care for a client
with pneumonia, a condition commonly managed on medical units . The other
options require specialized pediatric oncology, cardiac, or orthopedic surgical
expertise .
,Q3. A charge nurse is assigning rooms for four clients. Which client should be
placed in a private room?
A. Client with pneumonia
B. Client with methicillin-resistant Staphylococcus aureus (MRSA)
C. Client with diabetic foot ulcer
D. Client with chronic obstructive pulmonary disease (COPD)
Answer: B
Rationale: MRSA requires contact isolation . A private room is essential to prevent
transmission to other clients . Pneumonia may require droplet precautions, but
MRSA-contact is the priority for single room assignment .
Q4. A nurse is preparing to delegate tasks to an unlicensed assistive personnel
(UAP). Which task is appropriate?
A. Measuring vital signs on a stable client
B. Assessing a client's pain level
C. Teaching a client about medication
D. Evaluating the client's response to treatment
Answer: A
Rationale: UAPs can perform routine tasks such as measuring vital signs on stable
clients . Assessment, teaching, and evaluation are nursing responsibilities that
cannot be delegated .
Q5. A nurse is caring for a client who is being discharged with a new colostomy.
Which statement indicates the client understands the teaching?
A. "I will empty the pouch when it is one-third full."
B. "I will change the pouch daily."
C. "I will use alcohol to clean the stoma."
D. "I will avoid all fluids to reduce output."
Answer: A
Rationale: Emptying the pouch when it is one-third full prevents leakage and
weight-related seal failure . Ostomy pouches should be changed every 3-7 days,
not daily. Alcohol is irritating to the stoma .
,Q6. A nurse is providing discharge teaching to a client who has colorectal cancer
and a new colostomy. The client states, "I'm worried about being discharged
because I live alone, and my insurance doesn't cover ostomy supplies." Which
actions should the nurse take? (Select All That Apply)
A. Refer the client to a community-based social worker
B. Initiate a consult with a home health care provider
C. Give the client information about local support groups
D. Tell the client to purchase supplies out-of-pocket
Answer: A, B, C
Rationale: A social worker can assist with self-care and locating agencies for
financial help . A home health nurse can assist with colostomy care and
medication management. Support groups can help with coping and possibly
obtaining supplies .
Q7. A nurse manager is reviewing unit records and discovers that client falls
occur most frequently during the hours of 0530 and 0730. Which action should
the nurse take when conducting a root cause analysis?
A. Investigate environmental factors that might be contributing to client injury
during these hours
B. Discipline staff working those shifts
C. Increase staffing during those hours only
D. Document the finding without action
Answer: A
Rationale: Root cause analysis focuses on systemic factors, not individual blame .
Investigating environmental factors (lighting, staffing, shift change distractions)
can identify underlying causes .
Q8. An adult client tells the nurse, "I don't want any heroic measures if I stop
breathing or my heart stops. My family knows my wishes." What is the priority
action?
A. Document the client's statement in the chart
, B. Ask the client if they have a written advance directive
C. Discuss do-not-resuscitate (DNR) orders with the provider
D. Respect the client's wishes without further documentation
Answer: B
Rationale: Advance directives (living will, durable power of attorney for
healthcare) provide legal documentation of a client's wishes regarding end-of-life
care . The nurse should first determine if a written advance directive exists .
Q9. A nurse is preparing an in-service about nursing leadership. Which
information about an effective leader should the nurse include?
A. Acts as an advocate for the nursing unit
B. Prioritizes staff requests over client needs
C. Avoids conflict with administration
D. Performs routine client care tasks rather than delegating
Answer: A
Rationale: An effective leader acts as an advocate for the nursing unit,
representing nurses' interests and supporting professional practice . Client needs
always take priority over staff requests .
Q10. A nurse is planning staff assignments. Which task is appropriate to
delegate to an LPN?
A. Perform the initial admission assessment
B. Develop the plan of care
C. Evaluate client outcomes
D. Administer oral medications to stable clients
Answer: D
Rationale: LPNs may administer oral medications to stable clients under RN
supervision . Initial assessment, care planning, and evaluation are responsibilities
of the RN .
NGN 180 Questions and Answers
Exam
SECTION 1: Management of Care
Q1. A nurse is receiving change-of-shift report on four clients. Which client
should the nurse assess first?
A. A client with a dressing that needs reinforcement
B. A client reporting pain rated 6/10
C. A client whose urinary output was 100 mL in 12 hours
D. A client scheduled for discharge
Answer: C
Rationale: Low urine output (100 mL in 12 hours) indicates possible renal failure
or hypovolemia—an urgent finding requiring immediate assessment . Urine
output should be at least 30 mL/hour (240 mL in 8 hours). Pain and dressing
reinforcement are important but not the priority .
Q2. A charge nurse is making assignments for a float nurse from the medical
unit to the pediatric unit. Which client is appropriate to assign to the float
nurse?
A. A 10-year-old with pneumonia receiving respiratory treatments
B. A 4-year-old with a Wilms tumor receiving chemotherapy
C. An 8-month-old scheduled for surgical repair of a ventricular septal defect
D. A 14-year-old scheduled for discharge following placement of a Harrington rod
Answer: A
Rationale: A float nurse from a medical unit is most competent to care for a client
with pneumonia, a condition commonly managed on medical units . The other
options require specialized pediatric oncology, cardiac, or orthopedic surgical
expertise .
,Q3. A charge nurse is assigning rooms for four clients. Which client should be
placed in a private room?
A. Client with pneumonia
B. Client with methicillin-resistant Staphylococcus aureus (MRSA)
C. Client with diabetic foot ulcer
D. Client with chronic obstructive pulmonary disease (COPD)
Answer: B
Rationale: MRSA requires contact isolation . A private room is essential to prevent
transmission to other clients . Pneumonia may require droplet precautions, but
MRSA-contact is the priority for single room assignment .
Q4. A nurse is preparing to delegate tasks to an unlicensed assistive personnel
(UAP). Which task is appropriate?
A. Measuring vital signs on a stable client
B. Assessing a client's pain level
C. Teaching a client about medication
D. Evaluating the client's response to treatment
Answer: A
Rationale: UAPs can perform routine tasks such as measuring vital signs on stable
clients . Assessment, teaching, and evaluation are nursing responsibilities that
cannot be delegated .
Q5. A nurse is caring for a client who is being discharged with a new colostomy.
Which statement indicates the client understands the teaching?
A. "I will empty the pouch when it is one-third full."
B. "I will change the pouch daily."
C. "I will use alcohol to clean the stoma."
D. "I will avoid all fluids to reduce output."
Answer: A
Rationale: Emptying the pouch when it is one-third full prevents leakage and
weight-related seal failure . Ostomy pouches should be changed every 3-7 days,
not daily. Alcohol is irritating to the stoma .
,Q6. A nurse is providing discharge teaching to a client who has colorectal cancer
and a new colostomy. The client states, "I'm worried about being discharged
because I live alone, and my insurance doesn't cover ostomy supplies." Which
actions should the nurse take? (Select All That Apply)
A. Refer the client to a community-based social worker
B. Initiate a consult with a home health care provider
C. Give the client information about local support groups
D. Tell the client to purchase supplies out-of-pocket
Answer: A, B, C
Rationale: A social worker can assist with self-care and locating agencies for
financial help . A home health nurse can assist with colostomy care and
medication management. Support groups can help with coping and possibly
obtaining supplies .
Q7. A nurse manager is reviewing unit records and discovers that client falls
occur most frequently during the hours of 0530 and 0730. Which action should
the nurse take when conducting a root cause analysis?
A. Investigate environmental factors that might be contributing to client injury
during these hours
B. Discipline staff working those shifts
C. Increase staffing during those hours only
D. Document the finding without action
Answer: A
Rationale: Root cause analysis focuses on systemic factors, not individual blame .
Investigating environmental factors (lighting, staffing, shift change distractions)
can identify underlying causes .
Q8. An adult client tells the nurse, "I don't want any heroic measures if I stop
breathing or my heart stops. My family knows my wishes." What is the priority
action?
A. Document the client's statement in the chart
, B. Ask the client if they have a written advance directive
C. Discuss do-not-resuscitate (DNR) orders with the provider
D. Respect the client's wishes without further documentation
Answer: B
Rationale: Advance directives (living will, durable power of attorney for
healthcare) provide legal documentation of a client's wishes regarding end-of-life
care . The nurse should first determine if a written advance directive exists .
Q9. A nurse is preparing an in-service about nursing leadership. Which
information about an effective leader should the nurse include?
A. Acts as an advocate for the nursing unit
B. Prioritizes staff requests over client needs
C. Avoids conflict with administration
D. Performs routine client care tasks rather than delegating
Answer: A
Rationale: An effective leader acts as an advocate for the nursing unit,
representing nurses' interests and supporting professional practice . Client needs
always take priority over staff requests .
Q10. A nurse is planning staff assignments. Which task is appropriate to
delegate to an LPN?
A. Perform the initial admission assessment
B. Develop the plan of care
C. Evaluate client outcomes
D. Administer oral medications to stable clients
Answer: D
Rationale: LPNs may administer oral medications to stable clients under RN
supervision . Initial assessment, care planning, and evaluation are responsibilities
of the RN .
