NGN ATI Comprehensive Exit Retake Test Bank
Pharmacology, Management of Care, Medical-
Surgical, Mental Health, Maternity, Pediatrics, and
Fundamentals Questions And Answers Plus
Rationales Instant Pdf Download 2026
Domain 1: Management of Care (12 Questions)
1. A charge nurse is making assignments on a medical-surgical unit.
Which tasks can be delegated to an LPN/LVN? (Select All That
Apply)
• A) Administer a scheduled subcutaneous heparin injection
• B) Perform the initial admission assessment on a new patient
• C) Reinforce teaching about insulin self-administration
• D) Monitor a patient’s nasogastric tube for output color and
amount
• E) Create the nursing care plan for a patient with pneumonia
Correct Answer: A, C, D
Rationale: LPNs can administer subcutaneous medications (A),
reinforce teaching (C), and monitor stable tubes (D). Initial
assessments (B) and creating care plans (E) require RN judgment.
, 2. A nurse manager is implementing a quality improvement
initiative. Which actions demonstrate effective leadership? (Select
All That Apply)
• A) Reviewing incident reports to identify trends
• B) Assigning blame to individual staff members for errors
• C) Involving staff in developing new protocols
• D) Discouraging reporting of near misses
• E) Providing feedback on performance data
Correct Answer: A, C, E
Rationale: Blame culture (B) and hiding near misses (D) undermine
patient safety. Transparency, systems thinking, and staff
involvement improve quality.
3. A nurse is preparing to discharge a patient who speaks limited
English. Which actions are appropriate? (Select All That Apply)
• A) Use a certified medical interpreter for discharge teaching
• B) Ask the patient’s family member to translate complex
instructions
• C) Provide written instructions in the patient’s primary language
• D) Use simple drawings or diagrams to reinforce key points
• E) Speak loudly and slowly in English
Correct Answer: A, C, D
Rationale: Family members may omit or alter medical information
, (B). Speaking loudly (E) does not improve understanding; certified
interpreters ensure accurate communication.
4. A nurse is reviewing state laws regarding mandatory reporting.
Which situations must be reported? (Select All That Apply)
• A) Suspected child physical abuse
• B) A 75-year-old patient with unexplained bruises in a nursing home
• C) A patient who reports being stabbed by a partner
• D) A 17-year-old requesting birth control pills
• E) An adult with a gunshot wound (in most states)
Correct Answer: A, B, C, E
Rationale: Child/elder abuse, domestic violence, and gunshot
wounds are reportable. Birth control requests (D) are not abuse.
5. A nurse is applying restraints. Which actions are correct? (Select
All That Apply)
• A) Use a quick-release knot
• B) Ensure two fingers can fit between restraint and skin
• C) Apply restraint to bed side rail
• D) Remove restraint every 2 hours for range of motion
• E) Document behavior leading to restraint use
Correct Answer: A, B, D, E
Rationale: Restraints should never be attached to a side rail (C)—
, attach to the bed frame. Quick-release knots, proper fit, frequent
removal, and documentation are required.
6. A nurse is preparing to transfer a patient to a long-term care
facility. Which documentation is required? (Select All That Apply)
• A) Current medication administration record
• B) Copy of advance directives
• C) Transfer summary including diagnosis and care needs
• D) Original medical record (keep copy at current facility)
• E) Contact information for receiving facility
Correct Answer: A, B, C, E
Rationale: The original medical record stays at the sending facility;
copies are transferred (D).
7. A nurse is serving as a preceptor for a new graduate. Which
actions promote a positive learning environment? (Select All That
Apply)
• A) Provide constructive feedback privately
• B) Allow the new graduate to perform skills with supervision
• C) Complete all patient care tasks to save time
• D) Ask open-ended questions to promote critical thinking
• E) Compare the new graduate negatively to previous orientees
Correct Answer: A, B, D
Rationale: New graduates need hands-on practice. Negative
Pharmacology, Management of Care, Medical-
Surgical, Mental Health, Maternity, Pediatrics, and
Fundamentals Questions And Answers Plus
Rationales Instant Pdf Download 2026
Domain 1: Management of Care (12 Questions)
1. A charge nurse is making assignments on a medical-surgical unit.
Which tasks can be delegated to an LPN/LVN? (Select All That
Apply)
• A) Administer a scheduled subcutaneous heparin injection
• B) Perform the initial admission assessment on a new patient
• C) Reinforce teaching about insulin self-administration
• D) Monitor a patient’s nasogastric tube for output color and
amount
• E) Create the nursing care plan for a patient with pneumonia
Correct Answer: A, C, D
Rationale: LPNs can administer subcutaneous medications (A),
reinforce teaching (C), and monitor stable tubes (D). Initial
assessments (B) and creating care plans (E) require RN judgment.
, 2. A nurse manager is implementing a quality improvement
initiative. Which actions demonstrate effective leadership? (Select
All That Apply)
• A) Reviewing incident reports to identify trends
• B) Assigning blame to individual staff members for errors
• C) Involving staff in developing new protocols
• D) Discouraging reporting of near misses
• E) Providing feedback on performance data
Correct Answer: A, C, E
Rationale: Blame culture (B) and hiding near misses (D) undermine
patient safety. Transparency, systems thinking, and staff
involvement improve quality.
3. A nurse is preparing to discharge a patient who speaks limited
English. Which actions are appropriate? (Select All That Apply)
• A) Use a certified medical interpreter for discharge teaching
• B) Ask the patient’s family member to translate complex
instructions
• C) Provide written instructions in the patient’s primary language
• D) Use simple drawings or diagrams to reinforce key points
• E) Speak loudly and slowly in English
Correct Answer: A, C, D
Rationale: Family members may omit or alter medical information
, (B). Speaking loudly (E) does not improve understanding; certified
interpreters ensure accurate communication.
4. A nurse is reviewing state laws regarding mandatory reporting.
Which situations must be reported? (Select All That Apply)
• A) Suspected child physical abuse
• B) A 75-year-old patient with unexplained bruises in a nursing home
• C) A patient who reports being stabbed by a partner
• D) A 17-year-old requesting birth control pills
• E) An adult with a gunshot wound (in most states)
Correct Answer: A, B, C, E
Rationale: Child/elder abuse, domestic violence, and gunshot
wounds are reportable. Birth control requests (D) are not abuse.
5. A nurse is applying restraints. Which actions are correct? (Select
All That Apply)
• A) Use a quick-release knot
• B) Ensure two fingers can fit between restraint and skin
• C) Apply restraint to bed side rail
• D) Remove restraint every 2 hours for range of motion
• E) Document behavior leading to restraint use
Correct Answer: A, B, D, E
Rationale: Restraints should never be attached to a side rail (C)—
, attach to the bed frame. Quick-release knots, proper fit, frequent
removal, and documentation are required.
6. A nurse is preparing to transfer a patient to a long-term care
facility. Which documentation is required? (Select All That Apply)
• A) Current medication administration record
• B) Copy of advance directives
• C) Transfer summary including diagnosis and care needs
• D) Original medical record (keep copy at current facility)
• E) Contact information for receiving facility
Correct Answer: A, B, C, E
Rationale: The original medical record stays at the sending facility;
copies are transferred (D).
7. A nurse is serving as a preceptor for a new graduate. Which
actions promote a positive learning environment? (Select All That
Apply)
• A) Provide constructive feedback privately
• B) Allow the new graduate to perform skills with supervision
• C) Complete all patient care tasks to save time
• D) Ask open-ended questions to promote critical thinking
• E) Compare the new graduate negatively to previous orientees
Correct Answer: A, B, D
Rationale: New graduates need hands-on practice. Negative
