Actual 2026 Version ATI RN
Comprehensive Predictor Exit Exam with
NGN 180 Questions and Answers to Pass
RN ATI Comprehensive Predictor
2023/2026 Exit Exam with NGN
Management of Care / Prioritization
1. A nurse in the emergency department is assessing four
clients. Which client should the nurse assess first?
A. A client with chest pain rated 6/10 who is diaphoretic and
nauseated
B. A client with a ankle sprain requesting pain medication
C. A client with a fever of 38.3°C (101°F) and cough
D. A client requesting discharge instructions for a laceration
Answer: A
Rationale: Airway, Breathing, Circulation (ABC) and severity of
condition guide prioritization. Chest pain with diaphoresis and
nausea suggests possible acute myocardial infarction—a life-
threatening emergency requiring immediate assessment and
intervention. The other clients are stable and can wait.
,2. A charge nurse is assigning client care to a team consisting
of an RN, an LPN, and two assistive personnel (AP). Which
client should the charge nurse assign to the LPN?
A. A client with a new tracheostomy requiring frequent suctioning
B. A client with diabetes mellitus requiring insulin administration
C. A client with an NG tube who needs tube feeding initiation
D. A client with a stable colostomy requiring pouch change
Answer: D
Rationale: LPNs can perform stable, predictable procedures like
colostomy care. The RN should manage unstable or complex
clients (tracheostomy, insulin, NG tube initiation) requiring
assessment and critical thinking.
3. A nurse is caring for a client who has a new prescription for
a 1,500 mL fluid restriction per day. Which of the following
actions should the nurse take first?
A. Provide the client with a list of foods that contain high water
content
B. Educate the client about the importance of the fluid restriction
C. Assess the client's understanding of the fluid restriction
D. Calculate the client's intake and output over the last 24 hours
Answer: C
,Rationale: The nurse should first assess the client's current
understanding to tailor education and identify gaps. Assessment
always precedes intervention.
4. A nurse is delegating tasks to an assistive personnel (AP).
Which of the following tasks is appropriate to delegate?
A. Feeding a client with dysphagia
B. Measuring a client's blood pressure
C. Assessing a client's pain level
D. Administering a tube feeding
Answer: B
Rationale: APs can perform routine vital sign measurement.
Feeding a client with dysphagia requires assessment of
swallowing ability (RN or LPN). Pain assessment and tube feeding
administration require nursing judgment.
5. A nurse is caring for four clients. Which client should the
nurse see first?
A. A client with heart failure who has 2+ pitting edema in the
lower extremities
B. A client with chronic obstructive pulmonary disease (COPD)
who has an oxygen saturation of 88% on room air
C. A client with diabetes mellitus who has a blood glucose level of
, 180 mg/dL
D. A client with hypertension who has a blood pressure of 148/92
mm Hg
Answer: B
Rationale: An oxygen saturation of 88% indicates hypoxemia
requiring immediate intervention. The other findings, while
abnormal, are less acute.
Pharmacology
6. A nurse is preparing to administer digoxin to a client with
heart failure. Which of the following findings should prompt
the nurse to withhold the medication?
A. Heart rate 58/min
B. Blood pressure 110/70 mm Hg
C. Respiratory rate 18/min
D. Serum potassium 4.0 mEq/L
Answer: A
Rationale: Digoxin should be withheld if the apical pulse is less
than 60/min (or as specified by facility policy) due to risk of
bradycardia and toxicity. Normal potassium is 3.5–5.0 mEq/L.
Comprehensive Predictor Exit Exam with
NGN 180 Questions and Answers to Pass
RN ATI Comprehensive Predictor
2023/2026 Exit Exam with NGN
Management of Care / Prioritization
1. A nurse in the emergency department is assessing four
clients. Which client should the nurse assess first?
A. A client with chest pain rated 6/10 who is diaphoretic and
nauseated
B. A client with a ankle sprain requesting pain medication
C. A client with a fever of 38.3°C (101°F) and cough
D. A client requesting discharge instructions for a laceration
Answer: A
Rationale: Airway, Breathing, Circulation (ABC) and severity of
condition guide prioritization. Chest pain with diaphoresis and
nausea suggests possible acute myocardial infarction—a life-
threatening emergency requiring immediate assessment and
intervention. The other clients are stable and can wait.
,2. A charge nurse is assigning client care to a team consisting
of an RN, an LPN, and two assistive personnel (AP). Which
client should the charge nurse assign to the LPN?
A. A client with a new tracheostomy requiring frequent suctioning
B. A client with diabetes mellitus requiring insulin administration
C. A client with an NG tube who needs tube feeding initiation
D. A client with a stable colostomy requiring pouch change
Answer: D
Rationale: LPNs can perform stable, predictable procedures like
colostomy care. The RN should manage unstable or complex
clients (tracheostomy, insulin, NG tube initiation) requiring
assessment and critical thinking.
3. A nurse is caring for a client who has a new prescription for
a 1,500 mL fluid restriction per day. Which of the following
actions should the nurse take first?
A. Provide the client with a list of foods that contain high water
content
B. Educate the client about the importance of the fluid restriction
C. Assess the client's understanding of the fluid restriction
D. Calculate the client's intake and output over the last 24 hours
Answer: C
,Rationale: The nurse should first assess the client's current
understanding to tailor education and identify gaps. Assessment
always precedes intervention.
4. A nurse is delegating tasks to an assistive personnel (AP).
Which of the following tasks is appropriate to delegate?
A. Feeding a client with dysphagia
B. Measuring a client's blood pressure
C. Assessing a client's pain level
D. Administering a tube feeding
Answer: B
Rationale: APs can perform routine vital sign measurement.
Feeding a client with dysphagia requires assessment of
swallowing ability (RN or LPN). Pain assessment and tube feeding
administration require nursing judgment.
5. A nurse is caring for four clients. Which client should the
nurse see first?
A. A client with heart failure who has 2+ pitting edema in the
lower extremities
B. A client with chronic obstructive pulmonary disease (COPD)
who has an oxygen saturation of 88% on room air
C. A client with diabetes mellitus who has a blood glucose level of
, 180 mg/dL
D. A client with hypertension who has a blood pressure of 148/92
mm Hg
Answer: B
Rationale: An oxygen saturation of 88% indicates hypoxemia
requiring immediate intervention. The other findings, while
abnormal, are less acute.
Pharmacology
6. A nurse is preparing to administer digoxin to a client with
heart failure. Which of the following findings should prompt
the nurse to withhold the medication?
A. Heart rate 58/min
B. Blood pressure 110/70 mm Hg
C. Respiratory rate 18/min
D. Serum potassium 4.0 mEq/L
Answer: A
Rationale: Digoxin should be withheld if the apical pulse is less
than 60/min (or as specified by facility policy) due to risk of
bradycardia and toxicity. Normal potassium is 3.5–5.0 mEq/L.
