100% Actual ATI PN Comprehensive Predictor 2026
Exit Exam with NGN 180 Questions and Answers
ATI PN Comprehensive Predictor 2026 Exit Exam with NGN
PART 1: FUNDAMENTALS OF NURSING (Questions 1-20)
1. A nurse is assessing a client's vital signs. The client's blood pressure is 158/94
mm Hg. Which of the following actions should the nurse take FIRST?
A) Administer an antihypertensive medication
B) Retake the blood pressure in the same arm after 2 minutes
C) Notify the provider immediately
D) Document the finding and continue the assessment
Correct Answer: B) Retake the blood pressure in the same arm after 2 minutes
Explanation: A single elevated reading should be verified by retaking the
measurement after allowing the client to rest for 1-2 minutes. Factors like anxiety,
incorrect cuff size, or improper positioning can cause false elevations. Premature
intervention could lead to unnecessary treatment .
2. A client is on fall precautions. Which interventions should the nurse
implement? (Select all that apply.)
A) Keep the bed in the lowest position
B) Raise all four side rails
C) Place a fall risk bracelet on the client
D) Ensure the call light is within reach
Correct Answer: A, C, D
,Explanation: Keeping the bed low reduces injury risk, a fall risk bracelet alerts
staff, and the call light enables the client to request assistance. Raising all four side
rails is considered a restraint and can actually increase fall risk if the client
attempts to climb over them. Two side rails may be used for comfort, but four-
point rail restraint requires a provider order .
3. A client is receiving continuous enteral feeding via a nasogastric tube. Which
action should the nurse take to prevent aspiration?
A) Place the client in a supine position during feeding
B) Elevate the head of the bed to at least 30 degrees
C) Administer bolus feedings rather than continuous
D) Check residual volumes every 8 hours only
Correct Answer: B) Elevate the head of the bed to at least 30 degrees
Explanation: Head-of-bed elevation to 30-45 degrees during feeding and for at
least 30-60 minutes after feeding reduces aspiration risk by using gravity to
prevent gastric reflux. Supine position increases aspiration risk; bolus feedings
increase aspiration risk compared to continuous; residuals should be checked
every 4-6 hours .
4. A nurse is teaching a client about using an incentive spirometer. Which
instruction should the nurse include?
A) Inhale slowly and deeply to elevate the cylinder
B) Exhale forcefully into the device
C) Use the device once every 8 hours
D) Hold breath for 2 seconds after exhalation
Correct Answer: A) Inhale slowly and deeply to elevate the cylinder
Explanation: The client should inhale slowly and deeply to elevate the cylinder to
the target level, hold breath for 3-5 seconds at maximum inhalation, then exhale
, normally. The spirometer measures inspiratory effort, not expiratory. Use should
be every 1-2 hours .
5. A nurse is performing a pain assessment on a client who is nonverbal. Which
assessment tool is most appropriate?
A) Numeric Rating Scale
B) Visual Analog Scale
C) FACES Pain Scale
D) PAINAD scale
Correct Answer: D) PAINAD scale
Explanation: The PAINAD (Pain Assessment in Advanced Dementia) scale is
specifically designed for nonverbal clients. It assesses five indicators: breathing,
negative vocalization, facial expression, body language, and consolability. Numeric
and Visual Analog Scales require verbal self-report. FACES requires the client to
point to a face .
6. A nurse is caring for a client who has a nasogastric tube attached to low
intermittent suction. Which finding indicates the tube is properly positioned in
the stomach?
A) The client complains of a sore throat
B) Aspiration of gastric contents with a pH of 4
C) The external tube length is 50 cm at the naris
D) The client is able to speak without difficulty
Correct Answer: B) Aspiration of gastric contents with a pH of 4
Explanation: Gastric pH of 4 or lower confirms proper gastric placement. Gastric
contents are typically acidic (pH 1-5.5). Respiratory secretions have pH of 6 or
higher. Sore throat is a common side effect, not a confirmation of placement .
Exit Exam with NGN 180 Questions and Answers
ATI PN Comprehensive Predictor 2026 Exit Exam with NGN
PART 1: FUNDAMENTALS OF NURSING (Questions 1-20)
1. A nurse is assessing a client's vital signs. The client's blood pressure is 158/94
mm Hg. Which of the following actions should the nurse take FIRST?
A) Administer an antihypertensive medication
B) Retake the blood pressure in the same arm after 2 minutes
C) Notify the provider immediately
D) Document the finding and continue the assessment
Correct Answer: B) Retake the blood pressure in the same arm after 2 minutes
Explanation: A single elevated reading should be verified by retaking the
measurement after allowing the client to rest for 1-2 minutes. Factors like anxiety,
incorrect cuff size, or improper positioning can cause false elevations. Premature
intervention could lead to unnecessary treatment .
2. A client is on fall precautions. Which interventions should the nurse
implement? (Select all that apply.)
A) Keep the bed in the lowest position
B) Raise all four side rails
C) Place a fall risk bracelet on the client
D) Ensure the call light is within reach
Correct Answer: A, C, D
,Explanation: Keeping the bed low reduces injury risk, a fall risk bracelet alerts
staff, and the call light enables the client to request assistance. Raising all four side
rails is considered a restraint and can actually increase fall risk if the client
attempts to climb over them. Two side rails may be used for comfort, but four-
point rail restraint requires a provider order .
3. A client is receiving continuous enteral feeding via a nasogastric tube. Which
action should the nurse take to prevent aspiration?
A) Place the client in a supine position during feeding
B) Elevate the head of the bed to at least 30 degrees
C) Administer bolus feedings rather than continuous
D) Check residual volumes every 8 hours only
Correct Answer: B) Elevate the head of the bed to at least 30 degrees
Explanation: Head-of-bed elevation to 30-45 degrees during feeding and for at
least 30-60 minutes after feeding reduces aspiration risk by using gravity to
prevent gastric reflux. Supine position increases aspiration risk; bolus feedings
increase aspiration risk compared to continuous; residuals should be checked
every 4-6 hours .
4. A nurse is teaching a client about using an incentive spirometer. Which
instruction should the nurse include?
A) Inhale slowly and deeply to elevate the cylinder
B) Exhale forcefully into the device
C) Use the device once every 8 hours
D) Hold breath for 2 seconds after exhalation
Correct Answer: A) Inhale slowly and deeply to elevate the cylinder
Explanation: The client should inhale slowly and deeply to elevate the cylinder to
the target level, hold breath for 3-5 seconds at maximum inhalation, then exhale
, normally. The spirometer measures inspiratory effort, not expiratory. Use should
be every 1-2 hours .
5. A nurse is performing a pain assessment on a client who is nonverbal. Which
assessment tool is most appropriate?
A) Numeric Rating Scale
B) Visual Analog Scale
C) FACES Pain Scale
D) PAINAD scale
Correct Answer: D) PAINAD scale
Explanation: The PAINAD (Pain Assessment in Advanced Dementia) scale is
specifically designed for nonverbal clients. It assesses five indicators: breathing,
negative vocalization, facial expression, body language, and consolability. Numeric
and Visual Analog Scales require verbal self-report. FACES requires the client to
point to a face .
6. A nurse is caring for a client who has a nasogastric tube attached to low
intermittent suction. Which finding indicates the tube is properly positioned in
the stomach?
A) The client complains of a sore throat
B) Aspiration of gastric contents with a pH of 4
C) The external tube length is 50 cm at the naris
D) The client is able to speak without difficulty
Correct Answer: B) Aspiration of gastric contents with a pH of 4
Explanation: Gastric pH of 4 or lower confirms proper gastric placement. Gastric
contents are typically acidic (pH 1-5.5). Respiratory secretions have pH of 6 or
higher. Sore throat is a common side effect, not a confirmation of placement .
