ATI PN/NCLEX-PN Comprehensive Predictor Exit Examination
2026 NGN Updated Exam 2026 WITH Recent Newest Verified
And Well Analyzed Exam Questions (Actual Exam 2026-2027)
Correct Detailed & Verified ANSWERS (100% Accurate
Solutions) ALREADY GRADED A+||NEWEST VERSION Of The
Exam Guarantee Pass!!|
A practical nurse is caring for a 68-year-old client admitted with
community-acquired pneumonia. The client becomes increasingly
restless, has an oxygen saturation of 86% on room air, a respiratory
rate of 32/min, and difficulty speaking in complete sentences. What is
the nurse's priority action?
Answer: Administer supplemental oxygen and assess the client's airway
and respiratory status immediately.
Rationale: Airway and breathing are the highest priorities according to
the ABC framework. Hypoxemia can rapidly lead to respiratory failure.
Oxygen therapy and a focused respiratory assessment should be
implemented before additional interventions.
A client with heart failure reports waking up at night unable to breathe
and must sleep on three pillows. What finding should the nurse
recognize as indicating worsening heart failure?
Answer: Increasing orthopnea and paroxysmal nocturnal dyspnea.
,Rationale: Orthopnea and paroxysmal nocturnal dyspnea occur when
fluid backs up into the lungs, indicating worsening left-sided heart
failure. Prompt provider notification and further evaluation are
warranted.
A nurse prepares to administer digoxin to a client. Before giving the
medication, the client's apical pulse is 54 beats/minute. What should
the nurse do?
Answer: Withhold the medication and notify the provider.
Rationale: Digoxin slows cardiac conduction. An apical pulse below the
prescribed parameter, commonly 60 beats/minute in adults, increases
the risk for symptomatic bradycardia and digoxin toxicity.
A client receiving insulin suddenly becomes pale, diaphoretic, shaky,
and confused. What is the nurse's first intervention?
Answer: Check the client's blood glucose level immediately.
Rationale: These findings suggest hypoglycemia. Confirming the blood
glucose guides treatment while preventing unnecessary interventions.
, A client receiving IV potassium chloride reports burning at the IV site.
What action should the nurse take?
Answer: Stop the infusion and assess the IV site for infiltration or
phlebitis.
Rationale: Potassium is highly irritating to veins and surrounding tissue.
Continued administration through an infiltrated IV can cause severe
tissue damage.
A postoperative client suddenly develops chest pain, shortness of
breath, and anxiety. What complication should the nurse suspect?
Answer: Pulmonary embolism.
Rationale: Sudden dyspnea and chest pain following surgery strongly
suggest pulmonary embolism, which requires immediate emergency
management.
A client receiving morphine has a respiratory rate of 8 breaths/minute
and is difficult to awaken. What intervention should the nurse
anticipate?
Answer: Administer naloxone as prescribed.
2026 NGN Updated Exam 2026 WITH Recent Newest Verified
And Well Analyzed Exam Questions (Actual Exam 2026-2027)
Correct Detailed & Verified ANSWERS (100% Accurate
Solutions) ALREADY GRADED A+||NEWEST VERSION Of The
Exam Guarantee Pass!!|
A practical nurse is caring for a 68-year-old client admitted with
community-acquired pneumonia. The client becomes increasingly
restless, has an oxygen saturation of 86% on room air, a respiratory
rate of 32/min, and difficulty speaking in complete sentences. What is
the nurse's priority action?
Answer: Administer supplemental oxygen and assess the client's airway
and respiratory status immediately.
Rationale: Airway and breathing are the highest priorities according to
the ABC framework. Hypoxemia can rapidly lead to respiratory failure.
Oxygen therapy and a focused respiratory assessment should be
implemented before additional interventions.
A client with heart failure reports waking up at night unable to breathe
and must sleep on three pillows. What finding should the nurse
recognize as indicating worsening heart failure?
Answer: Increasing orthopnea and paroxysmal nocturnal dyspnea.
,Rationale: Orthopnea and paroxysmal nocturnal dyspnea occur when
fluid backs up into the lungs, indicating worsening left-sided heart
failure. Prompt provider notification and further evaluation are
warranted.
A nurse prepares to administer digoxin to a client. Before giving the
medication, the client's apical pulse is 54 beats/minute. What should
the nurse do?
Answer: Withhold the medication and notify the provider.
Rationale: Digoxin slows cardiac conduction. An apical pulse below the
prescribed parameter, commonly 60 beats/minute in adults, increases
the risk for symptomatic bradycardia and digoxin toxicity.
A client receiving insulin suddenly becomes pale, diaphoretic, shaky,
and confused. What is the nurse's first intervention?
Answer: Check the client's blood glucose level immediately.
Rationale: These findings suggest hypoglycemia. Confirming the blood
glucose guides treatment while preventing unnecessary interventions.
, A client receiving IV potassium chloride reports burning at the IV site.
What action should the nurse take?
Answer: Stop the infusion and assess the IV site for infiltration or
phlebitis.
Rationale: Potassium is highly irritating to veins and surrounding tissue.
Continued administration through an infiltrated IV can cause severe
tissue damage.
A postoperative client suddenly develops chest pain, shortness of
breath, and anxiety. What complication should the nurse suspect?
Answer: Pulmonary embolism.
Rationale: Sudden dyspnea and chest pain following surgery strongly
suggest pulmonary embolism, which requires immediate emergency
management.
A client receiving morphine has a respiratory rate of 8 breaths/minute
and is difficult to awaken. What intervention should the nurse
anticipate?
Answer: Administer naloxone as prescribed.
