ATI RN Comprehensive Predictor 2026 Exit Exam with NGN 180 Practice
Questions & Verified Answers
Assessment Technologies Institute (ATI) RN Comprehensive Predictor 2026 Exit Exam with Next Generation NCLEX (NGN) 180 Practice
Questions & Verified Answers
This comprehensive practice exam is designed to prepare you for the ATI RN Comprehensive Predictor Exit Exam. The exam consists of 180
This comprehensive practice exam is designed to prepare you for the
ATI RN Comprehensive Predictor Exit Exam. The exam consists of 180
questions incorporating Next Generation NCLEX® (NGN) item types,
including case studies, unfolding scenarios, ordered response, and
enhanced clinical judgment items. All answers are verified and include
detailed rationales.
---
EXAM OVERVIEW
| Content Domain | Key Topics |
|-------------------|----------------|
| Management of Care | Delegation, prioritization, legal/ethical issues,
case management |
| Safety & Infection Control | Standard precautions, isolation, injury
prevention, error prevention |
| Health Promotion | Anticipatory guidance, developmental stages,
disease prevention |
| Psychosocial Integrity | Coping mechanisms, mental health disorders,
therapeutic communication |
,| Physiological Integrity | Med-Surg, pharmacology, pediatrics,
maternity, gerontology |
---
SECTION 1: PRIORITIZATION & DELEGATION (Questions 1-25)
---
Question 1:
A nurse is caring for a patient admitted with pneumonia who has a
history of chronic obstructive pulmonary disease. The patient's oxygen
saturation drops to 88% on room air. Which intervention should the
nurse implement immediately?
A) Increase fluid intake
B) Administer supplemental oxygen
C) Call the provider
D) Perform incentive spirometry
Correct Answer: B) Administer supplemental oxygen
,Rationale: Hypoxemia (O2 saturation <90%) is an immediate threat to
organ function; providing oxygen stabilizes the patient while further
assessments and treatments occur. Increasing fluids helps maintain
hydration but does not directly address hypoxia. Calling the provider is
important but the nurse's immediate priority is to maintain
oxygenation. Incentive spirometry assists with lung expansion but is
insufficient alone to correct acute hypoxemia .
---
Question 2:
During medication administration, a nurse notices that a patient
prescribed digoxin exhibits nausea, visual disturbances, and
bradycardia. The nurse suspects digoxin toxicity. What is the most
appropriate immediate action?
A) Hold the next dose and notify the provider
B) Administer an antiemetic
C) Check the patient's potassium level
D) Encourage the patient to drink more fluids
Correct Answer: A) Hold the next dose and notify the provider
, Rationale: Digoxin toxicity can be life-threatening; withholding further
doses prevents exacerbation and ensures timely medical assessment.
Administering an antiemetic addresses symptoms but not the
underlying cause. Checking potassium is relevant since hypokalemia
increases toxicity risk, but immediate provider notification is essential
for proper intervention .
---
Question 3:
A nurse is caring for a client who has a vented NG tube set to low
intermittent suction and has vomited. Which of the following actions
should the nurse perform first?
A) Administer an antiemetic medication
B) Evaluate functioning of the suction device
C) Provide oral hygiene care
D) Replace the NG tube
Correct Answer: B) Evaluate functioning of the suction device
Rationale: The first action is to evaluate the functioning of the suction
device. If the suction device is not working properly, gastric contents
Questions & Verified Answers
Assessment Technologies Institute (ATI) RN Comprehensive Predictor 2026 Exit Exam with Next Generation NCLEX (NGN) 180 Practice
Questions & Verified Answers
This comprehensive practice exam is designed to prepare you for the ATI RN Comprehensive Predictor Exit Exam. The exam consists of 180
This comprehensive practice exam is designed to prepare you for the
ATI RN Comprehensive Predictor Exit Exam. The exam consists of 180
questions incorporating Next Generation NCLEX® (NGN) item types,
including case studies, unfolding scenarios, ordered response, and
enhanced clinical judgment items. All answers are verified and include
detailed rationales.
---
EXAM OVERVIEW
| Content Domain | Key Topics |
|-------------------|----------------|
| Management of Care | Delegation, prioritization, legal/ethical issues,
case management |
| Safety & Infection Control | Standard precautions, isolation, injury
prevention, error prevention |
| Health Promotion | Anticipatory guidance, developmental stages,
disease prevention |
| Psychosocial Integrity | Coping mechanisms, mental health disorders,
therapeutic communication |
,| Physiological Integrity | Med-Surg, pharmacology, pediatrics,
maternity, gerontology |
---
SECTION 1: PRIORITIZATION & DELEGATION (Questions 1-25)
---
Question 1:
A nurse is caring for a patient admitted with pneumonia who has a
history of chronic obstructive pulmonary disease. The patient's oxygen
saturation drops to 88% on room air. Which intervention should the
nurse implement immediately?
A) Increase fluid intake
B) Administer supplemental oxygen
C) Call the provider
D) Perform incentive spirometry
Correct Answer: B) Administer supplemental oxygen
,Rationale: Hypoxemia (O2 saturation <90%) is an immediate threat to
organ function; providing oxygen stabilizes the patient while further
assessments and treatments occur. Increasing fluids helps maintain
hydration but does not directly address hypoxia. Calling the provider is
important but the nurse's immediate priority is to maintain
oxygenation. Incentive spirometry assists with lung expansion but is
insufficient alone to correct acute hypoxemia .
---
Question 2:
During medication administration, a nurse notices that a patient
prescribed digoxin exhibits nausea, visual disturbances, and
bradycardia. The nurse suspects digoxin toxicity. What is the most
appropriate immediate action?
A) Hold the next dose and notify the provider
B) Administer an antiemetic
C) Check the patient's potassium level
D) Encourage the patient to drink more fluids
Correct Answer: A) Hold the next dose and notify the provider
, Rationale: Digoxin toxicity can be life-threatening; withholding further
doses prevents exacerbation and ensures timely medical assessment.
Administering an antiemetic addresses symptoms but not the
underlying cause. Checking potassium is relevant since hypokalemia
increases toxicity risk, but immediate provider notification is essential
for proper intervention .
---
Question 3:
A nurse is caring for a client who has a vented NG tube set to low
intermittent suction and has vomited. Which of the following actions
should the nurse perform first?
A) Administer an antiemetic medication
B) Evaluate functioning of the suction device
C) Provide oral hygiene care
D) Replace the NG tube
Correct Answer: B) Evaluate functioning of the suction device
Rationale: The first action is to evaluate the functioning of the suction
device. If the suction device is not working properly, gastric contents
