RN ATI Comprehensive Predictor 2026 Exit
Retake Proctored Exam | All NGN 180 Level
3 Passing Questions and Answers
Question 1 of 180
A nurse is assisting the provider with a lumbar puncture for a client who
has manifestations of meningitis. Into which of the following positions
should the nurse assist the client?
A. Trendelenburg with her body in Sims’ position
B. Head flexed to the chest and her knees pulled up to the abdomen
C. Arms raised above her head with her legs elevated on pillows
D. Prone with her arms at her side and her legs extended
Correct Answer: B. Head flexed to the chest and her knees pulled up
to the abdomen
Rationale:
The client should flex the spine by bringing the head toward the chest
and knees toward the abdomen. This widens the spaces between the
lumbar vertebrae, facilitating safe needle insertion into the lumbar
subarachnoid space.
Question 2 of 180
A nurse is performing gastric lavage for a client who has upper
gastrointestinal bleeding. Which of the following actions should the
nurse take?
,A. Use a cold irrigation solution.
B. Instill 500 mL of solution through the NG tube.
C. Insert a large-bore NG tube.
D. Instruct the client to lie on his right side.
Correct Answer: C. Insert a large-bore NG tube.
Rationale:
A large-bore NG tube is used for gastric lavage because it allows
effective removal of blood and gastric contents and reduces the risk of
tube obstruction by clots.
Question 3 of 180
A nurse is teaching participants at a community center about advance
directives. Which of the following information should the nurse include
in the teaching?
A. A client must create a do-not-resuscitate order when completing
advance directives.
B. Advance directives cannot be changed once implemented.
C. A health care surrogate makes health care decisions when the client is
no longer able.
D. Assigning a health care surrogate requires legal consultation.
Correct Answer: C. A health care surrogate makes health care
decisions when the client is no longer able.
Rationale:
A health care surrogate is designated to make health care decisions on
,behalf of a client who becomes unable to make or communicate those
decisions.
Question 4 of 180
A nurse is providing dietary teaching to a client who has a new diagnosis
of irritable bowel syndrome. Which of the following should the nurse
include?
A. Sweeten foods with fructose corn syrup.
B. Increase intake of milk products.
C. Increase intake of foods high in gluten.
D. Consume foods high in bran fiber.
Correct answer: D. Consume foods high in bran fiber.
Rationale: Increasing dietary fiber, particularly bran fiber, can help
regulate bowel function and relieve symptoms of irritable bowel
syndrome.
Question 5 of 180
A nurse is caring for a client who has heart failure and is receiving
furosemide. Which finding should the nurse recognize as an indication
of hypokalemia?
A. Muscle weakness
B. Increased bowel sounds
C. Bounding peripheral pulses
D. Hyperactive deep-tendon reflexes
Correct answer: A. Muscle weakness
, Rationale: Furosemide promotes potassium excretion. Hypokalemia can
cause muscle weakness, fatigue, and cardiac dysrhythmias.
Question 6 of 180
A nurse is assessing a client who has a suspected bowel obstruction.
Which finding should the nurse expect?
A. Bradycardia
B. Abdominal distention
C. Increased appetite
D. Hypoactive bowel sounds immediately
Correct answer: B. Abdominal distention
Rationale: Bowel obstruction commonly causes abdominal distention,
cramping, vomiting, and changes in bowel sounds.
Question 7 of 180
A nurse is teaching a client who has hypertension about lifestyle
modifications. Which statement indicates an understanding of the
teaching?
A. "I should increase my sodium intake."
B. "I should avoid physical activity."
C. "I should follow a diet rich in fruits and vegetables."
D. "I should drink alcohol every day."
Correct answer: C. "I should follow a diet rich in fruits and
vegetables."
Rationale: A diet rich in fruits, vegetables, whole grains, and low-fat
foods, such as the DASH diet, can help lower blood pressure.
Retake Proctored Exam | All NGN 180 Level
3 Passing Questions and Answers
Question 1 of 180
A nurse is assisting the provider with a lumbar puncture for a client who
has manifestations of meningitis. Into which of the following positions
should the nurse assist the client?
A. Trendelenburg with her body in Sims’ position
B. Head flexed to the chest and her knees pulled up to the abdomen
C. Arms raised above her head with her legs elevated on pillows
D. Prone with her arms at her side and her legs extended
Correct Answer: B. Head flexed to the chest and her knees pulled up
to the abdomen
Rationale:
The client should flex the spine by bringing the head toward the chest
and knees toward the abdomen. This widens the spaces between the
lumbar vertebrae, facilitating safe needle insertion into the lumbar
subarachnoid space.
Question 2 of 180
A nurse is performing gastric lavage for a client who has upper
gastrointestinal bleeding. Which of the following actions should the
nurse take?
,A. Use a cold irrigation solution.
B. Instill 500 mL of solution through the NG tube.
C. Insert a large-bore NG tube.
D. Instruct the client to lie on his right side.
Correct Answer: C. Insert a large-bore NG tube.
Rationale:
A large-bore NG tube is used for gastric lavage because it allows
effective removal of blood and gastric contents and reduces the risk of
tube obstruction by clots.
Question 3 of 180
A nurse is teaching participants at a community center about advance
directives. Which of the following information should the nurse include
in the teaching?
A. A client must create a do-not-resuscitate order when completing
advance directives.
B. Advance directives cannot be changed once implemented.
C. A health care surrogate makes health care decisions when the client is
no longer able.
D. Assigning a health care surrogate requires legal consultation.
Correct Answer: C. A health care surrogate makes health care
decisions when the client is no longer able.
Rationale:
A health care surrogate is designated to make health care decisions on
,behalf of a client who becomes unable to make or communicate those
decisions.
Question 4 of 180
A nurse is providing dietary teaching to a client who has a new diagnosis
of irritable bowel syndrome. Which of the following should the nurse
include?
A. Sweeten foods with fructose corn syrup.
B. Increase intake of milk products.
C. Increase intake of foods high in gluten.
D. Consume foods high in bran fiber.
Correct answer: D. Consume foods high in bran fiber.
Rationale: Increasing dietary fiber, particularly bran fiber, can help
regulate bowel function and relieve symptoms of irritable bowel
syndrome.
Question 5 of 180
A nurse is caring for a client who has heart failure and is receiving
furosemide. Which finding should the nurse recognize as an indication
of hypokalemia?
A. Muscle weakness
B. Increased bowel sounds
C. Bounding peripheral pulses
D. Hyperactive deep-tendon reflexes
Correct answer: A. Muscle weakness
, Rationale: Furosemide promotes potassium excretion. Hypokalemia can
cause muscle weakness, fatigue, and cardiac dysrhythmias.
Question 6 of 180
A nurse is assessing a client who has a suspected bowel obstruction.
Which finding should the nurse expect?
A. Bradycardia
B. Abdominal distention
C. Increased appetite
D. Hypoactive bowel sounds immediately
Correct answer: B. Abdominal distention
Rationale: Bowel obstruction commonly causes abdominal distention,
cramping, vomiting, and changes in bowel sounds.
Question 7 of 180
A nurse is teaching a client who has hypertension about lifestyle
modifications. Which statement indicates an understanding of the
teaching?
A. "I should increase my sodium intake."
B. "I should avoid physical activity."
C. "I should follow a diet rich in fruits and vegetables."
D. "I should drink alcohol every day."
Correct answer: C. "I should follow a diet rich in fruits and
vegetables."
Rationale: A diet rich in fruits, vegetables, whole grains, and low-fat
foods, such as the DASH diet, can help lower blood pressure.
