ATI RN Comprehensive Predictor
2026 Exit Exam: The Complete NGN
Practice Questions &Answers Study
Guide (200 Questions with Rationales)
Section 1: Fundamentals of Nursing & Safety
Question 1
A nurse is performing a skin assessment for a client who is on bedrest.
Which of the following actions should the nurse take to prevent a pressure
injury?
A. Encourage client fluid intake of 2,500 mL daily
B. Moisturize dry skin areas on the client every other day
C. Place a dehumidifier in the client's room
D. Apply a donut ring pillow under the client's sacral area
Correct Answer: A
Rationale: Adequate hydration maintains skin turgor and tissue integrity,
reducing pressure injury risk. Donut ring pillows are contraindicated as they
can restrict circulation and create additional pressure points. Moisturizing
should be done daily, not every other day, and dehumidifiers can dry out
skin.
Question 2
A nurse is caring for a client who has a nasogastric tube for enteral
feedings. Which action should the nurse take to prevent aspiration?
,A. Position the client supine during feedings
B. Check residual volume every 8 hours
C. Elevate the head of the bed to 30-45 degrees
D. Administer feedings rapidly to reduce exposure time
Correct Answer: C
Rationale: Elevating the head of the bed to 30-45 degrees during and for
at least 30-60 minutes after enteral feedings uses gravity to reduce gastric
reflux and decreases the risk of aspiration pneumonia. The supine position
increases aspiration risk.
Question 3
A nurse is preparing to administer a blood transfusion. Which action is
most important to prevent a transfusion reaction?
A. Verify the client's identity with two identifiers
B. Check the blood product against the provider's order
C. Prime the tubing with normal saline
D. Obtain baseline vital signs
Correct Answer: A
Rationale: The most critical step is verifying the client's identity and
matching the blood product to the client to prevent ABO incompatibility,
which can cause life-threatening hemolytic reactions. While all other
options are important, two-identifier verification is the primary safety
measure.
Question 4
A nurse observes a colleague reach over a sterile field during a procedure.
Which action should the nurse take?
,A. Ignore the action to avoid embarrassing the colleague
B. Report the colleague to the charge nurse immediately
C. Remind the colleague that reaching over a sterile field contaminates it
D. Continue the procedure but monitor for signs of infection
Correct Answer: C
Rationale: Reaching over a sterile field contaminates it because
microorganisms can fall from the nurse's clothing or skin onto the field. The
nurse should address this immediately to maintain patient safety.
Section 2: Pharmacology & Medication Administration
Question 5
A nurse is caring for a client with heart failure who has a new prescription
for furosemide 40 mg IV. Which finding should the nurse report to the
provider before administering?
A. Serum potassium 2.9 mEq/L
B. Blood pressure 148/90 mmHg
C. Urine output 50 mL/hr
D. Heart rate 88/min
Correct Answer: A
Rationale: Furosemide is a loop diuretic that causes potassium wasting. A
serum potassium of 2.9 mEq/L indicates hypokalemia, and administering
furosemide can worsen this condition, increasing the risk of cardiac
dysrhythmias. The nurse must notify the provider.
Question 6
A client receiving gentamicin reports dizziness and ringing in the ears. What
should the nurse do?
, A. Hold the medication and notify the provider
B. Administer antiemetics
C. Encourage hydration
D. Reassure the client this is normal
Correct Answer: A
Rationale: Dizziness and tinnitus are signs of ototoxicity, a serious adverse
effect of gentamicin (an aminoglycoside). The medication should be held
and the provider notified immediately.
Question 7
A client on warfarin therapy asks about dietary restrictions. Which
instruction should the nurse include?
A. "Avoid all green leafy vegetables"
B. "Sudden increases in vitamin K intake can decrease warfarin's
effectiveness"
C. "Take aspirin for minor aches and pains"
D. "Your diet does not affect this medication"
Correct Answer: B
Rationale: Warfarin's effectiveness is influenced by vitamin K intake.
Consistency in consuming vitamin K-rich foods (leafy greens) is more
important than complete avoidance. Sudden increases in vitamin K can
decrease INR and reduce anticoagulation effects. Aspirin increases bleeding
risk and should be avoided without provider approval.
Question 8
A client is prescribed metoprolol for hypertension. Vital signs show BP
106/70 mmHg and HR 52 bpm. What should the nurse do?
2026 Exit Exam: The Complete NGN
Practice Questions &Answers Study
Guide (200 Questions with Rationales)
Section 1: Fundamentals of Nursing & Safety
Question 1
A nurse is performing a skin assessment for a client who is on bedrest.
Which of the following actions should the nurse take to prevent a pressure
injury?
A. Encourage client fluid intake of 2,500 mL daily
B. Moisturize dry skin areas on the client every other day
C. Place a dehumidifier in the client's room
D. Apply a donut ring pillow under the client's sacral area
Correct Answer: A
Rationale: Adequate hydration maintains skin turgor and tissue integrity,
reducing pressure injury risk. Donut ring pillows are contraindicated as they
can restrict circulation and create additional pressure points. Moisturizing
should be done daily, not every other day, and dehumidifiers can dry out
skin.
Question 2
A nurse is caring for a client who has a nasogastric tube for enteral
feedings. Which action should the nurse take to prevent aspiration?
,A. Position the client supine during feedings
B. Check residual volume every 8 hours
C. Elevate the head of the bed to 30-45 degrees
D. Administer feedings rapidly to reduce exposure time
Correct Answer: C
Rationale: Elevating the head of the bed to 30-45 degrees during and for
at least 30-60 minutes after enteral feedings uses gravity to reduce gastric
reflux and decreases the risk of aspiration pneumonia. The supine position
increases aspiration risk.
Question 3
A nurse is preparing to administer a blood transfusion. Which action is
most important to prevent a transfusion reaction?
A. Verify the client's identity with two identifiers
B. Check the blood product against the provider's order
C. Prime the tubing with normal saline
D. Obtain baseline vital signs
Correct Answer: A
Rationale: The most critical step is verifying the client's identity and
matching the blood product to the client to prevent ABO incompatibility,
which can cause life-threatening hemolytic reactions. While all other
options are important, two-identifier verification is the primary safety
measure.
Question 4
A nurse observes a colleague reach over a sterile field during a procedure.
Which action should the nurse take?
,A. Ignore the action to avoid embarrassing the colleague
B. Report the colleague to the charge nurse immediately
C. Remind the colleague that reaching over a sterile field contaminates it
D. Continue the procedure but monitor for signs of infection
Correct Answer: C
Rationale: Reaching over a sterile field contaminates it because
microorganisms can fall from the nurse's clothing or skin onto the field. The
nurse should address this immediately to maintain patient safety.
Section 2: Pharmacology & Medication Administration
Question 5
A nurse is caring for a client with heart failure who has a new prescription
for furosemide 40 mg IV. Which finding should the nurse report to the
provider before administering?
A. Serum potassium 2.9 mEq/L
B. Blood pressure 148/90 mmHg
C. Urine output 50 mL/hr
D. Heart rate 88/min
Correct Answer: A
Rationale: Furosemide is a loop diuretic that causes potassium wasting. A
serum potassium of 2.9 mEq/L indicates hypokalemia, and administering
furosemide can worsen this condition, increasing the risk of cardiac
dysrhythmias. The nurse must notify the provider.
Question 6
A client receiving gentamicin reports dizziness and ringing in the ears. What
should the nurse do?
, A. Hold the medication and notify the provider
B. Administer antiemetics
C. Encourage hydration
D. Reassure the client this is normal
Correct Answer: A
Rationale: Dizziness and tinnitus are signs of ototoxicity, a serious adverse
effect of gentamicin (an aminoglycoside). The medication should be held
and the provider notified immediately.
Question 7
A client on warfarin therapy asks about dietary restrictions. Which
instruction should the nurse include?
A. "Avoid all green leafy vegetables"
B. "Sudden increases in vitamin K intake can decrease warfarin's
effectiveness"
C. "Take aspirin for minor aches and pains"
D. "Your diet does not affect this medication"
Correct Answer: B
Rationale: Warfarin's effectiveness is influenced by vitamin K intake.
Consistency in consuming vitamin K-rich foods (leafy greens) is more
important than complete avoidance. Sudden increases in vitamin K can
decrease INR and reduce anticoagulation effects. Aspirin increases bleeding
risk and should be avoided without provider approval.
Question 8
A client is prescribed metoprolol for hypertension. Vital signs show BP
106/70 mmHg and HR 52 bpm. What should the nurse do?
