Latest ATI PN Comprehensive Predictor
2026 Exit Exam Containing NGN and All
180 Questions and Answers
SECTION 1: SAFE AND EFFECTIVE CARE ENVIRONMENT (Questions 1-30)
1. A nurse is caring for a client who has a new prescription for warfarin. Which
of the following laboratory values should the nurse monitor?
A. Platelet count
B. INR
C. aPTT
D. Hemoglobin
Correct Answer: B. INR
Rationale: INR (International Normalized Ratio) is the standard laboratory test
used to monitor warfarin therapy. Therapeutic INR is typically 2-3 for most clients.
Platelet count monitors bleeding disorders, aPTT monitors heparin therapy, and
hemoglobin monitors for anemia or bleeding.
2. A nurse is preparing to administer medications to a client. Which of the
following is the priority action before administration?
A. Check the client's room number
B. Verify the client's identity using two identifiers
C. Ask the client about allergies
D. Check the medication expiration date
Correct Answer: B. Verify the client's identity using two identifiers
Rationale: Verifying client identity using two identifiers (name and date of
birth) is a critical safety step to prevent medication errors. While checking allergies
,is important, identity verification is the priority to ensure the right client receives
the right medication.
3. A nurse is caring for a client who is receiving oxygen therapy. Which of the
following actions should the nurse take?
A. Place the client in a supine position
B. Ensure no electrical equipment is in use nearby
C. Post "No Smoking" signs in the client's room
D. Set the oxygen flow rate at 10 L/min
Correct Answer: C. Post "No Smoking" signs in the client's room
Rationale: Oxygen is highly combustible, so "No Smoking" signs must be
posted to prevent fire hazards. The client should be in semi-Fowler's or Fowler's
position for optimal breathing. Electrical equipment can be used with precautions.
Flow rate depends on prescription.
4. A nurse is preparing to perform hand hygiene. Which of the following is the
appropriate duration for using an alcohol-based hand rub?
A. 5 seconds
B. 10 seconds
C. 15-20 seconds
D. 60 seconds
Correct Answer: C. 15-20 seconds
Rationale: Alcohol-based hand rubs should be applied and rubbed for 15-20
seconds until hands are dry. This duration ensures adequate antimicrobial action.
Soap and water handwashing requires at least 20 seconds of scrubbing.
,5. A nurse is assessing a client who has been receiving IV fluids. Which of the
following findings indicates fluid overload?
A. Decreased blood pressure
B. Tachycardia
C. Crackles in the lungs
D. Decreased urine output
Correct Answer: C. Crackles in the lungs
Rationale: Crackles in the lungs indicate pulmonary edema, a sign of fluid
overload. Other signs include increased blood pressure, bounding pulse, weight
gain, and jugular vein distention. Decreased blood pressure and tachycardia
indicate dehydration.
6. A nurse is caring for a client who requires isolation precautions. Which of the
following PPE should the nurse remove first?
A. Gloves
B. Gown
C. Mask
D. Goggles
Correct Answer: A. Gloves
Rationale: When removing PPE, gloves are removed first as they are
considered the most contaminated. The correct order is: gloves, goggles/face
shield, gown, then mask/respirator (if not N95). Hand hygiene follows.
7. A nurse is reviewing a client's medication administration record. Which of the
following abbreviations should the nurse question?
A. PO
B. PRN
, C. U (for units)
D. BID
Correct Answer: C. U (for units)
Rationale: "U" is on the ISMP list of error-prone abbreviations because it can
be mistaken for "0" or "4," potentially causing serious dosing errors. "Units"
should be written out completely. Other abbreviations listed are acceptable.
8. A nurse is preparing to transfer a client from the bed to a chair. Which of the
following actions should the nurse take to prevent injury?
A. Keep the bed at a high position
B. Stand on the client's weak side
C. Use a gait belt for assistance
D. Have the client wrap arms around the nurse's neck
Correct Answer: C. Use a gait belt for assistance
Rationale: A gait belt provides a secure grip and prevents injury to both client
and nurse. The bed should be at a safe working height. The nurse should stand on
the client's weak side for support. Clients should never wrap arms around the
nurse's neck.
9. A nurse is caring for a client who has fallen. Which of the following actions
should the nurse take first?
A. Complete an incident report
B. Assess the client for injuries
C. Notify the provider
D. Move the client back to bed
Correct Answer: B. Assess the client for injuries
2026 Exit Exam Containing NGN and All
180 Questions and Answers
SECTION 1: SAFE AND EFFECTIVE CARE ENVIRONMENT (Questions 1-30)
1. A nurse is caring for a client who has a new prescription for warfarin. Which
of the following laboratory values should the nurse monitor?
A. Platelet count
B. INR
C. aPTT
D. Hemoglobin
Correct Answer: B. INR
Rationale: INR (International Normalized Ratio) is the standard laboratory test
used to monitor warfarin therapy. Therapeutic INR is typically 2-3 for most clients.
Platelet count monitors bleeding disorders, aPTT monitors heparin therapy, and
hemoglobin monitors for anemia or bleeding.
2. A nurse is preparing to administer medications to a client. Which of the
following is the priority action before administration?
A. Check the client's room number
B. Verify the client's identity using two identifiers
C. Ask the client about allergies
D. Check the medication expiration date
Correct Answer: B. Verify the client's identity using two identifiers
Rationale: Verifying client identity using two identifiers (name and date of
birth) is a critical safety step to prevent medication errors. While checking allergies
,is important, identity verification is the priority to ensure the right client receives
the right medication.
3. A nurse is caring for a client who is receiving oxygen therapy. Which of the
following actions should the nurse take?
A. Place the client in a supine position
B. Ensure no electrical equipment is in use nearby
C. Post "No Smoking" signs in the client's room
D. Set the oxygen flow rate at 10 L/min
Correct Answer: C. Post "No Smoking" signs in the client's room
Rationale: Oxygen is highly combustible, so "No Smoking" signs must be
posted to prevent fire hazards. The client should be in semi-Fowler's or Fowler's
position for optimal breathing. Electrical equipment can be used with precautions.
Flow rate depends on prescription.
4. A nurse is preparing to perform hand hygiene. Which of the following is the
appropriate duration for using an alcohol-based hand rub?
A. 5 seconds
B. 10 seconds
C. 15-20 seconds
D. 60 seconds
Correct Answer: C. 15-20 seconds
Rationale: Alcohol-based hand rubs should be applied and rubbed for 15-20
seconds until hands are dry. This duration ensures adequate antimicrobial action.
Soap and water handwashing requires at least 20 seconds of scrubbing.
,5. A nurse is assessing a client who has been receiving IV fluids. Which of the
following findings indicates fluid overload?
A. Decreased blood pressure
B. Tachycardia
C. Crackles in the lungs
D. Decreased urine output
Correct Answer: C. Crackles in the lungs
Rationale: Crackles in the lungs indicate pulmonary edema, a sign of fluid
overload. Other signs include increased blood pressure, bounding pulse, weight
gain, and jugular vein distention. Decreased blood pressure and tachycardia
indicate dehydration.
6. A nurse is caring for a client who requires isolation precautions. Which of the
following PPE should the nurse remove first?
A. Gloves
B. Gown
C. Mask
D. Goggles
Correct Answer: A. Gloves
Rationale: When removing PPE, gloves are removed first as they are
considered the most contaminated. The correct order is: gloves, goggles/face
shield, gown, then mask/respirator (if not N95). Hand hygiene follows.
7. A nurse is reviewing a client's medication administration record. Which of the
following abbreviations should the nurse question?
A. PO
B. PRN
, C. U (for units)
D. BID
Correct Answer: C. U (for units)
Rationale: "U" is on the ISMP list of error-prone abbreviations because it can
be mistaken for "0" or "4," potentially causing serious dosing errors. "Units"
should be written out completely. Other abbreviations listed are acceptable.
8. A nurse is preparing to transfer a client from the bed to a chair. Which of the
following actions should the nurse take to prevent injury?
A. Keep the bed at a high position
B. Stand on the client's weak side
C. Use a gait belt for assistance
D. Have the client wrap arms around the nurse's neck
Correct Answer: C. Use a gait belt for assistance
Rationale: A gait belt provides a secure grip and prevents injury to both client
and nurse. The bed should be at a safe working height. The nurse should stand on
the client's weak side for support. Clients should never wrap arms around the
nurse's neck.
9. A nurse is caring for a client who has fallen. Which of the following actions
should the nurse take first?
A. Complete an incident report
B. Assess the client for injuries
C. Notify the provider
D. Move the client back to bed
Correct Answer: B. Assess the client for injuries
