NGN ATI COMPREHENSIVE EXIT
RETAKE EXAM QUESTIONS AND
CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES
2026 Q&A | INSTANT DOWNLOAD
PDF
MANAGEMENT OF CARE
SAFETY AND INFECTION CONTROL
HEALTH PROMOTION AND MAINTENANCE
PSYCHOSOCIAL INTEGRITY
PHARMACOLOGICAL AND PARENTERAL THERAPIES
REDUCTION OF RISK POTENTIAL
PHYSIOLOGICAL ADAPTATION
CLINICAL JUDGMENT AND NGN CASE STUDIES
This examination assesses the candidate's readiness for entry-
level nursing practice. It evaluates clinical judgment,
prioritization, delegation, safety, pharmacology, and the
application of the nursing process across the lifespan. The test
utilizes multiple-choice, select-all-that-apply, and unfolding case
study formats to measure decision-making and critical thinking.
Emphasis is placed on real-world application, evidence-based
practice, and the ability to manage complex client scenarios.
Candidates must demonstrate competency in all core domains to
ensure safe and effective care delivery.
SECTION ONE
, 1. A nurse is caring for a client with heart failure who reports
worsening shortness of breath and weight gain of 3 kg in 2
days. Which action should the nurse take first?
A. Administer furosemide 40 mg IV push as prescribed
B. Auscultate breath sounds
C. Restrict oral fluids to 1,500 mL/day
D. Place the client in high-Fowler's position
Correct answer: D
RATIONALE: High-Fowler's position uses gravity to reduce
preload and improve ventilation, providing immediate relief of
dyspnea. After positioning, the nurse auscultates breath sounds
(B) to assess severity, then administers furosemide (A) as
prescribed. Fluid restriction (C) is a longer-term intervention.
2. A nurse manager is reviewing informed consent with staff.
Which statement indicates understanding?
A. "The nurse is responsible for explaining the procedure."
B. "A witness signature confirms the client gave voluntary
consent."
C. "Informed consent is only required for surgical procedures."
D. "A family member can sign for any adult client."
Correct answer: B
RATIONALE: The witness signature confirms that the client
signed voluntarily and appeared competent to give consent. The
provider (not the nurse) is responsible for explaining the
procedure. Informed consent is required for many procedures,
not just surgical ones.
3. A charge nurse is assigning clients. Which client should be
assigned to a newly licensed RN?
,A. Client with chest tube and continuous bubbling
B. Client with new-onset atrial fibrillation on a heparin drip
C. Client with stable pneumonia receiving oral antibiotics
D. Client with a tracheostomy requiring suctioning q2h
Correct answer: C
RATIONALE: Newly licensed RNs should care for stable,
predictable clients with routine care needs. Clients with chest
tubes, unstable cardiac conditions, or tracheostomies require
more experienced nurses.
4. A nurse is assisting with mass casualty triage after an
explosion. Which client should be identified as the priority?
A. Client with massive head trauma
B. Client with full-thickness burns to face and trunk
C. Client with indications of hypovolemic shock
D. Client with an open fracture of the lower extremity
Correct answer: C
RATIONALE: In mass casualty triage, clients with potentially
survivable but critical conditions (e.g., hypovolemic shock) are
prioritized over those with non-survivable injuries or stable
conditions.
5. A nurse is caring for a client who is in restraints. A verbal
prescription was obtained. Which action should the nurse
take?
A. Implement restraints immediately
B. Document the verbal order within 24 hours
C. Request a renewal of the prescription every 8 hours
D. Obtain a written order within 1 hour
Correct answer: C
, RATIONALE: Restraint orders must be renewed every 8 hours
for adults. The nurse should also obtain a written order as soon
as possible.
6. A nurse is reviewing incident reports. Which statement by a
staff member indicates understanding of their purpose?
A. "The incident report is used to discipline the staff member
involved."
B. "The incident report is used to identify risks and prevent future
harm."
C. "The incident report should be documented in the client's
medical record."
D. "The incident report should only be completed for serious
injuries."
Correct answer: B
RATIONALE: Incident reports are used for quality
improvement and risk identification, not for disciplinary action.
They should not be placed in the client's medical record.
7. A nurse is preparing to administer digoxin to a client with
heart failure. Which assessment finding should the nurse
report before administering the medication?
A. Heart rate of 58/min
B. Blood pressure of 110/70 mm Hg
C. Potassium level of 4.2 mEq/L
D. Respiratory rate of 18/min
Correct answer: A
RATIONALE: Digoxin should be withheld if the apical heart rate
is below 60/min in adults. The nurse should hold the medication
and notify the provider.
RETAKE EXAM QUESTIONS AND
CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES
2026 Q&A | INSTANT DOWNLOAD
MANAGEMENT OF CARE
SAFETY AND INFECTION CONTROL
HEALTH PROMOTION AND MAINTENANCE
PSYCHOSOCIAL INTEGRITY
PHARMACOLOGICAL AND PARENTERAL THERAPIES
REDUCTION OF RISK POTENTIAL
PHYSIOLOGICAL ADAPTATION
CLINICAL JUDGMENT AND NGN CASE STUDIES
This examination assesses the candidate's readiness for entry-
level nursing practice. It evaluates clinical judgment,
prioritization, delegation, safety, pharmacology, and the
application of the nursing process across the lifespan. The test
utilizes multiple-choice, select-all-that-apply, and unfolding case
study formats to measure decision-making and critical thinking.
Emphasis is placed on real-world application, evidence-based
practice, and the ability to manage complex client scenarios.
Candidates must demonstrate competency in all core domains to
ensure safe and effective care delivery.
SECTION ONE
, 1. A nurse is caring for a client with heart failure who reports
worsening shortness of breath and weight gain of 3 kg in 2
days. Which action should the nurse take first?
A. Administer furosemide 40 mg IV push as prescribed
B. Auscultate breath sounds
C. Restrict oral fluids to 1,500 mL/day
D. Place the client in high-Fowler's position
Correct answer: D
RATIONALE: High-Fowler's position uses gravity to reduce
preload and improve ventilation, providing immediate relief of
dyspnea. After positioning, the nurse auscultates breath sounds
(B) to assess severity, then administers furosemide (A) as
prescribed. Fluid restriction (C) is a longer-term intervention.
2. A nurse manager is reviewing informed consent with staff.
Which statement indicates understanding?
A. "The nurse is responsible for explaining the procedure."
B. "A witness signature confirms the client gave voluntary
consent."
C. "Informed consent is only required for surgical procedures."
D. "A family member can sign for any adult client."
Correct answer: B
RATIONALE: The witness signature confirms that the client
signed voluntarily and appeared competent to give consent. The
provider (not the nurse) is responsible for explaining the
procedure. Informed consent is required for many procedures,
not just surgical ones.
3. A charge nurse is assigning clients. Which client should be
assigned to a newly licensed RN?
,A. Client with chest tube and continuous bubbling
B. Client with new-onset atrial fibrillation on a heparin drip
C. Client with stable pneumonia receiving oral antibiotics
D. Client with a tracheostomy requiring suctioning q2h
Correct answer: C
RATIONALE: Newly licensed RNs should care for stable,
predictable clients with routine care needs. Clients with chest
tubes, unstable cardiac conditions, or tracheostomies require
more experienced nurses.
4. A nurse is assisting with mass casualty triage after an
explosion. Which client should be identified as the priority?
A. Client with massive head trauma
B. Client with full-thickness burns to face and trunk
C. Client with indications of hypovolemic shock
D. Client with an open fracture of the lower extremity
Correct answer: C
RATIONALE: In mass casualty triage, clients with potentially
survivable but critical conditions (e.g., hypovolemic shock) are
prioritized over those with non-survivable injuries or stable
conditions.
5. A nurse is caring for a client who is in restraints. A verbal
prescription was obtained. Which action should the nurse
take?
A. Implement restraints immediately
B. Document the verbal order within 24 hours
C. Request a renewal of the prescription every 8 hours
D. Obtain a written order within 1 hour
Correct answer: C
, RATIONALE: Restraint orders must be renewed every 8 hours
for adults. The nurse should also obtain a written order as soon
as possible.
6. A nurse is reviewing incident reports. Which statement by a
staff member indicates understanding of their purpose?
A. "The incident report is used to discipline the staff member
involved."
B. "The incident report is used to identify risks and prevent future
harm."
C. "The incident report should be documented in the client's
medical record."
D. "The incident report should only be completed for serious
injuries."
Correct answer: B
RATIONALE: Incident reports are used for quality
improvement and risk identification, not for disciplinary action.
They should not be placed in the client's medical record.
7. A nurse is preparing to administer digoxin to a client with
heart failure. Which assessment finding should the nurse
report before administering the medication?
A. Heart rate of 58/min
B. Blood pressure of 110/70 mm Hg
C. Potassium level of 4.2 mEq/L
D. Respiratory rate of 18/min
Correct answer: A
RATIONALE: Digoxin should be withheld if the apical heart rate
is below 60/min in adults. The nurse should hold the medication
and notify the provider.
