RN EXIT ATI CMS COMPREHENSIVE PREDICTOR LEVEL 3 2026 EXIT
ASSESSMENT WITH NGN 180 UPDATED QUESTIONS FORMS A, B AND C
AND RELIABLE ANSWERS | TRUSTED RN ATI COMPREHENSIVE
PREDICTOR EXIT EXAM
Core Domains
• Management of Care and Delegation
• Safety and Infection Control
• Pharmacological and Parenteral Therapies
• Reduction of Risk Potential
, • Physiological Adaptation
• Health Promotion and Maintenance
• Psychosocial Integrity
• Basic Care and Comfort
Introduction
This comprehensive exit examination assesses the nursing student's readiness
for entry-level professional practice and NCLEX-RN success. The examination
evaluates clinical judgment, prioritization, delegation, and decision-making
across all major client need categories. Items are presented in multiple-choice,
select-all-that-apply, and Next Generation NCLEX case-based formats designed
to simulate real-world clinical scenarios. Emphasis is placed on safety,
evidence-based practice, and the application of the nursing process to diverse
patient populations. The examination challenges candidates to integrate
pathophysiology, pharmacology, and assessment skills while demonstrating
professional accountability and ethical practice.
Section One: Questions 1–100
1. A charge nurse is making client assignments on a medical-surgical
unit. Which client should be assigned to the most experienced RN?
A. A client with diabetes mellitus requiring insulin administration
B. A client with pneumonia requiring every 4-hour vital signs
C. A client with chest tubes and new onset of respiratory distress
D. A client with a urinary tract infection requiring IV antibiotics
RATIONALE: The client with chest tubes and respiratory distress is
unstable and requires complex assessment and intervention. This client
should be assigned to the most experienced RN.
2. A competent adult client refuses a blood transfusion for religious
reasons. Which actions should the nurse take? (Select all that apply.)
,A. Verify the client understands risks
B. Document the refusal
C. Administer the transfusion if hemoglobin is critical
D. Notify the provider
RATIONALE: Competent adults have autonomy. The nurse ensures
informed refusal, documents the decision, and notifies the provider.
3. Which client should the nurse assess first?
A. Post-op day 2 with pain 6/10
B. COPD client with oxygen saturation 88% on room air
C. Client waiting for discharge teaching
D. Stable diabetic requesting a snack
RATIONALE: Airway and oxygenation take priority. An oxygen saturation
of 88% indicates respiratory compromise.
4. A nurse is preparing to discharge a client who has a new colostomy.
Which action should the nurse take first?
A. Provide a list of community support resources
B. Demonstrate how to change the ostomy appliance
C. Schedule a follow-up appointment with a wound ostomy nurse
D. Assess the client's readiness to learn ostomy care
RATIONALE: Before providing teaching, the nurse must first assess the
client's readiness to learn, including emotional state, physical ability, and
motivation.
5. A nurse is caring for a client who has a new prescription for warfarin.
Which laboratory value should the nurse monitor to evaluate
therapeutic effect?
, A. Platelet count
B. Activated partial thromboplastin time
C. Hemoglobin and hematocrit
D. International Normalized Ratio
RATIONALE: Warfarin is monitored using the INR. The therapeutic range
for most indications is 2.0–3.0.
6. Which finding in a client who is 24 hours post-surgery requires
immediate intervention?
A. Temperature of 99.8°F
B. WBC count 12,000/mm³
C. Pain rating of 4 on a 0–10 scale
D. Sudden abdominal rigidity
RATIONALE: Sudden abdominal rigidity suggests peritonitis or internal
bleeding, which is a medical emergency.
7. A nurse is caring for a client who is scheduled for surgery. The client
asks, "What are the risks of this procedure?" The nurse notes that the
consent form was signed earlier. What should the nurse do?
A. Explain the risks to the client
B. Document that the client has questions
C. Proceed with preoperative preparation
D. Tell the client the provider will discuss risks
RATIONALE: The provider is responsible for explaining risks, benefits,
and alternatives. The nurse should notify the provider that the client has
questions.
ASSESSMENT WITH NGN 180 UPDATED QUESTIONS FORMS A, B AND C
AND RELIABLE ANSWERS | TRUSTED RN ATI COMPREHENSIVE
PREDICTOR EXIT EXAM
Core Domains
• Management of Care and Delegation
• Safety and Infection Control
• Pharmacological and Parenteral Therapies
• Reduction of Risk Potential
, • Physiological Adaptation
• Health Promotion and Maintenance
• Psychosocial Integrity
• Basic Care and Comfort
Introduction
This comprehensive exit examination assesses the nursing student's readiness
for entry-level professional practice and NCLEX-RN success. The examination
evaluates clinical judgment, prioritization, delegation, and decision-making
across all major client need categories. Items are presented in multiple-choice,
select-all-that-apply, and Next Generation NCLEX case-based formats designed
to simulate real-world clinical scenarios. Emphasis is placed on safety,
evidence-based practice, and the application of the nursing process to diverse
patient populations. The examination challenges candidates to integrate
pathophysiology, pharmacology, and assessment skills while demonstrating
professional accountability and ethical practice.
Section One: Questions 1–100
1. A charge nurse is making client assignments on a medical-surgical
unit. Which client should be assigned to the most experienced RN?
A. A client with diabetes mellitus requiring insulin administration
B. A client with pneumonia requiring every 4-hour vital signs
C. A client with chest tubes and new onset of respiratory distress
D. A client with a urinary tract infection requiring IV antibiotics
RATIONALE: The client with chest tubes and respiratory distress is
unstable and requires complex assessment and intervention. This client
should be assigned to the most experienced RN.
2. A competent adult client refuses a blood transfusion for religious
reasons. Which actions should the nurse take? (Select all that apply.)
,A. Verify the client understands risks
B. Document the refusal
C. Administer the transfusion if hemoglobin is critical
D. Notify the provider
RATIONALE: Competent adults have autonomy. The nurse ensures
informed refusal, documents the decision, and notifies the provider.
3. Which client should the nurse assess first?
A. Post-op day 2 with pain 6/10
B. COPD client with oxygen saturation 88% on room air
C. Client waiting for discharge teaching
D. Stable diabetic requesting a snack
RATIONALE: Airway and oxygenation take priority. An oxygen saturation
of 88% indicates respiratory compromise.
4. A nurse is preparing to discharge a client who has a new colostomy.
Which action should the nurse take first?
A. Provide a list of community support resources
B. Demonstrate how to change the ostomy appliance
C. Schedule a follow-up appointment with a wound ostomy nurse
D. Assess the client's readiness to learn ostomy care
RATIONALE: Before providing teaching, the nurse must first assess the
client's readiness to learn, including emotional state, physical ability, and
motivation.
5. A nurse is caring for a client who has a new prescription for warfarin.
Which laboratory value should the nurse monitor to evaluate
therapeutic effect?
, A. Platelet count
B. Activated partial thromboplastin time
C. Hemoglobin and hematocrit
D. International Normalized Ratio
RATIONALE: Warfarin is monitored using the INR. The therapeutic range
for most indications is 2.0–3.0.
6. Which finding in a client who is 24 hours post-surgery requires
immediate intervention?
A. Temperature of 99.8°F
B. WBC count 12,000/mm³
C. Pain rating of 4 on a 0–10 scale
D. Sudden abdominal rigidity
RATIONALE: Sudden abdominal rigidity suggests peritonitis or internal
bleeding, which is a medical emergency.
7. A nurse is caring for a client who is scheduled for surgery. The client
asks, "What are the risks of this procedure?" The nurse notes that the
consent form was signed earlier. What should the nurse do?
A. Explain the risks to the client
B. Document that the client has questions
C. Proceed with preoperative preparation
D. Tell the client the provider will discuss risks
RATIONALE: The provider is responsible for explaining risks, benefits,
and alternatives. The nurse should notify the provider that the client has
questions.
