1
Latest ATI RN Comprehensive Predictor 2026 Exit
Exam with NGN 180 Questions and Answers +
Rationales.
Question 1
A nurse reviews a client’s graphic record and notes admission weight 74.8 kg
(165 lb) and current weight 74.38 kg (164 lb). The client has a urinary tract
infection, metabolic syndrome, and possible neuroleptic malignant syndrome.
Which condition should the nurse prioritize?
Answer:Neuroleptic malignant syndrome (NMS)
Rationale: NMS is life-threatening (fever, rigidity, autonomic instability). Weight
change is less critical than NMS. UTI and metabolic syndrome require treatment
but are not immediately life-threatening.
Question 2
A nurse is preparing to initiate IV fluids via infusion pump. Which action should
the nurse take?
Obtain a surge protector for the pump and other appliances
Verify the extension cord is ungrounded
Report a frayed cord and proceed
Check the expiration date on the safety inspection sticker
Answer:Check the expiration date on the safety inspection sticker
Rationale: Expired inspection means pump may not be safe. Frayed cords and
,2
ungrounded cords are electrical hazards. Surge protectors are not for medical
equipment without approval.
Question 3
A nurse needs to access an implanted venous access port. Which device should
the nurse use?
Anticoagulant
Butterfly needle
A 25-gauge needle (or non-coring Huber needle)
Anticoagulant flush
Answer:A 25-gauge needle (Huber needle is correct, but among options, non-
coring is implied)
Rationale: Implanted ports require a non-coring needle (Huber). Butterfly needles
damage the port. Anticoagulant is for flushing, not accessing.
Question 4
A nurse notes a discrepancy between the current IV infusion and shift report.
What should the nurse do first?
Contact charge nurse
Complete incident report
Submit a written warning
Compare current infusion with prescription in MAR
,3
Answer:Compare current infusion with prescription in medication record
Rationale: Verify the order first before reporting or documenting. Incident report
is later, not punitive to another nurse.
Question 5 (NGN-style)
An older adult client’s adult child reports cognitive decline, memory loss, poor
self-care. Client makes poor eye contact, monotone voice, lack of facial
expression. Which findings require immediate follow-up?
Answer:Poor eye contact, monotone voice, lack of facial expression; child’s report
of signed car title
Rationale: These suggest possible depression, neglect, or financial exploitation.
Immediate follow-up is needed for safety and psychosocial assessment.
Question 6 (from screenshot 7)
A client near end of life, on bed rest, needs a bowel movement but refuses bed
pan, stating “I’ve always used the bathroom.” What is the best response?
Tell me what concerns you have about using a bed pan.
Use furniture to walk to bathroom
I’ll have PT ambulate you
You have to use bed pan for safety
Answer:Tell me what concerns you have
Rationale: Therapeutic communication acknowledges autonomy and explores
concerns. Safety is important but forced use increases distress.
Question 7 (fire evacuation – Question 9)
, 4
During a fire, which client should be evacuated first?
A client who uses a wheelchair and is confused
Bedridden client with hearing aid
Ambulatory client on oxygen
Client in traction
Answer:Wheelchair-bound and confused
Rationale: RACE: Rescue those in immediate danger. Confused + mobility
impaired = highest priority.
Question 8 (labor – Question 8)
A client in labor: contractions q3-4 min × 80-90 sec, cervix 5 cm/80%/-1 station,
epidural placed, spontaneous rupture of membranes with clear fluid. What is
the priority?
Answer:Monitor FHR and assess for cord prolapse after ROM
Rationale: After ROM, cord prolapse risk increases. Epidural can mask pain from
complications.
Part 2: Additional Q&A (9–180) – ATI Predictor Style
Safety & Infection Control
9. A client on fall precautions tries to get up alone. What action first?
Answer:Stay with client and call for assistance
Rationale: Prevent fall first. Restraints are last resort.
10. When is hand hygiene required?
Answer:Before touching patient, after body fluid exposure, after touching
Latest ATI RN Comprehensive Predictor 2026 Exit
Exam with NGN 180 Questions and Answers +
Rationales.
Question 1
A nurse reviews a client’s graphic record and notes admission weight 74.8 kg
(165 lb) and current weight 74.38 kg (164 lb). The client has a urinary tract
infection, metabolic syndrome, and possible neuroleptic malignant syndrome.
Which condition should the nurse prioritize?
Answer:Neuroleptic malignant syndrome (NMS)
Rationale: NMS is life-threatening (fever, rigidity, autonomic instability). Weight
change is less critical than NMS. UTI and metabolic syndrome require treatment
but are not immediately life-threatening.
Question 2
A nurse is preparing to initiate IV fluids via infusion pump. Which action should
the nurse take?
Obtain a surge protector for the pump and other appliances
Verify the extension cord is ungrounded
Report a frayed cord and proceed
Check the expiration date on the safety inspection sticker
Answer:Check the expiration date on the safety inspection sticker
Rationale: Expired inspection means pump may not be safe. Frayed cords and
,2
ungrounded cords are electrical hazards. Surge protectors are not for medical
equipment without approval.
Question 3
A nurse needs to access an implanted venous access port. Which device should
the nurse use?
Anticoagulant
Butterfly needle
A 25-gauge needle (or non-coring Huber needle)
Anticoagulant flush
Answer:A 25-gauge needle (Huber needle is correct, but among options, non-
coring is implied)
Rationale: Implanted ports require a non-coring needle (Huber). Butterfly needles
damage the port. Anticoagulant is for flushing, not accessing.
Question 4
A nurse notes a discrepancy between the current IV infusion and shift report.
What should the nurse do first?
Contact charge nurse
Complete incident report
Submit a written warning
Compare current infusion with prescription in MAR
,3
Answer:Compare current infusion with prescription in medication record
Rationale: Verify the order first before reporting or documenting. Incident report
is later, not punitive to another nurse.
Question 5 (NGN-style)
An older adult client’s adult child reports cognitive decline, memory loss, poor
self-care. Client makes poor eye contact, monotone voice, lack of facial
expression. Which findings require immediate follow-up?
Answer:Poor eye contact, monotone voice, lack of facial expression; child’s report
of signed car title
Rationale: These suggest possible depression, neglect, or financial exploitation.
Immediate follow-up is needed for safety and psychosocial assessment.
Question 6 (from screenshot 7)
A client near end of life, on bed rest, needs a bowel movement but refuses bed
pan, stating “I’ve always used the bathroom.” What is the best response?
Tell me what concerns you have about using a bed pan.
Use furniture to walk to bathroom
I’ll have PT ambulate you
You have to use bed pan for safety
Answer:Tell me what concerns you have
Rationale: Therapeutic communication acknowledges autonomy and explores
concerns. Safety is important but forced use increases distress.
Question 7 (fire evacuation – Question 9)
, 4
During a fire, which client should be evacuated first?
A client who uses a wheelchair and is confused
Bedridden client with hearing aid
Ambulatory client on oxygen
Client in traction
Answer:Wheelchair-bound and confused
Rationale: RACE: Rescue those in immediate danger. Confused + mobility
impaired = highest priority.
Question 8 (labor – Question 8)
A client in labor: contractions q3-4 min × 80-90 sec, cervix 5 cm/80%/-1 station,
epidural placed, spontaneous rupture of membranes with clear fluid. What is
the priority?
Answer:Monitor FHR and assess for cord prolapse after ROM
Rationale: After ROM, cord prolapse risk increases. Epidural can mask pain from
complications.
Part 2: Additional Q&A (9–180) – ATI Predictor Style
Safety & Infection Control
9. A client on fall precautions tries to get up alone. What action first?
Answer:Stay with client and call for assistance
Rationale: Prevent fall first. Restraints are last resort.
10. When is hand hygiene required?
Answer:Before touching patient, after body fluid exposure, after touching
