ATI RN Comprehensive Predictor 2026 Exit
Exam with NGN 100% Verified Answers and
Rationales
ATI RN Comprehensive Exit Exam A and B with NGN: 180 Questions &
Answers
1. A nurse is performing a skin assessment on a client who has risk factors for development of
skin cancer. The nurse should understand that a suspicious lesion is
A. Asymmetric, with variegated coloring
B. Scaly and red
C. Brown, with a wart-like texture
D. Firm and rubbery
Answer: A. Asymmetric, with variegated coloring
2. A nurse is assessing a client who has heart failure and reports increased shortness of breath.
Which of the following findings should the nurse report immediately?
A. Weight gain of 1 kg in 24 hours
B. Heart rate 92/min
C. Crackles in the lung bases
D. Blood pressure 110/70 mm Hg
Answer: C. Crackles in the lung bases
3. A nurse is caring for a client who is 1 day postoperative following abdominal surgery. Which
action should the nurse take to prevent atelectasis?
A. Encourage incentive spirometry every hour while awake
B. Maintain the client in a supine position
C. Administer opioids around the clock
D. Restrict oral fluids
Answer: A. Encourage incentive spirometry every hour while awake
4. A nurse is teaching a client who has a new prescription for warfarin. Which instruction
should the nurse include?
A. Increase intake of vitamin K-rich foods
B. Report unusual bruising or bleeding
C. Take aspirin for headaches
D. Stop the medication when the INR is normal
Answer: B. Report unusual bruising or bleeding
,5. A nurse is assessing a client who has diabetes mellitus and reports shakiness and sweating.
Which action should the nurse take first?
A. Administer insulin
B. Check the client's blood glucose
C. Give the client a glass of orange juice
D. Notify the provider
Answer: B. Check the client's blood glucose
6. A nurse is caring for a client who has a new colostomy. Which finding should the nurse
report to the provider?
A. Red, moist stoma
B. Dark, dusky stoma
C. Liquid stool
D. Mild abdominal pain
Answer: B. Dark, dusky stoma
7. A nurse is performing a sterile dressing change. Which action indicates a break in sterile
technique?
A. Opening the sterile package away from the body
B. Placing sterile supplies on the sterile field
C. Reaching over the sterile field with ungloved hands
D. Using sterile gloves to handle sterile supplies
Answer: C. Reaching over the sterile field with ungloved hands
8. A nurse is teaching a client about a low-sodium diet. Which food should the client avoid?
A. Fresh fruit
B. Canned soup
C. Grilled chicken
D. Steamed vegetables
Answer: B. Canned soup
9. A nurse is assessing a client who has a suspected stroke. Which finding is the priority?
A. Facial drooping
B. Nausea
C. Headache
D. Confusion
Answer: A. Facial drooping
10. A nurse is caring for a client who has a new prescription for furosemide. Which laboratory
value should the nurse monitor?
A. Potassium
B. Sodium
, C. Calcium
D. Magnesium
Answer: A. Potassium
11. A nurse is teaching a client about the use of a metered-dose inhaler. Which instruction
should the nurse include?
A. Shake the inhaler before use
B. Exhale fully before inhaling
C. Hold breath for 10 seconds after inhalation
D. All of the above
Answer: D. All of the above
12. A nurse is assessing a client who has a new onset of confusion. Which action should the
nurse take first?
A. Notify the provider
B. Check the client's blood glucose
C. Apply restraints
D. Administer a sedative
Answer: B. Check the client's blood glucose
13. A nurse is caring for a client who has a platelet count of 20,000/mm3. Which action should
the nurse take?
A. Implement bleeding precautions
B. Administer aspirin
C. Encourage ambulation
D. Administer heparin
Answer: A. Implement bleeding precautions
14. A nurse is teaching a client who has a new prescription for levothyroxine. Which instruction
should the nurse include?
A. Take in the morning on an empty stomach
B. Take at bedtime
C. Take with calcium supplements
D. Stop when feeling better
Answer: A. Take in the morning on an empty stomach
15. A nurse is assessing a client who has a burn injury. Which finding indicates a full-thickness
burn?
A. Redness and pain
B. Blisters and severe pain
C. White, waxy, painless skin
D. Sunburn-like redness
, Answer: C. White, waxy, painless skin
16. A nurse is caring for a client who has a new prescription for heparin. Which laboratory value
should the nurse monitor?
A. INR
B. aPTT
C. Platelet count
D. Hemoglobin
Answer: B. aPTT
17. A nurse is teaching a client about a low-purine diet for gout. Which food should the client
avoid?
A. Organ meats
B. Eggs
C. Cheese
D. Bread
Answer: A. Organ meats
18. A nurse is assessing a client who has a suspected urinary tract infection. Which finding
should the nurse expect?
A. Clear urine
B. Cloudy urine with foul odor
C. Decreased white blood cells
D. Glycosuria
Answer: B. Cloudy urine with foul odor
19. A nurse is caring for a client who has a new prescription for metformin. Which instruction
should the nurse include?
A. Take with meals
B. Take on an empty stomach
C. Avoid all carbohydrates
D. Stop before surgery
Answer: A. Take with meals
20. A nurse is assessing a client who has a new prescription for digoxin. Which finding indicates
toxicity?
A. Heart rate 80/min
B. Nausea and visual changes
C. Blood pressure 120/80 mm Hg
D. Weight loss
Answer: B. Nausea and visual changes
Exam with NGN 100% Verified Answers and
Rationales
ATI RN Comprehensive Exit Exam A and B with NGN: 180 Questions &
Answers
1. A nurse is performing a skin assessment on a client who has risk factors for development of
skin cancer. The nurse should understand that a suspicious lesion is
A. Asymmetric, with variegated coloring
B. Scaly and red
C. Brown, with a wart-like texture
D. Firm and rubbery
Answer: A. Asymmetric, with variegated coloring
2. A nurse is assessing a client who has heart failure and reports increased shortness of breath.
Which of the following findings should the nurse report immediately?
A. Weight gain of 1 kg in 24 hours
B. Heart rate 92/min
C. Crackles in the lung bases
D. Blood pressure 110/70 mm Hg
Answer: C. Crackles in the lung bases
3. A nurse is caring for a client who is 1 day postoperative following abdominal surgery. Which
action should the nurse take to prevent atelectasis?
A. Encourage incentive spirometry every hour while awake
B. Maintain the client in a supine position
C. Administer opioids around the clock
D. Restrict oral fluids
Answer: A. Encourage incentive spirometry every hour while awake
4. A nurse is teaching a client who has a new prescription for warfarin. Which instruction
should the nurse include?
A. Increase intake of vitamin K-rich foods
B. Report unusual bruising or bleeding
C. Take aspirin for headaches
D. Stop the medication when the INR is normal
Answer: B. Report unusual bruising or bleeding
,5. A nurse is assessing a client who has diabetes mellitus and reports shakiness and sweating.
Which action should the nurse take first?
A. Administer insulin
B. Check the client's blood glucose
C. Give the client a glass of orange juice
D. Notify the provider
Answer: B. Check the client's blood glucose
6. A nurse is caring for a client who has a new colostomy. Which finding should the nurse
report to the provider?
A. Red, moist stoma
B. Dark, dusky stoma
C. Liquid stool
D. Mild abdominal pain
Answer: B. Dark, dusky stoma
7. A nurse is performing a sterile dressing change. Which action indicates a break in sterile
technique?
A. Opening the sterile package away from the body
B. Placing sterile supplies on the sterile field
C. Reaching over the sterile field with ungloved hands
D. Using sterile gloves to handle sterile supplies
Answer: C. Reaching over the sterile field with ungloved hands
8. A nurse is teaching a client about a low-sodium diet. Which food should the client avoid?
A. Fresh fruit
B. Canned soup
C. Grilled chicken
D. Steamed vegetables
Answer: B. Canned soup
9. A nurse is assessing a client who has a suspected stroke. Which finding is the priority?
A. Facial drooping
B. Nausea
C. Headache
D. Confusion
Answer: A. Facial drooping
10. A nurse is caring for a client who has a new prescription for furosemide. Which laboratory
value should the nurse monitor?
A. Potassium
B. Sodium
, C. Calcium
D. Magnesium
Answer: A. Potassium
11. A nurse is teaching a client about the use of a metered-dose inhaler. Which instruction
should the nurse include?
A. Shake the inhaler before use
B. Exhale fully before inhaling
C. Hold breath for 10 seconds after inhalation
D. All of the above
Answer: D. All of the above
12. A nurse is assessing a client who has a new onset of confusion. Which action should the
nurse take first?
A. Notify the provider
B. Check the client's blood glucose
C. Apply restraints
D. Administer a sedative
Answer: B. Check the client's blood glucose
13. A nurse is caring for a client who has a platelet count of 20,000/mm3. Which action should
the nurse take?
A. Implement bleeding precautions
B. Administer aspirin
C. Encourage ambulation
D. Administer heparin
Answer: A. Implement bleeding precautions
14. A nurse is teaching a client who has a new prescription for levothyroxine. Which instruction
should the nurse include?
A. Take in the morning on an empty stomach
B. Take at bedtime
C. Take with calcium supplements
D. Stop when feeling better
Answer: A. Take in the morning on an empty stomach
15. A nurse is assessing a client who has a burn injury. Which finding indicates a full-thickness
burn?
A. Redness and pain
B. Blisters and severe pain
C. White, waxy, painless skin
D. Sunburn-like redness
, Answer: C. White, waxy, painless skin
16. A nurse is caring for a client who has a new prescription for heparin. Which laboratory value
should the nurse monitor?
A. INR
B. aPTT
C. Platelet count
D. Hemoglobin
Answer: B. aPTT
17. A nurse is teaching a client about a low-purine diet for gout. Which food should the client
avoid?
A. Organ meats
B. Eggs
C. Cheese
D. Bread
Answer: A. Organ meats
18. A nurse is assessing a client who has a suspected urinary tract infection. Which finding
should the nurse expect?
A. Clear urine
B. Cloudy urine with foul odor
C. Decreased white blood cells
D. Glycosuria
Answer: B. Cloudy urine with foul odor
19. A nurse is caring for a client who has a new prescription for metformin. Which instruction
should the nurse include?
A. Take with meals
B. Take on an empty stomach
C. Avoid all carbohydrates
D. Stop before surgery
Answer: A. Take with meals
20. A nurse is assessing a client who has a new prescription for digoxin. Which finding indicates
toxicity?
A. Heart rate 80/min
B. Nausea and visual changes
C. Blood pressure 120/80 mm Hg
D. Weight loss
Answer: B. Nausea and visual changes
