ATI RN Comprehensive Predictor NGN Exit Exam –
2026–2027
500 Practice Questions | Case Studies | SATA | Bow■Tie NGN |
EHR Exhibits | Detailed Rationales
Question 1 – Endocrine
NGN Case Study
Assessment Value
Blood Pressure 158/92
Heart Rate 110 bpm
Respirations 26/min
Oxygen Saturation 90%
Based on the EHR findings, which action should the nurse take first for a client with suspected
chronic kidney disease?
A. Assess vital signs
B. Administer oxygen
C. Notify the provider
D. Educate the client
Rationale: Abnormal respiratory findings indicate impaired oxygenation requiring immediate
oxygen support.
Question 2 – Neurological
A nurse is caring for a client with sepsis. Which nursing actions are appropriate? (Select all that
apply)
A. Monitor oxygen saturation
B. Assess level of consciousness
C. Administer prescribed medications
D. Encourage increased fluid intake
E. Document findings in the EHR
Rationale: These nursing actions support monitoring, intervention, and safe documentation for the
client.
Question 3 – Community Health
Which client should the nurse assess first?
, A. A client with stable hypertension requesting medication
B. A client with preeclampsia and oxygen saturation of 88%
C. A postoperative client requesting assistance to ambulate
D. A client awaiting discharge instructions
Rationale: Airway and oxygenation problems take priority according to ABC nursing priorities.
Question 4 – Cardiovascular
A nurse is caring for a client with heart failure. Which nursing actions are appropriate? (Select all
that apply)
A. Monitor oxygen saturation
B. Assess level of consciousness
C. Administer prescribed medications
D. Encourage increased fluid intake
E. Document findings in the EHR
Rationale: These nursing actions support monitoring, intervention, and safe documentation for the
client.
Question 5 – Endocrine
Which client should the nurse assess first?
A. A client with stable hypertension requesting medication
B. A client with stroke and oxygen saturation of 88%
C. A postoperative client requesting assistance to ambulate
D. A client awaiting discharge instructions
Rationale: Airway and oxygenation problems take priority according to ABC nursing priorities.
Question 6 – Medical-Surgical
A nurse is caring for a client with diabetes mellitus. Which intervention should the nurse perform
first?
A. Assess vital signs
B. Administer oxygen
C. Notify the provider
D. Educate the client
Correct Answer: Administer oxygen
Rationale: Oxygen improves tissue oxygenation and prevents hypoxia. This action follows priority
frameworks such as ABCs and patient safety principles for clients with diabetes mellitus.
Question 7 – Endocrine
,A nurse is caring for a client with pneumonia. Which intervention should the nurse perform first?
A. Assess vital signs
B. Administer oxygen
C. Notify the provider
D. Educate the client
Correct Answer: Administer oxygen
Rationale: Oxygen improves tissue oxygenation and prevents hypoxia. This action follows priority
frameworks such as ABCs and patient safety principles for clients with pneumonia.
Question 8 – Pediatrics
Bow■Tie NGN Item
A client with pneumonia develops worsening symptoms. Identify the priority condition, two nursing
actions, and two parameters to monitor.
Priority Condition: Acute deterioration
Action 1: Administer oxygen
Action 2: Assess vital signs
Monitor: Oxygen saturation
Monitor: Respiratory status
Rationale: Immediate stabilization and monitoring are required for deteriorating patients.
Question 9 – Neurological
A nurse is caring for a client with COPD. Which nursing actions are appropriate? (Select all that
apply)
A. Monitor oxygen saturation
B. Assess level of consciousness
C. Administer prescribed medications
D. Encourage increased fluid intake
E. Document findings in the EHR
Rationale: These nursing actions support monitoring, intervention, and safe documentation for the
client.
Question 10 – Maternal-Newborn
A nurse is caring for a client with stroke. Which intervention should the nurse perform first?
A. Assess vital signs
B. Administer oxygen
C. Notify the provider
D. Educate the client
, Correct Answer: Assess vital signs
Rationale: Vital signs provide baseline data and identify instability. This action follows priority
frameworks such as ABCs and patient safety principles for clients with stroke.
Question 11 – Respiratory
Which client should the nurse assess first?
A. A client with stable hypertension requesting medication
B. A client with sepsis and oxygen saturation of 88%
C. A postoperative client requesting assistance to ambulate
D. A client awaiting discharge instructions
Rationale: Airway and oxygenation problems take priority according to ABC nursing priorities.
Question 12 – Respiratory
Which client should the nurse assess first?
A. A client with stable hypertension requesting medication
B. A client with myocardial infarction and oxygen saturation of 88%
C. A postoperative client requesting assistance to ambulate
D. A client awaiting discharge instructions
Rationale: Airway and oxygenation problems take priority according to ABC nursing priorities.
Question 13 – Medical-Surgical
A nurse is caring for a client with pneumonia. Which nursing actions are appropriate? (Select all
that apply)
A. Monitor oxygen saturation
B. Assess level of consciousness
C. Administer prescribed medications
D. Encourage increased fluid intake
E. Document findings in the EHR
Rationale: These nursing actions support monitoring, intervention, and safe documentation for the
client.
Question 14 – Pharmacology
A nurse is caring for a client with sepsis. Which nursing actions are appropriate? (Select all that
apply)
A. Monitor oxygen saturation
B. Assess level of consciousness
C. Administer prescribed medications
2026–2027
500 Practice Questions | Case Studies | SATA | Bow■Tie NGN |
EHR Exhibits | Detailed Rationales
Question 1 – Endocrine
NGN Case Study
Assessment Value
Blood Pressure 158/92
Heart Rate 110 bpm
Respirations 26/min
Oxygen Saturation 90%
Based on the EHR findings, which action should the nurse take first for a client with suspected
chronic kidney disease?
A. Assess vital signs
B. Administer oxygen
C. Notify the provider
D. Educate the client
Rationale: Abnormal respiratory findings indicate impaired oxygenation requiring immediate
oxygen support.
Question 2 – Neurological
A nurse is caring for a client with sepsis. Which nursing actions are appropriate? (Select all that
apply)
A. Monitor oxygen saturation
B. Assess level of consciousness
C. Administer prescribed medications
D. Encourage increased fluid intake
E. Document findings in the EHR
Rationale: These nursing actions support monitoring, intervention, and safe documentation for the
client.
Question 3 – Community Health
Which client should the nurse assess first?
, A. A client with stable hypertension requesting medication
B. A client with preeclampsia and oxygen saturation of 88%
C. A postoperative client requesting assistance to ambulate
D. A client awaiting discharge instructions
Rationale: Airway and oxygenation problems take priority according to ABC nursing priorities.
Question 4 – Cardiovascular
A nurse is caring for a client with heart failure. Which nursing actions are appropriate? (Select all
that apply)
A. Monitor oxygen saturation
B. Assess level of consciousness
C. Administer prescribed medications
D. Encourage increased fluid intake
E. Document findings in the EHR
Rationale: These nursing actions support monitoring, intervention, and safe documentation for the
client.
Question 5 – Endocrine
Which client should the nurse assess first?
A. A client with stable hypertension requesting medication
B. A client with stroke and oxygen saturation of 88%
C. A postoperative client requesting assistance to ambulate
D. A client awaiting discharge instructions
Rationale: Airway and oxygenation problems take priority according to ABC nursing priorities.
Question 6 – Medical-Surgical
A nurse is caring for a client with diabetes mellitus. Which intervention should the nurse perform
first?
A. Assess vital signs
B. Administer oxygen
C. Notify the provider
D. Educate the client
Correct Answer: Administer oxygen
Rationale: Oxygen improves tissue oxygenation and prevents hypoxia. This action follows priority
frameworks such as ABCs and patient safety principles for clients with diabetes mellitus.
Question 7 – Endocrine
,A nurse is caring for a client with pneumonia. Which intervention should the nurse perform first?
A. Assess vital signs
B. Administer oxygen
C. Notify the provider
D. Educate the client
Correct Answer: Administer oxygen
Rationale: Oxygen improves tissue oxygenation and prevents hypoxia. This action follows priority
frameworks such as ABCs and patient safety principles for clients with pneumonia.
Question 8 – Pediatrics
Bow■Tie NGN Item
A client with pneumonia develops worsening symptoms. Identify the priority condition, two nursing
actions, and two parameters to monitor.
Priority Condition: Acute deterioration
Action 1: Administer oxygen
Action 2: Assess vital signs
Monitor: Oxygen saturation
Monitor: Respiratory status
Rationale: Immediate stabilization and monitoring are required for deteriorating patients.
Question 9 – Neurological
A nurse is caring for a client with COPD. Which nursing actions are appropriate? (Select all that
apply)
A. Monitor oxygen saturation
B. Assess level of consciousness
C. Administer prescribed medications
D. Encourage increased fluid intake
E. Document findings in the EHR
Rationale: These nursing actions support monitoring, intervention, and safe documentation for the
client.
Question 10 – Maternal-Newborn
A nurse is caring for a client with stroke. Which intervention should the nurse perform first?
A. Assess vital signs
B. Administer oxygen
C. Notify the provider
D. Educate the client
, Correct Answer: Assess vital signs
Rationale: Vital signs provide baseline data and identify instability. This action follows priority
frameworks such as ABCs and patient safety principles for clients with stroke.
Question 11 – Respiratory
Which client should the nurse assess first?
A. A client with stable hypertension requesting medication
B. A client with sepsis and oxygen saturation of 88%
C. A postoperative client requesting assistance to ambulate
D. A client awaiting discharge instructions
Rationale: Airway and oxygenation problems take priority according to ABC nursing priorities.
Question 12 – Respiratory
Which client should the nurse assess first?
A. A client with stable hypertension requesting medication
B. A client with myocardial infarction and oxygen saturation of 88%
C. A postoperative client requesting assistance to ambulate
D. A client awaiting discharge instructions
Rationale: Airway and oxygenation problems take priority according to ABC nursing priorities.
Question 13 – Medical-Surgical
A nurse is caring for a client with pneumonia. Which nursing actions are appropriate? (Select all
that apply)
A. Monitor oxygen saturation
B. Assess level of consciousness
C. Administer prescribed medications
D. Encourage increased fluid intake
E. Document findings in the EHR
Rationale: These nursing actions support monitoring, intervention, and safe documentation for the
client.
Question 14 – Pharmacology
A nurse is caring for a client with sepsis. Which nursing actions are appropriate? (Select all that
apply)
A. Monitor oxygen saturation
B. Assess level of consciousness
C. Administer prescribed medications
