ATI PN COMPREHENSIVE
PREDICTOR NGN EXAM –
UPDATED 2026/2027||||questions and
answers with rationales/graded
A+/2026 update/100% correct /instant
download
Topic Test: Leadership, Fundamentals, Med-Surg, OB, Peds, Mental Health,
& Pharmacology
Instructions: Choose the best answer. Correct answers are highlighted in bold.
Rationales follow each question.
Section 1: Fundamentals of Nursing (Questions 1-15)
1. A nurse is preparing to insert an indwelling urinary catheter for a female client.
Which of the following actions demonstrates proper sterile technique?
• A) Opens the catheter kit facing away from the body
• B) Places the sterile drape with the non-absorbent side down
• C) Maintains the dominant hand as sterile after donning sterile gloves
• D) Uses clean gloves to handle the catheter after sterile gloves are removed
Rationale: The dominant hand remains sterile throughout catheter insertion.
Option A is incorrect; the kit should open toward the body. Option B is wrong; the
absorbent side goes down. Option D breaks sterility.
2. A client with a nasogastric (NG) tube for continuous enteral feeding has a new
order for oral medications. Which action should the nurse take first?
, • A) Flush the tube with 30 mL of water after each medication
• B) Verify tube placement by aspirating gastric contents and checking
pH
• C) Crush all enteric-coated tablets before administering
• D) Clamp the tube for 30 minutes after medications
Rationale: Verifying placement is the priority to prevent aspiration and ensure
medication reaches the stomach. Option C is incorrect; enteric-coated tablets
should not be crushed.
3. A nurse is assessing a client’s IV site. Which finding indicates phlebitis? (Select
all that apply)
• A) Redness along the vein
• B) Cool, pale skin
• C) Palpable hard cord
• D) Edema at the insertion site
• E) Purulent drainage
Correct Answers: A, C, D – Phlebitis signs include redness, cord-like vein, and
edema. Option B indicates infiltration. Option E indicates infection.
4. A client who is 2 days post-operative reports pain of 8 on a 0-10 scale. The nurse
administers morphine 2 mg IV. Thirty minutes later, the client’s respiratory rate is
8/min. What is the nurse’s priority action?
• A) Administer naloxone per protocol
• B) Call the provider
• C) Place the client in high-Fowler’s position
• D) Encourage deep breathing
Rationale: Respiratory depression (RR <10) post-opioid requires naloxone.
Calling the provider may delay emergency action.
5. A nurse is teaching a client about using a patient-controlled analgesia (PCA)
pump. Which statement indicates understanding?
PREDICTOR NGN EXAM –
UPDATED 2026/2027||||questions and
answers with rationales/graded
A+/2026 update/100% correct /instant
download
Topic Test: Leadership, Fundamentals, Med-Surg, OB, Peds, Mental Health,
& Pharmacology
Instructions: Choose the best answer. Correct answers are highlighted in bold.
Rationales follow each question.
Section 1: Fundamentals of Nursing (Questions 1-15)
1. A nurse is preparing to insert an indwelling urinary catheter for a female client.
Which of the following actions demonstrates proper sterile technique?
• A) Opens the catheter kit facing away from the body
• B) Places the sterile drape with the non-absorbent side down
• C) Maintains the dominant hand as sterile after donning sterile gloves
• D) Uses clean gloves to handle the catheter after sterile gloves are removed
Rationale: The dominant hand remains sterile throughout catheter insertion.
Option A is incorrect; the kit should open toward the body. Option B is wrong; the
absorbent side goes down. Option D breaks sterility.
2. A client with a nasogastric (NG) tube for continuous enteral feeding has a new
order for oral medications. Which action should the nurse take first?
, • A) Flush the tube with 30 mL of water after each medication
• B) Verify tube placement by aspirating gastric contents and checking
pH
• C) Crush all enteric-coated tablets before administering
• D) Clamp the tube for 30 minutes after medications
Rationale: Verifying placement is the priority to prevent aspiration and ensure
medication reaches the stomach. Option C is incorrect; enteric-coated tablets
should not be crushed.
3. A nurse is assessing a client’s IV site. Which finding indicates phlebitis? (Select
all that apply)
• A) Redness along the vein
• B) Cool, pale skin
• C) Palpable hard cord
• D) Edema at the insertion site
• E) Purulent drainage
Correct Answers: A, C, D – Phlebitis signs include redness, cord-like vein, and
edema. Option B indicates infiltration. Option E indicates infection.
4. A client who is 2 days post-operative reports pain of 8 on a 0-10 scale. The nurse
administers morphine 2 mg IV. Thirty minutes later, the client’s respiratory rate is
8/min. What is the nurse’s priority action?
• A) Administer naloxone per protocol
• B) Call the provider
• C) Place the client in high-Fowler’s position
• D) Encourage deep breathing
Rationale: Respiratory depression (RR <10) post-opioid requires naloxone.
Calling the provider may delay emergency action.
5. A nurse is teaching a client about using a patient-controlled analgesia (PCA)
pump. Which statement indicates understanding?
