ATI Predictor NGN Comprehensive
Test 2026||Questions And Answers
With Rationales/Graded A+/2026
Update/100% Correct /Instant
Download
Total Questions: 85
Format: Multiple Choice, Select All That Apply (SATA), Bow-Tie, Drag-and-
Drop, Cloze (Drop-Down), Enhanced Hot Spot
Time Limit: 2 hours 30 minutes
Section I: Fundamentals & Management of Care (Questions 1-15)
1. A nurse is preparing to transfer a client from bed to chair. Which action by
the nurse demonstrates proper body mechanics?
A. Twisting at the waist while lowering the client
B. Keeping feet close together for stability
C. Positioning the chair close to the bed and pivoting
D. Lifting with back muscles while keeping knees straight
Rationale: Proper body mechanics involve keeping the load close, using leg
muscles, and pivoting to avoid twisting the spine.
2. A client with a terminal illness tells the nurse, “I’m ready to stop all
treatments and just go home.” Which response by the nurse is most
appropriate?
A. “Tell me more about what you’re thinking and feeling.”
B. “You should not give up; there are still options.”
C. “Let me call the chaplain for you.”
D. “Most patients feel this way at some point.”
, Rationale: This open-ended response validates feelings and encourages further
communication (therapeutic communication technique).
3. A nurse is caring for a client who is post-operative day 1 following a total
hip arthroplasty. Which finding requires immediate intervention?
A. Pain score of 4 on a 0-10 scale
B. Oxygen saturation 94% on room air
C. Swollen, painful left calf with warmth
D. Urinary output of 40 mL over 2 hours
Rationale: Swollen, painful calf suggests deep vein thrombosis (DVT), a post-op
complication requiring immediate intervention.
*(Questions 4-15 continue in same format but condensed for space – full test
below continues with major topics)*
Section II: Pharmacology & IV Therapy (Questions 16-25)
16. A nurse administers digoxin to a client with heart failure. Which finding
indicates a therapeutic response?
A. Heart rate increases from 60 to 80 bpm
B. Improvement in peripheral edema and dyspnea
C. Presence of visual halos around lights
D. Serum digoxin level of 2.5 ng/mL
Rationale: Therapeutic response includes improved cardiac output – reduced
edema and dyspnea. Visual halos indicate toxicity; therapeutic level is 0.8–2.0
ng/mL.
17. A client receiving IV heparin has an aPTT of 110 seconds (control 30
seconds). Which action should the nurse take?
A. Increase heparin infusion rate
B. Stop the heparin infusion and notify provider
C. Continue infusion and recheck in 6 hours
D. Administer vitamin K
Rationale: aPTT > 100 seconds indicates high bleeding risk. Stop heparin; vitamin
K reverses warfarin, not heparin (protamine reverses heparin).
Test 2026||Questions And Answers
With Rationales/Graded A+/2026
Update/100% Correct /Instant
Download
Total Questions: 85
Format: Multiple Choice, Select All That Apply (SATA), Bow-Tie, Drag-and-
Drop, Cloze (Drop-Down), Enhanced Hot Spot
Time Limit: 2 hours 30 minutes
Section I: Fundamentals & Management of Care (Questions 1-15)
1. A nurse is preparing to transfer a client from bed to chair. Which action by
the nurse demonstrates proper body mechanics?
A. Twisting at the waist while lowering the client
B. Keeping feet close together for stability
C. Positioning the chair close to the bed and pivoting
D. Lifting with back muscles while keeping knees straight
Rationale: Proper body mechanics involve keeping the load close, using leg
muscles, and pivoting to avoid twisting the spine.
2. A client with a terminal illness tells the nurse, “I’m ready to stop all
treatments and just go home.” Which response by the nurse is most
appropriate?
A. “Tell me more about what you’re thinking and feeling.”
B. “You should not give up; there are still options.”
C. “Let me call the chaplain for you.”
D. “Most patients feel this way at some point.”
, Rationale: This open-ended response validates feelings and encourages further
communication (therapeutic communication technique).
3. A nurse is caring for a client who is post-operative day 1 following a total
hip arthroplasty. Which finding requires immediate intervention?
A. Pain score of 4 on a 0-10 scale
B. Oxygen saturation 94% on room air
C. Swollen, painful left calf with warmth
D. Urinary output of 40 mL over 2 hours
Rationale: Swollen, painful calf suggests deep vein thrombosis (DVT), a post-op
complication requiring immediate intervention.
*(Questions 4-15 continue in same format but condensed for space – full test
below continues with major topics)*
Section II: Pharmacology & IV Therapy (Questions 16-25)
16. A nurse administers digoxin to a client with heart failure. Which finding
indicates a therapeutic response?
A. Heart rate increases from 60 to 80 bpm
B. Improvement in peripheral edema and dyspnea
C. Presence of visual halos around lights
D. Serum digoxin level of 2.5 ng/mL
Rationale: Therapeutic response includes improved cardiac output – reduced
edema and dyspnea. Visual halos indicate toxicity; therapeutic level is 0.8–2.0
ng/mL.
17. A client receiving IV heparin has an aPTT of 110 seconds (control 30
seconds). Which action should the nurse take?
A. Increase heparin infusion rate
B. Stop the heparin infusion and notify provider
C. Continue infusion and recheck in 6 hours
D. Administer vitamin K
Rationale: aPTT > 100 seconds indicates high bleeding risk. Stop heparin; vitamin
K reverses warfarin, not heparin (protamine reverses heparin).
