ATI RN COMPREHENSIVE
PREDICTOR 2026: NGN EXAM
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With Rationales/Graded A+/2026
Update/100% Correct /Instant
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Practice Test 1: Clinical Judgment & Priority Settings
This section focuses on Fundamentals, Management of Care, Safety, and Infection
Control.
1. A nurse in the emergency department is performing triage following a mass
casualty disaster. Which of the following clients should the nurse prioritize for
immediate treatment (Class I/Red)?
• A. A client who is ambulatory with minor abrasions on the arms.
• B. A client who is unconscious with a respiratory rate of 6/min.
• C. A client who has a partial-thickness burn to the lower extremities
covering 15% TBSA.
• D. A client who is experiencing severe respiratory distress with stridor.
Rationale: In disaster triage, clients with life-threatening conditions that are
treatable (Airway, Breathing, Circulation) are highest priority . Stridor indicates an
upper airway obstruction, which is immediately life-threatening. The client with a
respiratory rate of 6 (B) is likely agonal/expectant (Class IV/Black) depending on
resources. Correct Answer: D
2. A charge nurse is observing a newly licensed nurse perform tracheostomy
care. Which action by the new nurse requires immediate intervention?
• A. The nurse dons sterile gloves before opening the sterile supplies.
, • B. The nurse uses a new cotton-tipped applicator for each inner cannula
cleaning pass.
• C. The nurse cuts a 4x4 gauze to fit around the stoma site.
• D. The nurse suctions the tracheostomy after cleaning the inner
cannula.
Rationale: Tracheostomy care requires suctioning before cleaning to remove
secretions that could be dislodged into the airway during the procedure. Cutting
gauze (C) is unsafe because loose lint/fibers can be aspirated. Correct Answer: D
3. (NGN Item Type: Matrix) A nurse is reviewing laboratory findings for a
client. Which of the following findings should the nurse report to the
provider?
Laboratory Test Client Result Reported Value Required?
Serum Potassium 3.2 mEq/L Yes
WBC Count 14,000/mm3 Yes
Serum Creatinine 0.8 mg/dL No
Hemoglobin A1c 6.8% Yes
Rationale: Potassium (3.2) is below normal range (3.5-5.0) and indicates
hypokalemia . WBC 14,000 indicates infection . A1c 6.8% is above normal
(<5.7%) indicating diabetes risk/poor control. Creatinine 0.8 is normal. Correct
Answers: Potassium, WBC, Hemoglobin A1c
4. A nurse is providing discharge teaching to a client who has a new
prescription for home oxygen. The client reports living in a house with a gas
stove and smoking cigarettes. Which of the following statements should the
nurse make first?
• A. "You will need to stop smoking to prevent a fire."
• B. "Keep the oxygen tank at least 10 feet away from the stove."
PREDICTOR 2026: NGN EXAM
BUNDLE|||Questions And Answers
With Rationales/Graded A+/2026
Update/100% Correct /Instant
Download
Practice Test 1: Clinical Judgment & Priority Settings
This section focuses on Fundamentals, Management of Care, Safety, and Infection
Control.
1. A nurse in the emergency department is performing triage following a mass
casualty disaster. Which of the following clients should the nurse prioritize for
immediate treatment (Class I/Red)?
• A. A client who is ambulatory with minor abrasions on the arms.
• B. A client who is unconscious with a respiratory rate of 6/min.
• C. A client who has a partial-thickness burn to the lower extremities
covering 15% TBSA.
• D. A client who is experiencing severe respiratory distress with stridor.
Rationale: In disaster triage, clients with life-threatening conditions that are
treatable (Airway, Breathing, Circulation) are highest priority . Stridor indicates an
upper airway obstruction, which is immediately life-threatening. The client with a
respiratory rate of 6 (B) is likely agonal/expectant (Class IV/Black) depending on
resources. Correct Answer: D
2. A charge nurse is observing a newly licensed nurse perform tracheostomy
care. Which action by the new nurse requires immediate intervention?
• A. The nurse dons sterile gloves before opening the sterile supplies.
, • B. The nurse uses a new cotton-tipped applicator for each inner cannula
cleaning pass.
• C. The nurse cuts a 4x4 gauze to fit around the stoma site.
• D. The nurse suctions the tracheostomy after cleaning the inner
cannula.
Rationale: Tracheostomy care requires suctioning before cleaning to remove
secretions that could be dislodged into the airway during the procedure. Cutting
gauze (C) is unsafe because loose lint/fibers can be aspirated. Correct Answer: D
3. (NGN Item Type: Matrix) A nurse is reviewing laboratory findings for a
client. Which of the following findings should the nurse report to the
provider?
Laboratory Test Client Result Reported Value Required?
Serum Potassium 3.2 mEq/L Yes
WBC Count 14,000/mm3 Yes
Serum Creatinine 0.8 mg/dL No
Hemoglobin A1c 6.8% Yes
Rationale: Potassium (3.2) is below normal range (3.5-5.0) and indicates
hypokalemia . WBC 14,000 indicates infection . A1c 6.8% is above normal
(<5.7%) indicating diabetes risk/poor control. Creatinine 0.8 is normal. Correct
Answers: Potassium, WBC, Hemoglobin A1c
4. A nurse is providing discharge teaching to a client who has a new
prescription for home oxygen. The client reports living in a house with a gas
stove and smoking cigarettes. Which of the following statements should the
nurse make first?
• A. "You will need to stop smoking to prevent a fire."
• B. "Keep the oxygen tank at least 10 feet away from the stove."
