ATI RN Comprehensive Predictor
NGN Practice Test – Latest 2026
Edition|||Questions And Answers
With Rationales/Graded A+/2026
Update/100% Correct /Instant
Download
Total Questions: 85
Time Allowed: 180 minutes
Format: Multiple Choice (MC), Select All That Apply (SATA), Ordered
Response, NGN Case Study
Section I: Management of Care (15 questions)
1. A nurse is planning care for a client who has a new diagnosis of terminal
cancer. Which of the following actions should the nurse take first?
A. Discuss hospice referral with the client
B. Assess the client’s understanding of the diagnosis
C. Notify the provider of the client’s prognosis
D. Administer prescribed pain medication
Correct Answer: B – Rationale: Assessment is the first step of the nursing
process. Before any interventions, the nurse must determine what the client knows
and feels about the diagnosis.
2. A charge nurse is assigning clients on a medical-surgical unit. Which client
should be assigned to a float nurse from the postpartum unit?
A. Client 1 day post-appendectomy, stable, dressing dry
B. Client with active tuberculosis requiring airborne precautions
C. Client receiving IV heparin for DVT
D. Client post-cardiac catheterization with a femoral sheath
,Correct Answer: A – Rationale: The stable postoperative client is appropriate for
a float nurse. The other clients require specialized skills (TB isolation,
anticoagulation monitoring, post-cath care).
3. A nurse manager is reviewing informed consent. Which of the following
clients can legally give informed consent? (SATA)
A. A 17-year-old living independently and married
B. A 35-year-old who is intoxicated
C. A 40-year-old with mild dementia who is oriented to person, place, time
D. A 50-year-old who speaks only Spanish with an interpreter present
E. A 20-year-old admitted for suicidal ideation
Correct Answers: A, C, D – Rationale: Emancipated minors (married) can
consent. Intoxicated clients cannot. Dementia clients if lucid can consent.
Interpreter allows valid consent. Suicidal ideation alone does not impair capacity
unless severe.
4. A nurse is preparing a client for discharge after a stroke. Which of the
following is the priority referral?
A. Physical therapy
B. Speech-language pathology
C. Home health aide
D. Social work for financial assistance
Correct Answer: B – Rationale: Swallowing assessment is critical to prevent
aspiration pneumonia. Airway and safety are priorities over mobility or finances.
5. A nurse is delegating to an LPN. Which task is appropriate?
A. Initial admission assessment
B. Teaching a client about insulin injection
C. Administering a tube feeding to a stable client
D. Creating the nursing care plan
Correct Answer: C – Rationale: LPNs can administer tube feedings to stable
clients. Assessment, teaching, and care planning are RN responsibilities.
6. A client refuses a blood transfusion due to religious beliefs. Which action
demonstrates appropriate advocacy?
A. Notify the provider to obtain a court order
B. Document the refusal and notify the provider
, C. Attempt to persuade the client to accept
D. Administer the blood quietly because it’s an emergency
Correct Answer: B – Rationale: Respect client autonomy. Document refusal and
inform provider. Forcing treatment violates ethics.
7. A nurse is triaging after a mass casualty event. Which client should be seen
first?
A. Ambulatory with minor abrasions
B. Not breathing after airway repositioning
C. Severe bleeding from thigh – tourniquet applied, pulse present
D. Unresponsive with head injury, agonal breathing
Correct Answer: C – Rationale: Red tag – life-threatening but survivable.
Expectant (B) is black tag. Minor (A) green. D is likely black (agonal breathing in
MCI often expectant).
8. A nurse is involved in a sentinel event. What is the primary purpose of a
root cause analysis?
A. Discipline the responsible nurse
B. Identify system failures to prevent recurrence
C. Notify the media
D. Change the client’s chart
Correct Answer: B – Rationale: RCA focuses on processes, not punishment.
9. A nurse is planning care for a client with a living will that states “no CPR.”
The client becomes pulseless. What should the nurse do?
A. Start CPR until family arrives
B. Call the provider for permission
C. Do not start CPR; follow the directive
D. Give epinephrine but not compressions
Correct Answer: C – Rationale: A valid living will must be honored.
10. A nurse is preparing to transfer a client to a long-term care facility. Which
action ensures continuity of care?
A. Send a copy of the entire chart
B. Give a verbal report to the receiving nurse
C. Send only the medication list
D. Have the client sign a new consent
NGN Practice Test – Latest 2026
Edition|||Questions And Answers
With Rationales/Graded A+/2026
Update/100% Correct /Instant
Download
Total Questions: 85
Time Allowed: 180 minutes
Format: Multiple Choice (MC), Select All That Apply (SATA), Ordered
Response, NGN Case Study
Section I: Management of Care (15 questions)
1. A nurse is planning care for a client who has a new diagnosis of terminal
cancer. Which of the following actions should the nurse take first?
A. Discuss hospice referral with the client
B. Assess the client’s understanding of the diagnosis
C. Notify the provider of the client’s prognosis
D. Administer prescribed pain medication
Correct Answer: B – Rationale: Assessment is the first step of the nursing
process. Before any interventions, the nurse must determine what the client knows
and feels about the diagnosis.
2. A charge nurse is assigning clients on a medical-surgical unit. Which client
should be assigned to a float nurse from the postpartum unit?
A. Client 1 day post-appendectomy, stable, dressing dry
B. Client with active tuberculosis requiring airborne precautions
C. Client receiving IV heparin for DVT
D. Client post-cardiac catheterization with a femoral sheath
,Correct Answer: A – Rationale: The stable postoperative client is appropriate for
a float nurse. The other clients require specialized skills (TB isolation,
anticoagulation monitoring, post-cath care).
3. A nurse manager is reviewing informed consent. Which of the following
clients can legally give informed consent? (SATA)
A. A 17-year-old living independently and married
B. A 35-year-old who is intoxicated
C. A 40-year-old with mild dementia who is oriented to person, place, time
D. A 50-year-old who speaks only Spanish with an interpreter present
E. A 20-year-old admitted for suicidal ideation
Correct Answers: A, C, D – Rationale: Emancipated minors (married) can
consent. Intoxicated clients cannot. Dementia clients if lucid can consent.
Interpreter allows valid consent. Suicidal ideation alone does not impair capacity
unless severe.
4. A nurse is preparing a client for discharge after a stroke. Which of the
following is the priority referral?
A. Physical therapy
B. Speech-language pathology
C. Home health aide
D. Social work for financial assistance
Correct Answer: B – Rationale: Swallowing assessment is critical to prevent
aspiration pneumonia. Airway and safety are priorities over mobility or finances.
5. A nurse is delegating to an LPN. Which task is appropriate?
A. Initial admission assessment
B. Teaching a client about insulin injection
C. Administering a tube feeding to a stable client
D. Creating the nursing care plan
Correct Answer: C – Rationale: LPNs can administer tube feedings to stable
clients. Assessment, teaching, and care planning are RN responsibilities.
6. A client refuses a blood transfusion due to religious beliefs. Which action
demonstrates appropriate advocacy?
A. Notify the provider to obtain a court order
B. Document the refusal and notify the provider
, C. Attempt to persuade the client to accept
D. Administer the blood quietly because it’s an emergency
Correct Answer: B – Rationale: Respect client autonomy. Document refusal and
inform provider. Forcing treatment violates ethics.
7. A nurse is triaging after a mass casualty event. Which client should be seen
first?
A. Ambulatory with minor abrasions
B. Not breathing after airway repositioning
C. Severe bleeding from thigh – tourniquet applied, pulse present
D. Unresponsive with head injury, agonal breathing
Correct Answer: C – Rationale: Red tag – life-threatening but survivable.
Expectant (B) is black tag. Minor (A) green. D is likely black (agonal breathing in
MCI often expectant).
8. A nurse is involved in a sentinel event. What is the primary purpose of a
root cause analysis?
A. Discipline the responsible nurse
B. Identify system failures to prevent recurrence
C. Notify the media
D. Change the client’s chart
Correct Answer: B – Rationale: RCA focuses on processes, not punishment.
9. A nurse is planning care for a client with a living will that states “no CPR.”
The client becomes pulseless. What should the nurse do?
A. Start CPR until family arrives
B. Call the provider for permission
C. Do not start CPR; follow the directive
D. Give epinephrine but not compressions
Correct Answer: C – Rationale: A valid living will must be honored.
10. A nurse is preparing to transfer a client to a long-term care facility. Which
action ensures continuity of care?
A. Send a copy of the entire chart
B. Give a verbal report to the receiving nurse
C. Send only the medication list
D. Have the client sign a new consent
