ATI RN Comprehensive Predictor
NGN Exam||||questions and answers
with rationales/graded A+/2026
update/100% correct /instant
download
Latest 2026 Practice Test
Format: 180 Questions | Includes: Next Generation NCLEX (NGN) Case Studies,
Multiple Choice, Select All That Apply (SATA), Ordered Response, and Fill-in-
the-Blank | Rationales Provided for All Answers
Section 1: Management of Care & Leadership (Questions 1-25)
1. A charge nurse is making assignments for a float nurse from the medical
unit to the pediatric unit. Which client is appropriate to assign to the float
nurse?
• A) A 10-year-old with pneumonia receiving respiratory treatments
• B) A 4-year-old with a Wilms tumor receiving chemotherapy
• C) An 8-month-old scheduled for surgical repair of a ventricular septal
defect
• D) A 14-year-old scheduled for discharge following placement of a
Harrington rod
Correct Answer: A
Rationale: A float nurse from a medical unit is most competent to care for a client
with pneumonia, a condition commonly managed on medical units. The other
options require specialized pediatric oncology, cardiac, or orthopedic surgical
expertise .
,2. A nurse is preparing to delegate tasks to an unlicensed assistive personnel
(UAP). Which task is appropriate?
• A) Measuring vital signs on a stable client
• B) Assessing a client's pain level
• C) Teaching a client about medication
• D) Evaluating the client's response to treatment
Correct Answer: A
Rationale: UAPs can perform routine tasks such as measuring vital signs on stable
clients. Assessment, teaching, and evaluation are nursing responsibilities that
cannot be delegated .
3. Which of the following clients can the RN safely assign to a UAP? (Select all
that apply)
• A) Measure intake and output on a stable client
• B) Ambulate a client post-operative day 2
• C) Assess a new admission's lung sounds
• D) Feed a client with dysphagia after proper training
• E) Change a simple sterile dressing
Correct Answers: A, B, D
Rationale: UAP can perform I&O measurement, ambulation of stable clients, and
feeding of stable clients after proper training. Assessment and sterile dressing
changes require licensed personnel (RN or LPN) .
4. A charge nurse is teaching a new nurse about clients designating a
healthcare proxy. Which information should the charge nurse include?
• A) "The proxy should make healthcare decisions regardless of the client's
ability to do so."
• B) "The proxy can make financial decisions if the need arises."
• C) "The proxy can make treatment decisions if the client is under
anesthesia."
, • D) "The proxy can override the client's living will."
Correct Answer: C
Rationale: A healthcare proxy makes decisions only when the client cannot do so
(e.g., under anesthesia, unconscious). The client retains decision-making capacity
when awake and able. Proxies cannot make financial decisions .
5. A client with a "do not resuscitate" (DNR) order unexpectedly becomes
pulseless and apneic. The family member at the bedside begs the nurse to "do
everything possible." What should the nurse do?
• A) Begin CPR immediately per the family's request
• B) Notify the provider to discuss revoking the DNR order
• C) Respect the DNR order and provide comfort care only
• D) Page the ethics committee before taking action
Correct Answer: B
Rationale: The nurse must respect the client's advance directive. However, when
family members request resuscitation, the nurse should contact the provider so they
can discuss the medical situation with the family and potentially modify the order
if appropriate .
6. A charge nurse is observing a new nurse prepare to suction a client's
tracheostomy. Which action requires intervention?
• A) Applying suction while inserting the catheter
• B) Hyperoxygenating the client before suctioning
• C) Limiting suctioning to 10-15 seconds per pass
• D) Using sterile technique for tracheal suctioning
Correct Answer: A
Rationale: Suction should only be applied during catheter withdrawal, not
insertion, to prevent trauma to the mucosa and hypoxia. The other actions are
correct .
7. A nurse is preparing to give change-of-shift report. Which method is most
effective for handoff communication?
, • A) SHAR report (Situation, History, Assessment, Recommendations)
• B) SOAP (Subjective, Objective, Assessment, Plan)
• C) SBAR (Situation, Background, Assessment, Recommendation)
• D) PIE (Problem, Intervention, Evaluation)
Correct Answer: C
Rationale: SBAR is the most effective standardized handoff communication tool. It
promotes clarity, reduces errors, and improves patient safety during transitions of
care .
8. A nurse notices another nurse documenting vital signs before obtaining
them. Which action should the nurse take first?
• A) Report to the nurse manager
• B) Confront the nurse privately
• C) Complete an incident report
• D) Ignore it "just this once"
Correct Answer: B
Rationale: First address the colleague privately to clarify the issue and reinforce
proper documentation standards. Falsifying records is unethical and unsafe. If the
behavior continues, reporting to the manager is appropriate .
9. A client has an order for an enema for constipation. Which finding requires
holding the enema and notifying the provider?
• A) Client reports mild cramping
• B) Client had a bowel movement 2 hours ago
• C) Client has abdominal distension and no bowel sounds
• D) Client is anxious about the procedure
Correct Answer: C
Rationale: Abdominal distension with absent bowel sounds suggests possible
bowel obstruction, in which case an enema is contraindicated. Mild cramping is
expected during enema administration .
NGN Exam||||questions and answers
with rationales/graded A+/2026
update/100% correct /instant
download
Latest 2026 Practice Test
Format: 180 Questions | Includes: Next Generation NCLEX (NGN) Case Studies,
Multiple Choice, Select All That Apply (SATA), Ordered Response, and Fill-in-
the-Blank | Rationales Provided for All Answers
Section 1: Management of Care & Leadership (Questions 1-25)
1. A charge nurse is making assignments for a float nurse from the medical
unit to the pediatric unit. Which client is appropriate to assign to the float
nurse?
• A) A 10-year-old with pneumonia receiving respiratory treatments
• B) A 4-year-old with a Wilms tumor receiving chemotherapy
• C) An 8-month-old scheduled for surgical repair of a ventricular septal
defect
• D) A 14-year-old scheduled for discharge following placement of a
Harrington rod
Correct Answer: A
Rationale: A float nurse from a medical unit is most competent to care for a client
with pneumonia, a condition commonly managed on medical units. The other
options require specialized pediatric oncology, cardiac, or orthopedic surgical
expertise .
,2. A nurse is preparing to delegate tasks to an unlicensed assistive personnel
(UAP). Which task is appropriate?
• A) Measuring vital signs on a stable client
• B) Assessing a client's pain level
• C) Teaching a client about medication
• D) Evaluating the client's response to treatment
Correct Answer: A
Rationale: UAPs can perform routine tasks such as measuring vital signs on stable
clients. Assessment, teaching, and evaluation are nursing responsibilities that
cannot be delegated .
3. Which of the following clients can the RN safely assign to a UAP? (Select all
that apply)
• A) Measure intake and output on a stable client
• B) Ambulate a client post-operative day 2
• C) Assess a new admission's lung sounds
• D) Feed a client with dysphagia after proper training
• E) Change a simple sterile dressing
Correct Answers: A, B, D
Rationale: UAP can perform I&O measurement, ambulation of stable clients, and
feeding of stable clients after proper training. Assessment and sterile dressing
changes require licensed personnel (RN or LPN) .
4. A charge nurse is teaching a new nurse about clients designating a
healthcare proxy. Which information should the charge nurse include?
• A) "The proxy should make healthcare decisions regardless of the client's
ability to do so."
• B) "The proxy can make financial decisions if the need arises."
• C) "The proxy can make treatment decisions if the client is under
anesthesia."
, • D) "The proxy can override the client's living will."
Correct Answer: C
Rationale: A healthcare proxy makes decisions only when the client cannot do so
(e.g., under anesthesia, unconscious). The client retains decision-making capacity
when awake and able. Proxies cannot make financial decisions .
5. A client with a "do not resuscitate" (DNR) order unexpectedly becomes
pulseless and apneic. The family member at the bedside begs the nurse to "do
everything possible." What should the nurse do?
• A) Begin CPR immediately per the family's request
• B) Notify the provider to discuss revoking the DNR order
• C) Respect the DNR order and provide comfort care only
• D) Page the ethics committee before taking action
Correct Answer: B
Rationale: The nurse must respect the client's advance directive. However, when
family members request resuscitation, the nurse should contact the provider so they
can discuss the medical situation with the family and potentially modify the order
if appropriate .
6. A charge nurse is observing a new nurse prepare to suction a client's
tracheostomy. Which action requires intervention?
• A) Applying suction while inserting the catheter
• B) Hyperoxygenating the client before suctioning
• C) Limiting suctioning to 10-15 seconds per pass
• D) Using sterile technique for tracheal suctioning
Correct Answer: A
Rationale: Suction should only be applied during catheter withdrawal, not
insertion, to prevent trauma to the mucosa and hypoxia. The other actions are
correct .
7. A nurse is preparing to give change-of-shift report. Which method is most
effective for handoff communication?
, • A) SHAR report (Situation, History, Assessment, Recommendations)
• B) SOAP (Subjective, Objective, Assessment, Plan)
• C) SBAR (Situation, Background, Assessment, Recommendation)
• D) PIE (Problem, Intervention, Evaluation)
Correct Answer: C
Rationale: SBAR is the most effective standardized handoff communication tool. It
promotes clarity, reduces errors, and improves patient safety during transitions of
care .
8. A nurse notices another nurse documenting vital signs before obtaining
them. Which action should the nurse take first?
• A) Report to the nurse manager
• B) Confront the nurse privately
• C) Complete an incident report
• D) Ignore it "just this once"
Correct Answer: B
Rationale: First address the colleague privately to clarify the issue and reinforce
proper documentation standards. Falsifying records is unethical and unsafe. If the
behavior continues, reporting to the manager is appropriate .
9. A client has an order for an enema for constipation. Which finding requires
holding the enema and notifying the provider?
• A) Client reports mild cramping
• B) Client had a bowel movement 2 hours ago
• C) Client has abdominal distension and no bowel sounds
• D) Client is anxious about the procedure
Correct Answer: C
Rationale: Abdominal distension with absent bowel sounds suggests possible
bowel obstruction, in which case an enema is contraindicated. Mild cramping is
expected during enema administration .
