ATI RN Comprehensive Predictor
NGN Exam – 2026/2027
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Full Topic Test for Nursing Students (80+ Questions with Rationales)
Section 1: Management of Care (Items 1–12)
1. A nurse is preparing to discharge a client who speaks a different language.
Which action demonstrates culturally competent care?
A. Use a family member as interpreter
B. Provide written instructions in English only
C. Arrange for a certified medical interpreter
D. Use hand gestures to explain all instructions
Rationale: Certified medical interpreters ensure accurate communication and
reduce risk of errors. Family members may omit or alter critical information.
2. A charge nurse is assigning rooms for four clients. Which client should be
placed in a negative-pressure room?
A. Client with pneumonia
B. Client with active pulmonary tuberculosis
C. Client with MRSA wound infection
D. Client with Clostridioides difficile
Rationale: Pulmonary TB requires airborne precautions and negative-pressure
airflow. MRSA and C. diff require contact precautions; pneumonia may require
droplet precautions.
,3-6. NGN Case Study – Disaster Triage
During a mass casualty event, a nurse uses the START triage system.
Client A: Unresponsive, no pulse, not breathing → TAG: Black (Expectant)
Client B: Respirations 28/min, capillary refill 2 sec, follows commands → TAG:
Green (Minor)
Client C: Respirations 35/min, capillary refill 4 sec, unable to follow commands
→ TAG: Red (Immediate)
Client D: Respirations 6/min, pulse present → TAG: Yellow (Delayed)
Rationale: Black = deceased/no pulse; Green = minor injuries; Red = life-
threatening but salvageable; Yellow = significant but stable.
7. A nurse is delegating tasks to an LPN/VN. Which task is appropriate?
A. Initial admission assessment
B. Administering enteral tube feeding
C. Creating the plan of care
D. Teaching insulin injection technique
Rationale: LPNs can perform stable, predictable procedures like tube feedings.
Assessment, teaching, and care planning are RN responsibilities.
8. A client refuses a blood transfusion due to religious beliefs. The nurse
should:
A. Respect the refusal and document it
B. Call security to restrain the client
C. Transfuse if hemoglobin is below 7 g/dL
D. Ask the family to sign consent
Rationale: Competent adults have the right to refuse treatment. Informed refusal
must be honored and documented.
9. A nurse notices a colleague taking a photo of a client’s wound on a personal
phone. What is the priority action?
A. Ignore it because no identifiers are visible
B. Tell the colleague to stop and report to the nurse manager
C. Join in to learn wound care
D. Ask the client for permission after the fact
Rationale: Photographing a client without consent violates HIPAA, regardless of
identifiers.
10. A nurse is providing handoff using SBAR. Which is correct for
“Background”?
, A. “I think the client is having a stroke”
B. “The client was admitted 2 days ago with pneumonia and has a new onset of
confusion”
C. “Check the client’s blood pressure now”
D. “What do you want me to do?”
Rationale: Background includes relevant history and context, not
recommendations, questions, or commands.
11. A nurse is preparing informed consent for surgery. Which role is correct?
A. Nurse explains the surgical risks
B. Surgeon must explain the procedure and risks
C. Family member can sign for any adult
D. Consent is valid if signed under sedation
Rationale: Informed consent requires the provider (surgeon) to explain
risks/benefits. Nurse only witnesses signature and confirms understanding.
12. Which client can be assigned to a newly graduated RN?
A. Client on a continuous IV heparin drip
B. Client with chest tube and persistent air leak
C. Client with stable type 2 diabetes receiving oral meds
D. Client post-cardiac arrest on vasopressors
Rationale: New RNs should care for stable clients. Complex drips, chest tubes,
and critical care need experienced nurses.
Section 2: Safety and Infection Control (Items 13–22)
13. A nurse is caring for a client with C. diff. Which hand hygiene is correct?
A. Alcohol-based hand rub only
B. Soap and water for at least 15 seconds
C. Alcohol rub followed by soap
D. Chlorhexidine wipes only
Rationale: Alcohol does not kill C. diff spores. Mechanical friction with soap and
water is required.
14. A fire occurs in a client’s trash can. The nurse’s priority action using
RACE is:
A. Remove the client from the room
B. Activate the alarm
NGN Exam – 2026/2027
Update||questions and answers with
rationales/graded A+/2026
update/100% correct /instant
download
Full Topic Test for Nursing Students (80+ Questions with Rationales)
Section 1: Management of Care (Items 1–12)
1. A nurse is preparing to discharge a client who speaks a different language.
Which action demonstrates culturally competent care?
A. Use a family member as interpreter
B. Provide written instructions in English only
C. Arrange for a certified medical interpreter
D. Use hand gestures to explain all instructions
Rationale: Certified medical interpreters ensure accurate communication and
reduce risk of errors. Family members may omit or alter critical information.
2. A charge nurse is assigning rooms for four clients. Which client should be
placed in a negative-pressure room?
A. Client with pneumonia
B. Client with active pulmonary tuberculosis
C. Client with MRSA wound infection
D. Client with Clostridioides difficile
Rationale: Pulmonary TB requires airborne precautions and negative-pressure
airflow. MRSA and C. diff require contact precautions; pneumonia may require
droplet precautions.
,3-6. NGN Case Study – Disaster Triage
During a mass casualty event, a nurse uses the START triage system.
Client A: Unresponsive, no pulse, not breathing → TAG: Black (Expectant)
Client B: Respirations 28/min, capillary refill 2 sec, follows commands → TAG:
Green (Minor)
Client C: Respirations 35/min, capillary refill 4 sec, unable to follow commands
→ TAG: Red (Immediate)
Client D: Respirations 6/min, pulse present → TAG: Yellow (Delayed)
Rationale: Black = deceased/no pulse; Green = minor injuries; Red = life-
threatening but salvageable; Yellow = significant but stable.
7. A nurse is delegating tasks to an LPN/VN. Which task is appropriate?
A. Initial admission assessment
B. Administering enteral tube feeding
C. Creating the plan of care
D. Teaching insulin injection technique
Rationale: LPNs can perform stable, predictable procedures like tube feedings.
Assessment, teaching, and care planning are RN responsibilities.
8. A client refuses a blood transfusion due to religious beliefs. The nurse
should:
A. Respect the refusal and document it
B. Call security to restrain the client
C. Transfuse if hemoglobin is below 7 g/dL
D. Ask the family to sign consent
Rationale: Competent adults have the right to refuse treatment. Informed refusal
must be honored and documented.
9. A nurse notices a colleague taking a photo of a client’s wound on a personal
phone. What is the priority action?
A. Ignore it because no identifiers are visible
B. Tell the colleague to stop and report to the nurse manager
C. Join in to learn wound care
D. Ask the client for permission after the fact
Rationale: Photographing a client without consent violates HIPAA, regardless of
identifiers.
10. A nurse is providing handoff using SBAR. Which is correct for
“Background”?
, A. “I think the client is having a stroke”
B. “The client was admitted 2 days ago with pneumonia and has a new onset of
confusion”
C. “Check the client’s blood pressure now”
D. “What do you want me to do?”
Rationale: Background includes relevant history and context, not
recommendations, questions, or commands.
11. A nurse is preparing informed consent for surgery. Which role is correct?
A. Nurse explains the surgical risks
B. Surgeon must explain the procedure and risks
C. Family member can sign for any adult
D. Consent is valid if signed under sedation
Rationale: Informed consent requires the provider (surgeon) to explain
risks/benefits. Nurse only witnesses signature and confirms understanding.
12. Which client can be assigned to a newly graduated RN?
A. Client on a continuous IV heparin drip
B. Client with chest tube and persistent air leak
C. Client with stable type 2 diabetes receiving oral meds
D. Client post-cardiac arrest on vasopressors
Rationale: New RNs should care for stable clients. Complex drips, chest tubes,
and critical care need experienced nurses.
Section 2: Safety and Infection Control (Items 13–22)
13. A nurse is caring for a client with C. diff. Which hand hygiene is correct?
A. Alcohol-based hand rub only
B. Soap and water for at least 15 seconds
C. Alcohol rub followed by soap
D. Chlorhexidine wipes only
Rationale: Alcohol does not kill C. diff spores. Mechanical friction with soap and
water is required.
14. A fire occurs in a client’s trash can. The nurse’s priority action using
RACE is:
A. Remove the client from the room
B. Activate the alarm
