NGN RN ATI PROCTORED COMPREHENSIVE PREDICTOR FORM A –QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF.
Core Domains
• Management of Care
• Safety and Infection Control
• Health Promotion and Maintenance
• Psychosocial Integrity
• Basic Care and Comfort
• Pharmacological and Parenteral Therapies
• Reduction of Risk Potential
• Physiological Adaptation
Introduction
The NGN RN ATI Proctored Comprehensive Predictor is a high-stakes evaluative tool designed to assess a
student's readiness for the NCLEX-RN licensure examination. This assessment evaluates essential nursing
knowledge across the lifespan, focusing on clinical judgment, prioritized decision-making, and safe patient care.
The exam utilizes a mix of foundational multiple-choice questions and complex scenario-based items to simulate
real-world clinical environments. Candidates are tested on their ability to synthesize theoretical concepts with
practical application, ensuring they can provide evidence-based care while adhering to regulatory and ethical
standards. Success on this predictor indicates a high probability of passing the national licensing board.
SECTION ONE: QUESTIONS 1–100
, 1. A nurse is caring for a client who is 24 hours postoperative following an abdominal hysterectomy. Which of
the following actions should the nurse take first?
A. Demonstrate how to use an incentive spirometer.
B. Encourage the client to increase fluid intake.
C. Ask the client to rate their pain on a scale of 0 to 10.
🟢 D. Auscultate the client's bilateral breath sounds.
🔴 RATIONALE: According to the ABC (Airway, Breathing, Circulation) priority-setting framework, the nurse
should first assess the client's respiratory status by auscultating breath sounds to identify potential complications
such as atelectasis or pneumonia following general anesthesia.
2. A nurse is reviewing the medical record of a client who has a prescription for a potassium-sparing diuretic.
Which of the following laboratory values should the nurse report to the provider?
A. Sodium 138 mEq/L
🟢 B. Potassium 5.2 mEq/L
C. Magnesium 2.0 mEq/L
D. Calcium 9.5 mg/dL
🔴 RATIONALE: Potassium-sparing diuretics can lead to hyperkalemia. A potassium level of 5.2 mEq/L is above
the expected reference range of 3.5 to 5.0 mEq/L and should be reported to prevent cardiac dysrhythmias.
3. A nurse is providing teaching to a client who has a new prescription for digoxin. Which of the following
statements by the client indicates an understanding of the teaching?
A. I will take this medication with an antacid if I have heartburn.
B. I will double my dose if I miss a day to stay on track.
,🟢 C. I will contact my provider if I notice halos around lights.
D. I will stop taking the medication if my pulse is 70 beats per minute.
🔴 RATIONALE: Visual disturbances, such as seeing yellow-green halos or blurred vision, are classic signs of
digoxin toxicity and require immediate medical notification.
4. A nurse is preparing to administer an enteral feeding to a client via a nasogastric tube. Which of the
following actions should the nurse take to verify tube placement?
🟢 A. Test the pH of the gastric aspirate.
B. Inject 20 mL of air into the tube while listening over the epigastrium.
C. Observe the color of the fluid returning from the tube.
D. Check the mark on the tube at the bridge of the nose.
🔴 RATIONALE: Testing the pH of gastric aspirate is the most reliable bedside method to verify placement. A pH
of 5 or less typically indicates gastric placement, whereas air auscultation is no longer considered an evidence-
based practice for verification.
5. A nurse is caring for a client who is in the manic phase of bipolar disorder. Which of the following activities
should the nurse suggest for the client?
A. Participating in a group volleyball game.
B. Sitting in the dayroom watching a fast-paced movie.
🟢 C. Walking with the nurse in a quiet hallway.
D. Attending a crowded social gathering in the unit.
🔴 RATIONALE: Clients in a manic phase require a low-stimulus environment and activities that channel energy
without overstimulation or physical competition. Walking with a nurse provides physical activity in a controlled,
quiet setting.
, 6. A nurse in a community clinic is assessing a client who reports a persistent cough and night sweats. Which
of the following actions should the nurse take first?
A. Obtain a sputum culture for acid-fast bacilli.
🟢 B. Place a surgical mask on the client.
C. Administer a tuberculin skin test.
D. Perform a physical assessment of the thorax.
🔴 RATIONALE: The client's symptoms are suggestive of pulmonary tuberculosis. The nurse’s priority is to
implement infection control measures to prevent the spread of the pathogen to others in the clinic.
7. A nurse is caring for a client who is receiving a continuous IV infusion of heparin. Which of the following
laboratory results should the nurse monitor to adjust the dosage?
A. Prothrombin time (PT)
B. International normalized ratio (INR)
🟢 C. Activated partial thromboplastin time (aPTT)
D. Platelet count
🔴 RATIONALE: The aPTT is used to monitor the effectiveness of heparin therapy and guide dosage
adjustments. PT and INR are used to monitor warfarin therapy.
8. A nurse is caring for a client who is at 38 weeks of gestation and reports a sudden onset of bright red
vaginal bleeding without pain. Which of the following conditions should the nurse suspect?
🟢 A. Placenta previa
B. Abruptio placentae
ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF.
Core Domains
• Management of Care
• Safety and Infection Control
• Health Promotion and Maintenance
• Psychosocial Integrity
• Basic Care and Comfort
• Pharmacological and Parenteral Therapies
• Reduction of Risk Potential
• Physiological Adaptation
Introduction
The NGN RN ATI Proctored Comprehensive Predictor is a high-stakes evaluative tool designed to assess a
student's readiness for the NCLEX-RN licensure examination. This assessment evaluates essential nursing
knowledge across the lifespan, focusing on clinical judgment, prioritized decision-making, and safe patient care.
The exam utilizes a mix of foundational multiple-choice questions and complex scenario-based items to simulate
real-world clinical environments. Candidates are tested on their ability to synthesize theoretical concepts with
practical application, ensuring they can provide evidence-based care while adhering to regulatory and ethical
standards. Success on this predictor indicates a high probability of passing the national licensing board.
SECTION ONE: QUESTIONS 1–100
, 1. A nurse is caring for a client who is 24 hours postoperative following an abdominal hysterectomy. Which of
the following actions should the nurse take first?
A. Demonstrate how to use an incentive spirometer.
B. Encourage the client to increase fluid intake.
C. Ask the client to rate their pain on a scale of 0 to 10.
🟢 D. Auscultate the client's bilateral breath sounds.
🔴 RATIONALE: According to the ABC (Airway, Breathing, Circulation) priority-setting framework, the nurse
should first assess the client's respiratory status by auscultating breath sounds to identify potential complications
such as atelectasis or pneumonia following general anesthesia.
2. A nurse is reviewing the medical record of a client who has a prescription for a potassium-sparing diuretic.
Which of the following laboratory values should the nurse report to the provider?
A. Sodium 138 mEq/L
🟢 B. Potassium 5.2 mEq/L
C. Magnesium 2.0 mEq/L
D. Calcium 9.5 mg/dL
🔴 RATIONALE: Potassium-sparing diuretics can lead to hyperkalemia. A potassium level of 5.2 mEq/L is above
the expected reference range of 3.5 to 5.0 mEq/L and should be reported to prevent cardiac dysrhythmias.
3. A nurse is providing teaching to a client who has a new prescription for digoxin. Which of the following
statements by the client indicates an understanding of the teaching?
A. I will take this medication with an antacid if I have heartburn.
B. I will double my dose if I miss a day to stay on track.
,🟢 C. I will contact my provider if I notice halos around lights.
D. I will stop taking the medication if my pulse is 70 beats per minute.
🔴 RATIONALE: Visual disturbances, such as seeing yellow-green halos or blurred vision, are classic signs of
digoxin toxicity and require immediate medical notification.
4. A nurse is preparing to administer an enteral feeding to a client via a nasogastric tube. Which of the
following actions should the nurse take to verify tube placement?
🟢 A. Test the pH of the gastric aspirate.
B. Inject 20 mL of air into the tube while listening over the epigastrium.
C. Observe the color of the fluid returning from the tube.
D. Check the mark on the tube at the bridge of the nose.
🔴 RATIONALE: Testing the pH of gastric aspirate is the most reliable bedside method to verify placement. A pH
of 5 or less typically indicates gastric placement, whereas air auscultation is no longer considered an evidence-
based practice for verification.
5. A nurse is caring for a client who is in the manic phase of bipolar disorder. Which of the following activities
should the nurse suggest for the client?
A. Participating in a group volleyball game.
B. Sitting in the dayroom watching a fast-paced movie.
🟢 C. Walking with the nurse in a quiet hallway.
D. Attending a crowded social gathering in the unit.
🔴 RATIONALE: Clients in a manic phase require a low-stimulus environment and activities that channel energy
without overstimulation or physical competition. Walking with a nurse provides physical activity in a controlled,
quiet setting.
, 6. A nurse in a community clinic is assessing a client who reports a persistent cough and night sweats. Which
of the following actions should the nurse take first?
A. Obtain a sputum culture for acid-fast bacilli.
🟢 B. Place a surgical mask on the client.
C. Administer a tuberculin skin test.
D. Perform a physical assessment of the thorax.
🔴 RATIONALE: The client's symptoms are suggestive of pulmonary tuberculosis. The nurse’s priority is to
implement infection control measures to prevent the spread of the pathogen to others in the clinic.
7. A nurse is caring for a client who is receiving a continuous IV infusion of heparin. Which of the following
laboratory results should the nurse monitor to adjust the dosage?
A. Prothrombin time (PT)
B. International normalized ratio (INR)
🟢 C. Activated partial thromboplastin time (aPTT)
D. Platelet count
🔴 RATIONALE: The aPTT is used to monitor the effectiveness of heparin therapy and guide dosage
adjustments. PT and INR are used to monitor warfarin therapy.
8. A nurse is caring for a client who is at 38 weeks of gestation and reports a sudden onset of bright red
vaginal bleeding without pain. Which of the following conditions should the nurse suspect?
🟢 A. Placenta previa
B. Abruptio placentae
