NGN RN ATI PROCTORED COMPREHENSIVE PREDICTOR FORM B –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 designed to evaluate a student's readiness for the
*SECTION ONE*
1. A nurse is caring for a client who is 24 hours postoperative following an abdominal surgery. The client
reports feeling a "pop" in the incision site. Upon inspection, the nurse notes loops of bowel protruding
through the incision. Which of the following actions should the nurse take first?
A. Notify the surgeon immediately.
B. Place the client in a Trendelenburg position.
C. 🟢 Cover the protruding organs with sterile towels moistened with normal saline.
D. Administer prescribed analgesic medication for pain.
,🔴 RATIONALE: Evisceration is a medical emergency. The nurse's immediate priority is to protect the exposed
organs from drying out and becoming infected by covering them with sterile, saline-soaked dressings before
notifying the surgical team.
2. A nurse is monitoring a client receiving a blood transfusion. Within 15 minutes of starting the infusion, the
client reports chills and lower back pain. Which of the following is the priority action?
A. 🟢 Stop the transfusion and disconnect the tubing at the hub.
B. Slow the infusion rate and monitor vital signs.
C. Administer diphenhydramine as prescribed.
D. Send the remaining blood and tubing to the laboratory.
🔴 RATIONALE: Chills and back pain are signs of an acute hemolytic reaction. The first and most critical step is
to stop the transfusion immediately to prevent further administration of incompatible blood.
3. A nurse is educating a client about a new prescription for lithium carbonate to treat bipolar disorder. Which
of the following instructions should the nurse include?
A. Maintain a low-sodium diet to prevent toxicity.
B. 🟢 Ensure an adequate intake of fluids, ideally 2 to 3 liters per day.
C. Expect a weight loss of 5 to 10 pounds in the first month.
D. Take the medication on an empty stomach for better absorption.
🔴 RATIONALE: Lithium is a salt, and dehydration or low sodium levels can cause the kidneys to retain lithium,
leading to toxicity. Adequate fluid intake is essential to maintain stable serum levels.
4. A nurse is assessing a client who has a chest tube connected to a water-seal drainage system. The nurse
notes continuous bubbling in the water-seal chamber. How should the nurse interpret this finding?
,A. 🟢 There is a leak in the system.
B. The system is functioning normally.
C. The client's lung has fully expanded.
D. The suction pressure is set too high.
🔴 RATIONALE: Continuous bubbling in the water-seal chamber indicates an air leak between the client and the
drainage system. Intermittent bubbling is expected during expiration or coughing.
5. A nurse is caring for a client with a prescription for a clear liquid diet. Which of the following items should
the nurse offer?
A. Vanilla pudding
B. 🟢 Apple juice
C. Orange juice with pulp
D. Low-fat yogurt
🔴 RATIONALE: Clear liquids are those that are transparent and liquid at room temperature. Apple juice fits this
criteria, whereas pudding, yogurt, and pulpy juices are considered full liquids.
6. A nurse is reviewing the lab results of a client with heart failure who is taking furosemide. Which of the
following results should the nurse report to the provider?
A. Sodium 138 mEq/L
B. 🟢 Potassium 3.1 mEq/L
C. Calcium 9.2 mg/dL
D. Chloride 98 mEq/L
🔴 RATIONALE: Furosemide is a loop diuretic that causes the excretion of potassium. A level of 3.1 mEq/L is
below the expected reference range (3.5–5.0 mEq/L) and can lead to cardiac dysrhythmias.
, 7. A nurse is teaching a parent of a toddler about home safety. Which of the following statements by the
parent indicates an understanding of the teaching?
A. "I will keep my child's car seat in the front passenger seat."
B. 🟢 "I will turn the handles of my pots toward the back of the stove."
C. "I will use small balloons to decorate for the birthday party."
D. "I will store cleaning supplies in the cabinet under the sink without a lock."
🔴 RATIONALE: Turning pot handles toward the back of the stove prevents toddlers from reaching up and pulling
hot liquids down onto themselves, reducing burn risks.
8. A nurse is preparing to administer digoxin to a client with heart failure. Which of the following actions
should the nurse take before administration?
A. 🟢 Assess the apical pulse for one full minute.
B. Monitor the client's blood pressure while standing.
C. Review the client's most recent serum creatinine level.
D. Administer the medication with an antacid.
🔴 RATIONALE: Digoxin slows the heart rate. The apical pulse must be measured for 60 seconds, and the
medication should be withheld if the pulse is below 60/min in adults unless otherwise ordered.
9. A nurse is assisting with the plan of care for a client who is in the manic phase of bipolar disorder. Which of
the following interventions is the priority?
A. Encourage the client to participate in group therapy sessions.
B. 🟢 Provide the client with high-calorie finger foods.
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 designed to evaluate a student's readiness for the
*SECTION ONE*
1. A nurse is caring for a client who is 24 hours postoperative following an abdominal surgery. The client
reports feeling a "pop" in the incision site. Upon inspection, the nurse notes loops of bowel protruding
through the incision. Which of the following actions should the nurse take first?
A. Notify the surgeon immediately.
B. Place the client in a Trendelenburg position.
C. 🟢 Cover the protruding organs with sterile towels moistened with normal saline.
D. Administer prescribed analgesic medication for pain.
,🔴 RATIONALE: Evisceration is a medical emergency. The nurse's immediate priority is to protect the exposed
organs from drying out and becoming infected by covering them with sterile, saline-soaked dressings before
notifying the surgical team.
2. A nurse is monitoring a client receiving a blood transfusion. Within 15 minutes of starting the infusion, the
client reports chills and lower back pain. Which of the following is the priority action?
A. 🟢 Stop the transfusion and disconnect the tubing at the hub.
B. Slow the infusion rate and monitor vital signs.
C. Administer diphenhydramine as prescribed.
D. Send the remaining blood and tubing to the laboratory.
🔴 RATIONALE: Chills and back pain are signs of an acute hemolytic reaction. The first and most critical step is
to stop the transfusion immediately to prevent further administration of incompatible blood.
3. A nurse is educating a client about a new prescription for lithium carbonate to treat bipolar disorder. Which
of the following instructions should the nurse include?
A. Maintain a low-sodium diet to prevent toxicity.
B. 🟢 Ensure an adequate intake of fluids, ideally 2 to 3 liters per day.
C. Expect a weight loss of 5 to 10 pounds in the first month.
D. Take the medication on an empty stomach for better absorption.
🔴 RATIONALE: Lithium is a salt, and dehydration or low sodium levels can cause the kidneys to retain lithium,
leading to toxicity. Adequate fluid intake is essential to maintain stable serum levels.
4. A nurse is assessing a client who has a chest tube connected to a water-seal drainage system. The nurse
notes continuous bubbling in the water-seal chamber. How should the nurse interpret this finding?
,A. 🟢 There is a leak in the system.
B. The system is functioning normally.
C. The client's lung has fully expanded.
D. The suction pressure is set too high.
🔴 RATIONALE: Continuous bubbling in the water-seal chamber indicates an air leak between the client and the
drainage system. Intermittent bubbling is expected during expiration or coughing.
5. A nurse is caring for a client with a prescription for a clear liquid diet. Which of the following items should
the nurse offer?
A. Vanilla pudding
B. 🟢 Apple juice
C. Orange juice with pulp
D. Low-fat yogurt
🔴 RATIONALE: Clear liquids are those that are transparent and liquid at room temperature. Apple juice fits this
criteria, whereas pudding, yogurt, and pulpy juices are considered full liquids.
6. A nurse is reviewing the lab results of a client with heart failure who is taking furosemide. Which of the
following results should the nurse report to the provider?
A. Sodium 138 mEq/L
B. 🟢 Potassium 3.1 mEq/L
C. Calcium 9.2 mg/dL
D. Chloride 98 mEq/L
🔴 RATIONALE: Furosemide is a loop diuretic that causes the excretion of potassium. A level of 3.1 mEq/L is
below the expected reference range (3.5–5.0 mEq/L) and can lead to cardiac dysrhythmias.
, 7. A nurse is teaching a parent of a toddler about home safety. Which of the following statements by the
parent indicates an understanding of the teaching?
A. "I will keep my child's car seat in the front passenger seat."
B. 🟢 "I will turn the handles of my pots toward the back of the stove."
C. "I will use small balloons to decorate for the birthday party."
D. "I will store cleaning supplies in the cabinet under the sink without a lock."
🔴 RATIONALE: Turning pot handles toward the back of the stove prevents toddlers from reaching up and pulling
hot liquids down onto themselves, reducing burn risks.
8. A nurse is preparing to administer digoxin to a client with heart failure. Which of the following actions
should the nurse take before administration?
A. 🟢 Assess the apical pulse for one full minute.
B. Monitor the client's blood pressure while standing.
C. Review the client's most recent serum creatinine level.
D. Administer the medication with an antacid.
🔴 RATIONALE: Digoxin slows the heart rate. The apical pulse must be measured for 60 seconds, and the
medication should be withheld if the pulse is below 60/min in adults unless otherwise ordered.
9. A nurse is assisting with the plan of care for a client who is in the manic phase of bipolar disorder. Which of
the following interventions is the priority?
A. Encourage the client to participate in group therapy sessions.
B. 🟢 Provide the client with high-calorie finger foods.
