NGN RN ATI PROCTORED COMPREHENSIVE PREDICTOR FORM C –QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF.
*Core Domains*
*• Medical-Surgical Nursing*
*• Pharmacology and Parenteral Therapies*
*• Maternal-Newborn Care*
*• Nursing Care of Children*
*• Mental Health Nursing*
*• Leadership and Management*
*• Community Health Nursing*
*• Reduction of Risk Potential*
*Introduction*
The NGN RN ATI Proctored Comprehensive Predictor is designed to evaluate a student's readiness for the NCLEX-RN licensure examination. This
assessment encompasses a broad spectrum of nursing knowledge, focusing on the clinical judgment model and safe nursing practice. The exam
utilizes multiple-choice and complex scenario-based questions to measure the candidate's ability to prioritize care, manage client safety, and apply
theoretical knowledge to real-world clinical situations. Emphasis is placed on critical thinking, decision-making, and the integration of professional
standards. This comprehensive practice tool serves as a diagnostic instrument to identify strengths and areas requiring further remediation prior to
official licensure.
SECTION ONE: QUESTIONS 1–100
1. A nurse is caring for a client who is 24 hours postoperative following an abdominal surgery. Which of the following findings should the nurse
report to the provider immediately?
A. Serosanguineous drainage on the dressing
B. Absence of bowel sounds in all four quadrants
🟢 C. Productive cough with yellow-green sputum
D. Client report of pain as 5 on a scale of 0 to 10
🔴 RATIONALE: A productive cough with yellow-green sputum may indicate the development of postoperative pneumonia, a serious complication
that requires immediate intervention.
, 2. A nurse is preparing to administer digoxin to a client who has heart failure. Which of the following actions should the nurse take first?
🟢 A. Check the client’s apical pulse for 1 full minute
B. Review the client’s most recent serum potassium level
C. Assess the client for manifestations of toxicity
D. Provide the client with a glass of water
🔴 RATIONALE: Assessment is the first step of the nursing process. Digoxin can cause bradycardia; therefore, the nurse must verify the heart rate
is above 60/min before administration.
3. A nurse in a mental health facility is caring for a client who is experiencing a manic episode. Which of the following actions should the nurse
include in the plan of care?
A. Encourage the client to participate in group sports
B. Dim the lights and decrease environmental stimuli
C. Provide the client with high-calorie snacks that can be eaten while walking
🟢 D. Limit the client's fluid intake to 1,000 mL per day
🔴 RATIONALE: Clients in a manic state often have high energy levels and difficulty sitting for meals. High-calorie "finger foods" allow them to
maintain nutrition while remaining mobile.
4. A nurse is teaching a client who has a new prescription for alendronate. Which of the following instructions should the nurse include?
A. Take the medication with a full glass of milk
B. Lie down for 30 minutes after taking the medication
🟢 C. Take the medication on an empty stomach upon arising
D. Crush the tablet if it is difficult to swallow
🔴 RATIONALE: Alendronate must be taken on an empty stomach with plain water at least 30 minutes before other food or medications to ensure
proper absorption and prevent esophageal irritation.
5. A nurse is assessing a client who is at 34 weeks of gestation and has mild preeclampsia. Which of the following findings is the priority to
report to the provider?
A. 1+ pitting edema in the lower extremities
B. Urinary output of 40 mL/hr
C. Report of a continuous frontal headache
🟢 D. Proteinuria of 2+ on a dipstick
, 🔴 RATIONALE: A continuous or worsening headache in a client with preeclampsia can be an indication of central nervous system irritability and a
precursor to eclampsia (seizures).
6. A nurse is caring for a client who is receiving a continuous intravenous infusion of heparin. Which of the following laboratory values should the
nurse monitor to adjust the dosage?
A. Prothrombin time (PT)
🟢 B. Activated partial thromboplastin time (aPTT)
C. International normalized ratio (INR)
D. Platelet count
🔴 RATIONALE: aPTT is the standard laboratory test used to monitor the effectiveness and safety of heparin therapy and to guide dosage
adjustments.
7. 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. Serum potassium 5.2 mEq/L
B. Serum sodium 138 mEq/L
C. Serum creatinine 1.0 mg/dL
D. Serum glucose 110 mg/dL
🔴 RATIONALE: Potassium-sparing diuretics can lead to hyperkalemia. A potassium level of 5.2 mEq/L is above the reference range (3.5 to 5.0
mEq/L) and requires intervention.
8. A nurse is providing discharge teaching to the parents of a child who has cystic fibrosis. Which of the following dietary recommendations
should the nurse include?
A. Restrict sodium intake during the summer months
🟢 B. Increase the intake of high-calorie, high-protein foods
C. Administer pancreatic enzymes 2 hours after meals
D. Limit fat intake to less than 20% of total calories
🔴 RATIONALE: Children with cystic fibrosis require high-calorie and high-protein diets to compensate for malabsorption and the increased energy
demands of the disease.
9. A nurse is assessing a client who is in the early stages of hypovolemic shock. Which of the following findings should the nurse expect?
RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF.
*Core Domains*
*• Medical-Surgical Nursing*
*• Pharmacology and Parenteral Therapies*
*• Maternal-Newborn Care*
*• Nursing Care of Children*
*• Mental Health Nursing*
*• Leadership and Management*
*• Community Health Nursing*
*• Reduction of Risk Potential*
*Introduction*
The NGN RN ATI Proctored Comprehensive Predictor is designed to evaluate a student's readiness for the NCLEX-RN licensure examination. This
assessment encompasses a broad spectrum of nursing knowledge, focusing on the clinical judgment model and safe nursing practice. The exam
utilizes multiple-choice and complex scenario-based questions to measure the candidate's ability to prioritize care, manage client safety, and apply
theoretical knowledge to real-world clinical situations. Emphasis is placed on critical thinking, decision-making, and the integration of professional
standards. This comprehensive practice tool serves as a diagnostic instrument to identify strengths and areas requiring further remediation prior to
official licensure.
SECTION ONE: QUESTIONS 1–100
1. A nurse is caring for a client who is 24 hours postoperative following an abdominal surgery. Which of the following findings should the nurse
report to the provider immediately?
A. Serosanguineous drainage on the dressing
B. Absence of bowel sounds in all four quadrants
🟢 C. Productive cough with yellow-green sputum
D. Client report of pain as 5 on a scale of 0 to 10
🔴 RATIONALE: A productive cough with yellow-green sputum may indicate the development of postoperative pneumonia, a serious complication
that requires immediate intervention.
, 2. A nurse is preparing to administer digoxin to a client who has heart failure. Which of the following actions should the nurse take first?
🟢 A. Check the client’s apical pulse for 1 full minute
B. Review the client’s most recent serum potassium level
C. Assess the client for manifestations of toxicity
D. Provide the client with a glass of water
🔴 RATIONALE: Assessment is the first step of the nursing process. Digoxin can cause bradycardia; therefore, the nurse must verify the heart rate
is above 60/min before administration.
3. A nurse in a mental health facility is caring for a client who is experiencing a manic episode. Which of the following actions should the nurse
include in the plan of care?
A. Encourage the client to participate in group sports
B. Dim the lights and decrease environmental stimuli
C. Provide the client with high-calorie snacks that can be eaten while walking
🟢 D. Limit the client's fluid intake to 1,000 mL per day
🔴 RATIONALE: Clients in a manic state often have high energy levels and difficulty sitting for meals. High-calorie "finger foods" allow them to
maintain nutrition while remaining mobile.
4. A nurse is teaching a client who has a new prescription for alendronate. Which of the following instructions should the nurse include?
A. Take the medication with a full glass of milk
B. Lie down for 30 minutes after taking the medication
🟢 C. Take the medication on an empty stomach upon arising
D. Crush the tablet if it is difficult to swallow
🔴 RATIONALE: Alendronate must be taken on an empty stomach with plain water at least 30 minutes before other food or medications to ensure
proper absorption and prevent esophageal irritation.
5. A nurse is assessing a client who is at 34 weeks of gestation and has mild preeclampsia. Which of the following findings is the priority to
report to the provider?
A. 1+ pitting edema in the lower extremities
B. Urinary output of 40 mL/hr
C. Report of a continuous frontal headache
🟢 D. Proteinuria of 2+ on a dipstick
, 🔴 RATIONALE: A continuous or worsening headache in a client with preeclampsia can be an indication of central nervous system irritability and a
precursor to eclampsia (seizures).
6. A nurse is caring for a client who is receiving a continuous intravenous infusion of heparin. Which of the following laboratory values should the
nurse monitor to adjust the dosage?
A. Prothrombin time (PT)
🟢 B. Activated partial thromboplastin time (aPTT)
C. International normalized ratio (INR)
D. Platelet count
🔴 RATIONALE: aPTT is the standard laboratory test used to monitor the effectiveness and safety of heparin therapy and to guide dosage
adjustments.
7. 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. Serum potassium 5.2 mEq/L
B. Serum sodium 138 mEq/L
C. Serum creatinine 1.0 mg/dL
D. Serum glucose 110 mg/dL
🔴 RATIONALE: Potassium-sparing diuretics can lead to hyperkalemia. A potassium level of 5.2 mEq/L is above the reference range (3.5 to 5.0
mEq/L) and requires intervention.
8. A nurse is providing discharge teaching to the parents of a child who has cystic fibrosis. Which of the following dietary recommendations
should the nurse include?
A. Restrict sodium intake during the summer months
🟢 B. Increase the intake of high-calorie, high-protein foods
C. Administer pancreatic enzymes 2 hours after meals
D. Limit fat intake to less than 20% of total calories
🔴 RATIONALE: Children with cystic fibrosis require high-calorie and high-protein diets to compensate for malabsorption and the increased energy
demands of the disease.
9. A nurse is assessing a client who is in the early stages of hypovolemic shock. Which of the following findings should the nurse expect?
