1
ATI RN Comprehensive Predictor NGN
Real Exam Actual Exam 2026/2027 |
Complete Exam-Style Questions | 100%
Verified – Detailed Rationales – Pass
Guaranteed – A+ Graded
TABLE OF CONTENTS
Section 1 | Safe and Effective Care Environment | Q1 – Q45
Section 2 | Health Promotion and Maintenance | Q46 – Q90
Section 3 | Psychosocial Integrity | Q91 – Q135
Section 4 | Physiological Integrity: Basic Care and Comfort | Q136 – Q180
Section 5 | Physiological Integrity: Pharmacological and Parenteral Therapies | Q181 –
Q225
Section 6 | Physiological Integrity: Reduction of Risk Potential | Q226 – Q270
Section 7 | Physiological Integrity: Physiological Adaptation | Q271 – Q315
Section 8 | Next Generation NCLEX (NGN) Case Studies | Q316 – Q360
Instructions: Choose the single best answer. Pass: 75% in 240 minutes.
══════════════════════════════════════
SECTION 1: SAFE AND EFFECTIVE CARE ENVIRONMENT Q1 – Q45
══════════════════════════════════════
Question 1 of 360
The nurse on a medical-surgical unit smells smoke coming from the utility room and sees flames
near the linen disposal. Which action should the nurse take first?
,2
A. Activate the fire alarm system
B. Remove all clients from the immediate area
C. Close the doors and windows to contain the fire
D. Attempt to extinguish the fire using the nearest fire extinguisher
Correct Answer: A
Rationale: According to the RACE protocol, the nurse's first priority is to Rescue those in
immediate danger, but the immediate action upon discovering a fire is to activate the alarm
(Alert) to ensure the facility initiates its emergency response. Closing doors and removing clients
are critical steps but follow alerting others to the danger.
Question 2 of 360
A client is admitted to the emergency department with suspected tuberculosis. Which
intervention is most appropriate for the nurse to implement when caring for this client?
A. Administer prescribed antitubercular medications immediately
B. Place the client in a negative pressure room
C. Initiate droplet precautions upon admission
D. Wear a surgical mask when entering the client's room
Correct Answer: B
Rationale: Tuberculosis requires airborne precautions, which include placing the client in a
negative pressure room to prevent infectious particles from circulating to other areas. Droplet
precautions and surgical masks are insufficient for TB; an N95 respirator is required for
healthcare providers.
Question 3 of 360
,3
The nurse is preparing to administer a blood transfusion to an older adult client. Which action is
the most critical for the nurse to take prior to starting the transfusion?
A. Assess the client's vital signs to establish a baseline
B. Prime the intravenous tubing with normal saline
C. Verify the blood product with another registered nurse
D. Pre-medicate the client with an antihistamine to prevent a reaction
Correct Answer: C
Rationale: Verifying the blood product with another registered nurse is the most critical safety
step to prevent a hemolytic transfusion reaction caused by identification errors. While assessing
vital signs and priming the tubing are necessary steps, accurate identification of the blood unit
and client is paramount for safety.
Question 4 of 360
A client on the mental health unit who is experiencing suicidal ideation has been prescribed a
one-to-one observation. Which documentation by the nurse indicates an understanding of this
protocol?
A. "Client remains in room, no self-harm observed."
B. "Client observed at 15-minute intervals while in room."
C. "Client observed continuously within arm's reach at all times."
D. "Client engaged in group therapy, mood appears stable."
Correct Answer: C
Rationale: One-to-one observation requires the nurse to be within arm's reach and have
continuous visual contact with the client to ensure immediate intervention if self-harm occurs.
, 4
Documentation of 15-minute intervals implies intermittent checks, which are insufficient for a
client with high suicide risk.
Question 5 of 360
The charge nurse is making client assignments for the shift. Which task is most appropriate to
delegate to an unlicensed assistive personnel (UAP)?
A. Administering a fleet enema to a client with constipation
B. Measuring the intake and output for a client with heart failure
C. Performing the initial admission assessment on a new client
D. Evaluating the effectiveness of pain medication for a postoperative client
Correct Answer: B
Rationale: Measuring intake and output is a standardized, repetitive task that falls within the
scope of practice for UAP. Administering an enema, performing assessments, and evaluating
interventions are nursing actions that require critical thinking and licensure.
Question 6 of 360
The nurse is caring for a client who has just had a cardiac catheterization via the femoral artery.
The client reports numbness in the toes of the affected leg. What is the nurse's priority action?
A. Check the distal pulses and capillary refill in the affected leg
B. Elevate the leg on pillows to improve circulation
C. Apply warm packs to the foot to increase sensation
D. Notify the cardiologist immediately about the change in status
Correct Answer: A
ATI RN Comprehensive Predictor NGN
Real Exam Actual Exam 2026/2027 |
Complete Exam-Style Questions | 100%
Verified – Detailed Rationales – Pass
Guaranteed – A+ Graded
TABLE OF CONTENTS
Section 1 | Safe and Effective Care Environment | Q1 – Q45
Section 2 | Health Promotion and Maintenance | Q46 – Q90
Section 3 | Psychosocial Integrity | Q91 – Q135
Section 4 | Physiological Integrity: Basic Care and Comfort | Q136 – Q180
Section 5 | Physiological Integrity: Pharmacological and Parenteral Therapies | Q181 –
Q225
Section 6 | Physiological Integrity: Reduction of Risk Potential | Q226 – Q270
Section 7 | Physiological Integrity: Physiological Adaptation | Q271 – Q315
Section 8 | Next Generation NCLEX (NGN) Case Studies | Q316 – Q360
Instructions: Choose the single best answer. Pass: 75% in 240 minutes.
══════════════════════════════════════
SECTION 1: SAFE AND EFFECTIVE CARE ENVIRONMENT Q1 – Q45
══════════════════════════════════════
Question 1 of 360
The nurse on a medical-surgical unit smells smoke coming from the utility room and sees flames
near the linen disposal. Which action should the nurse take first?
,2
A. Activate the fire alarm system
B. Remove all clients from the immediate area
C. Close the doors and windows to contain the fire
D. Attempt to extinguish the fire using the nearest fire extinguisher
Correct Answer: A
Rationale: According to the RACE protocol, the nurse's first priority is to Rescue those in
immediate danger, but the immediate action upon discovering a fire is to activate the alarm
(Alert) to ensure the facility initiates its emergency response. Closing doors and removing clients
are critical steps but follow alerting others to the danger.
Question 2 of 360
A client is admitted to the emergency department with suspected tuberculosis. Which
intervention is most appropriate for the nurse to implement when caring for this client?
A. Administer prescribed antitubercular medications immediately
B. Place the client in a negative pressure room
C. Initiate droplet precautions upon admission
D. Wear a surgical mask when entering the client's room
Correct Answer: B
Rationale: Tuberculosis requires airborne precautions, which include placing the client in a
negative pressure room to prevent infectious particles from circulating to other areas. Droplet
precautions and surgical masks are insufficient for TB; an N95 respirator is required for
healthcare providers.
Question 3 of 360
,3
The nurse is preparing to administer a blood transfusion to an older adult client. Which action is
the most critical for the nurse to take prior to starting the transfusion?
A. Assess the client's vital signs to establish a baseline
B. Prime the intravenous tubing with normal saline
C. Verify the blood product with another registered nurse
D. Pre-medicate the client with an antihistamine to prevent a reaction
Correct Answer: C
Rationale: Verifying the blood product with another registered nurse is the most critical safety
step to prevent a hemolytic transfusion reaction caused by identification errors. While assessing
vital signs and priming the tubing are necessary steps, accurate identification of the blood unit
and client is paramount for safety.
Question 4 of 360
A client on the mental health unit who is experiencing suicidal ideation has been prescribed a
one-to-one observation. Which documentation by the nurse indicates an understanding of this
protocol?
A. "Client remains in room, no self-harm observed."
B. "Client observed at 15-minute intervals while in room."
C. "Client observed continuously within arm's reach at all times."
D. "Client engaged in group therapy, mood appears stable."
Correct Answer: C
Rationale: One-to-one observation requires the nurse to be within arm's reach and have
continuous visual contact with the client to ensure immediate intervention if self-harm occurs.
, 4
Documentation of 15-minute intervals implies intermittent checks, which are insufficient for a
client with high suicide risk.
Question 5 of 360
The charge nurse is making client assignments for the shift. Which task is most appropriate to
delegate to an unlicensed assistive personnel (UAP)?
A. Administering a fleet enema to a client with constipation
B. Measuring the intake and output for a client with heart failure
C. Performing the initial admission assessment on a new client
D. Evaluating the effectiveness of pain medication for a postoperative client
Correct Answer: B
Rationale: Measuring intake and output is a standardized, repetitive task that falls within the
scope of practice for UAP. Administering an enema, performing assessments, and evaluating
interventions are nursing actions that require critical thinking and licensure.
Question 6 of 360
The nurse is caring for a client who has just had a cardiac catheterization via the femoral artery.
The client reports numbness in the toes of the affected leg. What is the nurse's priority action?
A. Check the distal pulses and capillary refill in the affected leg
B. Elevate the leg on pillows to improve circulation
C. Apply warm packs to the foot to increase sensation
D. Notify the cardiologist immediately about the change in status
Correct Answer: A
