ATI PN Comprehensive Predictor Exit Exam with NGN
Questions and Answers
QUESTION 1
A nurse is caring for a client who reports shortness of breath and has an oxygen saturation of
88% on room air. Which action should the nurse take first?
A. Notify the provider.
B. Increase the flow rate on the client’s oxygen.
C. Place the client in high-Fowler’s position.
D. Obtain an arterial blood gas sample.
CORRECT ANSWER: C. Place the client in high-Fowler’s position.
RATIONALE: Positioning the client to maximize lung expansion is the priority initial action. This
intervention promotes ventilation before other measures are initiated. The other options are
appropriate but follow repositioning.
QUESTION 2
A practical nurse reinforces teaching with a client who has type 2 diabetes about proper foot
care. Which statement by the client indicates correct understanding?
A. “I should soak my feet daily in warm water.”
B. “I’ll file my toenails straight across after bathing.”
C. “I should walk barefoot around the house to toughen my feet.”
D. “I’ll use a heating pad if my feet feel cold.”
CORRECT ANSWER: B. I’ll file my toenails straight across after bathing.
RATIONALE: Filing toenails straight across helps prevent ingrown nails and infection. Soaking
may lead to skin breakdown, and walking barefoot or using heat sources increases injury risk
due to neuropathy.
QUESTION 3
When assigning tasks to assistive personnel (AP), which action by the nurse demonstrates
appropriate delegation?
,A. Asking the AP to administer an oral medication.
B. Requesting the AP to assess a client’s pain level.
C. Instructing the AP to measure and record intake and output.
D. Asking the AP to teach the client how to use an incentive spirometer.
CORRECT ANSWER: C. Instructing the AP to measure and record intake and output.
RATIONALE: Measuring and documenting intake and output is within the AP’s scope. Medication
administration, pain assessment, and client teaching require licensed nursing judgment.
QUESTION 4
A nurse is reinforcing teaching about digoxin to a client newly prescribed the medication. Which
statement should the nurse include?
A. “If you miss a dose, take it as soon as you remember—even if it's close to the next one.”
B. “Report blurred vision or halos around lights immediately.”
C. “Increase potassium intake to enhance digoxin effectiveness.”
D. “It is expected for your heart rate to occasionally drop below 50 bpm.”
CORRECT ANSWER: B. Report blurred vision or halos around lights immediately.
RATIONALE: These are manifestations of digoxin toxicity. The client should skip a missed dose if
near the next one, maintain stable potassium intake, and report any bradycardia below 60 bpm.
QUESTION 5
A nurse is caring for a client who has a chest tube inserted to treat a pneumothorax. Which
finding requires immediate intervention?
A. Gentle bubbling in the suction control chamber.
B. Water level oscillating with respirations.
C. Constant vigorous bubbling in the water-seal chamber.
D. Dressing around the insertion site is dry and intact.
CORRECT ANSWER: C. Constant vigorous bubbling in the water-seal chamber.
RATIONALE: Continuous bubbling indicates an air leak in the system or at the insertion site and
requires prompt assessment. Gentle bubbling in the suction chamber is expected.
QUESTION 6
, A client receiving opioid analgesics for post-operative pain develops a respiratory rate of 8
breaths per minute. Which medication should the nurse anticipate administering?
A. Naloxone
B. Flumazenil
C. N-acetylcysteine
D. Protamine sulfate
CORRECT ANSWER: A. Naloxone
RATIONALE: Naloxone is an opioid antagonist that reverses respiratory depression caused by
opioid overdose. The other agents correspond to benzodiazepine, acetaminophen, and heparin
toxicity, respectively.
QUESTION 7
When performing nasopharyngeal suctioning, which action by the nurse minimizes
complications?
A. Suction continuously as the catheter advances.
B. Lubricate the catheter with sterile saline before insertion.
C. Apply suction for 20 seconds each pass.
D. Insert the catheter with suction applied.
CORRECT ANSWER: B. Lubricate the catheter with sterile saline before insertion.
RATIONALE: Lubrication reduces trauma and facilitates passage. Suction is only applied during
withdrawal, for no more than 10–15 seconds per pass to prevent hypoxia.
QUESTION 8
A nurse is reinforcing teaching with a client who is prescribed warfarin. Which food choice
indicates the need for further teaching?
A. Green leaf salad with spinach
B. Baked chicken with rice
C. Applesauce and yogurt
D. Grilled fish and steamed carrots
CORRECT ANSWER: A. Green leaf salad with spinach
RATIONALE: Foods high in vitamin K, such as spinach, can decrease warfarin’s effectiveness by
promoting clotting factor synthesis.
Questions and Answers
QUESTION 1
A nurse is caring for a client who reports shortness of breath and has an oxygen saturation of
88% on room air. Which action should the nurse take first?
A. Notify the provider.
B. Increase the flow rate on the client’s oxygen.
C. Place the client in high-Fowler’s position.
D. Obtain an arterial blood gas sample.
CORRECT ANSWER: C. Place the client in high-Fowler’s position.
RATIONALE: Positioning the client to maximize lung expansion is the priority initial action. This
intervention promotes ventilation before other measures are initiated. The other options are
appropriate but follow repositioning.
QUESTION 2
A practical nurse reinforces teaching with a client who has type 2 diabetes about proper foot
care. Which statement by the client indicates correct understanding?
A. “I should soak my feet daily in warm water.”
B. “I’ll file my toenails straight across after bathing.”
C. “I should walk barefoot around the house to toughen my feet.”
D. “I’ll use a heating pad if my feet feel cold.”
CORRECT ANSWER: B. I’ll file my toenails straight across after bathing.
RATIONALE: Filing toenails straight across helps prevent ingrown nails and infection. Soaking
may lead to skin breakdown, and walking barefoot or using heat sources increases injury risk
due to neuropathy.
QUESTION 3
When assigning tasks to assistive personnel (AP), which action by the nurse demonstrates
appropriate delegation?
,A. Asking the AP to administer an oral medication.
B. Requesting the AP to assess a client’s pain level.
C. Instructing the AP to measure and record intake and output.
D. Asking the AP to teach the client how to use an incentive spirometer.
CORRECT ANSWER: C. Instructing the AP to measure and record intake and output.
RATIONALE: Measuring and documenting intake and output is within the AP’s scope. Medication
administration, pain assessment, and client teaching require licensed nursing judgment.
QUESTION 4
A nurse is reinforcing teaching about digoxin to a client newly prescribed the medication. Which
statement should the nurse include?
A. “If you miss a dose, take it as soon as you remember—even if it's close to the next one.”
B. “Report blurred vision or halos around lights immediately.”
C. “Increase potassium intake to enhance digoxin effectiveness.”
D. “It is expected for your heart rate to occasionally drop below 50 bpm.”
CORRECT ANSWER: B. Report blurred vision or halos around lights immediately.
RATIONALE: These are manifestations of digoxin toxicity. The client should skip a missed dose if
near the next one, maintain stable potassium intake, and report any bradycardia below 60 bpm.
QUESTION 5
A nurse is caring for a client who has a chest tube inserted to treat a pneumothorax. Which
finding requires immediate intervention?
A. Gentle bubbling in the suction control chamber.
B. Water level oscillating with respirations.
C. Constant vigorous bubbling in the water-seal chamber.
D. Dressing around the insertion site is dry and intact.
CORRECT ANSWER: C. Constant vigorous bubbling in the water-seal chamber.
RATIONALE: Continuous bubbling indicates an air leak in the system or at the insertion site and
requires prompt assessment. Gentle bubbling in the suction chamber is expected.
QUESTION 6
, A client receiving opioid analgesics for post-operative pain develops a respiratory rate of 8
breaths per minute. Which medication should the nurse anticipate administering?
A. Naloxone
B. Flumazenil
C. N-acetylcysteine
D. Protamine sulfate
CORRECT ANSWER: A. Naloxone
RATIONALE: Naloxone is an opioid antagonist that reverses respiratory depression caused by
opioid overdose. The other agents correspond to benzodiazepine, acetaminophen, and heparin
toxicity, respectively.
QUESTION 7
When performing nasopharyngeal suctioning, which action by the nurse minimizes
complications?
A. Suction continuously as the catheter advances.
B. Lubricate the catheter with sterile saline before insertion.
C. Apply suction for 20 seconds each pass.
D. Insert the catheter with suction applied.
CORRECT ANSWER: B. Lubricate the catheter with sterile saline before insertion.
RATIONALE: Lubrication reduces trauma and facilitates passage. Suction is only applied during
withdrawal, for no more than 10–15 seconds per pass to prevent hypoxia.
QUESTION 8
A nurse is reinforcing teaching with a client who is prescribed warfarin. Which food choice
indicates the need for further teaching?
A. Green leaf salad with spinach
B. Baked chicken with rice
C. Applesauce and yogurt
D. Grilled fish and steamed carrots
CORRECT ANSWER: A. Green leaf salad with spinach
RATIONALE: Foods high in vitamin K, such as spinach, can decrease warfarin’s effectiveness by
promoting clotting factor synthesis.
