ATI PN COMPREHENSIVE PREDICTOR FORM A, B, C WITH – PRACTICE QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)
PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF.
Core Domains
Coordinated 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 ATI PN Comprehensive Predictor assessment is designed to evaluate the clinical readiness and competency of practical nursing students
approaching licensure. This examination mirrors the rigor and structure of the national licensing standard, focusing on essential nursing knowledge
across the lifespan. Through a combination of foundational theory and complex scenario-based queries, the assessment measures the candidate’s
ability to apply critical thinking and clinical judgment in diverse healthcare settings. Emphasis is placed on real-world application, prioritizing client
safety, ethical practice, and effective decision-making. This comprehensive tool serves to identify strengths and areas requiring remediation to
ensure professional excellence in nursing practice.
SECTION ONE: QUESTIONS 1–100
1. A nurse is caring for a client who is 24 hours postoperative following an abdominal cholecystectomy. Which of the following findings is the
priority for the nurse to report to the provider?
A. Redness and slight edema at the incision site
B. Client report of pain level 5 on a scale of 0 to 10
C. 200 mL of serosanguineous drainage from the T-tube
🟢 D. Hard, rigid abdomen with guarding
,🔴 RATIONALE: A hard, rigid abdomen with guarding is a clinical manifestation of peritonitis, which is a life-threatening complication that requires
immediate surgical intervention.
2. A nurse is reinforcing teaching with a client who has a new prescription for sublingual nitroglycerin tablets. Which of the following instructions
should the nurse include?
🟢 A. Place one tablet under the tongue at the first sign of chest pain.
B. Swallow the tablet with a full glass of water for faster absorption.
C. Take up to five tablets every 10 minutes if pain persists.
D. Discard the medication if it causes a slight tingling sensation under the tongue.
🔴 RATIONALE: Sublingual nitroglycerin should be placed under the tongue at the onset of angina. Swallowing it renders it ineffective due to first-
pass metabolism.
3. A nurse is assisting with the admission of a client who has Clostridium difficile (C. diff). Which of the following precautions should the nurse
implement?
A. Wear an N95 respirator when entering the room.
B. Maintain the client in a room with negative airflow.
🟢 C. Use a dedicated stethoscope and blood pressure cuff for the client.
D. Clean hands with an alcohol-based rub after providing care.
🔴 RATIONALE: Contact precautions for C. diff require dedicated equipment to prevent cross-contamination. Hand hygiene must be performed with
soap and water, as alcohol-based rubs are ineffective against spores.
4. A nurse is reviewing the medical record of a client who is scheduled for an elective surgery. Which of the following findings should the nurse
identify as a potential contraindication to the procedure?
A. Potassium level of 4.0 mEq/L
🟢 B. Use of ginkgo biloba as a daily supplement
C. WBC count of 8,000/mm3
D. Prothrombin time (PT) of 12 seconds
🔴 RATIONALE: Ginkgo biloba can increase the risk of bleeding and should be discontinued at least two weeks before elective surgery to prevent
intraoperative and postoperative complications.
5. A nurse is caring for a client who is receiving a continuous IV infusion of magnesium sulfate for preeclampsia. Which of the following findings
should the nurse report to the provider?
, 🟢 A. Absent deep tendon reflexes
B. Urinary output of 40 mL/hr
C. Respiratory rate of 14/min
D. Blood pressure of 148/92 mm Hg
🔴 RATIONALE: Loss of deep tendon reflexes is an early sign of magnesium toxicity. The nurse should stop the infusion and notify the provider
immediately.
6. A nurse is caring for a client who is in the active phase of the first stage of labor. The client’s membranes rupture, and the nurse notes the
presence of meconium-stained amniotic fluid. Which of the following actions should the nurse take first?
A. Perform a vaginal examination to check for cord prolapse.
B. Notify the provider of the findings.
🟢 C. Monitor the fetal heart rate pattern.
D. Prepare the client for an emergency cesarean birth.
🔴 RATIONALE: The first action the nurse should take following the rupture of membranes is to assess the fetal heart rate to ensure fetal well-being
and detect potential cord compression.
7. A nurse is reinforcing discharge teaching with the guardian of a toddler who has a new diagnosis of celiac disease. Which of the following
food choices should the nurse recommend?
A. Whole wheat crackers
B. Barley soup
🟢 C. Rice cakes
D. Rye bread
🔴 RATIONALE: Clients with celiac disease must follow a gluten-free diet. Rice is gluten-free, whereas wheat, barley, and rye contain gluten and
must be avoided.
8. A nurse is preparing to administer an intramuscular injection to an infant. Which of the following sites should the nurse select?
A. Dorsogluteal
B. Deltoid
🟢 C. Vastus lateralis
D. Ventrogluteal
🔴 RATIONALE: The vastus lateralis is the preferred site for IM injections in infants because it is the most developed muscle mass at that age.
PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF.
Core Domains
Coordinated 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 ATI PN Comprehensive Predictor assessment is designed to evaluate the clinical readiness and competency of practical nursing students
approaching licensure. This examination mirrors the rigor and structure of the national licensing standard, focusing on essential nursing knowledge
across the lifespan. Through a combination of foundational theory and complex scenario-based queries, the assessment measures the candidate’s
ability to apply critical thinking and clinical judgment in diverse healthcare settings. Emphasis is placed on real-world application, prioritizing client
safety, ethical practice, and effective decision-making. This comprehensive tool serves to identify strengths and areas requiring remediation to
ensure professional excellence in nursing practice.
SECTION ONE: QUESTIONS 1–100
1. A nurse is caring for a client who is 24 hours postoperative following an abdominal cholecystectomy. Which of the following findings is the
priority for the nurse to report to the provider?
A. Redness and slight edema at the incision site
B. Client report of pain level 5 on a scale of 0 to 10
C. 200 mL of serosanguineous drainage from the T-tube
🟢 D. Hard, rigid abdomen with guarding
,🔴 RATIONALE: A hard, rigid abdomen with guarding is a clinical manifestation of peritonitis, which is a life-threatening complication that requires
immediate surgical intervention.
2. A nurse is reinforcing teaching with a client who has a new prescription for sublingual nitroglycerin tablets. Which of the following instructions
should the nurse include?
🟢 A. Place one tablet under the tongue at the first sign of chest pain.
B. Swallow the tablet with a full glass of water for faster absorption.
C. Take up to five tablets every 10 minutes if pain persists.
D. Discard the medication if it causes a slight tingling sensation under the tongue.
🔴 RATIONALE: Sublingual nitroglycerin should be placed under the tongue at the onset of angina. Swallowing it renders it ineffective due to first-
pass metabolism.
3. A nurse is assisting with the admission of a client who has Clostridium difficile (C. diff). Which of the following precautions should the nurse
implement?
A. Wear an N95 respirator when entering the room.
B. Maintain the client in a room with negative airflow.
🟢 C. Use a dedicated stethoscope and blood pressure cuff for the client.
D. Clean hands with an alcohol-based rub after providing care.
🔴 RATIONALE: Contact precautions for C. diff require dedicated equipment to prevent cross-contamination. Hand hygiene must be performed with
soap and water, as alcohol-based rubs are ineffective against spores.
4. A nurse is reviewing the medical record of a client who is scheduled for an elective surgery. Which of the following findings should the nurse
identify as a potential contraindication to the procedure?
A. Potassium level of 4.0 mEq/L
🟢 B. Use of ginkgo biloba as a daily supplement
C. WBC count of 8,000/mm3
D. Prothrombin time (PT) of 12 seconds
🔴 RATIONALE: Ginkgo biloba can increase the risk of bleeding and should be discontinued at least two weeks before elective surgery to prevent
intraoperative and postoperative complications.
5. A nurse is caring for a client who is receiving a continuous IV infusion of magnesium sulfate for preeclampsia. Which of the following findings
should the nurse report to the provider?
, 🟢 A. Absent deep tendon reflexes
B. Urinary output of 40 mL/hr
C. Respiratory rate of 14/min
D. Blood pressure of 148/92 mm Hg
🔴 RATIONALE: Loss of deep tendon reflexes is an early sign of magnesium toxicity. The nurse should stop the infusion and notify the provider
immediately.
6. A nurse is caring for a client who is in the active phase of the first stage of labor. The client’s membranes rupture, and the nurse notes the
presence of meconium-stained amniotic fluid. Which of the following actions should the nurse take first?
A. Perform a vaginal examination to check for cord prolapse.
B. Notify the provider of the findings.
🟢 C. Monitor the fetal heart rate pattern.
D. Prepare the client for an emergency cesarean birth.
🔴 RATIONALE: The first action the nurse should take following the rupture of membranes is to assess the fetal heart rate to ensure fetal well-being
and detect potential cord compression.
7. A nurse is reinforcing discharge teaching with the guardian of a toddler who has a new diagnosis of celiac disease. Which of the following
food choices should the nurse recommend?
A. Whole wheat crackers
B. Barley soup
🟢 C. Rice cakes
D. Rye bread
🔴 RATIONALE: Clients with celiac disease must follow a gluten-free diet. Rice is gluten-free, whereas wheat, barley, and rye contain gluten and
must be avoided.
8. A nurse is preparing to administer an intramuscular injection to an infant. Which of the following sites should the nurse select?
A. Dorsogluteal
B. Deltoid
🟢 C. Vastus lateralis
D. Ventrogluteal
🔴 RATIONALE: The vastus lateralis is the preferred site for IM injections in infants because it is the most developed muscle mass at that age.
