ATI PN COMPREHENSIVE PREDICTOR
Master the PN Predictor: 250 NGN-Style
Questions + Detailed Rationales (2026
Edition) — NGN STYLE
Question 1
A practical nurse is reinforcing teaching with a client who has a new prescription
for metformin. Which statement by the client indicates understanding?
A) "I will take this medication with my morning meal."
B) "I should expect to gain weight while on this medication."
C) "This medication may cause my urine to turn orange."
D) "I will stop taking this medication if my blood sugar is normal."
☑ CORRECT ANSWERA
Rationale: Metformin should be taken with meals to reduce GI upset. It is weight-
neutral or may cause mild weight loss. Orange urine is seen with rifampin, not
metformin. Never stop diabetes meds without provider guidance.
Question 2 (NGN Case Study – Partial)
,*A 72-year-old client is admitted with confusion, fever, and flank pain. Urinalysis
shows leukocyte esterase and nitrites positive.*
Which 3 findings would the PN expect to report to the RN immediately? (Select
3)
A) Temperature 101.2°F (38.4°C)
B) Blood pressure 88/52 mm Hg
C) Heart rate 112 bpm
D) Urine output 40 mL/hr
E) Blood glucose 110 mg/dL
F) Oxygen saturation 94% on room air
☑ CORRECT ANSWERA, B, C
Rationale: Fever, hypotension, and tachycardia suggest possible urosepsis. Urine
output 40 mL/hr is adequate (normal >30 mL/hr). Glucose and O2 sat are within
normal limits.
Question 3
A PN is caring for a client with major depressive disorder who started sertraline 1
week ago. Which statement requires immediate follow-up?
,A) "I feel a little less tired than before."
B) "My appetite is still poor."
C) "I have more energy now but still feel sad."
D) "I figured out how to take all my pills at once if I need to."
☑ CORRECT ANSWERD
Rationale: Suggestion of overdose or self-harm requires immediate intervention.
Increased energy before mood improves is a high-risk period for suicide. Option C
is expected early in SSRI therapy.
Question 4
A PN is reinforcing discharge teaching for a client with heart failure. Which
statement indicates a need for further teaching?
A) "I will weigh myself every morning before breakfast."
B) "I can eat canned soup as long as it’s low-fat."
C) "I will report a weight gain of 3 pounds in a week."
D) "I will rest between activities."
☑ CORRECT ANSWERB
Rationale: Canned soup is high in sodium even if low-fat. Daily weight (A) is
, correct. Weight gain of 2-3 lb/week (C) should be reported. Rest (D) helps reduce
cardiac workload.
Question 5 (NGN Bowtie)
*A client post-hip replacement surgery reports sudden shortness of breath and
chest pain. O2 sat is 88% on room air.*
Fill in the bowtie:
• Top (Condition suspected): ________
• Left (Priority action): ________
• Right (Priority medication): ________
Answer:
• Condition: Pulmonary embolism
• Priority action: Apply oxygen via nasal cannula
• Priority medication: Enoxaparin (or heparin per protocol)
Rationale: Sudden dyspnea + hypoxia post-op hip surgery = PE until proven
otherwise. Oxygen first, then anticoagulation.
Master the PN Predictor: 250 NGN-Style
Questions + Detailed Rationales (2026
Edition) — NGN STYLE
Question 1
A practical nurse is reinforcing teaching with a client who has a new prescription
for metformin. Which statement by the client indicates understanding?
A) "I will take this medication with my morning meal."
B) "I should expect to gain weight while on this medication."
C) "This medication may cause my urine to turn orange."
D) "I will stop taking this medication if my blood sugar is normal."
☑ CORRECT ANSWERA
Rationale: Metformin should be taken with meals to reduce GI upset. It is weight-
neutral or may cause mild weight loss. Orange urine is seen with rifampin, not
metformin. Never stop diabetes meds without provider guidance.
Question 2 (NGN Case Study – Partial)
,*A 72-year-old client is admitted with confusion, fever, and flank pain. Urinalysis
shows leukocyte esterase and nitrites positive.*
Which 3 findings would the PN expect to report to the RN immediately? (Select
3)
A) Temperature 101.2°F (38.4°C)
B) Blood pressure 88/52 mm Hg
C) Heart rate 112 bpm
D) Urine output 40 mL/hr
E) Blood glucose 110 mg/dL
F) Oxygen saturation 94% on room air
☑ CORRECT ANSWERA, B, C
Rationale: Fever, hypotension, and tachycardia suggest possible urosepsis. Urine
output 40 mL/hr is adequate (normal >30 mL/hr). Glucose and O2 sat are within
normal limits.
Question 3
A PN is caring for a client with major depressive disorder who started sertraline 1
week ago. Which statement requires immediate follow-up?
,A) "I feel a little less tired than before."
B) "My appetite is still poor."
C) "I have more energy now but still feel sad."
D) "I figured out how to take all my pills at once if I need to."
☑ CORRECT ANSWERD
Rationale: Suggestion of overdose or self-harm requires immediate intervention.
Increased energy before mood improves is a high-risk period for suicide. Option C
is expected early in SSRI therapy.
Question 4
A PN is reinforcing discharge teaching for a client with heart failure. Which
statement indicates a need for further teaching?
A) "I will weigh myself every morning before breakfast."
B) "I can eat canned soup as long as it’s low-fat."
C) "I will report a weight gain of 3 pounds in a week."
D) "I will rest between activities."
☑ CORRECT ANSWERB
Rationale: Canned soup is high in sodium even if low-fat. Daily weight (A) is
, correct. Weight gain of 2-3 lb/week (C) should be reported. Rest (D) helps reduce
cardiac workload.
Question 5 (NGN Bowtie)
*A client post-hip replacement surgery reports sudden shortness of breath and
chest pain. O2 sat is 88% on room air.*
Fill in the bowtie:
• Top (Condition suspected): ________
• Left (Priority action): ________
• Right (Priority medication): ________
Answer:
• Condition: Pulmonary embolism
• Priority action: Apply oxygen via nasal cannula
• Priority medication: Enoxaparin (or heparin per protocol)
Rationale: Sudden dyspnea + hypoxia post-op hip surgery = PE until proven
otherwise. Oxygen first, then anticoagulation.
