1
ATI PN EXIT Comprehensive
Predictor Exit Level 3 Exam 2026 – 160
NGN-Style Practice Questions with
Answers and Rationales
SECTION 1: QUESTIONS 1–40
1. A PN is caring for a client with heart failure. Which assessment finding requires
immediate intervention?
A. Bilateral +2 pitting edema
B. Crackles in lung bases
C. Weight gain of 2 kg in 2 days
D. Oxygen saturation 91% on room air
☑ CORRECT ANSWERD
Rationale: An SpO2 of 91% indicates hypoxemia and requires immediate
intervention such as supplemental oxygen. Crackles and edema are expected in
heart failure, and 2 kg weight gain over 2 days is significant but not immediately
life-threatening.
, 2
2. A client post-hip replacement reports sudden shortness of breath and chest
pain. What is the priority action?
A. Administer PRN oxygen
B. Apply sequential compression devices
C. Notify the provider
D. Elevate the head of the bed
☑ CORRECT ANSWERD
Rationale: Elevating HOB improves ventilation and oxygenation. Then notify
provider and administer oxygen. This presentation suggests pulmonary embolism.
3. (SATA) A PN is reinforcing teaching about fall prevention for an older adult.
Which interventions should be included?
A. Remove loose rugs
B. Use nightlights in hallways
C. Install grab bars in shower
D. Wear socks without grips
E. Keep walkways clear of cords
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☑ CORRECT ANSWERA, B, C, E
Rationale: Socks without grips increase fall risk. All other options reduce fall risk.
4. (Ordered Response) Place the steps for sterile glove application in correct order:
1. Open inner package without touching gloves
2. Pick up first glove by folded cuff
3. Insert hand without touching outside
4. Pick up second glove with bare fingers inside cuff
5. Adjust fingers once both gloves are on
☑ CORRECT ANSWER1, 2, 3, 4, 5
Rationale: Standard sterile gloving technique prevents contamination of outer
glove surfaces.
5. A client with type 2 diabetes has a blood glucose of 45 mg/dL and is conscious.
What should the PN administer first?
A. 15g carbohydrate snack (e.g., 4 oz juice)
, 4
B. Glucagon IM
C. 50% dextrose IV
D. Regular insulin SQ
☑ CORRECT ANSWERA
Rationale: For conscious hypoglycemia, oral fast-acting carbohydrate (15g) is first-
line. Glucagon/IV dextrose are for unconscious patients.
6. (Bow-tie) A client has major depressive disorder and reports suicidal ideation
with a plan.
Condition: Suicide risk
Left side (Actions to take): (Select one)
• Place on 1:1 observation → Correct
• Give PRN lorazepam
• Discharge to home
Right side (Parameters to monitor): (Select one)
• Appetite
• Sleep patterns
ATI PN EXIT Comprehensive
Predictor Exit Level 3 Exam 2026 – 160
NGN-Style Practice Questions with
Answers and Rationales
SECTION 1: QUESTIONS 1–40
1. A PN is caring for a client with heart failure. Which assessment finding requires
immediate intervention?
A. Bilateral +2 pitting edema
B. Crackles in lung bases
C. Weight gain of 2 kg in 2 days
D. Oxygen saturation 91% on room air
☑ CORRECT ANSWERD
Rationale: An SpO2 of 91% indicates hypoxemia and requires immediate
intervention such as supplemental oxygen. Crackles and edema are expected in
heart failure, and 2 kg weight gain over 2 days is significant but not immediately
life-threatening.
, 2
2. A client post-hip replacement reports sudden shortness of breath and chest
pain. What is the priority action?
A. Administer PRN oxygen
B. Apply sequential compression devices
C. Notify the provider
D. Elevate the head of the bed
☑ CORRECT ANSWERD
Rationale: Elevating HOB improves ventilation and oxygenation. Then notify
provider and administer oxygen. This presentation suggests pulmonary embolism.
3. (SATA) A PN is reinforcing teaching about fall prevention for an older adult.
Which interventions should be included?
A. Remove loose rugs
B. Use nightlights in hallways
C. Install grab bars in shower
D. Wear socks without grips
E. Keep walkways clear of cords
, 3
☑ CORRECT ANSWERA, B, C, E
Rationale: Socks without grips increase fall risk. All other options reduce fall risk.
4. (Ordered Response) Place the steps for sterile glove application in correct order:
1. Open inner package without touching gloves
2. Pick up first glove by folded cuff
3. Insert hand without touching outside
4. Pick up second glove with bare fingers inside cuff
5. Adjust fingers once both gloves are on
☑ CORRECT ANSWER1, 2, 3, 4, 5
Rationale: Standard sterile gloving technique prevents contamination of outer
glove surfaces.
5. A client with type 2 diabetes has a blood glucose of 45 mg/dL and is conscious.
What should the PN administer first?
A. 15g carbohydrate snack (e.g., 4 oz juice)
, 4
B. Glucagon IM
C. 50% dextrose IV
D. Regular insulin SQ
☑ CORRECT ANSWERA
Rationale: For conscious hypoglycemia, oral fast-acting carbohydrate (15g) is first-
line. Glucagon/IV dextrose are for unconscious patients.
6. (Bow-tie) A client has major depressive disorder and reports suicidal ideation
with a plan.
Condition: Suicide risk
Left side (Actions to take): (Select one)
• Place on 1:1 observation → Correct
• Give PRN lorazepam
• Discharge to home
Right side (Parameters to monitor): (Select one)
• Appetite
• Sleep patterns
