Exit Exam Readiness: ATI PN Comprehensive
Predictor – 200 Practice Questions with
Rationales
HIGH-YIELD 50-QUESTION PRACTICE SET
Management of Care (Questions 1-8)
1. A PN is assisting with the care of a client who has a new tracheostomy. Which
action should the PN take first when the client begins coughing violently and has
decreased oxygen saturation?
A. Suction the tracheostomy
B. Call the charge nurse
C. Deflate the tracheostomy cuff
D. Remove the inner cannula
☑ CORRECT ANSWERA – Airway obstruction is the priority. Suctioning removes
secretions causing the cough and desaturation.
2. A charge nurse is making assignments for a PN. Which client should be assigned
to the PN?
A. A client 1 hour post-cardiac catheterization with groin bleeding
,B. A client with new-onset confusion and hypotension
C. A stable client with diabetes requiring routine insulin administration
D. A client requiring initial admission assessment
☑ CORRECT ANSWERC – Stable clients with routine, predictable care (like
scheduled insulin) are appropriate for PN assignment. Bleeding, confusion, and
initial assessments require RN supervision.
3. A nurse is reviewing informed consent with a client scheduled for surgery.
Which statement by the client indicates a need for further teaching?
A. "I can change my mind after signing the form"
B. "My doctor explained the risks of the procedure"
C. "I signed the form because my spouse told me to"
D. "I understand I might need a blood transfusion"
☑ CORRECT ANSWERC – Consent must be voluntary and not coerced. Signing
because someone else insisted invalidates informed consent.
4. A PN observes an RN removing a client's Foley catheter without wearing gloves.
Which action should the PN take?
A. Report the RN to the nurse manager immediately
B. Say nothing to avoid conflict with the RN
,C. Remind the RN to follow standard precautions
D. Document the observation in the client's chart
☑ CORRECT ANSWERC – The PN should address the behavior directly and
professionally at the time it occurs. Reporting immediately without addressing
first may be premature.
5. A client tells the PN, "I don't want any more chemotherapy. I'm done." Which
response is most appropriate?
A. "You should discuss this with your oncologist first"
B. "Tell me more about what led to this decision"
C. "But the treatment has been working well"
D. "Your family wants you to continue"
☑ CORRECT ANSWERB – The nurse should explore the client's feelings and
reasons without judgment. The client has the right to refuse treatment.
6. A PN is assisting with discharge teaching for a client with a new colostomy.
Which statement by the client indicates understanding?
A. "I will change my pouch every day"
B. "I should avoid foods high in fiber"
, C. "I will empty my pouch when it is one-third full"
D. "I can go back to heavy lifting next week"
☑ CORRECT ANSWERC – Pouches should be emptied when 1/3 to 1/2 full to
prevent leakage and skin breakdown. Changing daily is unnecessary (every 3-7
days typically).
7. A client is being transferred from the ICU to the medical-surgical unit. Which
information must the PN receive during handoff?
A. The client's religion and spiritual preferences
B. The client's insurance information
C. The client's most recent vital signs and pending lab results
D. The name of the client's primary care physician
☑ CORRECT ANSWERC – Clinical information including vital signs, pending
results, and ongoing issues is essential for safe handoff. Administrative
information can be obtained elsewhere.
8. A PN notes that a client's prescribed dose of metoprolol is 50 mg but the
medication administration record (MAR) shows 25 mg. What should the PN do
first?
A. Administer 25 mg as written
Predictor – 200 Practice Questions with
Rationales
HIGH-YIELD 50-QUESTION PRACTICE SET
Management of Care (Questions 1-8)
1. A PN is assisting with the care of a client who has a new tracheostomy. Which
action should the PN take first when the client begins coughing violently and has
decreased oxygen saturation?
A. Suction the tracheostomy
B. Call the charge nurse
C. Deflate the tracheostomy cuff
D. Remove the inner cannula
☑ CORRECT ANSWERA – Airway obstruction is the priority. Suctioning removes
secretions causing the cough and desaturation.
2. A charge nurse is making assignments for a PN. Which client should be assigned
to the PN?
A. A client 1 hour post-cardiac catheterization with groin bleeding
,B. A client with new-onset confusion and hypotension
C. A stable client with diabetes requiring routine insulin administration
D. A client requiring initial admission assessment
☑ CORRECT ANSWERC – Stable clients with routine, predictable care (like
scheduled insulin) are appropriate for PN assignment. Bleeding, confusion, and
initial assessments require RN supervision.
3. A nurse is reviewing informed consent with a client scheduled for surgery.
Which statement by the client indicates a need for further teaching?
A. "I can change my mind after signing the form"
B. "My doctor explained the risks of the procedure"
C. "I signed the form because my spouse told me to"
D. "I understand I might need a blood transfusion"
☑ CORRECT ANSWERC – Consent must be voluntary and not coerced. Signing
because someone else insisted invalidates informed consent.
4. A PN observes an RN removing a client's Foley catheter without wearing gloves.
Which action should the PN take?
A. Report the RN to the nurse manager immediately
B. Say nothing to avoid conflict with the RN
,C. Remind the RN to follow standard precautions
D. Document the observation in the client's chart
☑ CORRECT ANSWERC – The PN should address the behavior directly and
professionally at the time it occurs. Reporting immediately without addressing
first may be premature.
5. A client tells the PN, "I don't want any more chemotherapy. I'm done." Which
response is most appropriate?
A. "You should discuss this with your oncologist first"
B. "Tell me more about what led to this decision"
C. "But the treatment has been working well"
D. "Your family wants you to continue"
☑ CORRECT ANSWERB – The nurse should explore the client's feelings and
reasons without judgment. The client has the right to refuse treatment.
6. A PN is assisting with discharge teaching for a client with a new colostomy.
Which statement by the client indicates understanding?
A. "I will change my pouch every day"
B. "I should avoid foods high in fiber"
, C. "I will empty my pouch when it is one-third full"
D. "I can go back to heavy lifting next week"
☑ CORRECT ANSWERC – Pouches should be emptied when 1/3 to 1/2 full to
prevent leakage and skin breakdown. Changing daily is unnecessary (every 3-7
days typically).
7. A client is being transferred from the ICU to the medical-surgical unit. Which
information must the PN receive during handoff?
A. The client's religion and spiritual preferences
B. The client's insurance information
C. The client's most recent vital signs and pending lab results
D. The name of the client's primary care physician
☑ CORRECT ANSWERC – Clinical information including vital signs, pending
results, and ongoing issues is essential for safe handoff. Administrative
information can be obtained elsewhere.
8. A PN notes that a client's prescribed dose of metoprolol is 50 mg but the
medication administration record (MAR) shows 25 mg. What should the PN do
first?
A. Administer 25 mg as written
