Legit ATI PN Comprehensive Predictor Exit Exam with NGN
All 180 Questions and Answers to Pass 2026 Actual PN ATI
Comprehensive Predictor Exit Exam
Question 1
A nurse is assessing the physiological changes in a newborn immediately after birth. Which of
the following is the correct order of these physiological changes?
1. Successful feeding
2. Thermoregulation
3. Extrauterine growth
4. Spontaneous breathing
Correct Order: 4, 2, 1, 3
Correct Answer: d, b, a, c (Spontaneous breathing → Thermoregulation → Successful
feeding → Extrauterine growth)
Rationale: The correct sequence of newborn physiological transition is: (1) Spontaneous
breathing – the first and most critical change as the newborn establishes air exchange.
(2) Thermoregulation – the newborn must maintain body temperature after birth.
(3) Successful feeding – necessary for nutrition and hydration after transition. (4) Extrauterine
growth – occurs over weeks and months after the initial transition.
,Question 2
A nurse is caring for a newborn immediately after birth. Which of the following is the correct
order of nursing actions?
1. Place a hat on the newborn
2. Utilize a clean cloth to wipe the newborn's face
Correct Order: 2, 1
Correct Answer: Wipe the face first, then place a hat
Rationale: The priority is to clear the airway by wiping the newborn's face and mouth of mucus
and fluid to stimulate spontaneous breathing. After the airway is cleared and the newborn is
breathing effectively, placing a hat helps prevent heat loss through the head
(thermoregulation).
✅ Additional ATI RN Maternal Newborn Proctored Exam 2023-Style Questions (#3–200)
Below are verified-style questions with correct answers in bold and detailed rationales.
Antepartum / Prenatal Care (#3–40)
Question 3
A nurse is teaching a client at 8 weeks of gestation about expected body changes. Which of the
following statements by the client indicates an understanding of the teaching?
, A) "My blood pressure will increase during the first trimester"
B) "My heart rate will increase by about 10 to 15 beats per minute"
C) "My breathing will become slower and deeper"
D) "My body temperature will rise significantly"
Correct Answer: B
Rationale: During pregnancy, heart rate increases by 10-15 bpm due to increased metabolic
demands and increased blood volume. Blood pressure decreases in the first and second
trimesters due to progesterone-induced vasodilation. Breathing becomes deeper but not
slower. Body temperature remains stable.
Question 4
A nurse is providing teaching about folic acid to a client who is planning to become pregnant.
Which of the following statements by the client indicates an understanding of the teaching?
A) "I should take 400 to 800 mcg of folic acid daily"
B) "Folic acid will prevent me from getting gestational diabetes"
C) "I only need folic acid during the third trimester"
D) "Folic acid is important for my blood pressure"
Correct Answer: A
, Rationale: The recommended daily intake of folic acid for women of childbearing age and
during early pregnancy is 400-800 mcg to prevent neural tube defects. Folic acid does not
prevent diabetes or affect blood pressure. It should be taken before conception and through
the first trimester.
Question 5
A nurse is assessing a client at 36 weeks of gestation. Which of the following findings should the
nurse report to the provider?
A) Mild ankle edema at the end of the day
B) Braxton-Hicks contractions every 15 minutes
C) Persistent headache unrelieved by acetaminophen
D) Heartburn after eating spicy foods
Correct Answer: C
Rationale: Persistent headache unrelieved by acetaminophen may indicate preeclampsia
(hypertension and proteinuria) and requires immediate evaluation. Mild ankle edema, Braxton-
Hicks contractions, and heartburn are common third-trimester findings.
All 180 Questions and Answers to Pass 2026 Actual PN ATI
Comprehensive Predictor Exit Exam
Question 1
A nurse is assessing the physiological changes in a newborn immediately after birth. Which of
the following is the correct order of these physiological changes?
1. Successful feeding
2. Thermoregulation
3. Extrauterine growth
4. Spontaneous breathing
Correct Order: 4, 2, 1, 3
Correct Answer: d, b, a, c (Spontaneous breathing → Thermoregulation → Successful
feeding → Extrauterine growth)
Rationale: The correct sequence of newborn physiological transition is: (1) Spontaneous
breathing – the first and most critical change as the newborn establishes air exchange.
(2) Thermoregulation – the newborn must maintain body temperature after birth.
(3) Successful feeding – necessary for nutrition and hydration after transition. (4) Extrauterine
growth – occurs over weeks and months after the initial transition.
,Question 2
A nurse is caring for a newborn immediately after birth. Which of the following is the correct
order of nursing actions?
1. Place a hat on the newborn
2. Utilize a clean cloth to wipe the newborn's face
Correct Order: 2, 1
Correct Answer: Wipe the face first, then place a hat
Rationale: The priority is to clear the airway by wiping the newborn's face and mouth of mucus
and fluid to stimulate spontaneous breathing. After the airway is cleared and the newborn is
breathing effectively, placing a hat helps prevent heat loss through the head
(thermoregulation).
✅ Additional ATI RN Maternal Newborn Proctored Exam 2023-Style Questions (#3–200)
Below are verified-style questions with correct answers in bold and detailed rationales.
Antepartum / Prenatal Care (#3–40)
Question 3
A nurse is teaching a client at 8 weeks of gestation about expected body changes. Which of the
following statements by the client indicates an understanding of the teaching?
, A) "My blood pressure will increase during the first trimester"
B) "My heart rate will increase by about 10 to 15 beats per minute"
C) "My breathing will become slower and deeper"
D) "My body temperature will rise significantly"
Correct Answer: B
Rationale: During pregnancy, heart rate increases by 10-15 bpm due to increased metabolic
demands and increased blood volume. Blood pressure decreases in the first and second
trimesters due to progesterone-induced vasodilation. Breathing becomes deeper but not
slower. Body temperature remains stable.
Question 4
A nurse is providing teaching about folic acid to a client who is planning to become pregnant.
Which of the following statements by the client indicates an understanding of the teaching?
A) "I should take 400 to 800 mcg of folic acid daily"
B) "Folic acid will prevent me from getting gestational diabetes"
C) "I only need folic acid during the third trimester"
D) "Folic acid is important for my blood pressure"
Correct Answer: A
, Rationale: The recommended daily intake of folic acid for women of childbearing age and
during early pregnancy is 400-800 mcg to prevent neural tube defects. Folic acid does not
prevent diabetes or affect blood pressure. It should be taken before conception and through
the first trimester.
Question 5
A nurse is assessing a client at 36 weeks of gestation. Which of the following findings should the
nurse report to the provider?
A) Mild ankle edema at the end of the day
B) Braxton-Hicks contractions every 15 minutes
C) Persistent headache unrelieved by acetaminophen
D) Heartburn after eating spicy foods
Correct Answer: C
Rationale: Persistent headache unrelieved by acetaminophen may indicate preeclampsia
(hypertension and proteinuria) and requires immediate evaluation. Mild ankle edema, Braxton-
Hicks contractions, and heartburn are common third-trimester findings.
