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ATI PN Comprehensive Predictor Exit Level 3
Exam 2026 – 250 NGN-Style Practice Questions
With Answers and Rationales.
Question 1
A nurse is assessing a 4-month-old infant during a routine well-child visit. Which
of the following findings should the nurse report to the healthcare provider?
A. The infant rolls from the back to the abdomen.
B. The infant plays with their toes.
C. The anterior fontanel has closed.
D. The posterior fontanel has closed.
Answer: C
Rationale: The anterior fontanel normally closes between 12–18 months of age.
Closure at 4 months is premature and may indicate craniosynostosis or other
developmental abnormalities. Rolling back to abdomen and playing with toes are
expected at 4–6 months. The posterior fontanel typically closes by 2–3 months of
age.
Question 2 (originally Q2 from first screenshot)
A nurse is reinforcing teaching about toilet training with the guardians of a
toddler who has a cognitive impairment. Which of the following instructions
should the nurse include?
A. Give the toddler a sticker after each successful toileting attempt.
B. Have the toddler remain on the toilet for a minimum of 20 minutes.
C. Encourage the toddler to flush the toilet while still seated.
D. Wake the toddler every 2 hours at night to prevent bedwetting.
Answer: A
Rationale: Positive reinforcement (e.g., stickers) is effective for children with
cognitive impairments. Remaining on the toilet for 20 minutes is excessive and
,2
may cause distress. Flushing while seated can be frightening. Waking every 2
hours disrupts sleep and is not recommended; nighttime continence often
develops later in these children.
Question 3 (originally Q5 from second screenshot)
A nurse is collecting data for a client who is receiving enteral tube feedings. The
nurse should identify that which of the following findings is a manifestation of
fluid overload?
A. Crackles heard in the lungs
B. Weight loss
C. Decreased skin turgor
D. Decreased blood pressure
Answer: A
Rationale: Crackles (rales) indicate pulmonary congestion from excess fluid. Fluid
overload causes weight gain, increased blood pressure, edema, and jugular vein
distention, not weight loss, decreased turgor, or hypotension (which suggest
dehydration).
Question 4 (originally Q7 from third screenshot)
A nurse is supervising an assistive personnel (AP) who is caring for a client at risk
for falls. For which of the following actions by the AP should the nurse intervene?
A. Locks the wheels on the client's bed
B. Assists the client to the bathroom every 2 hours
C. Raises all four side rails on the client's bed
D. Clears furniture from the path leading to the bathroom
Answer: C
Rationale: Raising all four side rails is considered a restraint and increases fall risk
(climbing over) and injury risk. It is not a standard fall prevention method. Locking
,3
bed wheels, scheduled toileting, and clearing pathways are appropriate safety
actions.
Question 5 (originally Q8 from fourth screenshot)
A nurse is collecting data from a client. The nurse should identify that which of
the following manifestations is an indication of anemia?
A. Brittle nails
B. Burning with urination
C. Yellow patches in the mouth
D. Night sweats
Answer: A
Rationale: Brittle, spoon-shaped nails (koilonychia) are associated with iron
deficiency anemia. Burning with urination suggests UTI. Yellow patches in the
mouth may indicate jaundice or infection. Night sweats are linked to infections
(e.g., TB) or lymphomas.
Question 6 (originally Q9 from fifth screenshot)
A nurse is assisting with discharge planning for a client prescribed home oxygen at
1 to 2 L/min. The nurse should ensure the client has which of the following
supplies upon discharge?
A. Oxygen mask
B. Petroleum jelly
C. Reservoir bag
D. Smart camera
Answer: A
Rationale: At 1–2 L/min, a nasal cannula is standard, but an oxygen mask should
be available as backup. Petroleum jelly is flammable and should be avoided (use
, 4
water-based lubricant). Reservoir bags are for high-flow or partial rebreather
systems. Smart camera is irrelevant.
Question 7 (originally Q10 from sixth screenshot)
A nurse is reinforcing discharge teaching with the parent of a newborn. Which
statement by the parent indicates understanding?
A. "I will place my baby on his back for sleeping."
B. "I will notify my provider if my baby sleeps more than 10 hours per day."
C. "I will change my baby's diaper every 4 hours."
D. "I will limit my baby's feedings so he does not become overweight."
Answer: A
Rationale: Back sleeping reduces SIDS risk. Newborns sleep up to 16–18
hours/day; 10 hours is not a concern. Diapers should be changed every 2–3 hours
or as needed to prevent diaper dermatitis. Newborns feed on demand; restricting
feedings risks poor weight gain.
Question 8
A nurse is caring for a client with a new diagnosis of type 1 diabetes mellitus.
Which of the following findings requires immediate intervention?
A. Blood glucose 180 mg/dL
B. Fruity odor to the breath
C. Report of headache and fatigue
D. Urine output of 60 mL/hr
Answer: B
Rationale: Fruity breath odor indicates diabetic ketoacidosis (DKA), a medical
emergency. BG 180 is elevated but not critical. Headache/fatigue are common. 60
mL/hr urine output is normal (30 mL/hr minimum).
ATI PN Comprehensive Predictor Exit Level 3
Exam 2026 – 250 NGN-Style Practice Questions
With Answers and Rationales.
Question 1
A nurse is assessing a 4-month-old infant during a routine well-child visit. Which
of the following findings should the nurse report to the healthcare provider?
A. The infant rolls from the back to the abdomen.
B. The infant plays with their toes.
C. The anterior fontanel has closed.
D. The posterior fontanel has closed.
Answer: C
Rationale: The anterior fontanel normally closes between 12–18 months of age.
Closure at 4 months is premature and may indicate craniosynostosis or other
developmental abnormalities. Rolling back to abdomen and playing with toes are
expected at 4–6 months. The posterior fontanel typically closes by 2–3 months of
age.
Question 2 (originally Q2 from first screenshot)
A nurse is reinforcing teaching about toilet training with the guardians of a
toddler who has a cognitive impairment. Which of the following instructions
should the nurse include?
A. Give the toddler a sticker after each successful toileting attempt.
B. Have the toddler remain on the toilet for a minimum of 20 minutes.
C. Encourage the toddler to flush the toilet while still seated.
D. Wake the toddler every 2 hours at night to prevent bedwetting.
Answer: A
Rationale: Positive reinforcement (e.g., stickers) is effective for children with
cognitive impairments. Remaining on the toilet for 20 minutes is excessive and
,2
may cause distress. Flushing while seated can be frightening. Waking every 2
hours disrupts sleep and is not recommended; nighttime continence often
develops later in these children.
Question 3 (originally Q5 from second screenshot)
A nurse is collecting data for a client who is receiving enteral tube feedings. The
nurse should identify that which of the following findings is a manifestation of
fluid overload?
A. Crackles heard in the lungs
B. Weight loss
C. Decreased skin turgor
D. Decreased blood pressure
Answer: A
Rationale: Crackles (rales) indicate pulmonary congestion from excess fluid. Fluid
overload causes weight gain, increased blood pressure, edema, and jugular vein
distention, not weight loss, decreased turgor, or hypotension (which suggest
dehydration).
Question 4 (originally Q7 from third screenshot)
A nurse is supervising an assistive personnel (AP) who is caring for a client at risk
for falls. For which of the following actions by the AP should the nurse intervene?
A. Locks the wheels on the client's bed
B. Assists the client to the bathroom every 2 hours
C. Raises all four side rails on the client's bed
D. Clears furniture from the path leading to the bathroom
Answer: C
Rationale: Raising all four side rails is considered a restraint and increases fall risk
(climbing over) and injury risk. It is not a standard fall prevention method. Locking
,3
bed wheels, scheduled toileting, and clearing pathways are appropriate safety
actions.
Question 5 (originally Q8 from fourth screenshot)
A nurse is collecting data from a client. The nurse should identify that which of
the following manifestations is an indication of anemia?
A. Brittle nails
B. Burning with urination
C. Yellow patches in the mouth
D. Night sweats
Answer: A
Rationale: Brittle, spoon-shaped nails (koilonychia) are associated with iron
deficiency anemia. Burning with urination suggests UTI. Yellow patches in the
mouth may indicate jaundice or infection. Night sweats are linked to infections
(e.g., TB) or lymphomas.
Question 6 (originally Q9 from fifth screenshot)
A nurse is assisting with discharge planning for a client prescribed home oxygen at
1 to 2 L/min. The nurse should ensure the client has which of the following
supplies upon discharge?
A. Oxygen mask
B. Petroleum jelly
C. Reservoir bag
D. Smart camera
Answer: A
Rationale: At 1–2 L/min, a nasal cannula is standard, but an oxygen mask should
be available as backup. Petroleum jelly is flammable and should be avoided (use
, 4
water-based lubricant). Reservoir bags are for high-flow or partial rebreather
systems. Smart camera is irrelevant.
Question 7 (originally Q10 from sixth screenshot)
A nurse is reinforcing discharge teaching with the parent of a newborn. Which
statement by the parent indicates understanding?
A. "I will place my baby on his back for sleeping."
B. "I will notify my provider if my baby sleeps more than 10 hours per day."
C. "I will change my baby's diaper every 4 hours."
D. "I will limit my baby's feedings so he does not become overweight."
Answer: A
Rationale: Back sleeping reduces SIDS risk. Newborns sleep up to 16–18
hours/day; 10 hours is not a concern. Diapers should be changed every 2–3 hours
or as needed to prevent diaper dermatitis. Newborns feed on demand; restricting
feedings risks poor weight gain.
Question 8
A nurse is caring for a client with a new diagnosis of type 1 diabetes mellitus.
Which of the following findings requires immediate intervention?
A. Blood glucose 180 mg/dL
B. Fruity odor to the breath
C. Report of headache and fatigue
D. Urine output of 60 mL/hr
Answer: B
Rationale: Fruity breath odor indicates diabetic ketoacidosis (DKA), a medical
emergency. BG 180 is elevated but not critical. Headache/fatigue are common. 60
mL/hr urine output is normal (30 mL/hr minimum).
