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ATI PN COMPREHENSIVE PREDICTOR 2026
EXIT EXAM WITH NGN COMPLETE PRACTICE
EXAM – QUESTIONS 1-220 WITH RATIONALES
QUESTION 1: A PN is caring for four clients at the start of the shift. Which client should be
assessed FIRST?
A) Client with diabetes requesting pain medication for neuropathy
B) Client with COPD who has a new cough producing green sputum
C) Client post-op day 1 with new-onset confusion and BP 88/50
D) Client with a fractured tibia requesting help to the bathroom
☑ CorreCt Answer: : C
Rationale: New confusion + hypotension suggests possible sepsis, hemorrhage, or shock —
unstable priority. Airway and circulation precede stable complaints .
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QUESTION 2: Which client can be assigned to a PN (LPN/LVN) under RN supervision?
A) Client newly diagnosed with unstable angina on a titratable heparin drip
B) Client with stable congestive heart failure receiving daily furosemide
C) Client requiring blood transfusion for symptomatic anemia
D) Client with chest tube and continuous bubbling in water seal chamber
☑ CorreCt Answer: : B
Rationale: Stable CHF on routine diuretic is within PN scope. Titratable drips, blood
transfusions, and chest tube troubleshooting are typically RN scope .
QUESTION 3: A charge nurse is assigning staff for the shift. Which client should be assigned to
an RN rather than a PN?
A) A client with stable CHF receiving daily Lasix
B) A client requiring a blood transfusion for symptomatic anemia
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C) A client with a new diagnosis of diabetes needing insulin instruction
D) A client with a PEG tube requiring intermittent feedings
☑ CorreCt Answer: : C
Rationale: Client education (specifically initial instruction) falls under the scope of the RN, as it
requires complex assessment and evaluation of learning. PNs can reinforce teaching but cannot
perform initial patient teaching .
QUESTION 4: A nurse is delegating tasks to an assistive personnel (AP). Which task is
appropriate to delegate?
A) Administering an enema
B) Inserting an indwelling urinary catheter
C) Measuring a client's vital signs
D) Teaching a client how to use an incentive spirometer
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☑ CorreCt Answer: : C
Rationale: Measuring vital signs is within the AP's scope of practice. The nurse cannot delegate
tasks requiring nursing judgment, sterile technique, or client education .
QUESTION 5: A nurse is preparing a client for transfer to a long-term care facility. Which
information should the nurse include in the transfer report? (Select all that apply)
A) The client's advance directive status
B) The client's recent laboratory values
C) The client's current medications
D) The client's preferred activities
E) The client's code status
Correct Answers: A, B, C, D, E
Rationale: All of these are essential for continuity of care. Transfer reports must include
ATI PN COMPREHENSIVE PREDICTOR 2026
EXIT EXAM WITH NGN COMPLETE PRACTICE
EXAM – QUESTIONS 1-220 WITH RATIONALES
QUESTION 1: A PN is caring for four clients at the start of the shift. Which client should be
assessed FIRST?
A) Client with diabetes requesting pain medication for neuropathy
B) Client with COPD who has a new cough producing green sputum
C) Client post-op day 1 with new-onset confusion and BP 88/50
D) Client with a fractured tibia requesting help to the bathroom
☑ CorreCt Answer: : C
Rationale: New confusion + hypotension suggests possible sepsis, hemorrhage, or shock —
unstable priority. Airway and circulation precede stable complaints .
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QUESTION 2: Which client can be assigned to a PN (LPN/LVN) under RN supervision?
A) Client newly diagnosed with unstable angina on a titratable heparin drip
B) Client with stable congestive heart failure receiving daily furosemide
C) Client requiring blood transfusion for symptomatic anemia
D) Client with chest tube and continuous bubbling in water seal chamber
☑ CorreCt Answer: : B
Rationale: Stable CHF on routine diuretic is within PN scope. Titratable drips, blood
transfusions, and chest tube troubleshooting are typically RN scope .
QUESTION 3: A charge nurse is assigning staff for the shift. Which client should be assigned to
an RN rather than a PN?
A) A client with stable CHF receiving daily Lasix
B) A client requiring a blood transfusion for symptomatic anemia
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C) A client with a new diagnosis of diabetes needing insulin instruction
D) A client with a PEG tube requiring intermittent feedings
☑ CorreCt Answer: : C
Rationale: Client education (specifically initial instruction) falls under the scope of the RN, as it
requires complex assessment and evaluation of learning. PNs can reinforce teaching but cannot
perform initial patient teaching .
QUESTION 4: A nurse is delegating tasks to an assistive personnel (AP). Which task is
appropriate to delegate?
A) Administering an enema
B) Inserting an indwelling urinary catheter
C) Measuring a client's vital signs
D) Teaching a client how to use an incentive spirometer
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☑ CorreCt Answer: : C
Rationale: Measuring vital signs is within the AP's scope of practice. The nurse cannot delegate
tasks requiring nursing judgment, sterile technique, or client education .
QUESTION 5: A nurse is preparing a client for transfer to a long-term care facility. Which
information should the nurse include in the transfer report? (Select all that apply)
A) The client's advance directive status
B) The client's recent laboratory values
C) The client's current medications
D) The client's preferred activities
E) The client's code status
Correct Answers: A, B, C, D, E
Rationale: All of these are essential for continuity of care. Transfer reports must include
