ATI PN COMPREHENSIVE PREDICTOR PRACTICE TEST EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)
PLUS RATIONALES 2026
Q&A |LATEST EXAM UPDATE 2026/2027..
*CORE DOMAINS*
*Medical-Surgical Nursing*
*Pharmacology and Parenteral Therapies*
*Maternal-Newborn Nursing*
*Nursing Care of Children*
*Mental Health Nursing*
*Nursing Leadership and Management*
*Fundamentals of Nursing*
*Nutrition and Oral Hydration*
*INTRODUCTION*
The purpose of this practice examination is to prepare nursing candidates for the comprehensive assessment of clinical knowledge and
critical thinking skills. This exam covers core nursing domains, evaluating the ability to apply theoretical concepts to real-world clinical
scenarios. Candidates are tested on their capacity to make safe, effective, and ethical decisions in diverse healthcare settings. The structure
consists of multiple-choice and scenario-based questions that prioritize the nursing process and patient safety. Successful completion
requires the integration of foundational theory, regulatory compliance, and evidence-based practice to ensure readiness for professional
nursing licensure and entry-level practice.
SECTION ONE: QUESTIONS 1–100
A nurse is caring for a client who has a prescription for potassium chloride 20 mEq PO daily. Which of the following actions should the
nurse take first?
A. Administer the medication with a full glass of water.
B. Check the client’s most recent serum potassium level.
C. Instruct the client to remain upright for 30 minutes.
D. Assess the client’s blood pressure.
🟢B
,🔴 RATIONALE: The nurse must ensure patient safety by verifying that the client’s potassium levels are not already high before
administering a supplement, as hyperkalemia is a life-threatening condition.
A nurse is caring for a client who is postoperative following a total hip arthroplasty. Which of the following findings should the nurse
report to the provider immediately?
A. Serosanguineous drainage on the dressing.
B. A sudden onset of shortness of breath and chest pain.
C. A heart rate of 88/min.
D. A pain level of 4 on a scale of 0 to 10.
🟢B
🔴 RATIONALE: Shortness of breath and chest pain following surgery are classic signs of a pulmonary embolism, which is a medical
emergency.
A nurse is caring for a client who has type 1 diabetes mellitus and reports feeling shaky, sweaty, and confused. Which of the following
actions should the nurse take?
A. Administer insulin lispro.
B. Provide 15 g of rapid-acting carbohydrates.
C. Document the findings and recheck in 1 hour.
D. Administer an intramuscular injection of glucagon.
🟢B
🔴 RATIONALE: The client is exhibiting signs of hypoglycemia. Providing 15 g of rapid-acting carbohydrates is the initial intervention
for a conscious client.
A nurse is reviewing a client's medication administration record. Which of the following medications should the nurse identify as a
medication error if administered to a client who has a history of asthma?
A. Lisinopril
B. Propranolol
C. Metformin
D. Atorvastatin
🟢B
🔴 RATIONALE: Propranolol is a non-selective beta-blocker that can cause bronchoconstriction, which is contraindicated in clients
who have asthma.
A nurse is performing a physical assessment on a newborn. Which of the following findings should the nurse document as an expected
finding?
A. Acrocyanosis
B. Jaundice on the trunk
, C. Nasal flaring
D. Grunting
🟢A
🔴 RATIONALE: Acrocyanosis, or bluish discoloration of the hands and feet, is a common and expected finding in newborns during the
first 24 hours of life.
A nurse is caring for a client who has major depressive disorder and reports that life is no longer worth living. Which of the following
statements is the priority response by the nurse?
A. It sounds like you are going through a difficult time.
B. Have you thought about how you would end your life?
C. You should talk to your family about these feelings.
D. Everything will get better with time and treatment.
🟢B
🔴 RATIONALE: Assessing for a specific plan is the priority when a client expresses suicidal ideation to determine the immediate risk
of harm.
A nurse is providing discharge teaching to a client who has a new prescription for warfarin. Which of the following statements by the
client indicates an understanding of the teaching?
A. I will increase my intake of dark green leafy vegetables.
B. I will use a soft-bristled toothbrush for oral hygiene.
C. I can take aspirin if I develop a headache.
D. I should avoid using an electric razor.
🟢B
🔴 RATIONALE: Warfarin increases bleeding risk; using a soft-bristled toothbrush helps prevent gum trauma and bleeding.
A nurse is caring for a client who is in the active phase of labor. The nurse notes that the fetal heart rate is 100/min. Which of the
following actions should the nurse take?
A. Place the client in a supine position.
B. Increase the rate of the intravenous fluids.
C. Prepare for an immediate cesarean birth.
D. Turn the client to their side.
🟢D
🔴 RATIONALE: Turning the client to a side-lying position increases placental perfusion and is the priority intervention for fetal
bradycardia.
PLUS RATIONALES 2026
Q&A |LATEST EXAM UPDATE 2026/2027..
*CORE DOMAINS*
*Medical-Surgical Nursing*
*Pharmacology and Parenteral Therapies*
*Maternal-Newborn Nursing*
*Nursing Care of Children*
*Mental Health Nursing*
*Nursing Leadership and Management*
*Fundamentals of Nursing*
*Nutrition and Oral Hydration*
*INTRODUCTION*
The purpose of this practice examination is to prepare nursing candidates for the comprehensive assessment of clinical knowledge and
critical thinking skills. This exam covers core nursing domains, evaluating the ability to apply theoretical concepts to real-world clinical
scenarios. Candidates are tested on their capacity to make safe, effective, and ethical decisions in diverse healthcare settings. The structure
consists of multiple-choice and scenario-based questions that prioritize the nursing process and patient safety. Successful completion
requires the integration of foundational theory, regulatory compliance, and evidence-based practice to ensure readiness for professional
nursing licensure and entry-level practice.
SECTION ONE: QUESTIONS 1–100
A nurse is caring for a client who has a prescription for potassium chloride 20 mEq PO daily. Which of the following actions should the
nurse take first?
A. Administer the medication with a full glass of water.
B. Check the client’s most recent serum potassium level.
C. Instruct the client to remain upright for 30 minutes.
D. Assess the client’s blood pressure.
🟢B
,🔴 RATIONALE: The nurse must ensure patient safety by verifying that the client’s potassium levels are not already high before
administering a supplement, as hyperkalemia is a life-threatening condition.
A nurse is caring for a client who is postoperative following a total hip arthroplasty. Which of the following findings should the nurse
report to the provider immediately?
A. Serosanguineous drainage on the dressing.
B. A sudden onset of shortness of breath and chest pain.
C. A heart rate of 88/min.
D. A pain level of 4 on a scale of 0 to 10.
🟢B
🔴 RATIONALE: Shortness of breath and chest pain following surgery are classic signs of a pulmonary embolism, which is a medical
emergency.
A nurse is caring for a client who has type 1 diabetes mellitus and reports feeling shaky, sweaty, and confused. Which of the following
actions should the nurse take?
A. Administer insulin lispro.
B. Provide 15 g of rapid-acting carbohydrates.
C. Document the findings and recheck in 1 hour.
D. Administer an intramuscular injection of glucagon.
🟢B
🔴 RATIONALE: The client is exhibiting signs of hypoglycemia. Providing 15 g of rapid-acting carbohydrates is the initial intervention
for a conscious client.
A nurse is reviewing a client's medication administration record. Which of the following medications should the nurse identify as a
medication error if administered to a client who has a history of asthma?
A. Lisinopril
B. Propranolol
C. Metformin
D. Atorvastatin
🟢B
🔴 RATIONALE: Propranolol is a non-selective beta-blocker that can cause bronchoconstriction, which is contraindicated in clients
who have asthma.
A nurse is performing a physical assessment on a newborn. Which of the following findings should the nurse document as an expected
finding?
A. Acrocyanosis
B. Jaundice on the trunk
, C. Nasal flaring
D. Grunting
🟢A
🔴 RATIONALE: Acrocyanosis, or bluish discoloration of the hands and feet, is a common and expected finding in newborns during the
first 24 hours of life.
A nurse is caring for a client who has major depressive disorder and reports that life is no longer worth living. Which of the following
statements is the priority response by the nurse?
A. It sounds like you are going through a difficult time.
B. Have you thought about how you would end your life?
C. You should talk to your family about these feelings.
D. Everything will get better with time and treatment.
🟢B
🔴 RATIONALE: Assessing for a specific plan is the priority when a client expresses suicidal ideation to determine the immediate risk
of harm.
A nurse is providing discharge teaching to a client who has a new prescription for warfarin. Which of the following statements by the
client indicates an understanding of the teaching?
A. I will increase my intake of dark green leafy vegetables.
B. I will use a soft-bristled toothbrush for oral hygiene.
C. I can take aspirin if I develop a headache.
D. I should avoid using an electric razor.
🟢B
🔴 RATIONALE: Warfarin increases bleeding risk; using a soft-bristled toothbrush helps prevent gum trauma and bleeding.
A nurse is caring for a client who is in the active phase of labor. The nurse notes that the fetal heart rate is 100/min. Which of the
following actions should the nurse take?
A. Place the client in a supine position.
B. Increase the rate of the intravenous fluids.
C. Prepare for an immediate cesarean birth.
D. Turn the client to their side.
🟢D
🔴 RATIONALE: Turning the client to a side-lying position increases placental perfusion and is the priority intervention for fetal
bradycardia.
