ATI PN COMPREHENSIVE PREDICTOR EXIT EXAM 2026 NGN PRACTICE EXAM
STUDY GUIDE TESTBANK LATEST UPDATE 2026/2027 QUESTIONS AND 100%
CORRECT ANSWERS
Table of Contents
I. Fundamentals of Nursing Practice
II. Adult Medical-Surgical Nursing
III. Pharmacology and Medication Administration
IV. Maternal-Newborn Nursing
V. Pediatric Nursing
VI. Mental Health Nursing
VII. Leadership, Delegation, and Management of Care
VIII. Safety and Infection Control
IX. Health Promotion and Disease Prevention
X. Clinical Judgment and Next Generation Nursing Concepts
This practice examination is designed to assess the knowledge, clinical judgment, and
decision-making abilities expected of practical nursing candidates preparing for a
comprehensive predictor exit examination. The questions cover essential nursing
concepts across medical-surgical, maternal-newborn, pediatric, mental health,
pharmacology, leadership, and safety domains. Emphasis is placed on clinical
reasoning, prioritization, patient-centered care, and application of evidence-based
nursing principles. Candidates should expect scenario-based and application-focused
questions that reflect current nursing standards and realistic clinical situations.
Successful performance requires integration of knowledge, sound judgment, and the
ability to identify safe and effective nursing interventions in diverse healthcare
settings.
Question 1
A client with heart failure reports increasing shortness of breath and a weight gain of
2.3 kg (5 lb) in 3 days. Which finding should the nurse identify as the priority?
A. Decreased appetite
B. Bilateral crackles in the lungs
,C. Mild fatigue
D. Constipation
Correct Answer: B
Explanation: Bilateral crackles indicate fluid accumulation in the lungs and possible
pulmonary edema. Airway and breathing concerns take priority over appetite changes,
fatigue, or constipation.
Question 2
A nurse is caring for a client receiving warfarin therapy. Which laboratory value
should the nurse monitor most closely?
A. Hemoglobin A1C
B. Serum potassium
C. International Normalized Ratio (INR)
D. Creatinine kinase
Correct Answer: C
Explanation: INR is used to evaluate the effectiveness and safety of warfarin therapy.
Therapeutic ranges help reduce the risk of thrombosis while minimizing bleeding
complications.
Question 3
A client with type 1 diabetes becomes diaphoretic, shaky, and confused. Which
action should the nurse take first?
A. Administer insulin
B. Check the client's blood glucose level
C. Encourage ambulation
D. Restrict oral fluids
,Correct Answer: B
Explanation: The symptoms suggest hypoglycemia. The nurse should first verify the
blood glucose level and then implement appropriate treatment based on findings.
Question 4
A nurse is reinforcing teaching about infection prevention with a client who has
neutropenia. Which statement by the client indicates understanding?
A. "I will avoid fresh flowers in my room."
B. "I should receive live vaccines."
C. "I can eat raw seafood if it is fresh."
D. "I do not need to wash my hands frequently."
Correct Answer: A
Explanation: Fresh flowers may harbor microorganisms. Clients with neutropenia
should avoid potential sources of infection and practice meticulous hand hygiene.
Question 5
A nurse is caring for a client experiencing an acute asthma exacerbation. Which
assessment finding indicates improvement?
A. Increased use of accessory muscles
B. Oxygen saturation decreasing to 88%
C. Wheezing absent with improved air movement
D. Respiratory rate increasing to 36/min
Correct Answer: C
Explanation: Improved air movement with reduced respiratory distress suggests
effective treatment. Accessory muscle use, low oxygen saturation, and tachypnea
indicate worsening respiratory status.
, Question 6
A nurse is caring for a postpartum client who saturates a perineal pad within 15
minutes. What is the nurse's priority action?
A. Encourage oral fluids
B. Assess fundal tone
C. Document the findings
D. Obtain a routine hemoglobin level
Correct Answer: B
Explanation: Excessive bleeding may indicate uterine atony. Assessing fundal tone is a
priority because prompt intervention can reduce postpartum hemorrhage.
Question 7
A nurse is caring for a child with dehydration. Which assessment finding indicates
moderate dehydration?
A. Bradycardia
B. Moist mucous membranes
C. Delayed capillary refill
D. Weight gain
Correct Answer: C
Explanation: Delayed capillary refill is a common sign of dehydration due to reduced
circulating volume. Moist mucous membranes and weight gain suggest adequate
hydration.
Question 8
A nurse is caring for a client who reports chest pain radiating to the left arm. Which
action should the nurse take first?
STUDY GUIDE TESTBANK LATEST UPDATE 2026/2027 QUESTIONS AND 100%
CORRECT ANSWERS
Table of Contents
I. Fundamentals of Nursing Practice
II. Adult Medical-Surgical Nursing
III. Pharmacology and Medication Administration
IV. Maternal-Newborn Nursing
V. Pediatric Nursing
VI. Mental Health Nursing
VII. Leadership, Delegation, and Management of Care
VIII. Safety and Infection Control
IX. Health Promotion and Disease Prevention
X. Clinical Judgment and Next Generation Nursing Concepts
This practice examination is designed to assess the knowledge, clinical judgment, and
decision-making abilities expected of practical nursing candidates preparing for a
comprehensive predictor exit examination. The questions cover essential nursing
concepts across medical-surgical, maternal-newborn, pediatric, mental health,
pharmacology, leadership, and safety domains. Emphasis is placed on clinical
reasoning, prioritization, patient-centered care, and application of evidence-based
nursing principles. Candidates should expect scenario-based and application-focused
questions that reflect current nursing standards and realistic clinical situations.
Successful performance requires integration of knowledge, sound judgment, and the
ability to identify safe and effective nursing interventions in diverse healthcare
settings.
Question 1
A client with heart failure reports increasing shortness of breath and a weight gain of
2.3 kg (5 lb) in 3 days. Which finding should the nurse identify as the priority?
A. Decreased appetite
B. Bilateral crackles in the lungs
,C. Mild fatigue
D. Constipation
Correct Answer: B
Explanation: Bilateral crackles indicate fluid accumulation in the lungs and possible
pulmonary edema. Airway and breathing concerns take priority over appetite changes,
fatigue, or constipation.
Question 2
A nurse is caring for a client receiving warfarin therapy. Which laboratory value
should the nurse monitor most closely?
A. Hemoglobin A1C
B. Serum potassium
C. International Normalized Ratio (INR)
D. Creatinine kinase
Correct Answer: C
Explanation: INR is used to evaluate the effectiveness and safety of warfarin therapy.
Therapeutic ranges help reduce the risk of thrombosis while minimizing bleeding
complications.
Question 3
A client with type 1 diabetes becomes diaphoretic, shaky, and confused. Which
action should the nurse take first?
A. Administer insulin
B. Check the client's blood glucose level
C. Encourage ambulation
D. Restrict oral fluids
,Correct Answer: B
Explanation: The symptoms suggest hypoglycemia. The nurse should first verify the
blood glucose level and then implement appropriate treatment based on findings.
Question 4
A nurse is reinforcing teaching about infection prevention with a client who has
neutropenia. Which statement by the client indicates understanding?
A. "I will avoid fresh flowers in my room."
B. "I should receive live vaccines."
C. "I can eat raw seafood if it is fresh."
D. "I do not need to wash my hands frequently."
Correct Answer: A
Explanation: Fresh flowers may harbor microorganisms. Clients with neutropenia
should avoid potential sources of infection and practice meticulous hand hygiene.
Question 5
A nurse is caring for a client experiencing an acute asthma exacerbation. Which
assessment finding indicates improvement?
A. Increased use of accessory muscles
B. Oxygen saturation decreasing to 88%
C. Wheezing absent with improved air movement
D. Respiratory rate increasing to 36/min
Correct Answer: C
Explanation: Improved air movement with reduced respiratory distress suggests
effective treatment. Accessory muscle use, low oxygen saturation, and tachypnea
indicate worsening respiratory status.
, Question 6
A nurse is caring for a postpartum client who saturates a perineal pad within 15
minutes. What is the nurse's priority action?
A. Encourage oral fluids
B. Assess fundal tone
C. Document the findings
D. Obtain a routine hemoglobin level
Correct Answer: B
Explanation: Excessive bleeding may indicate uterine atony. Assessing fundal tone is a
priority because prompt intervention can reduce postpartum hemorrhage.
Question 7
A nurse is caring for a child with dehydration. Which assessment finding indicates
moderate dehydration?
A. Bradycardia
B. Moist mucous membranes
C. Delayed capillary refill
D. Weight gain
Correct Answer: C
Explanation: Delayed capillary refill is a common sign of dehydration due to reduced
circulating volume. Moist mucous membranes and weight gain suggest adequate
hydration.
Question 8
A nurse is caring for a client who reports chest pain radiating to the left arm. Which
action should the nurse take first?
