Virtual ATI PN Comprehensive Predictor
Exam Updated 2026 | 200+ Practice
Questions & Verified Answers | Complete
NCLEX-PN Readiness Review, Comprehensive
Predictor Study Guide, ATI PN Exam Prep
Test Bank, NGN Clinical Judgment,
Pharmacology, Adult Health, Maternal-
Newborn, Pediatrics, Mental Health,
Leadership, Priority Setting, Detailed
Rationales
Question 1: A nurse is reinforcing teaching with a client who has a new
prescription for a metered-dose inhaler (MDI) with a spacer. Which of the
following actions by the client indicates an understanding of the teaching?
A. Inhales rapidly upon actuation of the MDI
B. Holds the breath for 10 seconds after inhaling the medication
C. Places the spacer in the mouth before actuating the MDI
D. Activates the MDI before placing the spacer in the mouth
CORRECT ANSWER: B. Holds the breath for 10 seconds after inhaling the
medication
Rationale: Holding the breath for 5 to 10 seconds after inhaling the medication allows
for maximum deposition of the aerosolized medication in the lungs. Inhaling rapidly can
cause the medication to impact the oropharynx. The spacer should be placed in the
mouth first, followed by actuation of the MDI.
Question 2: A charge nurse is observing a newly licensed nurse perform a
sterile dressing change. Which of the following actions should the charge nurse
identify as a breach of sterile technique?
A. Opens the sterile package away from the body
B. Holds sterile objects above the waist
C. Places the sterile field within 2.5 cm (1 in) of the edge of the table
D. Sets up the sterile field before applying sterile gloves
CORRECT ANSWER: C. Places the sterile field within 2.5 cm (1 in) of the edge
of the table
Rationale: A sterile field must be at least 2.5 cm (1 inch) from the edge of the table, as
the edges are considered unsterile. Opening the package away from the body, holding
objects above the waist, and setting up the field before gloving are all appropriate sterile
techniques.
,Question 3: A nurse is monitoring a client who is receiving a blood transfusion.
Which of the following findings indicates a hemolytic transfusion reaction?
A. Flank pain and chills
B. Hypertension and bradycardia
C. Urticaria and wheezing
D. Fever and hypotension
CORRECT ANSWER: A. Flank pain and chills
Rationale: Hemolytic transfusion reactions occur when the recipient's antibodies attack
the donor's RBCs. Manifestations include low back/flank pain, chills, fever, tachycardia,
tachypnea, hypotension, and hemoglobinuria. Urticaria and wheezing are signs of an
allergic reaction.
Question 4: A nurse is caring for a client with a new diagnosis of type 1
diabetes mellitus. Which of the following statements by the client indicates a
need for further teaching regarding foot care?
A. "I will trim my toenails straight across."
B. "I will soak my feet in hot water daily."
C. "I will apply lotion to my feet but not between my toes."
D. "I will wear white cotton socks."
CORRECT ANSWER: B. "I will soak my feet in hot water daily."
Rationale: Clients with diabetes should not soak their feet in hot water due to the risk of
burns from decreased sensation. They should test water temperature with their elbow.
Trimming nails straight across, applying lotion, and wearing white cotton socks are
appropriate foot care practices.
Question 5: A nurse is preparing to administer a continuous enteral feeding via
a nasogastric tube. Which of the following actions should the nurse take first?
A. Elevate the head of the bed to 30 degrees
B. Verify tube placement by aspirating gastric contents
C. Flush the tube with 30 mL of water
D. Connect the feeding bag to the tubing
CORRECT ANSWER: B. Verify tube placement by aspirating gastric contents
Rationale: The first action is to verify tube placement to prevent aspiration and ensure
the feeding goes into the stomach. Elevating the head of the bed is important but done
after verifying placement.
Question 6: A nurse is reinforcing teaching with a client about prescribed
enoxaparin. Which of the following statements by the client indicates
understanding?
A. "I should expect blood in my urine."
B. "I will inject the medication into my abdomen."
,C. "I will massage the site after the injection."
D. "I can take aspirin for a headache while on this medication."
CORRECT ANSWER: B. "I will inject the medication into my abdomen."
Rationale: Enoxaparin is administered subcutaneously into the abdomen, at least 5 cm
away from the umbilicus. The site should not be massaged, and patients should avoid
NSAIDs and aspirin due to increased bleeding risk. Blood in urine should be reported.
Question 7: A nurse is assessing a client who has heart failure and is taking
digoxin. Which of the following findings should the nurse report to the
provider?
A. Heart rate of 72/min
B. Serum potassium of 3.1 mEq/L
C. Blood pressure of 118/78 mmHg
D. Respiratory rate of 18/min
CORRECT ANSWER: B. Serum potassium of 3.1 mEq/L
Rationale: Hypokalemia (normal 3.5-5.0 mEq/L) increases the risk of digoxin toxicity. A
heart rate of 72/min, BP of 118/78, and RR of 18 are normal findings.
Question 8: A nurse is caring for a client who is postoperative following a total
hip arthroplasty. Which of the following actions should the nurse include in
the plan of care to prevent dislocation?
A. Maintain the client in a low Fowler's position
B. Place a pillow between the client's legs when turning
C. Allow the client to bend at the waist to pick up objects
D. Adduct the affected leg when repositioning
CORRECT ANSWER: B. Place a pillow between the client's legs when turning
Rationale: A pillow between the legs maintains hip abduction and prevents adduction,
which can cause dislocation. Clients should avoid bending at the waist and should
maintain a high Fowler's position, not low.
Question 9: A nurse is reinforcing discharge teaching to a client with a new
colostomy. Which of the following food choices should the nurse recommend
to reduce odor?
A. Eggs
B. Onions
C. Yogurt
D. Broccoli
CORRECT ANSWER: C. Yogurt
Rationale: Yogurt contains probiotics that can help reduce odor from a colostomy. Eggs,
onions, and broccoli are foods that can increase gas and odor.
, Question 10: A nurse is assessing a client who is 12 hours post-mastectomy.
Which of the following findings should the nurse report to the provider?
A. Serosanguinous drainage on the dressing
B. Pain rating of 4 on a scale of 0 to 10
C. Temperature of 38.6°C (101.5°F)
D. Heart rate of 82/min
CORRECT ANSWER: C. Temperature of 38.6°C (101.5°F)
Rationale: An elevated temperature postoperatively may indicate infection.
Serosanguinous drainage, mild pain, and a heart rate of 82 are expected findings.
Question 11: A nurse is caring for a client with tuberculosis who is on airborne
precautions. Which of the following personal protective equipment (PPE)
should the nurse wear when entering the client's room?
A. Surgical mask
B. N95 respirator
C. Gown and gloves only
D. Face shield
CORRECT ANSWER: B. N95 respirator
Rationale: Tuberculosis requires airborne precautions, which require the use of an N95
respirator. A surgical mask is insufficient protection for airborne pathogens.
Question 12: A nurse is reviewing the medical record of a client who has a
prescription for furosemide. Which of the following findings should the nurse
report before administering the medication?
A. Serum sodium of 140 mEq/L
B. Serum potassium of 5.2 mEq/L
C. Blood pressure of 132/86 mmHg
D. Weight gain of 1 kg in 24 hours
CORRECT ANSWER: B. Serum potassium of 5.2 mEq/L
Rationale: Furosemide is a loop diuretic that can cause hypokalemia, but a potassium
of 5.2 (normal 3.5-5.0) is hyperkalemia, which should be reported. The other findings
are within normal limits.
Question 13: A nurse is reinforcing teaching about the use of crutches to a
client with a lower leg injury. Which of the following statements by the client
indicates an understanding of the teaching?
A. "I will place my weight on my axillae when walking."
B. "I will maintain a 30-degree angle at my elbows."
C. "I will keep the crutches 6 inches to the side of my feet."
D. "I will advance the crutches and the affected leg simultaneously."
Exam Updated 2026 | 200+ Practice
Questions & Verified Answers | Complete
NCLEX-PN Readiness Review, Comprehensive
Predictor Study Guide, ATI PN Exam Prep
Test Bank, NGN Clinical Judgment,
Pharmacology, Adult Health, Maternal-
Newborn, Pediatrics, Mental Health,
Leadership, Priority Setting, Detailed
Rationales
Question 1: A nurse is reinforcing teaching with a client who has a new
prescription for a metered-dose inhaler (MDI) with a spacer. Which of the
following actions by the client indicates an understanding of the teaching?
A. Inhales rapidly upon actuation of the MDI
B. Holds the breath for 10 seconds after inhaling the medication
C. Places the spacer in the mouth before actuating the MDI
D. Activates the MDI before placing the spacer in the mouth
CORRECT ANSWER: B. Holds the breath for 10 seconds after inhaling the
medication
Rationale: Holding the breath for 5 to 10 seconds after inhaling the medication allows
for maximum deposition of the aerosolized medication in the lungs. Inhaling rapidly can
cause the medication to impact the oropharynx. The spacer should be placed in the
mouth first, followed by actuation of the MDI.
Question 2: A charge nurse is observing a newly licensed nurse perform a
sterile dressing change. Which of the following actions should the charge nurse
identify as a breach of sterile technique?
A. Opens the sterile package away from the body
B. Holds sterile objects above the waist
C. Places the sterile field within 2.5 cm (1 in) of the edge of the table
D. Sets up the sterile field before applying sterile gloves
CORRECT ANSWER: C. Places the sterile field within 2.5 cm (1 in) of the edge
of the table
Rationale: A sterile field must be at least 2.5 cm (1 inch) from the edge of the table, as
the edges are considered unsterile. Opening the package away from the body, holding
objects above the waist, and setting up the field before gloving are all appropriate sterile
techniques.
,Question 3: A nurse is monitoring a client who is receiving a blood transfusion.
Which of the following findings indicates a hemolytic transfusion reaction?
A. Flank pain and chills
B. Hypertension and bradycardia
C. Urticaria and wheezing
D. Fever and hypotension
CORRECT ANSWER: A. Flank pain and chills
Rationale: Hemolytic transfusion reactions occur when the recipient's antibodies attack
the donor's RBCs. Manifestations include low back/flank pain, chills, fever, tachycardia,
tachypnea, hypotension, and hemoglobinuria. Urticaria and wheezing are signs of an
allergic reaction.
Question 4: A nurse is caring for a client with a new diagnosis of type 1
diabetes mellitus. Which of the following statements by the client indicates a
need for further teaching regarding foot care?
A. "I will trim my toenails straight across."
B. "I will soak my feet in hot water daily."
C. "I will apply lotion to my feet but not between my toes."
D. "I will wear white cotton socks."
CORRECT ANSWER: B. "I will soak my feet in hot water daily."
Rationale: Clients with diabetes should not soak their feet in hot water due to the risk of
burns from decreased sensation. They should test water temperature with their elbow.
Trimming nails straight across, applying lotion, and wearing white cotton socks are
appropriate foot care practices.
Question 5: A nurse is preparing to administer a continuous enteral feeding via
a nasogastric tube. Which of the following actions should the nurse take first?
A. Elevate the head of the bed to 30 degrees
B. Verify tube placement by aspirating gastric contents
C. Flush the tube with 30 mL of water
D. Connect the feeding bag to the tubing
CORRECT ANSWER: B. Verify tube placement by aspirating gastric contents
Rationale: The first action is to verify tube placement to prevent aspiration and ensure
the feeding goes into the stomach. Elevating the head of the bed is important but done
after verifying placement.
Question 6: A nurse is reinforcing teaching with a client about prescribed
enoxaparin. Which of the following statements by the client indicates
understanding?
A. "I should expect blood in my urine."
B. "I will inject the medication into my abdomen."
,C. "I will massage the site after the injection."
D. "I can take aspirin for a headache while on this medication."
CORRECT ANSWER: B. "I will inject the medication into my abdomen."
Rationale: Enoxaparin is administered subcutaneously into the abdomen, at least 5 cm
away from the umbilicus. The site should not be massaged, and patients should avoid
NSAIDs and aspirin due to increased bleeding risk. Blood in urine should be reported.
Question 7: A nurse is assessing a client who has heart failure and is taking
digoxin. Which of the following findings should the nurse report to the
provider?
A. Heart rate of 72/min
B. Serum potassium of 3.1 mEq/L
C. Blood pressure of 118/78 mmHg
D. Respiratory rate of 18/min
CORRECT ANSWER: B. Serum potassium of 3.1 mEq/L
Rationale: Hypokalemia (normal 3.5-5.0 mEq/L) increases the risk of digoxin toxicity. A
heart rate of 72/min, BP of 118/78, and RR of 18 are normal findings.
Question 8: A nurse is caring for a client who is postoperative following a total
hip arthroplasty. Which of the following actions should the nurse include in
the plan of care to prevent dislocation?
A. Maintain the client in a low Fowler's position
B. Place a pillow between the client's legs when turning
C. Allow the client to bend at the waist to pick up objects
D. Adduct the affected leg when repositioning
CORRECT ANSWER: B. Place a pillow between the client's legs when turning
Rationale: A pillow between the legs maintains hip abduction and prevents adduction,
which can cause dislocation. Clients should avoid bending at the waist and should
maintain a high Fowler's position, not low.
Question 9: A nurse is reinforcing discharge teaching to a client with a new
colostomy. Which of the following food choices should the nurse recommend
to reduce odor?
A. Eggs
B. Onions
C. Yogurt
D. Broccoli
CORRECT ANSWER: C. Yogurt
Rationale: Yogurt contains probiotics that can help reduce odor from a colostomy. Eggs,
onions, and broccoli are foods that can increase gas and odor.
, Question 10: A nurse is assessing a client who is 12 hours post-mastectomy.
Which of the following findings should the nurse report to the provider?
A. Serosanguinous drainage on the dressing
B. Pain rating of 4 on a scale of 0 to 10
C. Temperature of 38.6°C (101.5°F)
D. Heart rate of 82/min
CORRECT ANSWER: C. Temperature of 38.6°C (101.5°F)
Rationale: An elevated temperature postoperatively may indicate infection.
Serosanguinous drainage, mild pain, and a heart rate of 82 are expected findings.
Question 11: A nurse is caring for a client with tuberculosis who is on airborne
precautions. Which of the following personal protective equipment (PPE)
should the nurse wear when entering the client's room?
A. Surgical mask
B. N95 respirator
C. Gown and gloves only
D. Face shield
CORRECT ANSWER: B. N95 respirator
Rationale: Tuberculosis requires airborne precautions, which require the use of an N95
respirator. A surgical mask is insufficient protection for airborne pathogens.
Question 12: A nurse is reviewing the medical record of a client who has a
prescription for furosemide. Which of the following findings should the nurse
report before administering the medication?
A. Serum sodium of 140 mEq/L
B. Serum potassium of 5.2 mEq/L
C. Blood pressure of 132/86 mmHg
D. Weight gain of 1 kg in 24 hours
CORRECT ANSWER: B. Serum potassium of 5.2 mEq/L
Rationale: Furosemide is a loop diuretic that can cause hypokalemia, but a potassium
of 5.2 (normal 3.5-5.0) is hyperkalemia, which should be reported. The other findings
are within normal limits.
Question 13: A nurse is reinforcing teaching about the use of crutches to a
client with a lower leg injury. Which of the following statements by the client
indicates an understanding of the teaching?
A. "I will place my weight on my axillae when walking."
B. "I will maintain a 30-degree angle at my elbows."
C. "I will keep the crutches 6 inches to the side of my feet."
D. "I will advance the crutches and the affected leg simultaneously."
