ATI PN Comprehensive Predictor Exit
Exam Practice Questions with
Answers & Rationales
## SECTION 1: MANAGEMENT OF CARE & PRIORITIZATION (Questions
1-40)
### NGN Case Scenario 1
A practical nurse (PN) is caring for a client in a long-term care facility.
During the 0700 assessment, the PN notes:
- Unresponsive to verbal stimuli
- Respirations: 8/min and shallow
- Pulse: 42 bpm and weak
- Oxygen saturation: 84% on room air
- History: Advanced dementia and DNR/AND orders
**Question 1**
Which action should the PN take first?
,- A) Administer oxygen via non-rebreather mask
- B) Call the client's family to inform them of the change
- C) Reposition the client to facilitate airway clearance
- D) Place the client in a supine position with a pillow under the head
**Answer: C**
**Rationale:** In an unresponsive client with shallow respirations, the
priority is airway patency (ABC framework). The PN must first open the
airway and clear secretions. Repositioning (side-lying) helps drain
secretions and prevents aspiration. Oxygen is ineffective without a
patent airway. Family notification is important but not the priority.
**Question 2**
Following airway clearance, what is the next appropriate action?
- A) Document the findings in the client's chart
- B) Notify the family of the change in status
- C) Notify the provider of the client's status
- D) Administer oxygen at 2 L/min via nasal cannula
**Answer: C**
**Rationale:** After implementing the initial intervention (airway
clearance), the PN should notify the provider of the client's status.
DNR/AND orders do not mean "do not treat"; they mean no CPR or
,intubation. The PN must still provide supportive care and notify the
provider of significant changes.
**Question 3**
The client's family arrives and asks about the DNR/AND status. Which
statement by the PN is appropriate?
- A) "The DNR means we cannot do anything to help your loved one."
- B) "The DNR/AND status means we will not perform CPR or intubate,
but we will provide comfort care."
- C) "I can't discuss that with you; you need to speak with the doctor."
- D) "The DNR order is irreversible once signed."
**Answer: B**
**Rationale:** The PN should provide clear, accurate information.
DNR/AND means no CPR or intubation, but comfort care and
supportive treatments continue. The PN can and should explain this to
the family.
---
**Question 4**
A nurse on a medical-surgical unit has received change-of-shift report.
Which client need should the nurse assign to an assistive personnel
(AP)?
, - A) Feeding a client who was admitted 24 hours ago with aspiration
pneumonia
- B) Reinforcing teaching with a client who is learning to walk with a
quad cane
- C) Reapplying a condom catheter for a client who has urinary
incontinence
- D) Applying a sterile dressing to a pressure ulcer
**Answer: C**
**Rationale:** Reapplying a condom catheter is a non-invasive task
within the AP's scope. Options A, B, and D require nursing judgment or
sterile technique and should not be delegated to an AP.
**Question 5**
An RN is making assignments for client care to an LPN at the beginning
of the shift. Which assignment should the LPN question?
- A) Assisting a client who is 24 hours postoperative to use an incentive
spirometer
- B) Collecting a clean-catch urine specimen from a client who was
admitted on the previous shift
- C) Providing nasopharyngeal suctioning for a client who has
pneumonia
- D) Replacing the cartridge and tubing on a PCA pump
**Answer: D**
Exam Practice Questions with
Answers & Rationales
## SECTION 1: MANAGEMENT OF CARE & PRIORITIZATION (Questions
1-40)
### NGN Case Scenario 1
A practical nurse (PN) is caring for a client in a long-term care facility.
During the 0700 assessment, the PN notes:
- Unresponsive to verbal stimuli
- Respirations: 8/min and shallow
- Pulse: 42 bpm and weak
- Oxygen saturation: 84% on room air
- History: Advanced dementia and DNR/AND orders
**Question 1**
Which action should the PN take first?
,- A) Administer oxygen via non-rebreather mask
- B) Call the client's family to inform them of the change
- C) Reposition the client to facilitate airway clearance
- D) Place the client in a supine position with a pillow under the head
**Answer: C**
**Rationale:** In an unresponsive client with shallow respirations, the
priority is airway patency (ABC framework). The PN must first open the
airway and clear secretions. Repositioning (side-lying) helps drain
secretions and prevents aspiration. Oxygen is ineffective without a
patent airway. Family notification is important but not the priority.
**Question 2**
Following airway clearance, what is the next appropriate action?
- A) Document the findings in the client's chart
- B) Notify the family of the change in status
- C) Notify the provider of the client's status
- D) Administer oxygen at 2 L/min via nasal cannula
**Answer: C**
**Rationale:** After implementing the initial intervention (airway
clearance), the PN should notify the provider of the client's status.
DNR/AND orders do not mean "do not treat"; they mean no CPR or
,intubation. The PN must still provide supportive care and notify the
provider of significant changes.
**Question 3**
The client's family arrives and asks about the DNR/AND status. Which
statement by the PN is appropriate?
- A) "The DNR means we cannot do anything to help your loved one."
- B) "The DNR/AND status means we will not perform CPR or intubate,
but we will provide comfort care."
- C) "I can't discuss that with you; you need to speak with the doctor."
- D) "The DNR order is irreversible once signed."
**Answer: B**
**Rationale:** The PN should provide clear, accurate information.
DNR/AND means no CPR or intubation, but comfort care and
supportive treatments continue. The PN can and should explain this to
the family.
---
**Question 4**
A nurse on a medical-surgical unit has received change-of-shift report.
Which client need should the nurse assign to an assistive personnel
(AP)?
, - A) Feeding a client who was admitted 24 hours ago with aspiration
pneumonia
- B) Reinforcing teaching with a client who is learning to walk with a
quad cane
- C) Reapplying a condom catheter for a client who has urinary
incontinence
- D) Applying a sterile dressing to a pressure ulcer
**Answer: C**
**Rationale:** Reapplying a condom catheter is a non-invasive task
within the AP's scope. Options A, B, and D require nursing judgment or
sterile technique and should not be delegated to an AP.
**Question 5**
An RN is making assignments for client care to an LPN at the beginning
of the shift. Which assignment should the LPN question?
- A) Assisting a client who is 24 hours postoperative to use an incentive
spirometer
- B) Collecting a clean-catch urine specimen from a client who was
admitted on the previous shift
- C) Providing nasopharyngeal suctioning for a client who has
pneumonia
- D) Replacing the cartridge and tubing on a PCA pump
**Answer: D**
