Newest ATI PN Comprehensive Predictor 2026
Exit Exam with NGN 220 Questions and Answers
to Pass Actual 2026 PN ATI Comprehensive
Predictor Exit Exam
Question 1
A practical nurse is caring for a client who has a new diagnosis of type 1 diabetes mellitus.
Which of the following findings should the nurse identify as a manifestation of diabetic
ketoacidosis (DKA)?
A. Blood glucose 180 mg/dL
B. Deep, rapid respirations
C. Hypertension
D. Bradycardia
Correct Answer: B
Explanation: Kussmaul respirations (deep, rapid respirations) are a compensatory mechanism
for metabolic acidosis in DKA. Blood glucose in DKA is typically >250 mg/dL (A). Hypotension (C)
and tachycardia (D) are more common than hypertension and bradycardia in DKA.
,Question 2
A PN is reinforcing 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 should take aspirin for headaches."
B. "I should increase my intake of green leafy vegetables."
C. "I should report any unusual bleeding to my provider."
D. "I should take my warfarin with milk."
Correct Answer: C
Explanation: Clients taking warfarin should report any unusual bleeding (e.g., bruising,
hematuria, bleeding gums) to their provider. Aspirin (A) should be avoided as it increases
bleeding risk. Green leafy vegetables (B) contain vitamin K and should be consumed
consistently, not increased. Warfarin should be taken with water, not milk (D).
Question 3
A PN is caring for a client who is 1 day post-operative following a total hip arthroplasty. Which
of the following actions should the nurse take to prevent dislocation of the prosthesis?
,A. Position the client with the affected leg adducted
B. Place a pillow between the client's legs
C. Keep the client's hips flexed to 90 degrees
D. Turn the client onto the affected side
Correct Answer: B
Explanation: Placing a pillow between the client's legs maintains hip abduction and prevents
adduction, which can cause dislocation. The affected leg should be abducted, not adducted (A).
Hip flexion should be limited to less than 90 degrees (C). The client should not be turned onto
the affected side (D).
Question 4
A PN is reinforcing teaching with a client who has hypertension and a new prescription for
lisinopril. Which of the following adverse effects should the nurse include in the teaching?
A. Dry cough
B. Weight gain
C. Bradycardia
D. Hyperglycemia
, Correct Answer: A
Explanation: Lisinopril, an ACE inhibitor, commonly causes a persistent dry cough. Weight gain
(B) is more associated with calcium channel blockers. Bradycardia (C) is associated with beta-
blockers. Hyperglycemia (D) is associated with thiazide diuretics and corticosteroids.
Question 5
A PN is caring for a client who has active tuberculosis. Which of the following precautions
should the nurse implement?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. Protective environment
Correct Answer: C
Explanation: Tuberculosis is transmitted via airborne droplet nuclei that remain suspended in
the air, requiring airborne precautions (negative pressure room, N95 respirator). Contact
precautions (A) are for organisms transmitted by direct contact. Droplet precautions (B) are for
Exit Exam with NGN 220 Questions and Answers
to Pass Actual 2026 PN ATI Comprehensive
Predictor Exit Exam
Question 1
A practical nurse is caring for a client who has a new diagnosis of type 1 diabetes mellitus.
Which of the following findings should the nurse identify as a manifestation of diabetic
ketoacidosis (DKA)?
A. Blood glucose 180 mg/dL
B. Deep, rapid respirations
C. Hypertension
D. Bradycardia
Correct Answer: B
Explanation: Kussmaul respirations (deep, rapid respirations) are a compensatory mechanism
for metabolic acidosis in DKA. Blood glucose in DKA is typically >250 mg/dL (A). Hypotension (C)
and tachycardia (D) are more common than hypertension and bradycardia in DKA.
,Question 2
A PN is reinforcing 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 should take aspirin for headaches."
B. "I should increase my intake of green leafy vegetables."
C. "I should report any unusual bleeding to my provider."
D. "I should take my warfarin with milk."
Correct Answer: C
Explanation: Clients taking warfarin should report any unusual bleeding (e.g., bruising,
hematuria, bleeding gums) to their provider. Aspirin (A) should be avoided as it increases
bleeding risk. Green leafy vegetables (B) contain vitamin K and should be consumed
consistently, not increased. Warfarin should be taken with water, not milk (D).
Question 3
A PN is caring for a client who is 1 day post-operative following a total hip arthroplasty. Which
of the following actions should the nurse take to prevent dislocation of the prosthesis?
,A. Position the client with the affected leg adducted
B. Place a pillow between the client's legs
C. Keep the client's hips flexed to 90 degrees
D. Turn the client onto the affected side
Correct Answer: B
Explanation: Placing a pillow between the client's legs maintains hip abduction and prevents
adduction, which can cause dislocation. The affected leg should be abducted, not adducted (A).
Hip flexion should be limited to less than 90 degrees (C). The client should not be turned onto
the affected side (D).
Question 4
A PN is reinforcing teaching with a client who has hypertension and a new prescription for
lisinopril. Which of the following adverse effects should the nurse include in the teaching?
A. Dry cough
B. Weight gain
C. Bradycardia
D. Hyperglycemia
, Correct Answer: A
Explanation: Lisinopril, an ACE inhibitor, commonly causes a persistent dry cough. Weight gain
(B) is more associated with calcium channel blockers. Bradycardia (C) is associated with beta-
blockers. Hyperglycemia (D) is associated with thiazide diuretics and corticosteroids.
Question 5
A PN is caring for a client who has active tuberculosis. Which of the following precautions
should the nurse implement?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. Protective environment
Correct Answer: C
Explanation: Tuberculosis is transmitted via airborne droplet nuclei that remain suspended in
the air, requiring airborne precautions (negative pressure room, N95 respirator). Contact
precautions (A) are for organisms transmitted by direct contact. Droplet precautions (B) are for
