PN COMPREHENSIVE PREDICTOR 2026: 180
QUESTIONS AND ANSWERS LATEST UPDATE
(COMPLETE)
Core Domains
• Safe and Effective Care Environment: Management of Care, Safety and
Infection Control
• Health Promotion and Maintenance: Antepartum, Newborn, Pediatric, and
Developmental Care
• Psychosocial Integrity: Mental Health, Coping, and Therapeutic
Communication
• Physiological Integrity: Basic Care and Comfort, Pharmacological
Therapies
• Reduction of Risk Potential and Physiological Adaptation
• Next Generation NCLEX (NGN): Clinical Judgment, Case Studies, and
Prioritization
This comprehensive study guide is designed for Practical Nursing (PN) students
preparing for the ATI PN Comprehensive Predictor Exit Exam in 2026. The exam
is a high-stakes proctored assessment used by nursing programs to evaluate
students' readiness for the NCLEX-PN licensure examination. This guide features
180 practice questions with verified answers and detailed rationales, formatted to
reflect the latest NGN (Next Generation NCLEX) standards and the ATI PN test
plan.
,SECTION A: MANAGEMENT OF CARE (PRIORITIZATION,
DELEGATION, ASSIGNMENT) - Questions 1-20
Question 1
A PN is caring for four clients at the start of the shift. Which client should be
assessed FIRST?
A) Client with diabetes requesting pain medication for neuropathy
B) Client with COPD who has a new cough producing green sputum
C) Client post-op day 1 with new-onset confusion and BP 88/50
D) Client with a fractured tibia requesting help to the bathroom
Correct answer: C
RATIONALE: New confusion combined with hypotension (BP 88/50)
suggests potential sepsis, hemorrhage, or shock, representing an unstable priority.
The ABCs (Airway, Breathing, Circulation) and Maslow's hierarchy guide
prioritization. Stable clients with predictable outcomes can be addressed after the
unstable client.
Question 2
Which client can be assigned to a PN (LPN/LVN) under RN supervision?
A) Client newly diagnosed with unstable angina on a titratable heparin drip
B) Client with stable congestive heart failure receiving daily furosemide
C) Client requiring blood transfusion for symptomatic anemia
D) Client with chest tube and continuous bubbling in water seal chamber
Correct answer: B
RATIONALE: Stable CHF on routine diuretic therapy is within the PN scope
of practice. Titratable heparin drips, blood transfusions, and chest tube
troubleshooting require advanced skills typically reserved for RNs. PNs can care
for stable clients with predictable outcomes.
Question 3
,A nurse is delegating tasks to an assistive personnel (AP). Which task is
appropriate to delegate?
A) Administering an enema
B) Inserting an indwelling urinary catheter
C) Measuring a client's vital signs
D) Teaching a client how to use an incentive spirometer
Correct answer: C
RATIONALE: Measuring vital signs is within the AP's scope of practice. The
nurse cannot delegate tasks requiring nursing judgment (administering an enema,
teaching), sterile technique (catheter insertion), or client education.
Question 4
A nurse is preparing a client for transfer to a long-term care facility. Which
information should the nurse include in the transfer report? (Select all that apply)
A) The client's advance directive status
B) The client's recent laboratory values
C) The client's current medications
D) The client's preferred activities
E) The client's code status
Correct answers: A, B, C, D, E
RATIONALE: All of these are essential for continuity of care. Transfer reports
must include advance directives, recent labs, current medications, activity
preferences, and code status to ensure safe handoff.
Question 5
A nurse is supervising an assistive personnel (AP) preparing to remove PPE after
providing care to a client requiring airborne and contact precautions. The PN
should recognize the AP understands the procedure when which PPE is removed
FIRST?
, A) Gloves
B) Gown
C) Mask
D) Eye protection
Correct answer: A
RATIONALE: Gloves are the most contaminated PPE and should be removed
first to prevent contamination of other PPE and the environment.
Question 6
A nurse is preparing to witness a client's informed consent for surgery. Which
action should the nurse take?
A) Explain the procedure to the client
B) Ask the client if he understands the procedure
C) Ensure the consent form is notarized
D) Request a family member to sign for the client
Correct answer: B
RATIONALE: The nurse's role in witnessing consent is to verify that the client
understands the procedure and is signing voluntarily. The provider is responsible
for explaining the procedure. The nurse confirms understanding and assesses for
questions.
Question 7
A client in a mental health facility unjustly accuses a nurse of stealing money.
Which therapeutic response should the nurse make?
A) "I would never steal from you."
B) "That accusation is false and hurtful."
C) "Tell me how you decided who took your money."
D) "You need to stop making false accusations."
Correct answer: C
QUESTIONS AND ANSWERS LATEST UPDATE
(COMPLETE)
Core Domains
• Safe and Effective Care Environment: Management of Care, Safety and
Infection Control
• Health Promotion and Maintenance: Antepartum, Newborn, Pediatric, and
Developmental Care
• Psychosocial Integrity: Mental Health, Coping, and Therapeutic
Communication
• Physiological Integrity: Basic Care and Comfort, Pharmacological
Therapies
• Reduction of Risk Potential and Physiological Adaptation
• Next Generation NCLEX (NGN): Clinical Judgment, Case Studies, and
Prioritization
This comprehensive study guide is designed for Practical Nursing (PN) students
preparing for the ATI PN Comprehensive Predictor Exit Exam in 2026. The exam
is a high-stakes proctored assessment used by nursing programs to evaluate
students' readiness for the NCLEX-PN licensure examination. This guide features
180 practice questions with verified answers and detailed rationales, formatted to
reflect the latest NGN (Next Generation NCLEX) standards and the ATI PN test
plan.
,SECTION A: MANAGEMENT OF CARE (PRIORITIZATION,
DELEGATION, ASSIGNMENT) - Questions 1-20
Question 1
A PN is caring for four clients at the start of the shift. Which client should be
assessed FIRST?
A) Client with diabetes requesting pain medication for neuropathy
B) Client with COPD who has a new cough producing green sputum
C) Client post-op day 1 with new-onset confusion and BP 88/50
D) Client with a fractured tibia requesting help to the bathroom
Correct answer: C
RATIONALE: New confusion combined with hypotension (BP 88/50)
suggests potential sepsis, hemorrhage, or shock, representing an unstable priority.
The ABCs (Airway, Breathing, Circulation) and Maslow's hierarchy guide
prioritization. Stable clients with predictable outcomes can be addressed after the
unstable client.
Question 2
Which client can be assigned to a PN (LPN/LVN) under RN supervision?
A) Client newly diagnosed with unstable angina on a titratable heparin drip
B) Client with stable congestive heart failure receiving daily furosemide
C) Client requiring blood transfusion for symptomatic anemia
D) Client with chest tube and continuous bubbling in water seal chamber
Correct answer: B
RATIONALE: Stable CHF on routine diuretic therapy is within the PN scope
of practice. Titratable heparin drips, blood transfusions, and chest tube
troubleshooting require advanced skills typically reserved for RNs. PNs can care
for stable clients with predictable outcomes.
Question 3
,A nurse is delegating tasks to an assistive personnel (AP). Which task is
appropriate to delegate?
A) Administering an enema
B) Inserting an indwelling urinary catheter
C) Measuring a client's vital signs
D) Teaching a client how to use an incentive spirometer
Correct answer: C
RATIONALE: Measuring vital signs is within the AP's scope of practice. The
nurse cannot delegate tasks requiring nursing judgment (administering an enema,
teaching), sterile technique (catheter insertion), or client education.
Question 4
A nurse is preparing a client for transfer to a long-term care facility. Which
information should the nurse include in the transfer report? (Select all that apply)
A) The client's advance directive status
B) The client's recent laboratory values
C) The client's current medications
D) The client's preferred activities
E) The client's code status
Correct answers: A, B, C, D, E
RATIONALE: All of these are essential for continuity of care. Transfer reports
must include advance directives, recent labs, current medications, activity
preferences, and code status to ensure safe handoff.
Question 5
A nurse is supervising an assistive personnel (AP) preparing to remove PPE after
providing care to a client requiring airborne and contact precautions. The PN
should recognize the AP understands the procedure when which PPE is removed
FIRST?
, A) Gloves
B) Gown
C) Mask
D) Eye protection
Correct answer: A
RATIONALE: Gloves are the most contaminated PPE and should be removed
first to prevent contamination of other PPE and the environment.
Question 6
A nurse is preparing to witness a client's informed consent for surgery. Which
action should the nurse take?
A) Explain the procedure to the client
B) Ask the client if he understands the procedure
C) Ensure the consent form is notarized
D) Request a family member to sign for the client
Correct answer: B
RATIONALE: The nurse's role in witnessing consent is to verify that the client
understands the procedure and is signing voluntarily. The provider is responsible
for explaining the procedure. The nurse confirms understanding and assesses for
questions.
Question 7
A client in a mental health facility unjustly accuses a nurse of stealing money.
Which therapeutic response should the nurse make?
A) "I would never steal from you."
B) "That accusation is false and hurtful."
C) "Tell me how you decided who took your money."
D) "You need to stop making false accusations."
Correct answer: C
