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ATI PN COMPREHENSIVE PREDICTOR EXIT EXAM — VERSIONS
1–4 WITH NGN EXAM 2026 QUESTIONS WITH VERIFIED
QUESTIONS DETAILED RATIONALES GRADED A+
ATI PN Comprehensive Predictor Exit Exam — Versions 1–4 with NGN
Summarized 10-Point Exam Coverage
Based on the official NCLEX-PN Test Plan and ATI PN Comprehensive Predictor blueprint:
Safe and Effective Care Environment: Management of Care — advance directives, advocacy,
assignment/delegation, client rights, confidentiality, continuity of care, ethical practice,
informed consent, legal rights, referrals, supervision.
Safe and Effective Care Environment: Safety and Infection Control — accident prevention, error
prevention, handling hazardous materials, infection control, injury prevention, medical
emergencies, restraints, security planning.
Health Promotion and Maintenance — aging process, antepartum/intrapartum/postpartum
care, developmental stages, disease prevention, health promotion, health screening, lifestyle
choices, newborn care, self-care.
Psychosocial Integrity — abuse/neglect, behavioral interventions, chemical dependency, coping
mechanisms, crisis intervention, cultural awareness, end-of-life care, grief/loss, mental health
concepts, sensory/perceptual alterations, stress management, support systems, therapeutic
communication.
Physiological Integrity: Basic Care and Comfort — assistive devices, elimination,
mobility/immobility, nonpharmacological comfort interventions, nutrition, oral hydration,
personal hygiene, rest/sleep.
Physiological Integrity: Pharmacological and Parenteral Therapies — adverse effects,
blood/blood products, central venous access, dosage calculation, expected effects, IV therapy,
medication administration, parenteral nutrition, pharmacological pain management.
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Physiological Integrity: Reduction of Risk Potential — changes in vital signs, diagnostic tests,
laboratory values, monitoring conscious sedation, potential complications, system-specific
assessments, therapeutic procedures.
Physiological Integrity: Physiological Adaptation — alterations in body systems,
fluid/electrolyte imbalances, hemodynamics, illness management, medical emergencies,
pathophysiology, radiation therapy, respiratory care.
SECTION 1: MANAGEMENT OF CARE (Questions 1–45)
Q1. A PN is caring for four clients. Which task should the PN perform first?
A. Reinforce teaching on insulin administration to a newly diagnosed diabetic client
B. Obtain a stool sample for occult blood from a stable client
C. Check the restraints on a confused client who is attempting to pull out their NG tube
D. Ambulate a postoperative day 2 client who is ready for discharge
Correct Answer: C
Rationale: Safety first. Restraints require frequent checks; client attempting to remove NG tube
is at risk for aspiration or injury. The PN must prioritize this client.
Q2. A client refuses a scheduled enema. Which action by the PN demonstrates respect for
client autonomy?
A. Explain the risks of not completing the procedure
B. Document the refusal and notify the RN
C. Ask the family to encourage the client
D. Reschedule the enema for later in the shift
Correct Answer: B
Rationale: Competent adults have the right to refuse treatment. The PN must document refusal
and report to RN.
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Q3. The PN observes a UAP measuring a client's blood pressure using a cuff that is too small.
What should the PN do first?
A. Report the UAP to the nurse manager
B. Instruct the UAP to use the correct cuff size immediately
C. Document the incident in the UAP's file
D. Take over the task without comment
Correct Answer: B
Rationale: Immediate correction prevents harm. Teaching is within PN scope.
Q4. Which client can the PN assign to a UAP?
A. Client 1 hour post-cardiac catheterization requiring bed rest
B. Client with new-onset confusion needing frequent reorientation
C. Client requiring a clean-catch urine specimen
D. Client with a chest tube reporting increased bubbling
Correct Answer: C
Rationale: Clean-catch urine specimen is a standard, unchanging task appropriate for UAP.
Q5. A client signs a living will. What is the PN's best action?
A. Place a copy in the client's chart and notify the RN
B. Ask the client to review it with the hospital ethics committee
C. Ensure the family signs as witnesses
D. Keep the original in the PN's possession until discharge
Correct Answer: A
Rationale: Advance directives must be placed in the medical record so all team members can
honor them.
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Q6. A nurse on the medical-surgical unit receives report on four clients. Which client should
the nurse assess FIRST?
A. A client with pneumonia who has an oxygen saturation of 92% on 2L nasal cannula
B. A client post-appendectomy 24 hours ago with a temperature of 101.2°F (38.4°C)
C. A client with heart failure who reports sudden onset of severe dyspnea and is sitting upright
D. A client with diabetes who has a blood glucose of 180 mg/dL before lunch
Correct Answer: C
Rationale: The client with heart failure reporting sudden severe dyspnea represents an acute
change in respiratory status, indicating potential pulmonary edema—a life-threatening
emergency requiring immediate assessment per the ABCs of prioritization.
Q7. An LPN is working under the supervision of an RN. Which task is MOST APPROPRIATE for
the LPN to perform?
A. Developing the initial plan of care for a newly admitted client
B. Administering IV push morphine to a client in acute pain
C. Performing sterile dressing changes on a post-operative wound
D. Providing discharge teaching to a client starting anticoagulant therapy
Correct Answer: C
Rationale: LPN scope of practice includes performing sterile procedures such as dressing
changes under RN supervision. Care planning and complex teaching require RN-level judgment.
Q8. A nurse discovers that a client received the wrong medication 2 hours ago. The client is
currently stable with no adverse effects noted. What is the FIRST action the nurse should
take?
ATI PN COMPREHENSIVE PREDICTOR EXIT EXAM — VERSIONS
1–4 WITH NGN EXAM 2026 QUESTIONS WITH VERIFIED
QUESTIONS DETAILED RATIONALES GRADED A+
ATI PN Comprehensive Predictor Exit Exam — Versions 1–4 with NGN
Summarized 10-Point Exam Coverage
Based on the official NCLEX-PN Test Plan and ATI PN Comprehensive Predictor blueprint:
Safe and Effective Care Environment: Management of Care — advance directives, advocacy,
assignment/delegation, client rights, confidentiality, continuity of care, ethical practice,
informed consent, legal rights, referrals, supervision.
Safe and Effective Care Environment: Safety and Infection Control — accident prevention, error
prevention, handling hazardous materials, infection control, injury prevention, medical
emergencies, restraints, security planning.
Health Promotion and Maintenance — aging process, antepartum/intrapartum/postpartum
care, developmental stages, disease prevention, health promotion, health screening, lifestyle
choices, newborn care, self-care.
Psychosocial Integrity — abuse/neglect, behavioral interventions, chemical dependency, coping
mechanisms, crisis intervention, cultural awareness, end-of-life care, grief/loss, mental health
concepts, sensory/perceptual alterations, stress management, support systems, therapeutic
communication.
Physiological Integrity: Basic Care and Comfort — assistive devices, elimination,
mobility/immobility, nonpharmacological comfort interventions, nutrition, oral hydration,
personal hygiene, rest/sleep.
Physiological Integrity: Pharmacological and Parenteral Therapies — adverse effects,
blood/blood products, central venous access, dosage calculation, expected effects, IV therapy,
medication administration, parenteral nutrition, pharmacological pain management.
,Page 2 of 33
Physiological Integrity: Reduction of Risk Potential — changes in vital signs, diagnostic tests,
laboratory values, monitoring conscious sedation, potential complications, system-specific
assessments, therapeutic procedures.
Physiological Integrity: Physiological Adaptation — alterations in body systems,
fluid/electrolyte imbalances, hemodynamics, illness management, medical emergencies,
pathophysiology, radiation therapy, respiratory care.
SECTION 1: MANAGEMENT OF CARE (Questions 1–45)
Q1. A PN is caring for four clients. Which task should the PN perform first?
A. Reinforce teaching on insulin administration to a newly diagnosed diabetic client
B. Obtain a stool sample for occult blood from a stable client
C. Check the restraints on a confused client who is attempting to pull out their NG tube
D. Ambulate a postoperative day 2 client who is ready for discharge
Correct Answer: C
Rationale: Safety first. Restraints require frequent checks; client attempting to remove NG tube
is at risk for aspiration or injury. The PN must prioritize this client.
Q2. A client refuses a scheduled enema. Which action by the PN demonstrates respect for
client autonomy?
A. Explain the risks of not completing the procedure
B. Document the refusal and notify the RN
C. Ask the family to encourage the client
D. Reschedule the enema for later in the shift
Correct Answer: B
Rationale: Competent adults have the right to refuse treatment. The PN must document refusal
and report to RN.
,Page 3 of 33
Q3. The PN observes a UAP measuring a client's blood pressure using a cuff that is too small.
What should the PN do first?
A. Report the UAP to the nurse manager
B. Instruct the UAP to use the correct cuff size immediately
C. Document the incident in the UAP's file
D. Take over the task without comment
Correct Answer: B
Rationale: Immediate correction prevents harm. Teaching is within PN scope.
Q4. Which client can the PN assign to a UAP?
A. Client 1 hour post-cardiac catheterization requiring bed rest
B. Client with new-onset confusion needing frequent reorientation
C. Client requiring a clean-catch urine specimen
D. Client with a chest tube reporting increased bubbling
Correct Answer: C
Rationale: Clean-catch urine specimen is a standard, unchanging task appropriate for UAP.
Q5. A client signs a living will. What is the PN's best action?
A. Place a copy in the client's chart and notify the RN
B. Ask the client to review it with the hospital ethics committee
C. Ensure the family signs as witnesses
D. Keep the original in the PN's possession until discharge
Correct Answer: A
Rationale: Advance directives must be placed in the medical record so all team members can
honor them.
, Page 4 of 33
Q6. A nurse on the medical-surgical unit receives report on four clients. Which client should
the nurse assess FIRST?
A. A client with pneumonia who has an oxygen saturation of 92% on 2L nasal cannula
B. A client post-appendectomy 24 hours ago with a temperature of 101.2°F (38.4°C)
C. A client with heart failure who reports sudden onset of severe dyspnea and is sitting upright
D. A client with diabetes who has a blood glucose of 180 mg/dL before lunch
Correct Answer: C
Rationale: The client with heart failure reporting sudden severe dyspnea represents an acute
change in respiratory status, indicating potential pulmonary edema—a life-threatening
emergency requiring immediate assessment per the ABCs of prioritization.
Q7. An LPN is working under the supervision of an RN. Which task is MOST APPROPRIATE for
the LPN to perform?
A. Developing the initial plan of care for a newly admitted client
B. Administering IV push morphine to a client in acute pain
C. Performing sterile dressing changes on a post-operative wound
D. Providing discharge teaching to a client starting anticoagulant therapy
Correct Answer: C
Rationale: LPN scope of practice includes performing sterile procedures such as dressing
changes under RN supervision. Care planning and complex teaching require RN-level judgment.
Q8. A nurse discovers that a client received the wrong medication 2 hours ago. The client is
currently stable with no adverse effects noted. What is the FIRST action the nurse should
take?
