Ati Pn Comprehensive Predictor Exit Exam 150 Q And As Study Guide Next Gen Nclex (Ngn) High-Yield Practice Pool With Rationales [Legit 2026 Version]

ATI PN COMPREHENSIVE PREDICTOR
EXIT EXAM 150 Q and AS STUDY GUIDE
NEXT GEN NCLEX (NGN) HIGH-YIELD
PRACTICE POOL WITH RATIONALES
[LEGIT 2026 VERSION]



ATI PN Comprehensive Predictor Practice Pool:
Questions 1–50 (Set 2)
1. A licensed practical nurse (LPN) is reviewing the change-
of-shift report for four clients. Which of the following
clients should the nurse identify as the priority for
immediate assessment?
A) A client with chronic bronchitis who has a persistent
productive cough and an oxygen saturation of 92% on
room air.
B) A client who is 24 hours postoperative following an
open cholecystectomy and reports severe pain at the
incision site when coughing.
C) A client with type 1 diabetes mellitus who was
administered regular insulin 30 minutes ago and is now
diaphoretic, tremulous, and irritable.
D) A client admitted with acute gastroenteritis who has
had three episodes of watery stool during the previous 8-
hour shift.
Correct Answer: C) A client with type 1 diabetes
mellitus who was administered regular insulin 30
minutes ago and is now diaphoretic, tremulous,
and irritable.
Rationale: Diaphoresis, tremors, and irritability are

, classic manifestations of acute hypoglycemia, a life-
threatening complication of insulin therapy. This client
requires immediate blood glucose monitoring and
intervention to prevent neuroglycopenic damage or
coma.
2. A nurse is collecting data from a client who has a
prescription for lithium carbonate to treat bipolar
disorder. Which of the following findings should the nurse
report to the provider immediately as an indication of
lithium toxicity?
A) Mild fine hand tremors during periods of high anxiety
B) Increased appetite accompanied by mild flatulence
C) Recurrent episodes of coarse hand tremors, persistent
diarrhea, and slurred speech
D) A steady weight gain of 0.5 kg (1.1 lb) over the past
month
Correct Answer: C) Recurrent episodes of
coarse hand tremors, persistent diarrhea, and
slurred speech
Rationale: Coarse hand tremors, severe
gastrointestinal upset (diarrhea, vomiting), slurred
speech, drowsiness, and muscle weakness are advanced
signs of lithium toxicity that occur when drug levels
exceed the narrow therapeutic range.
3. A practical nurse is caring for an older adult client who has
developed Clostridioides difficile (C. diff) diarrhea. Which
of the following infection control protocols must the nurse
implement?
A) Place the client in a private room and wear an N95
respirator mask during care.
B) Wash hands with an alcohol-based hand rub
immediately after exiting the client's room.
C) Use clean gloves and a gown when entering the room,
and perform hand hygiene exclusively with soap and

, water.
D) Wear a full face shield and sterile gloves for all direct
physical interactions.
Correct Answer: C) Use clean gloves and a
gown when entering the room, and perform hand
hygiene exclusively with soap and water.
Rationale: Contact precautions are required for C. diff.
Because C. diff is a spore-forming bacterium, alcohol-
based hand rubs are ineffective at destroying the spores;
physical friction with soap and running water is
mandatory to mechanically rinse spores from the skin.
4. A nurse is reinforcing teaching with a client who has a new
prescription for alendronate sodium to treat osteoporosis.
Which of the following instructions should the nurse
include to ensure safe administration?
A) Take the medication with a full glass of milk
immediately before bedtime.
B) Take the medication first thing in the morning with a
full glass of plain water on an empty stomach and remain
upright for at least 30 minutes.
C) Chew the tablet thoroughly before swallowing to
enhance gastric absorption.
D) Take the medication concurrently with an oral calcium
supplement to maximize bone density benefits.
Correct Answer: B) Take the medication first
thing in the morning with a full glass of plain
water on an empty stomach and remain upright
for at least 30 minutes.
Rationale: Alendronate, a bisphosphonate, can cause
severe esophageal irritation and ulceration. Taking it
with plain water on an empty stomach maximizes
absorption, and remaining upright prevents esophageal
reflux.

, 5. A nurse is assigned to care for a client who is in the
immediate postoperative period following a total knee
arthroplasty. Which of the following actions should the
nurse take to prevent the development of a deep vein
thrombosis (DVT)?
A) Place a large, firm pillow directly under the client's
popliteal space.
B) Instruct the client to perform hourly ankle-pumping
and foot-flexion exercises while awake.
C) Maintain the client on absolute bed rest with the legs
completely immobilized for 72 hours.
D) Apply a warm, moist heating pad to both calves twice
daily.
Correct Answer: B) Instruct the client to
perform hourly ankle-pumping and foot-flexion
exercises while awake.
Rationale: Active calf muscle contractions via ankle
pumps promote venous return and prevent venous stasis,
significantly reducing the risk of thrombus formation
following orthopedic surgeries.
6. A nurse is collecting data from a client who is at 36 weeks
of gestation and reports sudden-onset, painless, bright red
vaginal bleeding. Which of the following diagnostic
procedures or assessments is strictly contraindicated for
this client?
A) External electronic fetal heart rate monitoring
B) Transabdominal ultrasound examination
C) Digital vaginal examination to assess cervical dilation
D) Collection of a clean-catch urine specimen
Correct Answer: C) Digital vaginal examination
to assess cervical dilation
Rationale: Painless, bright red vaginal bleeding in the
third trimester is indicative of placenta previa.
Performing a digital vaginal examination can