ATI PN COMPREHENSIVE PREDICTOR 2026 EXIT EXAM |
180 NGN SCREENSHOT QUESTIONS & ANSWERS |
NCLEX-PN 98% PASSING PROBABILITY
CORE DOMAINS
• Management of Care: Prioritization, Delegation, and Assignment
• Safety and Infection Control
• Pharmacological and Parenteral Therapies
• Physiological Adaptation: Medical-Surgical, Fluid & Electrolyte, Shock
• Health Promotion and Maintenance: Growth & Development, Disease
Prevention
• Psychosocial Integrity: Mental Health, Therapeutic Communication, Grief
• Maternal-Newborn and Pediatric Nursing Care
• Reduction of Risk Potential: Diagnostic Tests, Lab Values, Perioperative Care
• Basic Care and Comfort: Nutrition, Elimination, Mobility, Rest
• Next Generation NCLEX (NGN) Case Studies and Unfolding Scenarios
INTRODUCTION
This comprehensive examination assesses mastery of practical nursing concepts
essential for safe, effective practice. It evaluates knowledge across management
of care, safety, pharmacology, physiological adaptation, health promotion,
psychosocial integrity, maternal-newborn, pediatric, and geriatric care. The 180-
question structure includes NGN clinical judgment case studies, bowtie items, and
,unfolding scenarios that emphasize real-world application, prioritization, and
evidence-based decision-making. This guide is designed to prepare candidates for
the ATI PN Comprehensive Predictor Exit Exam and NCLEX-PN with a 98% passing
probability.
SECTION ONE: QUESTIONS 1–180
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
C. Client post-op day 1 with new-onset confusion and BP 88/50
RATIONALE: New confusion combined with hypotension suggests possible
sepsis, hemorrhage, or shock—an unstable, life-threatening priority. Airway and
circulation precede stable complaints. Option A is a chronic complaint. Option B is
concerning but not immediately life-threatening. Option D is a stable request for
assistance.
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
B. Client with stable congestive heart failure receiving daily furosemide
, RATIONALE: Stable CHF on routine diuretic is within PN scope. Titratable
drips, blood transfusions, and chest tube troubleshooting are typically RN scope.
Question 3
A charge nurse is assigning staff for the shift. Which client should be assigned to
an RN rather than a PN?
A. A client with stable CHF receiving daily Lasix
B. A client requiring a blood transfusion for symptomatic anemia
C. A client with a new diagnosis of diabetes needing insulin instruction
D. A client with a PEG tube requiring intermittent feedings
C. A client with a new diagnosis of diabetes needing insulin instruction
RATIONALE: Client education (specifically initial instruction) falls under the
scope of the RN, as it requires complex assessment and evaluation of learning.
PNs can reinforce teaching but cannot perform initial patient teaching.
Question 4
A nurse is delegating tasks to 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
C. Measuring a client's vital signs
RATIONALE: Measuring vital signs is within the AP's scope of practice. The
nurse cannot delegate tasks requiring nursing judgment, sterile technique, or
client education.
, Question 5
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
A, B, C, D, E
RATIONALE: All of these are essential for continuity of care. Transfer reports
must include advance directives, lab values, medications, preferences, and code
status.
Question 6
A nurse is reinforcing teaching with a client who has a new prescription for
furosemide. Which statement by the client indicates understanding?
A. "I should eat foods high in potassium, like bananas and oranges."
B. "I should take this medication at bedtime."
C. "I should decrease my fluid intake to prevent dehydration."
D. "I should expect my blood pressure to increase."
A. "I should eat foods high in potassium, like bananas and oranges."
RATIONALE: Furosemide is a loop diuretic that causes potassium loss
(hypokalemia). Clients should increase potassium-rich foods. Option B is incorrect
because diuretics should be taken in the morning to avoid nocturia. Option C is
incorrect because fluid restriction is not routine. Option D is incorrect because
furosemide lowers blood pressure.
Question 7
180 NGN SCREENSHOT QUESTIONS & ANSWERS |
NCLEX-PN 98% PASSING PROBABILITY
CORE DOMAINS
• Management of Care: Prioritization, Delegation, and Assignment
• Safety and Infection Control
• Pharmacological and Parenteral Therapies
• Physiological Adaptation: Medical-Surgical, Fluid & Electrolyte, Shock
• Health Promotion and Maintenance: Growth & Development, Disease
Prevention
• Psychosocial Integrity: Mental Health, Therapeutic Communication, Grief
• Maternal-Newborn and Pediatric Nursing Care
• Reduction of Risk Potential: Diagnostic Tests, Lab Values, Perioperative Care
• Basic Care and Comfort: Nutrition, Elimination, Mobility, Rest
• Next Generation NCLEX (NGN) Case Studies and Unfolding Scenarios
INTRODUCTION
This comprehensive examination assesses mastery of practical nursing concepts
essential for safe, effective practice. It evaluates knowledge across management
of care, safety, pharmacology, physiological adaptation, health promotion,
psychosocial integrity, maternal-newborn, pediatric, and geriatric care. The 180-
question structure includes NGN clinical judgment case studies, bowtie items, and
,unfolding scenarios that emphasize real-world application, prioritization, and
evidence-based decision-making. This guide is designed to prepare candidates for
the ATI PN Comprehensive Predictor Exit Exam and NCLEX-PN with a 98% passing
probability.
SECTION ONE: QUESTIONS 1–180
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
C. Client post-op day 1 with new-onset confusion and BP 88/50
RATIONALE: New confusion combined with hypotension suggests possible
sepsis, hemorrhage, or shock—an unstable, life-threatening priority. Airway and
circulation precede stable complaints. Option A is a chronic complaint. Option B is
concerning but not immediately life-threatening. Option D is a stable request for
assistance.
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
B. Client with stable congestive heart failure receiving daily furosemide
, RATIONALE: Stable CHF on routine diuretic is within PN scope. Titratable
drips, blood transfusions, and chest tube troubleshooting are typically RN scope.
Question 3
A charge nurse is assigning staff for the shift. Which client should be assigned to
an RN rather than a PN?
A. A client with stable CHF receiving daily Lasix
B. A client requiring a blood transfusion for symptomatic anemia
C. A client with a new diagnosis of diabetes needing insulin instruction
D. A client with a PEG tube requiring intermittent feedings
C. A client with a new diagnosis of diabetes needing insulin instruction
RATIONALE: Client education (specifically initial instruction) falls under the
scope of the RN, as it requires complex assessment and evaluation of learning.
PNs can reinforce teaching but cannot perform initial patient teaching.
Question 4
A nurse is delegating tasks to 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
C. Measuring a client's vital signs
RATIONALE: Measuring vital signs is within the AP's scope of practice. The
nurse cannot delegate tasks requiring nursing judgment, sterile technique, or
client education.
, Question 5
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
A, B, C, D, E
RATIONALE: All of these are essential for continuity of care. Transfer reports
must include advance directives, lab values, medications, preferences, and code
status.
Question 6
A nurse is reinforcing teaching with a client who has a new prescription for
furosemide. Which statement by the client indicates understanding?
A. "I should eat foods high in potassium, like bananas and oranges."
B. "I should take this medication at bedtime."
C. "I should decrease my fluid intake to prevent dehydration."
D. "I should expect my blood pressure to increase."
A. "I should eat foods high in potassium, like bananas and oranges."
RATIONALE: Furosemide is a loop diuretic that causes potassium loss
(hypokalemia). Clients should increase potassium-rich foods. Option B is incorrect
because diuretics should be taken in the morning to avoid nocturia. Option C is
incorrect because fluid restriction is not routine. Option D is incorrect because
furosemide lowers blood pressure.
Question 7
