PART 1 of 5
This is Part 1 of the ATI PN
Comprehensive Predictor 2026/2027
Blueprint-Based Comprehensive Test
Bank by ATI Testing.
TABLE OF CONTENTS
Chapter 1: Management of Care — Questions 1–12
Chapter 2: Safety and Infection Control — Questions 13–22
Chapter 3: Health Promotion and Maintenance — Questions 23–30
Chapter 4: Psychosocial Integrity — Questions 31–38
Chapter 5: Basic Care and Comfort — Questions 39–50
Q1. A practical nurse is caring for four clients on a medical-surgical unit. Which client should the
nurse assess first?
A. A client who is 2 days postoperative and reports incisional pain rated 4 out of 10
B. A client who has pneumonia and reports new onset of shortness of breath with an oxygen
saturation of 88 percent
C. A client who has diabetes and has a blood glucose level of 160 milligrams per deciliter before
breakfast
D. A client who is scheduled for discharge and needs instructions about wound care
Correct Answer: A client who has pneumonia and reports new onset of shortness of breath with an
oxygen saturation of 88 percent ✅
Rationale: The correct answer is option B. The client with pneumonia who reports new onset
of shortness of breath with an oxygen saturation of 88 percent is exhibiting signs of hypoxemia and
,respiratory compromise, which require immediate assessment and intervention. This client has the
highest priority. Option A is incorrect because postoperative pain rated 4 out of 10, while important,
is not immediately life-threatening and can be addressed after assessing the most unstable client.
Option C is incorrect because a blood glucose level of 160 milligrams per deciliter before breakfast is
mildly elevated but does not require immediate assessment. Option D is incorrect because discharge
instructions are important but can be provided after assessing clients with more acute needs. The
concept tested is prioritization using the ABC framework and the recognition of signs of clinical
deterioration.
Q2. A practical nurse is caring for four clients. Which client should the nurse assess first?
A. A client who is scheduled for surgery in 2 hours and needs preoperative teaching
B. A client who reports chest pain and has a new onset of diaphoresis
C. A client who has a new prescription for an antibiotic and needs the first dose administered
D. A client who is requesting pain medication for a headache
Correct Answer: A client who reports chest pain and has a new onset of diaphoresis ✅
Rationale: The correct answer is option B. Chest pain with new onset of diaphoresis is a
classic presentation of acute coronary syndrome, which requires immediate assessment and
intervention. This client is the most unstable and has the highest priority. Option A is incorrect
because preoperative teaching, while important, is not immediately life-threatening. Option C is
incorrect because administering an antibiotic, while important, is not as urgent as assessing a client
with possible acute coronary syndrome. Option D is incorrect because a headache requiring pain
medication is not immediately life-threatening. The concept tested is prioritization using the ABC
framework and the recognition of signs of acute coronary syndrome.
Q3. A practical nurse is caring for four clients. Which client should the nurse assess first?
A. A client who is 2 days postoperative and reports incisional pain rated 5 out of 10
B. A client who has a new onset of confusion and is trying to climb out of bed
C. A client who has a new prescription for physical therapy and needs assistance with ambulation
D. A client who is requesting assistance with a bed bath
Correct Answer: A client who has a new onset of confusion and is trying to climb out of bed ✅
,Rationale: The correct answer is option B. A new onset of confusion and attempting to climb
out of bed place the client at immediate risk for falls and injury, and may indicate an underlying
medical problem such as hypoxia, infection, or metabolic derangement. This client has the highest
priority for assessment and intervention. Option A is incorrect because postoperative pain, while
important, is not immediately life-threatening. Option C is incorrect because assisting with
ambulation is important but is not as urgent as assessing a client with new confusion. Option D is
incorrect because assisting with a bed bath is not as urgent as assessing a client with new confusion.
The concept tested is prioritization using the ABC framework and the recognition of clients at risk for
injury.
Q4. A practical nurse is delegating tasks to unlicensed assistive personnel. Which task is appropriate
to delegate?
A. Administering oral medications to a stable client
B. Assessing a postoperative client's incision for signs of infection
C. Measuring and recording intake and output for a client with heart failure
D. Teaching a newly diagnosed diabetic client about insulin administration
Correct Answer: Measuring and recording intake and output for a client with heart failure ✅
Rationale: The correct answer is option C. Measuring and recording intake and output is a
task within the unlicensed assistive personnel scope of practice because it is a data collection activity
that does not require nursing judgment or interpretation. Option A is incorrect because
administering medications requires a licensed nurse. Option B is incorrect because assessment is a
licensed nurse responsibility. Option D is incorrect because client teaching requires a licensed nurse.
The concept tested is the five rights of delegation and the scope of practice for unlicensed assistive
personnel.
Q5. A practical nurse is delegating tasks to unlicensed assistive personnel. Which task is appropriate
to delegate?
A. Administering oral medications to a stable client
B. Assessing a postoperative client's incision for signs of infection
C. Obtaining a blood glucose level for a stable client
D. Teaching a newly diagnosed diabetic client about insulin administration
, Correct Answer: Obtaining a blood glucose level for a stable client ✅
Rationale: The correct answer is option C. Obtaining a blood glucose level for a stable client
is a task within the unlicensed assistive personnel scope of practice because it is a data collection
activity that does not require nursing judgment or interpretation. Option A is incorrect because
administering medications requires a licensed nurse. Option B is incorrect because assessment is a
licensed nurse responsibility. Option D is incorrect because client teaching requires a licensed nurse.
The concept tested is the five rights of delegation and the scope of practice for unlicensed assistive
personnel.
Q6. A practical nurse is delegating tasks to unlicensed assistive personnel. Which task is appropriate
to delegate?
A. Administering oral medications to a stable client
B. Assessing a postoperative client's incision for signs of infection
C. Ambulating a stable client in the hallway
D. Teaching a newly diagnosed diabetic client about insulin administration
Correct Answer: Ambulating a stable client in the hallway ✅
Rationale: The correct answer is option C. Ambulating a stable client in the hallway is a task
within the unlicensed assistive personnel scope of practice because it is a mobility activity that does
not require nursing judgment or interpretation. Option A is incorrect because administering
medications requires a licensed nurse. Option B is incorrect because assessment is a licensed nurse
responsibility. Option D is incorrect because client teaching requires a licensed nurse. The concept
tested is the five rights of delegation and the scope of practice for unlicensed assistive personnel.
Q7. A practical nurse is delegating tasks to unlicensed assistive personnel. Which task is appropriate
to delegate?
A. Administering oral medications to a stable client
B. Assessing a postoperative client's incision for signs of infection
C. Providing a bed bath to a stable client
This is Part 1 of the ATI PN
Comprehensive Predictor 2026/2027
Blueprint-Based Comprehensive Test
Bank by ATI Testing.
TABLE OF CONTENTS
Chapter 1: Management of Care — Questions 1–12
Chapter 2: Safety and Infection Control — Questions 13–22
Chapter 3: Health Promotion and Maintenance — Questions 23–30
Chapter 4: Psychosocial Integrity — Questions 31–38
Chapter 5: Basic Care and Comfort — Questions 39–50
Q1. A practical nurse is caring for four clients on a medical-surgical unit. Which client should the
nurse assess first?
A. A client who is 2 days postoperative and reports incisional pain rated 4 out of 10
B. A client who has pneumonia and reports new onset of shortness of breath with an oxygen
saturation of 88 percent
C. A client who has diabetes and has a blood glucose level of 160 milligrams per deciliter before
breakfast
D. A client who is scheduled for discharge and needs instructions about wound care
Correct Answer: A client who has pneumonia and reports new onset of shortness of breath with an
oxygen saturation of 88 percent ✅
Rationale: The correct answer is option B. The client with pneumonia who reports new onset
of shortness of breath with an oxygen saturation of 88 percent is exhibiting signs of hypoxemia and
,respiratory compromise, which require immediate assessment and intervention. This client has the
highest priority. Option A is incorrect because postoperative pain rated 4 out of 10, while important,
is not immediately life-threatening and can be addressed after assessing the most unstable client.
Option C is incorrect because a blood glucose level of 160 milligrams per deciliter before breakfast is
mildly elevated but does not require immediate assessment. Option D is incorrect because discharge
instructions are important but can be provided after assessing clients with more acute needs. The
concept tested is prioritization using the ABC framework and the recognition of signs of clinical
deterioration.
Q2. A practical nurse is caring for four clients. Which client should the nurse assess first?
A. A client who is scheduled for surgery in 2 hours and needs preoperative teaching
B. A client who reports chest pain and has a new onset of diaphoresis
C. A client who has a new prescription for an antibiotic and needs the first dose administered
D. A client who is requesting pain medication for a headache
Correct Answer: A client who reports chest pain and has a new onset of diaphoresis ✅
Rationale: The correct answer is option B. Chest pain with new onset of diaphoresis is a
classic presentation of acute coronary syndrome, which requires immediate assessment and
intervention. This client is the most unstable and has the highest priority. Option A is incorrect
because preoperative teaching, while important, is not immediately life-threatening. Option C is
incorrect because administering an antibiotic, while important, is not as urgent as assessing a client
with possible acute coronary syndrome. Option D is incorrect because a headache requiring pain
medication is not immediately life-threatening. The concept tested is prioritization using the ABC
framework and the recognition of signs of acute coronary syndrome.
Q3. A practical nurse is caring for four clients. Which client should the nurse assess first?
A. A client who is 2 days postoperative and reports incisional pain rated 5 out of 10
B. A client who has a new onset of confusion and is trying to climb out of bed
C. A client who has a new prescription for physical therapy and needs assistance with ambulation
D. A client who is requesting assistance with a bed bath
Correct Answer: A client who has a new onset of confusion and is trying to climb out of bed ✅
,Rationale: The correct answer is option B. A new onset of confusion and attempting to climb
out of bed place the client at immediate risk for falls and injury, and may indicate an underlying
medical problem such as hypoxia, infection, or metabolic derangement. This client has the highest
priority for assessment and intervention. Option A is incorrect because postoperative pain, while
important, is not immediately life-threatening. Option C is incorrect because assisting with
ambulation is important but is not as urgent as assessing a client with new confusion. Option D is
incorrect because assisting with a bed bath is not as urgent as assessing a client with new confusion.
The concept tested is prioritization using the ABC framework and the recognition of clients at risk for
injury.
Q4. A practical nurse is delegating tasks to unlicensed assistive personnel. Which task is appropriate
to delegate?
A. Administering oral medications to a stable client
B. Assessing a postoperative client's incision for signs of infection
C. Measuring and recording intake and output for a client with heart failure
D. Teaching a newly diagnosed diabetic client about insulin administration
Correct Answer: Measuring and recording intake and output for a client with heart failure ✅
Rationale: The correct answer is option C. Measuring and recording intake and output is a
task within the unlicensed assistive personnel scope of practice because it is a data collection activity
that does not require nursing judgment or interpretation. Option A is incorrect because
administering medications requires a licensed nurse. Option B is incorrect because assessment is a
licensed nurse responsibility. Option D is incorrect because client teaching requires a licensed nurse.
The concept tested is the five rights of delegation and the scope of practice for unlicensed assistive
personnel.
Q5. A practical nurse is delegating tasks to unlicensed assistive personnel. Which task is appropriate
to delegate?
A. Administering oral medications to a stable client
B. Assessing a postoperative client's incision for signs of infection
C. Obtaining a blood glucose level for a stable client
D. Teaching a newly diagnosed diabetic client about insulin administration
, Correct Answer: Obtaining a blood glucose level for a stable client ✅
Rationale: The correct answer is option C. Obtaining a blood glucose level for a stable client
is a task within the unlicensed assistive personnel scope of practice because it is a data collection
activity that does not require nursing judgment or interpretation. Option A is incorrect because
administering medications requires a licensed nurse. Option B is incorrect because assessment is a
licensed nurse responsibility. Option D is incorrect because client teaching requires a licensed nurse.
The concept tested is the five rights of delegation and the scope of practice for unlicensed assistive
personnel.
Q6. A practical nurse is delegating tasks to unlicensed assistive personnel. Which task is appropriate
to delegate?
A. Administering oral medications to a stable client
B. Assessing a postoperative client's incision for signs of infection
C. Ambulating a stable client in the hallway
D. Teaching a newly diagnosed diabetic client about insulin administration
Correct Answer: Ambulating a stable client in the hallway ✅
Rationale: The correct answer is option C. Ambulating a stable client in the hallway is a task
within the unlicensed assistive personnel scope of practice because it is a mobility activity that does
not require nursing judgment or interpretation. Option A is incorrect because administering
medications requires a licensed nurse. Option B is incorrect because assessment is a licensed nurse
responsibility. Option D is incorrect because client teaching requires a licensed nurse. The concept
tested is the five rights of delegation and the scope of practice for unlicensed assistive personnel.
Q7. A practical nurse is delegating tasks to unlicensed assistive personnel. Which task is appropriate
to delegate?
A. Administering oral medications to a stable client
B. Assessing a postoperative client's incision for signs of infection
C. Providing a bed bath to a stable client
