Get It Now: PN ATI Comprehensive Predictor Due December
2026 Exit Exam with NGN -180 Questions and Answers | Actual
ATI PN Comprehensive 2023/2026 Exit Exam with NGN
1 80 NGN & Standard Format Items with Expanded Rationales, SATA, and Clinical Indicators
Domain / Content Category Item Distribution Format Types Included
Fundamentals & Care Directives 39 Questions Multiple Choice, SATA, Ordered Response
Leadership, Delegation & Safety 30 Questions SATA, Priority Action, Bowtie
Adult Medical-Surgical Nursing 29 Questions NGN Unfolding Case, Matrix Grid, Trend Analysis
Nursing Care of Children (Peds) 24 Questions Multiple Choice, Dosage Calc, SATA
Maternal-Newborn Nursing 23 Questions SATA, High-Yield Priority Items
Mental Health Concepts 1 8 Questions Multiple Choice, Therapeutic Communication
Pharmacology & Parenteral Therapy 1 7 Questions SATA, Lab Value Analysis, Dosage Calculations
Time Blood Pressure Heart Rate Resp Rate SpO2 Temp
07:00 1 28/82 mmHg 82 bpm 1 6 /min 97% (RA) 37.1 °C (98.8°F)
1 1 :00 92/58 mmHg 1 1 8 bpm 24 /min 91 % (2L O2) 37.8°C (1 00.0°F)
hemodynamic stability over expected post-op pain or low-grade temperature.
the Comprehensive
ATI PN client to promote venousExamination
Predictor return to vital organs while maintaining hip precautions (avoiding adduction). Notify the
Guide Page 1 of 1 2
charge nurse/provider immediately.
, Complete the clinical statement: The client's clinical presentation is most consistent with [Hypovolemic Shock /
Atelectasis].
oxygenation following major orthopedic surgery is the classic presentation of acute hypovolemic shock secondary to
hidden blood loss in the deep hip tissues.
SECTION: SELECT ALL THAT APPLY (SATA) - INFECTION CONTROL & SAFETY
An LPN is preparing care for a client admitted with active pulmonary tuberculosis. Which actions must the nurse
implement? (Select all that apply. )
[ ] B. Wear a fit-tested N95 respirator prior to entering the room
(neutropenia). Doors must remain strictly closed to maintain negative pressure gradients.
findings should the nurse expect? (Select all that apply. )
[ ] A. Jugular vein distension (JVD) at 45 degrees
[ ] B. Pulmonary crackles and hemoptysis
[ ] D. Hepatomegaly and abdominal ascites
[ ] E. Paroxysmal nocturnal dyspnea
Comprehensive Rationale: Right-sided heart failure causes systemic venous congestion leading to JVD (A), peripheral
due to pulmonary backpressure.
severe dehydration? (Select all that apply. )
[ ] A. Sunken anterior fontanelle
[ ] B. Sunken eyes with absent tear production during crying
[ ] C. Capillary refill less than 2 seconds
[ ] D. Dry mucous membranes and oliguria
[ ] E. Hyperactive bowel sounds with warm extremities
tears/sunken orbits (B), dry mucous membranes, prolonged capillary refill (>3-4 seconds), and decreased wet
diapers/oliguria (D).
ATI PN Comprehensive Predictor Practice Examination Guide Page 2 of 1 2
, PHARMACOLOGY & PARENTERAL MEDICATION ADMINISTRATION
correct?
abdomen (B). Air bubbles should NOT be expelled (they seal the medication in place), site must NOT be massaged or
aspirated (causes bruising/hematoma).
A provider orders 0.9% Normal Saline 1 ,000 mL IV to infuse over 8 hours. The drop factor of the manual gravity tubing is
1 5 gtt/mL. What flow rate in drops per minute (gtt/min) should the LPN set?
Formula: (Volume in mL × Drop Factor) / Time in Minutes
Lab Test Client Value Standard Reference Range
Serum Potassium (K+) 3.1 mEq/L 3.5 - 5.0 mEq/L
Serum Sodium (Na+) 1 38 mEq/L 1 35 - 1 45 mEq/L
Serum Creatinine 0.9 mg/dL 0.6 - 1 .2 mg/dL
of lethal cardiac arrhythmias and digoxin toxicity. Furosemide is a potassium-wasting loop diuretic.
Question 1 0 (High-Alert Meds - Insulin Administration)
An LPN is preparing a dual insulin dose consisting of Regular insulin and NPH insulin. Which sequence represents the
correct preparation step?
A. Draw up NPH insulin first, then draw up Regular insulin
B. Inject air into NPH vial, inject air into Regular vial, draw up Regular, draw up NPH
C. Mix both insulins in a cup prior to drawing into the syringe
D. Inject air into Regular vial, inject air into NPH vial, draw up NPH, draw up Regular
Correct Answer: B
Comprehensive Rationale: Mnemonic: "Clear before Cloudy". Air is injected into NPH (cloudy) first, then air into Regular
(clear). Regular (clear) insulin is drawn first to prevent contaminating the short-acting vial with intermediate-acting insulin.
ATI PN Comprehensive Predictor Practice Examination Guide Page 3 of 1 2
, MATERNAL-NEWBORN & PEDIATRIC CLINICAL CONCEPTS
An LPN assesses a postpartum client 2 hours following vaginal delivery. The nurse observes saturation of two perineal
pads in 1 5 minutes. What is the priority nursing action?
Place the client on a bedpan to promote voiding
hemorrhage. Uterine atony is the primary cause. The immediate intervention is firm massage of the fundus to stimulate
muscle contraction.
An LPN assesses a newborn at 1 minute after birth and records the following parameters: HR 1 1 0 bpm, vigorous cry,
APGAR Score: 7
APGAR Score: 8
APGAR Score: 9
Scoring Breakdown:
Respiratory effort (vigorous cry) = 2 points
Total = 2 + 2 + 2 + 1 + 1 = 8.
should the LPN recommend to the parent for home management?
suppressants are contraindicated in toddlers, and milk products can thicken respiratory secretions.
Question 1 4 (Pediatrics - Pyloric Stenosis Cues)
An LPN collects clinical history for a 5-week-old infant. Which classic manifestation suggests hypertrophic pyloric
stenosis?
A. Projectile non-bilious vomiting immediately after feedings
B. Severe currant-jelly stools containing mucus and blood
C. Persistent diarrhea with abdominal distension
D. Constant drooling with coughing during attempted feeds
Correct Answer: A
Comprehensive Rationale: Hypertrophic pyloric stenosis presents with progressive, non-bilious projectile vomiting after
ATI PN Comprehensive Predictor Practice Examination Guide Page 4 of 1 2
2026 Exit Exam with NGN -180 Questions and Answers | Actual
ATI PN Comprehensive 2023/2026 Exit Exam with NGN
1 80 NGN & Standard Format Items with Expanded Rationales, SATA, and Clinical Indicators
Domain / Content Category Item Distribution Format Types Included
Fundamentals & Care Directives 39 Questions Multiple Choice, SATA, Ordered Response
Leadership, Delegation & Safety 30 Questions SATA, Priority Action, Bowtie
Adult Medical-Surgical Nursing 29 Questions NGN Unfolding Case, Matrix Grid, Trend Analysis
Nursing Care of Children (Peds) 24 Questions Multiple Choice, Dosage Calc, SATA
Maternal-Newborn Nursing 23 Questions SATA, High-Yield Priority Items
Mental Health Concepts 1 8 Questions Multiple Choice, Therapeutic Communication
Pharmacology & Parenteral Therapy 1 7 Questions SATA, Lab Value Analysis, Dosage Calculations
Time Blood Pressure Heart Rate Resp Rate SpO2 Temp
07:00 1 28/82 mmHg 82 bpm 1 6 /min 97% (RA) 37.1 °C (98.8°F)
1 1 :00 92/58 mmHg 1 1 8 bpm 24 /min 91 % (2L O2) 37.8°C (1 00.0°F)
hemodynamic stability over expected post-op pain or low-grade temperature.
the Comprehensive
ATI PN client to promote venousExamination
Predictor return to vital organs while maintaining hip precautions (avoiding adduction). Notify the
Guide Page 1 of 1 2
charge nurse/provider immediately.
, Complete the clinical statement: The client's clinical presentation is most consistent with [Hypovolemic Shock /
Atelectasis].
oxygenation following major orthopedic surgery is the classic presentation of acute hypovolemic shock secondary to
hidden blood loss in the deep hip tissues.
SECTION: SELECT ALL THAT APPLY (SATA) - INFECTION CONTROL & SAFETY
An LPN is preparing care for a client admitted with active pulmonary tuberculosis. Which actions must the nurse
implement? (Select all that apply. )
[ ] B. Wear a fit-tested N95 respirator prior to entering the room
(neutropenia). Doors must remain strictly closed to maintain negative pressure gradients.
findings should the nurse expect? (Select all that apply. )
[ ] A. Jugular vein distension (JVD) at 45 degrees
[ ] B. Pulmonary crackles and hemoptysis
[ ] D. Hepatomegaly and abdominal ascites
[ ] E. Paroxysmal nocturnal dyspnea
Comprehensive Rationale: Right-sided heart failure causes systemic venous congestion leading to JVD (A), peripheral
due to pulmonary backpressure.
severe dehydration? (Select all that apply. )
[ ] A. Sunken anterior fontanelle
[ ] B. Sunken eyes with absent tear production during crying
[ ] C. Capillary refill less than 2 seconds
[ ] D. Dry mucous membranes and oliguria
[ ] E. Hyperactive bowel sounds with warm extremities
tears/sunken orbits (B), dry mucous membranes, prolonged capillary refill (>3-4 seconds), and decreased wet
diapers/oliguria (D).
ATI PN Comprehensive Predictor Practice Examination Guide Page 2 of 1 2
, PHARMACOLOGY & PARENTERAL MEDICATION ADMINISTRATION
correct?
abdomen (B). Air bubbles should NOT be expelled (they seal the medication in place), site must NOT be massaged or
aspirated (causes bruising/hematoma).
A provider orders 0.9% Normal Saline 1 ,000 mL IV to infuse over 8 hours. The drop factor of the manual gravity tubing is
1 5 gtt/mL. What flow rate in drops per minute (gtt/min) should the LPN set?
Formula: (Volume in mL × Drop Factor) / Time in Minutes
Lab Test Client Value Standard Reference Range
Serum Potassium (K+) 3.1 mEq/L 3.5 - 5.0 mEq/L
Serum Sodium (Na+) 1 38 mEq/L 1 35 - 1 45 mEq/L
Serum Creatinine 0.9 mg/dL 0.6 - 1 .2 mg/dL
of lethal cardiac arrhythmias and digoxin toxicity. Furosemide is a potassium-wasting loop diuretic.
Question 1 0 (High-Alert Meds - Insulin Administration)
An LPN is preparing a dual insulin dose consisting of Regular insulin and NPH insulin. Which sequence represents the
correct preparation step?
A. Draw up NPH insulin first, then draw up Regular insulin
B. Inject air into NPH vial, inject air into Regular vial, draw up Regular, draw up NPH
C. Mix both insulins in a cup prior to drawing into the syringe
D. Inject air into Regular vial, inject air into NPH vial, draw up NPH, draw up Regular
Correct Answer: B
Comprehensive Rationale: Mnemonic: "Clear before Cloudy". Air is injected into NPH (cloudy) first, then air into Regular
(clear). Regular (clear) insulin is drawn first to prevent contaminating the short-acting vial with intermediate-acting insulin.
ATI PN Comprehensive Predictor Practice Examination Guide Page 3 of 1 2
, MATERNAL-NEWBORN & PEDIATRIC CLINICAL CONCEPTS
An LPN assesses a postpartum client 2 hours following vaginal delivery. The nurse observes saturation of two perineal
pads in 1 5 minutes. What is the priority nursing action?
Place the client on a bedpan to promote voiding
hemorrhage. Uterine atony is the primary cause. The immediate intervention is firm massage of the fundus to stimulate
muscle contraction.
An LPN assesses a newborn at 1 minute after birth and records the following parameters: HR 1 1 0 bpm, vigorous cry,
APGAR Score: 7
APGAR Score: 8
APGAR Score: 9
Scoring Breakdown:
Respiratory effort (vigorous cry) = 2 points
Total = 2 + 2 + 2 + 1 + 1 = 8.
should the LPN recommend to the parent for home management?
suppressants are contraindicated in toddlers, and milk products can thicken respiratory secretions.
Question 1 4 (Pediatrics - Pyloric Stenosis Cues)
An LPN collects clinical history for a 5-week-old infant. Which classic manifestation suggests hypertrophic pyloric
stenosis?
A. Projectile non-bilious vomiting immediately after feedings
B. Severe currant-jelly stools containing mucus and blood
C. Persistent diarrhea with abdominal distension
D. Constant drooling with coughing during attempted feeds
Correct Answer: A
Comprehensive Rationale: Hypertrophic pyloric stenosis presents with progressive, non-bilious projectile vomiting after
ATI PN Comprehensive Predictor Practice Examination Guide Page 4 of 1 2
