ATI PN Comprehensive Predictor Exit Exam
180 ITEMS December –2026 NGN High-Yield Mastery Guide • 180 Question Framework
NCLEX-PN / ATI Exam Client Needs Question
Category Distribution Key High-Yield Focus Areas
18%–24% (32–43 Delegation (EAT rule), Prioritization, Informed Consent, Advance
Safe & Effective Care: Coordinated Care Qs) Directives
Safe & Effective Care: Safety & Infection Control 10%–16% (18–29 Isolation PPE, Fall Prevention, Equipment Safety, C. diff / MRSA
Qs) protocols
7%–13% (13–23 Developmental Milestones, APGAR, Prenatal Care,
Health Promotion & Maintenance Qs) Immunizations, Antepartum
8%–14% (14–25 Therapeutic Communication, Lithium/MAOIs, Alcohol
Psychosocial Integrity Qs) Withdrawal, Abuse
Physiological Integrity: Basic Care, Pharma, Risk, 43%–57% (77–103 Lab Values, Pharmacology, Dosage Calc, Post-op Complications,
Adaptation Qs) Emergency NGN
Domain 1: Coordinated Care, Delegation & Safety (Items 1–45)
Question 1 (Delegation Principles — Scope of Practice)
A PN is prioritizing care for a shift on a medical unit. Which task is appropriate to delegate to an experienced Assistive Personnel (AP)?
A. Evaluating a client's swallowing ability following a cerebrovascular accident.
B. Applying a simple hydrocolloid dressing to a stage 2 pressure injury.
C. Ambulating a client who is 1 day post-knee arthroplasty using a walker.
D. Reinforcing discharge teaching regarding wound care instructions.
Correct Answer: C — APs can perform routine transfers and ambulation on stable clients. Evaluation (A), sterile dressing/wound care (B), and
teaching reinforcement (D) require licensed nursing judgement. Memory Rule: Never delegate EAT (Evaluate, Assess, Teach).
Question 2 (Transmission-Based Precautions)
A PN is caring for four clients. Which client assignment requires the PN to wear an N95 respirator mask and ensure placement in a negative-
pressure airflow room?
A. A client with Mycoplasma pneumoniae exhibiting a harsh cough.
B. A client admitted with suspected pulmonary Tuberculosis and night sweats.
C. A client diagnosed with Clostridioides difficile secondary to antibiotic use.
D. A client with a localized Herpes Zoster outbreak on the abdomen.
Correct Answer: B — Airborne precautions (N95 mask + negative pressure room) are required for Tuberculosis, Measles (rubeola), and Varicella
(chickenpox). Mnemonic: "MTV".
Question 3 (Infection Control — C. difficile Protocol)
A PN is exiting the room of a client who has a confirmed C. difficile infection. Which hand hygiene technique is mandatory?
A. Rubbing hands with an alcohol-based hand rub for 20 seconds until dry.
B. Washing hands with antimicrobial soap and water at a sink.
C. Rinsing hands with chlorhexidine solution followed by an alcohol gel.
D. Wiping hands with a 70% isopropyl alcohol disinfectant wipe.
Correct Answer: B — C. difficile endospores are resistant to alcohol-based hand rubs. Washing thoroughly with soap and water is required to
physically remove spores.
Question 4 (Advance Directives & Advocacy)
A competent client with terminal end-stage renal disease decides to stop hemodialysis and requests comfort care. The client's adult child
demands the PN continue treatment. What is the priority PN action?
A. Notify the hospital ethics committee immediately to resolve the family conflict.
ATI PN Comprehensive Predictor Exit Exam Guide Page 1 of 28
, B. Inform the adult child that the client's autonomous decision must be respected.
C Administer the next scheduled dialysis treatment to maintain family harmony
ATI PN Comprehensive Predictor Exit Exam Guide Page 2 of 28
, Domain 2: Health Promotion, Pediatrics & Maternal-Newborn (Items 46–85)
ATI PN Comprehensive Predictor Exit Exam Guide Page 3 of 28
180 ITEMS December –2026 NGN High-Yield Mastery Guide • 180 Question Framework
NCLEX-PN / ATI Exam Client Needs Question
Category Distribution Key High-Yield Focus Areas
18%–24% (32–43 Delegation (EAT rule), Prioritization, Informed Consent, Advance
Safe & Effective Care: Coordinated Care Qs) Directives
Safe & Effective Care: Safety & Infection Control 10%–16% (18–29 Isolation PPE, Fall Prevention, Equipment Safety, C. diff / MRSA
Qs) protocols
7%–13% (13–23 Developmental Milestones, APGAR, Prenatal Care,
Health Promotion & Maintenance Qs) Immunizations, Antepartum
8%–14% (14–25 Therapeutic Communication, Lithium/MAOIs, Alcohol
Psychosocial Integrity Qs) Withdrawal, Abuse
Physiological Integrity: Basic Care, Pharma, Risk, 43%–57% (77–103 Lab Values, Pharmacology, Dosage Calc, Post-op Complications,
Adaptation Qs) Emergency NGN
Domain 1: Coordinated Care, Delegation & Safety (Items 1–45)
Question 1 (Delegation Principles — Scope of Practice)
A PN is prioritizing care for a shift on a medical unit. Which task is appropriate to delegate to an experienced Assistive Personnel (AP)?
A. Evaluating a client's swallowing ability following a cerebrovascular accident.
B. Applying a simple hydrocolloid dressing to a stage 2 pressure injury.
C. Ambulating a client who is 1 day post-knee arthroplasty using a walker.
D. Reinforcing discharge teaching regarding wound care instructions.
Correct Answer: C — APs can perform routine transfers and ambulation on stable clients. Evaluation (A), sterile dressing/wound care (B), and
teaching reinforcement (D) require licensed nursing judgement. Memory Rule: Never delegate EAT (Evaluate, Assess, Teach).
Question 2 (Transmission-Based Precautions)
A PN is caring for four clients. Which client assignment requires the PN to wear an N95 respirator mask and ensure placement in a negative-
pressure airflow room?
A. A client with Mycoplasma pneumoniae exhibiting a harsh cough.
B. A client admitted with suspected pulmonary Tuberculosis and night sweats.
C. A client diagnosed with Clostridioides difficile secondary to antibiotic use.
D. A client with a localized Herpes Zoster outbreak on the abdomen.
Correct Answer: B — Airborne precautions (N95 mask + negative pressure room) are required for Tuberculosis, Measles (rubeola), and Varicella
(chickenpox). Mnemonic: "MTV".
Question 3 (Infection Control — C. difficile Protocol)
A PN is exiting the room of a client who has a confirmed C. difficile infection. Which hand hygiene technique is mandatory?
A. Rubbing hands with an alcohol-based hand rub for 20 seconds until dry.
B. Washing hands with antimicrobial soap and water at a sink.
C. Rinsing hands with chlorhexidine solution followed by an alcohol gel.
D. Wiping hands with a 70% isopropyl alcohol disinfectant wipe.
Correct Answer: B — C. difficile endospores are resistant to alcohol-based hand rubs. Washing thoroughly with soap and water is required to
physically remove spores.
Question 4 (Advance Directives & Advocacy)
A competent client with terminal end-stage renal disease decides to stop hemodialysis and requests comfort care. The client's adult child
demands the PN continue treatment. What is the priority PN action?
A. Notify the hospital ethics committee immediately to resolve the family conflict.
ATI PN Comprehensive Predictor Exit Exam Guide Page 1 of 28
, B. Inform the adult child that the client's autonomous decision must be respected.
C Administer the next scheduled dialysis treatment to maintain family harmony
ATI PN Comprehensive Predictor Exit Exam Guide Page 2 of 28
, Domain 2: Health Promotion, Pediatrics & Maternal-Newborn (Items 46–85)
ATI PN Comprehensive Predictor Exit Exam Guide Page 3 of 28
