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ATI PN Comprehensive Predictor | Updated Exam-Style Review & Practice for Practical Nursing Students

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This ATI PN Comprehensive Predictor review is designed to help practical nursing students assess readiness for graduation and NCLEX-PN success. The material is aligned with the ATI test blueprint and emphasizes core nursing concepts, clinical judgment, and test-taking strategies. Commonly used by nursing programs as a structured predictor preparation and remediation support tool.

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January 2, 2026
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Written in
2025/2026
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ATI PN comprehensive predictor (NEW UPDATED VERSION) LATEST ACTUAL
EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED QUESTIONS AND
ANSWERS) | GUARANTEED PASS A+

ATI PN Comprehensive Predictor Practice
Exam — Part 1

Fundamentals of Nursing
1. A nurse is caring for a client with a new cast on the arm. What should the nurse assess first?
A) Distal circulation, sensation, and movement of fingers
B) Temperature of the room
C) Appetite and fluid intake
D) Lung sounds
Answer: A) Distal circulation, sensation, and movement of fingers
Rationale: Early detection of neurovascular compromise prevents complications like
compartment syndrome.

2. To prevent pressure injuries in a bedridden client, the nurse should:
A) Reposition the client every 2 hours
B) Massage red areas vigorously
C) Keep client on one side for long periods
D) Place pillows only under knees
Answer: A) Reposition the client every 2 hours
Rationale: Frequent repositioning reduces pressure on bony prominences and prevents skin
breakdown.

3. A nurse providing oral care for an unconscious client should:
A) Turn the client to the side and use suction
B) Sit the client upright in bed
C) Place the client supine and brush teeth
D) Skip oral care
Answer: A) Turn the client to the side and use suction
Rationale: Proper positioning reduces aspiration risk while maintaining oral hygiene.

4. Which items are included in a client’s intake and output (I&O) measurement?
A) IV fluids, urine, vomitus
B) Skin moisture
C) Oxygen administered
D) Room temperature



2026 2027 GRADED A+

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Answer: A) IV fluids, urine, vomitus
Rationale: Accurate I&O monitoring helps assess fluid balance and detect imbalances.

5. Before administering medication, the nurse’s most important action is:
A) Check client’s identity using two identifiers
B) Prepare medication quickly
C) Ask family approval
D) Skip label check
Answer: A) Check client’s identity using two identifiers
Rationale: Verifying identity prevents medication errors and ensures safety.




Pharmacology / Medication Administration
6. A client is prescribed an antihypertensive. The nurse should:
A) Check blood pressure before administration
B) Give the medication regardless of vital signs
C) Monitor only heart rate
D) Administer without documentation
Answer: A) Check blood pressure before administration
Rationale: Monitoring ensures safe administration and prevents hypotension.

7. Which medication route has the fastest absorption?
A) Intravenous (IV)
B) Oral (PO)
C) Subcutaneous (SC)
D) Topical
Answer: A) Intravenous (IV)
Rationale: IV medications enter circulation directly, providing immediate effect.

8. A client is taking antibiotics. The nurse should teach:
A) Complete the full course even if symptoms improve
B) Stop when feeling better
C) Take with alcohol
D) Skip doses if busy
Answer: A) Complete the full course even if symptoms improve
Rationale: Completing antibiotics prevents resistance and infection recurrence.

9. A client on warfarin should have which lab monitored?
A) INR/PT
B) Blood glucose
C) Heart rate
D) Urine output
Answer: A) INR/PT
Rationale: Warfarin affects clotting; monitoring prevents bleeding complications.


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10. Mild IV infiltration should be managed by:
A) Stopping the IV, elevating the limb, applying warm compress if prescribed
B) Pushing IV faster
C) Ignoring it
D) Increasing infusion rate
Answer: A) Stopping IV, elevating limb, warm compress
Rationale: Early intervention prevents tissue damage and promotes absorption.




Medical-Surgical Nursing
11. Post-op abdominal client with shortness of breath: first action?
A) Assess vital signs and oxygen saturation
B) Ignore until scheduled assessment
C) Give pain medication
D) Encourage ambulation without assessment
Answer: A) Assess vital signs and oxygen saturation
Rationale: Detects complications like pneumonia or embolism early.

12. Hypoglycemia signs in a diabetic client include:
A) Shakiness, diaphoresis, confusion
B) Polyuria, polydipsia
C) Weight gain
D) Elevated blood pressure
Answer: A) Shakiness, diaphoresis, confusion
Rationale: Rapid onset of hypoglycemia presents with adrenergic and neuroglycopenic
symptoms.

13. Client at risk for falls should have:
A) Fall precautions: call light in reach, non-slip socks
B) None; client alert
C) Only bed alarm
D) Restraints for all
Answer: A) Fall precautions
Rationale: Preventing falls reduces injury risk and promotes safety.

14. A client with CHF should monitor:
A) Daily weight
B) Temperature
C) Appetite
D) Bowel sounds
Answer: A) Daily weight
Rationale: Detects fluid retention early.




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15. New NG tube: priority nursing action?
A) Verify placement before feeding
B) Start feeding immediately
C) Assume placement is correct
D) Measure tube length only
Answer: A) Verify placement before feeding
Rationale: Prevents aspiration and complications.




Maternal / Newborn Nursing
16. Postpartum client with bright red bleeding one week after delivery: first action?
A) Assess lochia and vital signs
B) Reassure without assessment
C) Encourage ambulation
D) Ignore
Answer: A) Assess lochia and vital signs
Rationale: Bright red bleeding may indicate hemorrhage; early assessment is critical.

17. Newborn at risk for hypoglycemia: nurse should:
A) Feed frequently, monitor blood glucose
B) Delay feeding
C) Only monitor temperature
D) Limit intake
Answer: A) Feed frequently, monitor blood glucose
Rationale: Prevents complications from low glucose levels.

18. Safe newborn sleep position:
A) Supine
B) Prone
C) Side-lying
D) Soft mattress with pillows
Answer: A) Supine
Rationale: Supine sleep reduces SIDS risk.

19. Sudden gush of fluid at 38 weeks gestation indicates:
A) Rupture of membranes
B) Urinary incontinence
C) Vomiting
D) Constipation
Answer: A) Rupture of membranes
Rationale: Sudden fluid leakage indicates possible labor onset.

20. Stable postpartum client vitals should be checked:
A) Every 4–8 hours


2026 2027 GRADED A+
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