ATI PN COMPREHENSIVE PREDICTOR 2026 EXIT
EXAM PRACTICE NEXT GENERATION NCLEX
(NGN) STYLE 151 QUESTIONS + ANSWERS +
DETAILED RATIONALES already graded A+
Fundamentals • Safety • Infection Control • Pharmacology • Clinical Judgment
Note: This is a comprehensive ATI-style practice exam created for preparation. It is
not the confidential ATI test itself. Current ATI PN Predictor-style resources
emphasize 180-item comprehensive practice, NGN formats, clinical judgment, case
studies, and nursing content areas such as management of care, health
promotion, psychosocial integrity, and physiological integrity.
Question 1
A practical nurse is caring for four clients. Which client should the nurse assess
first?
A. Client requesting pain medication for chronic arthritis
B. Client with oxygen saturation of 88% on room air
C. Client asking for discharge instructions
D. Client needing assistance with bathing
Correct Answer: B) Client with oxygen saturation of 88% on room air
1
,Rationale:
Using the ABC priority framework, airway and breathing problems are assessed
first. Low oxygen saturation indicates impaired oxygenation and requires
immediate attention.
Question 2
A nurse is preparing to administer medication. Which action is required before
administration?
A. Verify the client's room number
B. Use two client identifiers
C. Ask another patient for confirmation
D. Check only the medication label
Correct Answer: B) Use two client identifiers
Rationale:
Two identifiers, such as name and date of birth, prevent medication errors and
ensure the correct patient receives treatment.
Question 3
A nurse enters a room of a client with suspected tuberculosis. Which personal
protective equipment (PPE) is required?
A. Surgical mask
B. N95 respirator
C. Sterile gloves only
D. Face shield only
Correct Answer: B) N95 respirator
Rationale:
Tuberculosis requires airborne precautions. An N95 respirator protects against
inhalation of airborne particles.
2
,Question 4
A nurse is performing hand hygiene. Which action is correct?
A. Wash hands only when visibly dirty
B. Use alcohol-based sanitizer when hands are not visibly soiled
C. Wear gloves instead of washing hands
D. Wash hands only after patient care
Correct Answer: B) Use alcohol-based sanitizer when hands are not visibly soiled
Rationale:
Alcohol-based hand rubs are effective for routine hand hygiene unless hands are
visibly contaminated.
Question 5
A client refuses a prescribed treatment. Which action should the nurse take?
A. Force the treatment
B. Notify security
C. Respect the client's decision and document refusal
D. Administer medication secretly
Correct Answer: C) Respect the client's decision and document refusal
Rationale:
Clients have the right to refuse care. The nurse should provide education, assess
understanding, and document the refusal.
Question 6
Which task is appropriate for the practical nurse (PN) to delegate to assistive
personnel (AP)?
3
, A. Initial assessment of a new admission
B. Teaching insulin injection technique
C. Obtaining vital signs for a stable client
D. Evaluating effectiveness of medication
Correct Answer: C) Obtaining vital signs for a stable client
Rationale:
AP can perform routine, predictable tasks for stable clients. Assessment, teaching,
and evaluation require licensed nursing judgment.
Question 7
A nurse is caring for a client on fall precautions. Which intervention is
appropriate?
A. Keep the bed in the highest position
B. Place call light within reach
C. Keep the room dark
D. Remove nonskid footwear
Correct Answer: B) Place call light within reach
Rationale:
Keeping frequently used items accessible reduces fall risk and promotes
independence.
Question 8
A nurse identifies a medication error occurred. What is the first action?
A. Complete an incident report
B. Notify the provider
C. Assess the client
D. Document the error only
4
EXAM PRACTICE NEXT GENERATION NCLEX
(NGN) STYLE 151 QUESTIONS + ANSWERS +
DETAILED RATIONALES already graded A+
Fundamentals • Safety • Infection Control • Pharmacology • Clinical Judgment
Note: This is a comprehensive ATI-style practice exam created for preparation. It is
not the confidential ATI test itself. Current ATI PN Predictor-style resources
emphasize 180-item comprehensive practice, NGN formats, clinical judgment, case
studies, and nursing content areas such as management of care, health
promotion, psychosocial integrity, and physiological integrity.
Question 1
A practical nurse is caring for four clients. Which client should the nurse assess
first?
A. Client requesting pain medication for chronic arthritis
B. Client with oxygen saturation of 88% on room air
C. Client asking for discharge instructions
D. Client needing assistance with bathing
Correct Answer: B) Client with oxygen saturation of 88% on room air
1
,Rationale:
Using the ABC priority framework, airway and breathing problems are assessed
first. Low oxygen saturation indicates impaired oxygenation and requires
immediate attention.
Question 2
A nurse is preparing to administer medication. Which action is required before
administration?
A. Verify the client's room number
B. Use two client identifiers
C. Ask another patient for confirmation
D. Check only the medication label
Correct Answer: B) Use two client identifiers
Rationale:
Two identifiers, such as name and date of birth, prevent medication errors and
ensure the correct patient receives treatment.
Question 3
A nurse enters a room of a client with suspected tuberculosis. Which personal
protective equipment (PPE) is required?
A. Surgical mask
B. N95 respirator
C. Sterile gloves only
D. Face shield only
Correct Answer: B) N95 respirator
Rationale:
Tuberculosis requires airborne precautions. An N95 respirator protects against
inhalation of airborne particles.
2
,Question 4
A nurse is performing hand hygiene. Which action is correct?
A. Wash hands only when visibly dirty
B. Use alcohol-based sanitizer when hands are not visibly soiled
C. Wear gloves instead of washing hands
D. Wash hands only after patient care
Correct Answer: B) Use alcohol-based sanitizer when hands are not visibly soiled
Rationale:
Alcohol-based hand rubs are effective for routine hand hygiene unless hands are
visibly contaminated.
Question 5
A client refuses a prescribed treatment. Which action should the nurse take?
A. Force the treatment
B. Notify security
C. Respect the client's decision and document refusal
D. Administer medication secretly
Correct Answer: C) Respect the client's decision and document refusal
Rationale:
Clients have the right to refuse care. The nurse should provide education, assess
understanding, and document the refusal.
Question 6
Which task is appropriate for the practical nurse (PN) to delegate to assistive
personnel (AP)?
3
, A. Initial assessment of a new admission
B. Teaching insulin injection technique
C. Obtaining vital signs for a stable client
D. Evaluating effectiveness of medication
Correct Answer: C) Obtaining vital signs for a stable client
Rationale:
AP can perform routine, predictable tasks for stable clients. Assessment, teaching,
and evaluation require licensed nursing judgment.
Question 7
A nurse is caring for a client on fall precautions. Which intervention is
appropriate?
A. Keep the bed in the highest position
B. Place call light within reach
C. Keep the room dark
D. Remove nonskid footwear
Correct Answer: B) Place call light within reach
Rationale:
Keeping frequently used items accessible reduces fall risk and promotes
independence.
Question 8
A nurse identifies a medication error occurred. What is the first action?
A. Complete an incident report
B. Notify the provider
C. Assess the client
D. Document the error only
4
