____________________________________________
ATI PN PREDICTOR EXIT EXAM 2026 WITH 180
QUESTIONS AND CORRECT ANSWERS|100% GUARANTEE
PASS
____________________________________________
Q1. A PN is taking vital signs. Which BP should be reported to the RN first?
A. 118/76 mmHg
B. 142/90 mmHg
C. 88/54 mmHg
D. 130/82 mmHg
*Answer: C*
*Rationale:* 88/54 is hypotensive and may indicate shock, dehydration, or bleeding. The RN needs to
assess first. Hypertensive 142/90 should be monitored, but hypotension is more urgent.
Q2. Which action is correct when donning sterile gloves?
A. Touch only the inside cuff of the first glove
B. Touch the outside of both gloves to don them
C. Hold gloves below waist level
D. Don second glove by touching its outside
*Answer: A*
*Rationale:* Sterile technique = only touch the inside/cuff of the first glove. The second glove is donned by
sliding sterile fingers under the cuff.
Q3.A client is taking digoxin 0.25 mg PO daily. Which finding should the PN report?
A. Pulse 72 bpm
,B. Potassium 3.2 mEq/L
C. BP 120/80 mmHg
D. Appetite increased
*Answer: B*
*Rationale:* Hypokalemia increases digoxin toxicity risk. Normal K+ is 3.5-5.0. Hold and report if K+ <3.5 or
apical pulse <60.
Q4. A client is prescribed metformin for type 2 DM. Which instruction is most important?
A. Take with meals to reduce GI upset
B. Stop if you feel tired
C. Check BP daily
D. Avoid all carbohydrates
*Answer: A*
*Rationale:* Metformin causes GI upset and lactic acidosis risk. Take with food. Don’t stop without
provider order. Carb counting is taught, but “avoid all” is unsafe.
Q5. A client with COPD is on 2L O2 via nasal cannula. SpO2 is 88%. What should the PN do first?
A. Increase O2 to 4L
B. Notify the RN
C. Have client cough and deep breathe
D. Reposition client to Fowler’s
*Answer: B*
*Rationale:* COPD clients are O2-sensitive. Target SpO2 is 88-92%. <88% is below target and requires RN
assessment before changing O2. Don’t increase O2 without an order.
Q6. Which sign indicates hypoglycemia in a client with DM?
A. Fruity breath, Kussmaul respirations
,B. Shaky, diaphoretic, irritable
C. Polyuria, polydipsia
D. Flushed, dry skin
*Answer: B*
*Rationale:* Hypoglycemia = “cold, clammy, shaky.” Fruity breath + Kussmaul = DKA/hyperglycemia.
*Maternal-Newborn*
Q7. A postpartum client’s fundus is boggy and 2 fingerbreadths above the umbilicus. What’s the priority?
A. Encourage ambulation
B. Massage the fundus
C. Offer ice chips
D. Document and continue monitoring
*Answer: B*
*Rationale:* Boggy + high fundus = uterine atony. Massage first to contract the uterus and control
bleeding, then notify RN.
Q8.A newborn’s temp is 96.8°F axillary 1 hour after birth. First action?
A. Notify the pediatrician
B. Place infant skin-to-skin under warm blanket
C. Give a warm bath
D. Increase room temp to 80°F
*Answer: B*
*Rationale:* Newborns lose heat fast. Skin-to-skin + drying + warming prevents hypothermia. Bathing
would worsen it.
*Pediatrics*
Q9. A toddler with croup has stridor at rest. What’s the priority?
, A. Give oral fluids
B. Maintain airway, notify RN
C. Play with toys to distract
D. Encourage coughing
*Answer: B*
*Rationale:* Stridor at rest = airway compromise. Airway, breathing, circulation first. RN needs to assess
for epinephrine/steroids.
Q10. Which vaccine is contraindicated in a 6-month-old with fever 102°F?
A. Give now, fever isn’t a reason
B. Delay until afebrile
C. Give half dose
D. Skip that vaccine forever
*Answer: B*
*Rationale:* Moderate/severe acute illness with fever = delay immunization until recovered. Mild illness is
not a contraindication.
*Mental Health*
Q11. A client says, “The FBI is following me through the TV.” Best response?
A. “That’s not true. No one is following you.”
B. “You must be scared. I’m here with you.”
C. “Let’s turn off the TV.”
D. “Why do you think that?”
*Answer: B*
*Rationale:* Use therapeutic communication. Validate feeling, don’t argue with delusion. “Why” questions
can increase agitation.
ATI PN PREDICTOR EXIT EXAM 2026 WITH 180
QUESTIONS AND CORRECT ANSWERS|100% GUARANTEE
PASS
____________________________________________
Q1. A PN is taking vital signs. Which BP should be reported to the RN first?
A. 118/76 mmHg
B. 142/90 mmHg
C. 88/54 mmHg
D. 130/82 mmHg
*Answer: C*
*Rationale:* 88/54 is hypotensive and may indicate shock, dehydration, or bleeding. The RN needs to
assess first. Hypertensive 142/90 should be monitored, but hypotension is more urgent.
Q2. Which action is correct when donning sterile gloves?
A. Touch only the inside cuff of the first glove
B. Touch the outside of both gloves to don them
C. Hold gloves below waist level
D. Don second glove by touching its outside
*Answer: A*
*Rationale:* Sterile technique = only touch the inside/cuff of the first glove. The second glove is donned by
sliding sterile fingers under the cuff.
Q3.A client is taking digoxin 0.25 mg PO daily. Which finding should the PN report?
A. Pulse 72 bpm
,B. Potassium 3.2 mEq/L
C. BP 120/80 mmHg
D. Appetite increased
*Answer: B*
*Rationale:* Hypokalemia increases digoxin toxicity risk. Normal K+ is 3.5-5.0. Hold and report if K+ <3.5 or
apical pulse <60.
Q4. A client is prescribed metformin for type 2 DM. Which instruction is most important?
A. Take with meals to reduce GI upset
B. Stop if you feel tired
C. Check BP daily
D. Avoid all carbohydrates
*Answer: A*
*Rationale:* Metformin causes GI upset and lactic acidosis risk. Take with food. Don’t stop without
provider order. Carb counting is taught, but “avoid all” is unsafe.
Q5. A client with COPD is on 2L O2 via nasal cannula. SpO2 is 88%. What should the PN do first?
A. Increase O2 to 4L
B. Notify the RN
C. Have client cough and deep breathe
D. Reposition client to Fowler’s
*Answer: B*
*Rationale:* COPD clients are O2-sensitive. Target SpO2 is 88-92%. <88% is below target and requires RN
assessment before changing O2. Don’t increase O2 without an order.
Q6. Which sign indicates hypoglycemia in a client with DM?
A. Fruity breath, Kussmaul respirations
,B. Shaky, diaphoretic, irritable
C. Polyuria, polydipsia
D. Flushed, dry skin
*Answer: B*
*Rationale:* Hypoglycemia = “cold, clammy, shaky.” Fruity breath + Kussmaul = DKA/hyperglycemia.
*Maternal-Newborn*
Q7. A postpartum client’s fundus is boggy and 2 fingerbreadths above the umbilicus. What’s the priority?
A. Encourage ambulation
B. Massage the fundus
C. Offer ice chips
D. Document and continue monitoring
*Answer: B*
*Rationale:* Boggy + high fundus = uterine atony. Massage first to contract the uterus and control
bleeding, then notify RN.
Q8.A newborn’s temp is 96.8°F axillary 1 hour after birth. First action?
A. Notify the pediatrician
B. Place infant skin-to-skin under warm blanket
C. Give a warm bath
D. Increase room temp to 80°F
*Answer: B*
*Rationale:* Newborns lose heat fast. Skin-to-skin + drying + warming prevents hypothermia. Bathing
would worsen it.
*Pediatrics*
Q9. A toddler with croup has stridor at rest. What’s the priority?
, A. Give oral fluids
B. Maintain airway, notify RN
C. Play with toys to distract
D. Encourage coughing
*Answer: B*
*Rationale:* Stridor at rest = airway compromise. Airway, breathing, circulation first. RN needs to assess
for epinephrine/steroids.
Q10. Which vaccine is contraindicated in a 6-month-old with fever 102°F?
A. Give now, fever isn’t a reason
B. Delay until afebrile
C. Give half dose
D. Skip that vaccine forever
*Answer: B*
*Rationale:* Moderate/severe acute illness with fever = delay immunization until recovered. Mild illness is
not a contraindication.
*Mental Health*
Q11. A client says, “The FBI is following me through the TV.” Best response?
A. “That’s not true. No one is following you.”
B. “You must be scared. I’m here with you.”
C. “Let’s turn off the TV.”
D. “Why do you think that?”
*Answer: B*
*Rationale:* Use therapeutic communication. Validate feeling, don’t argue with delusion. “Why” questions
can increase agitation.
