ATI PN Comprehensive Predictor Exit Exam | Study Guide &
NCLEX-PN Pass Pack (Latest 2026)
Secure your graduation eligibility and clear the hurdle for your boards with this high-
yield study package built for the ATI PN Comprehensive Predictor Exit Exam. This
comprehensive review breaks down critical nursing concepts across maternal-newborn
care, pediatric medical-surgical, basic pharmacology, and fundamental safety protocols.
Banish testing anxiety and master high-stakes Next-Generation NCLEX (NGN) style
priority and delegation questions modeled directly after the official ATI blueprint
Question 1
A practical nurse is caring for four clients at the start of the shift. Which client should the
PN assess FIRST?
A) Client with diabetes requesting pain medication for neuropathy
B) Client with COPD who has a new cough producing green sputum
C) Client post-op day 1 with new-onset confusion and BP 88/50
D) Client with a fractured tibia requesting help to the bathroom
Rationale: New confusion combined with hypotension suggests possible sepsis,
hemorrhage, or shock — an unstable priority. Airway and circulation precede stable
complaints. This client requires immediate assessment .
Question 2
Which client can be assigned to a PN (LPN/LVN) under RN supervision?
A) Client newly diagnosed with unstable angina on a titratable heparin drip
B) Client with stable congestive heart failure receiving daily furosemide
,C) Client requiring blood transfusion for symptomatic anemia
D) Client with chest tube and continuous bubbling in water seal chamber
Rationale: Stable CHF on routine diuretic is within PN scope. Titratable drips, blood
transfusions, and chest tube troubleshooting are typically RN scope .
Question 3
A charge nurse is assigning staff for the shift. Which client should be assigned to an RN
rather than a PN?
A) A client with stable CHF receiving daily Lasix
B) A client requiring a blood transfusion for symptomatic anemia
C) A client with a new diagnosis of diabetes needing insulin instruction
D) A client with a PEG tube requiring intermittent feedings
Rationale: Client education (specifically initial instruction) falls under the scope of the RN,
as it requires complex assessment and evaluation of learning. PNs can reinforce teaching
but cannot perform initial patient teaching .
Question 4
A nurse is delegating tasks to an assistive personnel (AP). Which task is appropriate to
delegate?
A) Administering an enema
B) Inserting an indwelling urinary catheter
C) Measuring a client's vital signs
D) Teaching a client how to use an incentive spirometer
,Rationale: Measuring vital signs is within the AP's scope of practice. The nurse cannot
delegate tasks requiring nursing judgment, sterile technique (catheter insertion), or client
education .
Question 5
A nurse is preparing a client for transfer to a long-term care facility. Which information
should the nurse include in the transfer report? (Select all that apply)
A) The client's advance directive status
B) The client's recent laboratory values
C) The client's current medications
D) The client's preferred activities
E) The client's code status
Correct Answers: A, B, C, D, E
Rationale: All of these are essential for continuity of care. Transfer reports must include
advance directives, recent labs, current medications, activity preferences, and code status
to ensure safe handoff .
Question 6
A nurse is caring for a client who is scheduled for a surgical procedure. Which action is
the priority?
A) Ensure the client has signed the informed consent form
B) Review the client's laboratory results
C) Verify the client's allergies
D) Administer preoperative medication as prescribed
, Rationale: Informed consent is a legal requirement before any invasive procedure. The
nurse's priority is to ensure consent is signed and witnessed, as failure to do so could result
in legal liability and cancellation of the procedure .
Question 7
A nurse notes that a colleague administered the wrong medication to a client. Which
action should the nurse take FIRST?
A) Report the colleague to the nursing supervisor
B) Assess the client for adverse effects
C) Complete an incident report
D) Discuss the error with the colleague privately
Rationale: Client safety is the priority. The nurse should first assess the client for any
adverse effects from the wrong medication. After ensuring client safety, the nurse should
report the error through appropriate channels .
Question 8
A client refuses a prescribed enema. Which action by the PN is appropriate?
A) Explain the risks of refusal and document
B) Ask a family member to persuade the client
C) Administer the enema quickly to minimize discomfort
D) Notify the provider only if the client becomes unstable
NCLEX-PN Pass Pack (Latest 2026)
Secure your graduation eligibility and clear the hurdle for your boards with this high-
yield study package built for the ATI PN Comprehensive Predictor Exit Exam. This
comprehensive review breaks down critical nursing concepts across maternal-newborn
care, pediatric medical-surgical, basic pharmacology, and fundamental safety protocols.
Banish testing anxiety and master high-stakes Next-Generation NCLEX (NGN) style
priority and delegation questions modeled directly after the official ATI blueprint
Question 1
A practical nurse is caring for four clients at the start of the shift. Which client should the
PN assess FIRST?
A) Client with diabetes requesting pain medication for neuropathy
B) Client with COPD who has a new cough producing green sputum
C) Client post-op day 1 with new-onset confusion and BP 88/50
D) Client with a fractured tibia requesting help to the bathroom
Rationale: New confusion combined with hypotension suggests possible sepsis,
hemorrhage, or shock — an unstable priority. Airway and circulation precede stable
complaints. This client requires immediate assessment .
Question 2
Which client can be assigned to a PN (LPN/LVN) under RN supervision?
A) Client newly diagnosed with unstable angina on a titratable heparin drip
B) Client with stable congestive heart failure receiving daily furosemide
,C) Client requiring blood transfusion for symptomatic anemia
D) Client with chest tube and continuous bubbling in water seal chamber
Rationale: Stable CHF on routine diuretic is within PN scope. Titratable drips, blood
transfusions, and chest tube troubleshooting are typically RN scope .
Question 3
A charge nurse is assigning staff for the shift. Which client should be assigned to an RN
rather than a PN?
A) A client with stable CHF receiving daily Lasix
B) A client requiring a blood transfusion for symptomatic anemia
C) A client with a new diagnosis of diabetes needing insulin instruction
D) A client with a PEG tube requiring intermittent feedings
Rationale: Client education (specifically initial instruction) falls under the scope of the RN,
as it requires complex assessment and evaluation of learning. PNs can reinforce teaching
but cannot perform initial patient teaching .
Question 4
A nurse is delegating tasks to an assistive personnel (AP). Which task is appropriate to
delegate?
A) Administering an enema
B) Inserting an indwelling urinary catheter
C) Measuring a client's vital signs
D) Teaching a client how to use an incentive spirometer
,Rationale: Measuring vital signs is within the AP's scope of practice. The nurse cannot
delegate tasks requiring nursing judgment, sterile technique (catheter insertion), or client
education .
Question 5
A nurse is preparing a client for transfer to a long-term care facility. Which information
should the nurse include in the transfer report? (Select all that apply)
A) The client's advance directive status
B) The client's recent laboratory values
C) The client's current medications
D) The client's preferred activities
E) The client's code status
Correct Answers: A, B, C, D, E
Rationale: All of these are essential for continuity of care. Transfer reports must include
advance directives, recent labs, current medications, activity preferences, and code status
to ensure safe handoff .
Question 6
A nurse is caring for a client who is scheduled for a surgical procedure. Which action is
the priority?
A) Ensure the client has signed the informed consent form
B) Review the client's laboratory results
C) Verify the client's allergies
D) Administer preoperative medication as prescribed
, Rationale: Informed consent is a legal requirement before any invasive procedure. The
nurse's priority is to ensure consent is signed and witnessed, as failure to do so could result
in legal liability and cancellation of the procedure .
Question 7
A nurse notes that a colleague administered the wrong medication to a client. Which
action should the nurse take FIRST?
A) Report the colleague to the nursing supervisor
B) Assess the client for adverse effects
C) Complete an incident report
D) Discuss the error with the colleague privately
Rationale: Client safety is the priority. The nurse should first assess the client for any
adverse effects from the wrong medication. After ensuring client safety, the nurse should
report the error through appropriate channels .
Question 8
A client refuses a prescribed enema. Which action by the PN is appropriate?
A) Explain the risks of refusal and document
B) Ask a family member to persuade the client
C) Administer the enema quickly to minimize discomfort
D) Notify the provider only if the client becomes unstable
