ATI PN Comprehensive Predictor Exit Exam | Study Guide &
NCLEX-PN Pass Pack (Latest 2026-2027)
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 nurse is caring for four clients at the start of the shift. Which client should be assessed
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 is a classic sign of shock or sepsis,
making this client unstable. The airway, breathing, and circulation (ABCs) framework
dictates that this patient's unstable status places them as the priority for 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: Caring for a stable client on a routine medication like furosemide falls within
the scope of practice for a PN. The other options require tasks typically reserved for an RN,
such as managing titratable drips, administering blood products, and troubleshooting
chest tubes .
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: The administration of blood products is typically a task assigned to an RN. This
is a complex procedure with a high risk for severe reactions (e.g., hemolytic transfusion
reactions), requiring the advanced assessment and intervention skills of an RN .
Question 4
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 and ethical requirement before any invasive
procedure. The nurse's priority is to confirm that the consent form is signed, witnessed, and
that the client has been properly informed, thus protecting the client's rights and the
facility from legal liability .
Question 5
A nurse is caring for a client who has a do-not-resuscitate (DNR) order. The client's
daughter demands that the nurse start CPR. Which action should the nurse take?
A) Start CPR because the daughter is the legal surrogate
B) Respect the DNR order and not initiate CPR
, C) Call the provider for clarification
D) Start CPR until the provider arrives
Rationale: A DNR order is a legally binding medical order. Even if a family member
demands resuscitation, the nurse is legally and ethically obligated to follow the DNR
order. The family cannot override it without a court order .
Question 6
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 absolute priority in any medication error. The nurse's first
action must be to assess the client for any potential adverse effects or harm resulting from
the wrong medication. Once the client is stable, the next steps would include reporting and
documentation .
NCLEX-PN Pass Pack (Latest 2026-2027)
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 nurse is caring for four clients at the start of the shift. Which client should be assessed
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 is a classic sign of shock or sepsis,
making this client unstable. The airway, breathing, and circulation (ABCs) framework
dictates that this patient's unstable status places them as the priority for 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: Caring for a stable client on a routine medication like furosemide falls within
the scope of practice for a PN. The other options require tasks typically reserved for an RN,
such as managing titratable drips, administering blood products, and troubleshooting
chest tubes .
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: The administration of blood products is typically a task assigned to an RN. This
is a complex procedure with a high risk for severe reactions (e.g., hemolytic transfusion
reactions), requiring the advanced assessment and intervention skills of an RN .
Question 4
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 and ethical requirement before any invasive
procedure. The nurse's priority is to confirm that the consent form is signed, witnessed, and
that the client has been properly informed, thus protecting the client's rights and the
facility from legal liability .
Question 5
A nurse is caring for a client who has a do-not-resuscitate (DNR) order. The client's
daughter demands that the nurse start CPR. Which action should the nurse take?
A) Start CPR because the daughter is the legal surrogate
B) Respect the DNR order and not initiate CPR
, C) Call the provider for clarification
D) Start CPR until the provider arrives
Rationale: A DNR order is a legally binding medical order. Even if a family member
demands resuscitation, the nurse is legally and ethically obligated to follow the DNR
order. The family cannot override it without a court order .
Question 6
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 absolute priority in any medication error. The nurse's first
action must be to assess the client for any potential adverse effects or harm resulting from
the wrong medication. Once the client is stable, the next steps would include reporting and
documentation .
