ATI PN Comprehensive Predictor Forms A, B & C
Exam Test Bank | Complete Exam Questions with
Verified Correct Answers & Detailed Rationales
(Latest 2026/2027 Edition | NGN-Style Exam Q&A!
Question 1
A practical nurse is reinforcing teaching about advance directives. Which statement by a
client indicates understanding?
A) "Advance directives are only for older adults."
B) "Once signed, advance directives cannot be changed."
C) "I can change my advance directives at any time."
D) "A lawyer must create my advance directives."
Answer: C
Rationale: Clients can modify or revoke advance directives at any time as long as they
are competent. They are for any adult, not just older adults, and do not require a lawyer.
Question 2
A PN is caring for a client who is agitated and attempting to remove IV lines. What is the
priority action?
A) Assign a staff member to stay with the client
B) Call the provider for a sedative order.
C) Apply wrist restraints.
D) Dim the lights to calm the client.
Answer: A
Rationale: The least restrictive intervention should be used first. Assigning a staff
member to stay with the client provides supervision and reduces the need for restraints.
Question 3
A nurse is preparing an in-service program about delegation. Which elements should be
identified when presenting the five rights of delegation? (Select all that apply)
A) Right client
B) Right supervision/evaluation
C) Right direction/communication
D) Right time
pg. 1
,E) Right task
F) Right circumstances
Answer: B, C, E, F
Rationale: The five rights of delegation are: right task, right circumstance, right
person, right direction/communication, and right supervision/evaluation.
Question 4
A nurse is providing dietary teaching with a client who has chronic kidney disease
(CKD) not on dialysis. Which food choice indicates understanding?
A) Bacon and egg sandwich
B) Banana and yogurt parfait
C) Apple slices with rice cakes
D) Canned vegetable soup with crackers
Answer: C
Rationale: CKD clients need low potassium, low phosphorus, low sodium. Apples and
rice cakes are low in potassium and sodium. Bacon is high sodium. Bananas and yogurt
are high potassium. Canned soup is high sodium.
Question 5
A client receiving a blood transfusion reports chills and low back pain. The PN notes a
fever of 101.5°F. What is the priority action?
A) Stop the transfusion
B) Slow the infusion rate
C) Notify the charge nurse
D) Obtain a urine specimen
Answer: A
Rationale: Chills, fever, and back pain suggest an acute hemolytic transfusion reaction.
The priority action is to stop the transfusion immediately.
Question 6
A client is scheduled for a left lower lobectomy. The physician has ordered diazepam
(Valium) 2 mg IM for anxiety. The nurse would determine that the medication is
appropriate if the client displays which symptom?
A) Agitation and decreased level of consciousness
B) Lethargy and decreased respiratory rate
C) Restlessness and increased heart rate
pg. 2
,D) Hostility and increased blood pressure
Answer: C
Rationale: Diazepam is appropriate for a client experiencing restlessness and
increased heart rate due to anxiety. It would be contraindicated if the client already has
decreased LOC or respiratory depression.
Question 7
A 59-year-old woman with bipolar disorder is receiving haloperidol (Haldol) 2 mg PO
tid. She tells the nurse, "Milk is coming out of my breasts." Which response by the nurse
is BEST?
A) "You are seeing things that aren't real."
B) "Why don't we go make some fudge."
C) "You are experiencing a side effect of Haldol."
D) "I'll contact your physician to change your medication."
Answer: C
Rationale: Galactorrhea (milk production) is a side effect of haloperidol due to
elevated prolactin levels. The nurse should provide accurate information about the
medication side effect.
Question 8
The physician orders ranitidine (Zantac) 150 mg PO qd for a client. The nurse should
advise the client the BEST time to take this medication is:
A) Before breakfast
B) With dinner
C) With food
D) At bedtime
Answer: D
Rationale: Ranitidine is most effective when taken at bedtime (hs) because acid
production peaks during the night.
Question 9
A co-worker asks the nurse to explain spirituality. What is the nurse's best response?
A) It has a minor effect on health.
B) It is awareness of one's inner self.
C) It is not as essential as physical needs.
pg. 3
, D) It refers to fire or giving of life to a person.
Answer: B
Rationale: Spirituality is often defined as an awareness of one's inner self and a sense
of connection to a higher being, to nature, or to some purpose greater than oneself.
Question 10
The nurse is caring for a patient who is an agnostic. Which information should the nurse
consider when planning care?
A) The patient is devoid of spirituality.
B) The patient does not believe in God.
C) The patient believes there is no known ultimate reality.
D) The patient finds no meaning through relationship with others.
Answer: C
Rationale: Agnostics believe that there is no known ultimate reality. Spirituality is
important regardless of religious beliefs.
Question 11
The nurse is caring for an Islam patient who wants a snack. Which action by the nurse is
most appropriate?
A) Offers a ham sandwich
B) Offers a beef sandwich
C) Offers a kosher sandwich
D) Offers a bacon sandwich
Answer: B
Rationale: Islam does not allow pork or alcohol. Beef is permitted. Ham and bacon are
pork products.
Question 12
A nurse is teaching a patient how to meditate. Which information from the patient
indicates effective learning?
A) I will lie on the floor.
B) I will breathe quickly.
C) I will focus on an image.
D) I will do this for 10 minutes every day.
Answer: C
pg. 4
Exam Test Bank | Complete Exam Questions with
Verified Correct Answers & Detailed Rationales
(Latest 2026/2027 Edition | NGN-Style Exam Q&A!
Question 1
A practical nurse is reinforcing teaching about advance directives. Which statement by a
client indicates understanding?
A) "Advance directives are only for older adults."
B) "Once signed, advance directives cannot be changed."
C) "I can change my advance directives at any time."
D) "A lawyer must create my advance directives."
Answer: C
Rationale: Clients can modify or revoke advance directives at any time as long as they
are competent. They are for any adult, not just older adults, and do not require a lawyer.
Question 2
A PN is caring for a client who is agitated and attempting to remove IV lines. What is the
priority action?
A) Assign a staff member to stay with the client
B) Call the provider for a sedative order.
C) Apply wrist restraints.
D) Dim the lights to calm the client.
Answer: A
Rationale: The least restrictive intervention should be used first. Assigning a staff
member to stay with the client provides supervision and reduces the need for restraints.
Question 3
A nurse is preparing an in-service program about delegation. Which elements should be
identified when presenting the five rights of delegation? (Select all that apply)
A) Right client
B) Right supervision/evaluation
C) Right direction/communication
D) Right time
pg. 1
,E) Right task
F) Right circumstances
Answer: B, C, E, F
Rationale: The five rights of delegation are: right task, right circumstance, right
person, right direction/communication, and right supervision/evaluation.
Question 4
A nurse is providing dietary teaching with a client who has chronic kidney disease
(CKD) not on dialysis. Which food choice indicates understanding?
A) Bacon and egg sandwich
B) Banana and yogurt parfait
C) Apple slices with rice cakes
D) Canned vegetable soup with crackers
Answer: C
Rationale: CKD clients need low potassium, low phosphorus, low sodium. Apples and
rice cakes are low in potassium and sodium. Bacon is high sodium. Bananas and yogurt
are high potassium. Canned soup is high sodium.
Question 5
A client receiving a blood transfusion reports chills and low back pain. The PN notes a
fever of 101.5°F. What is the priority action?
A) Stop the transfusion
B) Slow the infusion rate
C) Notify the charge nurse
D) Obtain a urine specimen
Answer: A
Rationale: Chills, fever, and back pain suggest an acute hemolytic transfusion reaction.
The priority action is to stop the transfusion immediately.
Question 6
A client is scheduled for a left lower lobectomy. The physician has ordered diazepam
(Valium) 2 mg IM for anxiety. The nurse would determine that the medication is
appropriate if the client displays which symptom?
A) Agitation and decreased level of consciousness
B) Lethargy and decreased respiratory rate
C) Restlessness and increased heart rate
pg. 2
,D) Hostility and increased blood pressure
Answer: C
Rationale: Diazepam is appropriate for a client experiencing restlessness and
increased heart rate due to anxiety. It would be contraindicated if the client already has
decreased LOC or respiratory depression.
Question 7
A 59-year-old woman with bipolar disorder is receiving haloperidol (Haldol) 2 mg PO
tid. She tells the nurse, "Milk is coming out of my breasts." Which response by the nurse
is BEST?
A) "You are seeing things that aren't real."
B) "Why don't we go make some fudge."
C) "You are experiencing a side effect of Haldol."
D) "I'll contact your physician to change your medication."
Answer: C
Rationale: Galactorrhea (milk production) is a side effect of haloperidol due to
elevated prolactin levels. The nurse should provide accurate information about the
medication side effect.
Question 8
The physician orders ranitidine (Zantac) 150 mg PO qd for a client. The nurse should
advise the client the BEST time to take this medication is:
A) Before breakfast
B) With dinner
C) With food
D) At bedtime
Answer: D
Rationale: Ranitidine is most effective when taken at bedtime (hs) because acid
production peaks during the night.
Question 9
A co-worker asks the nurse to explain spirituality. What is the nurse's best response?
A) It has a minor effect on health.
B) It is awareness of one's inner self.
C) It is not as essential as physical needs.
pg. 3
, D) It refers to fire or giving of life to a person.
Answer: B
Rationale: Spirituality is often defined as an awareness of one's inner self and a sense
of connection to a higher being, to nature, or to some purpose greater than oneself.
Question 10
The nurse is caring for a patient who is an agnostic. Which information should the nurse
consider when planning care?
A) The patient is devoid of spirituality.
B) The patient does not believe in God.
C) The patient believes there is no known ultimate reality.
D) The patient finds no meaning through relationship with others.
Answer: C
Rationale: Agnostics believe that there is no known ultimate reality. Spirituality is
important regardless of religious beliefs.
Question 11
The nurse is caring for an Islam patient who wants a snack. Which action by the nurse is
most appropriate?
A) Offers a ham sandwich
B) Offers a beef sandwich
C) Offers a kosher sandwich
D) Offers a bacon sandwich
Answer: B
Rationale: Islam does not allow pork or alcohol. Beef is permitted. Ham and bacon are
pork products.
Question 12
A nurse is teaching a patient how to meditate. Which information from the patient
indicates effective learning?
A) I will lie on the floor.
B) I will breathe quickly.
C) I will focus on an image.
D) I will do this for 10 minutes every day.
Answer: C
pg. 4
