ATI PN COMPREHENSIVE PREDICTOR FORM A, B, C
WITH QUESTIONS AND CORRECT ANSWERS
CURRENTLY TESTED AND APPROVED NEW MODIFIED
2026/2027 LATEST WITH RATIONALES
Question 1: A charge nurse is delegating tasks to a Licensed Practical Nurse (LPN).
Which task is appropriate to delegate?
A) Initial admission assessment of a new client
B) Administering IV push morphine sulfate
C) Monitoring a client's nasogastric (NG) tube for placement and output
D) Teaching a client how to self-administer insulin
Answer: C) Monitoring a client's nasogastric (NG) tube for placement and output
Rationale: LPNs can monitor stable clients, collect data (like NG output), and perform
standard procedures. Initial assessments (A), IV push meds (B), and discharge/patient
teaching (D) are RN responsibilities .
Question 2: A nurse is reinforcing teaching about advance directives. Which statement
by a client indicates understanding?
A) "Advance directives are only for older adults."
B) "I can change my advance directives at any time."
C) "Once signed, advance directives cannot be changed."
D) "A lawyer must create my advance directives."
Answer: B) "I can change my advance directives at any time."
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 3: A PN is caring for a client who is agitated and attempting to remove IV
lines. What is the priority action?
,A) Apply wrist restraints
B) Call the provider for a sedative order
C) Assign a staff member to stay with the client
D) Dim the lights to calm the client
Answer: C) Assign a staff member to stay with the client
Rationale: The least restrictive intervention is assigning a staff member to stay with the
client. Restraints should be used only as a last resort .
Question 4: A PN notices a colleague is impaired and smelling of alcohol. What action is
most appropriate?
A) Ignore it if it's the first time
B) Confront the colleague privately
C) Report to the nurse manager immediately
D) Ask the colleague to go home
Answer: C) Report to the nurse manager immediately
Rationale: Duty to report impaired practice to supervisor to ensure patient safety.
Confrontation or ignoring does not address the risk .
Question 5: A client refuses a prescribed medication. What should the PN do first?
A) Give the medication anyway
B) Document refusal and notify the RN/provider
C) Hide the medication in food
D) Call family to convince the client
Answer: B) Document refusal and notify the RN/provider
Rationale: Respect client autonomy. Document refusal, notify RN/provider, and explore
reasons for refusal .
Question 6: A PN is reinforcing home safety for an older adult with fall risk. Which
recommendation is most effective?
,A) Use area rugs to prevent slipping on hardwood
B) Install grab bars in the shower
C) Keep lighting dim to reduce glare
D) Place electrical cords across walkways
Answer: B) Install grab bars in the shower
Rationale: Grab bars reduce fall risk in the bathroom. Area rugs and cords across
walkways increase fall risk. Adequate lighting, not dim, is recommended .
Question 7: A client is on contact precautions for C. difficile. What PPE is required for
entering the room?
A) Mask only
B) N95 respirator
C) Gown and gloves
D) Eye shield and mask
Answer: C) Gown and gloves
Rationale: C. diff requires contact precautions = gown + gloves. C. diff spores require
soap and water handwashing (not alcohol-based rub) after removal .
Question 8: A PN is reviewing HIPAA compliance. Which action violates patient privacy?
A) Faxing records to another hospital with a cover sheet
B) Leaving a patient's chart open on the nursing station desk
C) Discussing patient care in a private conference room
D) Shredding old patient reports after shift
Answer: B) Leaving a patient's chart open on the nursing station desk
Rationale: Leaving identifiable patient information in public view violates privacy. Faxing
with cover sheet and private discussions are acceptable if done securely .
Question 9: A PN is assisting with a sterile dressing change. Which action breaks sterile
technique?
, A) Opening the sterile kit away from the body
B) Reaching over the sterile field to pick up gauze
C) Holding sterile objects above waist level
D) Keeping 1-inch border of sterile field as non-sterile
Answer: B) Reaching over the sterile field to pick up gauze
Rationale: Reaching across a sterile field contaminates it. The 1-inch border is
considered contaminated, but reaching over is a breach .
Question 10: Which task can a PN delegate to assistive personnel (AP)?
A) Initial admission assessment
B) Teaching a new diabetic about insulin injection
C) Administering a tube feeding to a stable patient
D) Evaluating the effectiveness of pain medication
Answer: C) Administering a tube feeding to a stable patient
Rationale: LPNs can administer tube feedings to stable patients. Initial assessment,
teaching, and evaluation are outside LPN scope in most states .
Question 11: A nurse is reviewing techniques for transferring a client from a bed to a
chair with a group of AP. Which instruction should the nurse include?
A) Use upper-body strength to lift the client
B) Use lower-body strength when lifting
C) Keep knees locked while lifting
D) Twist at the waist to pivot the client
Answer: B) Use lower-body strength when lifting
Rationale: Use lower-body strength when lifting a client to reduce stress on the back
and prevent injury .
WITH QUESTIONS AND CORRECT ANSWERS
CURRENTLY TESTED AND APPROVED NEW MODIFIED
2026/2027 LATEST WITH RATIONALES
Question 1: A charge nurse is delegating tasks to a Licensed Practical Nurse (LPN).
Which task is appropriate to delegate?
A) Initial admission assessment of a new client
B) Administering IV push morphine sulfate
C) Monitoring a client's nasogastric (NG) tube for placement and output
D) Teaching a client how to self-administer insulin
Answer: C) Monitoring a client's nasogastric (NG) tube for placement and output
Rationale: LPNs can monitor stable clients, collect data (like NG output), and perform
standard procedures. Initial assessments (A), IV push meds (B), and discharge/patient
teaching (D) are RN responsibilities .
Question 2: A nurse is reinforcing teaching about advance directives. Which statement
by a client indicates understanding?
A) "Advance directives are only for older adults."
B) "I can change my advance directives at any time."
C) "Once signed, advance directives cannot be changed."
D) "A lawyer must create my advance directives."
Answer: B) "I can change my advance directives at any time."
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 3: A PN is caring for a client who is agitated and attempting to remove IV
lines. What is the priority action?
,A) Apply wrist restraints
B) Call the provider for a sedative order
C) Assign a staff member to stay with the client
D) Dim the lights to calm the client
Answer: C) Assign a staff member to stay with the client
Rationale: The least restrictive intervention is assigning a staff member to stay with the
client. Restraints should be used only as a last resort .
Question 4: A PN notices a colleague is impaired and smelling of alcohol. What action is
most appropriate?
A) Ignore it if it's the first time
B) Confront the colleague privately
C) Report to the nurse manager immediately
D) Ask the colleague to go home
Answer: C) Report to the nurse manager immediately
Rationale: Duty to report impaired practice to supervisor to ensure patient safety.
Confrontation or ignoring does not address the risk .
Question 5: A client refuses a prescribed medication. What should the PN do first?
A) Give the medication anyway
B) Document refusal and notify the RN/provider
C) Hide the medication in food
D) Call family to convince the client
Answer: B) Document refusal and notify the RN/provider
Rationale: Respect client autonomy. Document refusal, notify RN/provider, and explore
reasons for refusal .
Question 6: A PN is reinforcing home safety for an older adult with fall risk. Which
recommendation is most effective?
,A) Use area rugs to prevent slipping on hardwood
B) Install grab bars in the shower
C) Keep lighting dim to reduce glare
D) Place electrical cords across walkways
Answer: B) Install grab bars in the shower
Rationale: Grab bars reduce fall risk in the bathroom. Area rugs and cords across
walkways increase fall risk. Adequate lighting, not dim, is recommended .
Question 7: A client is on contact precautions for C. difficile. What PPE is required for
entering the room?
A) Mask only
B) N95 respirator
C) Gown and gloves
D) Eye shield and mask
Answer: C) Gown and gloves
Rationale: C. diff requires contact precautions = gown + gloves. C. diff spores require
soap and water handwashing (not alcohol-based rub) after removal .
Question 8: A PN is reviewing HIPAA compliance. Which action violates patient privacy?
A) Faxing records to another hospital with a cover sheet
B) Leaving a patient's chart open on the nursing station desk
C) Discussing patient care in a private conference room
D) Shredding old patient reports after shift
Answer: B) Leaving a patient's chart open on the nursing station desk
Rationale: Leaving identifiable patient information in public view violates privacy. Faxing
with cover sheet and private discussions are acceptable if done securely .
Question 9: A PN is assisting with a sterile dressing change. Which action breaks sterile
technique?
, A) Opening the sterile kit away from the body
B) Reaching over the sterile field to pick up gauze
C) Holding sterile objects above waist level
D) Keeping 1-inch border of sterile field as non-sterile
Answer: B) Reaching over the sterile field to pick up gauze
Rationale: Reaching across a sterile field contaminates it. The 1-inch border is
considered contaminated, but reaching over is a breach .
Question 10: Which task can a PN delegate to assistive personnel (AP)?
A) Initial admission assessment
B) Teaching a new diabetic about insulin injection
C) Administering a tube feeding to a stable patient
D) Evaluating the effectiveness of pain medication
Answer: C) Administering a tube feeding to a stable patient
Rationale: LPNs can administer tube feedings to stable patients. Initial assessment,
teaching, and evaluation are outside LPN scope in most states .
Question 11: A nurse is reviewing techniques for transferring a client from a bed to a
chair with a group of AP. Which instruction should the nurse include?
A) Use upper-body strength to lift the client
B) Use lower-body strength when lifting
C) Keep knees locked while lifting
D) Twist at the waist to pivot the client
Answer: B) Use lower-body strength when lifting
Rationale: Use lower-body strength when lifting a client to reduce stress on the back
and prevent injury .
