ATI PN Comprehensive Predictor
Examination 2026–2027 | Comprehensive
Question Practice Test with Answers &
Rationales| Free Pdf Access
1. A practical nurse is caring for a client with hypoglycemia who is conscious
and able to swallow. Which action should the nurse take first?
A. Give 15 g of a rapid-acting carbohydrate
B. Administer insulin
C. Encourage exercise
D. Notify the provider
Correct Answer: A
Rationale: A conscious client experiencing hypoglycemia should receive a rapid source of
glucose immediately.
2. A nurse is caring for a client with heart failure. Which finding should be
reported immediately?
A. New crackles in the lungs
B. Mild fatigue
C. Decreased appetite
D. Occasional cough
,Correct Answer: A
Rationale: Crackles may indicate pulmonary edema and worsening heart failure.
3. A nurse is teaching a client about hypertension management. Which
statement indicates understanding?
A. "I will reduce my sodium intake."
B. "I will stop medication when I feel better."
C. "I will add salt to meals."
D. "Exercise is unnecessary."
Correct Answer: A
Rationale: Limiting sodium helps lower blood pressure and reduce cardiovascular risk.
4. Which client should the nurse assess first?
A. Client with chest pain
B. Client requesting a blanket
C. Client awaiting discharge instructions
D. Client requesting water
Correct Answer: A
Rationale: Chest pain may indicate myocardial ischemia and requires immediate
assessment.
5. A nurse is caring for a client receiving furosemide. Which adverse effect
should be monitored?
A. Hypokalemia
B. Hyperkalemia
,C. Hypercalcemia
D. Hypermagnesemia
Correct Answer: A
Rationale: Loop diuretics commonly cause potassium loss.
6. Which finding is expected in a client with dehydration?
A. Dry mucous membranes
B. Peripheral edema
C. Weight gain
D. Jugular vein distention
Correct Answer: A
Rationale: Dehydration commonly causes dry mucous membranes and poor skin turgor.
7. A nurse is teaching a client with COPD. Which statement indicates
understanding?
A. "I will use pursed-lip breathing."
B. "I will avoid all activity."
C. "I will smoke less instead of quitting."
D. "I will lie flat when short of breath."
Correct Answer: A
Rationale: Pursed-lip breathing helps improve ventilation and reduce air trapping.
8. A nurse is caring for a client receiving morphine. Which assessment is the
priority?
, A. Respiratory rate
B. Appetite
C. Bowel sounds
D. Skin color
Correct Answer: A
Rationale: Respiratory depression is a serious adverse effect of opioids.
9. Which finding suggests infection?
A. Elevated white blood cell count
B. Low platelet count
C. Low potassium level
D. Elevated calcium level
Correct Answer: A
Rationale: Leukocytosis is commonly associated with infection.
10. A nurse is caring for a client with diabetes. Which finding indicates
hypoglycemia?
A. Diaphoresis
B. Polyuria
C. Fruity breath odor
D. Kussmaul respirations
Correct Answer: A
Rationale: Sweating, tremors, and tachycardia are common signs of hypoglycemia.
11. Which intervention helps prevent pressure injuries?
Examination 2026–2027 | Comprehensive
Question Practice Test with Answers &
Rationales| Free Pdf Access
1. A practical nurse is caring for a client with hypoglycemia who is conscious
and able to swallow. Which action should the nurse take first?
A. Give 15 g of a rapid-acting carbohydrate
B. Administer insulin
C. Encourage exercise
D. Notify the provider
Correct Answer: A
Rationale: A conscious client experiencing hypoglycemia should receive a rapid source of
glucose immediately.
2. A nurse is caring for a client with heart failure. Which finding should be
reported immediately?
A. New crackles in the lungs
B. Mild fatigue
C. Decreased appetite
D. Occasional cough
,Correct Answer: A
Rationale: Crackles may indicate pulmonary edema and worsening heart failure.
3. A nurse is teaching a client about hypertension management. Which
statement indicates understanding?
A. "I will reduce my sodium intake."
B. "I will stop medication when I feel better."
C. "I will add salt to meals."
D. "Exercise is unnecessary."
Correct Answer: A
Rationale: Limiting sodium helps lower blood pressure and reduce cardiovascular risk.
4. Which client should the nurse assess first?
A. Client with chest pain
B. Client requesting a blanket
C. Client awaiting discharge instructions
D. Client requesting water
Correct Answer: A
Rationale: Chest pain may indicate myocardial ischemia and requires immediate
assessment.
5. A nurse is caring for a client receiving furosemide. Which adverse effect
should be monitored?
A. Hypokalemia
B. Hyperkalemia
,C. Hypercalcemia
D. Hypermagnesemia
Correct Answer: A
Rationale: Loop diuretics commonly cause potassium loss.
6. Which finding is expected in a client with dehydration?
A. Dry mucous membranes
B. Peripheral edema
C. Weight gain
D. Jugular vein distention
Correct Answer: A
Rationale: Dehydration commonly causes dry mucous membranes and poor skin turgor.
7. A nurse is teaching a client with COPD. Which statement indicates
understanding?
A. "I will use pursed-lip breathing."
B. "I will avoid all activity."
C. "I will smoke less instead of quitting."
D. "I will lie flat when short of breath."
Correct Answer: A
Rationale: Pursed-lip breathing helps improve ventilation and reduce air trapping.
8. A nurse is caring for a client receiving morphine. Which assessment is the
priority?
, A. Respiratory rate
B. Appetite
C. Bowel sounds
D. Skin color
Correct Answer: A
Rationale: Respiratory depression is a serious adverse effect of opioids.
9. Which finding suggests infection?
A. Elevated white blood cell count
B. Low platelet count
C. Low potassium level
D. Elevated calcium level
Correct Answer: A
Rationale: Leukocytosis is commonly associated with infection.
10. A nurse is caring for a client with diabetes. Which finding indicates
hypoglycemia?
A. Diaphoresis
B. Polyuria
C. Fruity breath odor
D. Kussmaul respirations
Correct Answer: A
Rationale: Sweating, tremors, and tachycardia are common signs of hypoglycemia.
11. Which intervention helps prevent pressure injuries?
