ASSESSMENT TECHNOLOGIES INSTITUTE (ATI) PN COMPREHENSIVE PREDICTOR EXIT EXAM WITH NEXT GENERATION
NCLEX (NGN) | VERIFIED ANSWERS & RATIONALES | GRADED A+
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ATI PN COMPREHENSIVE PREDICTOR EXIT EXAM WITH NGN COMPLETE STUDY GUIDE 180 QUESTIONS AND VERIFIED
ANSWERS WITH RATIONALES
ATI PN COMPREHENSIVE PREDICTOR EXIT EXAM WITH NGN
COMPLETE STUDY GUIDE
180 QUESTIONS AND VERIFIED ANSWERS WITH RATIONALES
100% CORRECT | GRADED A+ | ACTUAL EXAM PREPARATION
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SECTION 1: MEDICAL-SURGICAL NURSING
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QUESTION 1:
A nurse is assisting with the plan of care for a client who has burns to his lower extremities. Which of the
following actions should the nurse include in the plan?
A) Perform dressing changes every other day.
B) Apply dressings with sterile gloves.
C) Use hydrogen peroxide for wound clearing.
D) Cleanse the most contaminated wound first.
ANSWER: B) Apply dressings with sterile gloves.
RATIONALE: When caring for a client with burns, maintaining a sterile environment during dressing
changes is critical to prevent infection, as burns are highly susceptible to contamination. Using sterile
gloves ensures the wound is protected from pathogens. Option A is incorrect because dressing changes
for burns are typically performed daily or more frequently. Option C is incorrect because hydrogen
peroxide can damage healthy tissue and delay healing. Option D is incorrect because wounds should be
cleansed from least to most contaminated to avoid spreading infection .
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QUESTION 2:
,A nurse is reinforcing teaching with a parent of a preschooler about immunizations. Which of the
following statements by the parent indicates an understanding of the teaching?
A) "I can make several office visits, so my child does not get so many immunizations at once."
B) "It is recommended that my child receive his first flu immunization at the age of 6."
C) "I understand that immunizations will be withheld if my child has lactose intolerance."
D) "My child will need to start the human papillomavirus series when he enters kindergarten."
ANSWER: A) "I can make several office visits, so my child does not get so many immunizations at once."
RATIONALE: This statement indicates a need for further teaching. Parents may request to spread out
vaccines, but this is not recommended as it leaves the child vulnerable to preventable diseases for
longer periods. The CDC recommends following the established immunization schedule for optimal
protection. Option B is incorrect because flu immunization is recommended annually starting at 6
months of age. Option C is incorrect because lactose intolerance is not a contraindication for
immunizations. Option D is incorrect because the HPV series is recommended starting at age 11-12, not
kindergarten .
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QUESTION 3:
A nurse is reviewing the laboratory results of a client who has chronic kidney disease. Which of the
following findings should the nurse expect?
A) Elevated calcium levels
B) Decreased potassium levels
C) Elevated creatinine levels
D) Decreased phosphorus levels
ANSWER: C) Elevated creatinine levels
,RATIONALE: In chronic kidney disease, the kidneys are unable to effectively filter waste products,
leading to elevated serum creatinine and blood urea nitrogen (BUN). Option A is incorrect because
calcium levels typically decrease due to impaired vitamin D activation. Option B is incorrect because
potassium levels usually increase (hyperkalemia) due to decreased excretion. Option D is incorrect
because phosphorus levels increase (hyperphosphatemia) .
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QUESTION 4:
A nurse is caring for a client who has a deep vein thrombosis (DVT) in the left lower extremity. Which of
the following actions should the nurse take?
A) Massage the affected extremity to promote circulation
B) Apply a heating pad to the area
C) Maintain the client on bed rest with the affected leg elevated
D) Encourage ambulation every 2 hours
ANSWER: C) Maintain the client on bed rest with the affected leg elevated
RATIONALE: For a client with DVT, bed rest with leg elevation helps reduce pain and swelling and
decreases the risk of dislodging the clot, which could lead to pulmonary embolism. Option A is incorrect
because massage could dislodge the clot. Option B is incorrect because heat may increase circulation
and clot dislodgment risk. Option D is incorrect because ambulation may increase risk of embolization .
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QUESTION 5:
A nurse is reinforcing teaching with a client who has a new diagnosis of type 2 diabetes mellitus. Which
of the following statements by the client indicates an understanding of the teaching?
A) "I will check my blood glucose level once per week."
B) "I can stop taking my medication once my blood sugar is normal."
, C) "I need to inspect my feet daily for cuts or sores."
D) "I should avoid all carbohydrates in my diet."
ANSWER: C) "I need to inspect my feet daily for cuts or sores."
RATIONALE: Daily foot inspection is essential for clients with diabetes to detect injuries early and
prevent complications such as infections and ulcers that can lead to amputations. Option A is incorrect
because blood glucose monitoring is typically done multiple times daily, not weekly. Option B is
incorrect because diabetes is a chronic condition requiring ongoing management. Option D is incorrect
because carbohydrates are necessary for energy and should be managed, not eliminated .
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QUESTION 6:
A nurse is assessing a client who has heart failure. Which of the following findings should the nurse
expect?
A) Flattened neck veins
B) Weight loss
C) Dependent edema
D) Decreased respiratory rate
ANSWER: C) Dependent edema
RATIONALE: Heart failure causes fluid retention, leading to dependent edema (swelling in lower
extremities) as fluid accumulates in gravity-dependent areas. Option A is incorrect because neck veins
are typically distended (jugular venous distension). Option B is incorrect because weight gain occurs due
to fluid retention. Option D is incorrect because respiratory rate often increases due to pulmonary
congestion .
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NCLEX (NGN) | VERIFIED ANSWERS & RATIONALES | GRADED A+
---------------------------------------------------------------------
ATI PN COMPREHENSIVE PREDICTOR EXIT EXAM WITH NGN COMPLETE STUDY GUIDE 180 QUESTIONS AND VERIFIED
ANSWERS WITH RATIONALES
ATI PN COMPREHENSIVE PREDICTOR EXIT EXAM WITH NGN
COMPLETE STUDY GUIDE
180 QUESTIONS AND VERIFIED ANSWERS WITH RATIONALES
100% CORRECT | GRADED A+ | ACTUAL EXAM PREPARATION
---------------------------------------------------------------------
SECTION 1: MEDICAL-SURGICAL NURSING
---------------------------------------------------------------------
QUESTION 1:
A nurse is assisting with the plan of care for a client who has burns to his lower extremities. Which of the
following actions should the nurse include in the plan?
A) Perform dressing changes every other day.
B) Apply dressings with sterile gloves.
C) Use hydrogen peroxide for wound clearing.
D) Cleanse the most contaminated wound first.
ANSWER: B) Apply dressings with sterile gloves.
RATIONALE: When caring for a client with burns, maintaining a sterile environment during dressing
changes is critical to prevent infection, as burns are highly susceptible to contamination. Using sterile
gloves ensures the wound is protected from pathogens. Option A is incorrect because dressing changes
for burns are typically performed daily or more frequently. Option C is incorrect because hydrogen
peroxide can damage healthy tissue and delay healing. Option D is incorrect because wounds should be
cleansed from least to most contaminated to avoid spreading infection .
---------------------------------------------------------------------
QUESTION 2:
,A nurse is reinforcing teaching with a parent of a preschooler about immunizations. Which of the
following statements by the parent indicates an understanding of the teaching?
A) "I can make several office visits, so my child does not get so many immunizations at once."
B) "It is recommended that my child receive his first flu immunization at the age of 6."
C) "I understand that immunizations will be withheld if my child has lactose intolerance."
D) "My child will need to start the human papillomavirus series when he enters kindergarten."
ANSWER: A) "I can make several office visits, so my child does not get so many immunizations at once."
RATIONALE: This statement indicates a need for further teaching. Parents may request to spread out
vaccines, but this is not recommended as it leaves the child vulnerable to preventable diseases for
longer periods. The CDC recommends following the established immunization schedule for optimal
protection. Option B is incorrect because flu immunization is recommended annually starting at 6
months of age. Option C is incorrect because lactose intolerance is not a contraindication for
immunizations. Option D is incorrect because the HPV series is recommended starting at age 11-12, not
kindergarten .
---------------------------------------------------------------------
QUESTION 3:
A nurse is reviewing the laboratory results of a client who has chronic kidney disease. Which of the
following findings should the nurse expect?
A) Elevated calcium levels
B) Decreased potassium levels
C) Elevated creatinine levels
D) Decreased phosphorus levels
ANSWER: C) Elevated creatinine levels
,RATIONALE: In chronic kidney disease, the kidneys are unable to effectively filter waste products,
leading to elevated serum creatinine and blood urea nitrogen (BUN). Option A is incorrect because
calcium levels typically decrease due to impaired vitamin D activation. Option B is incorrect because
potassium levels usually increase (hyperkalemia) due to decreased excretion. Option D is incorrect
because phosphorus levels increase (hyperphosphatemia) .
---------------------------------------------------------------------
QUESTION 4:
A nurse is caring for a client who has a deep vein thrombosis (DVT) in the left lower extremity. Which of
the following actions should the nurse take?
A) Massage the affected extremity to promote circulation
B) Apply a heating pad to the area
C) Maintain the client on bed rest with the affected leg elevated
D) Encourage ambulation every 2 hours
ANSWER: C) Maintain the client on bed rest with the affected leg elevated
RATIONALE: For a client with DVT, bed rest with leg elevation helps reduce pain and swelling and
decreases the risk of dislodging the clot, which could lead to pulmonary embolism. Option A is incorrect
because massage could dislodge the clot. Option B is incorrect because heat may increase circulation
and clot dislodgment risk. Option D is incorrect because ambulation may increase risk of embolization .
---------------------------------------------------------------------
QUESTION 5:
A nurse is reinforcing teaching with a client who has a new diagnosis of type 2 diabetes mellitus. Which
of the following statements by the client indicates an understanding of the teaching?
A) "I will check my blood glucose level once per week."
B) "I can stop taking my medication once my blood sugar is normal."
, C) "I need to inspect my feet daily for cuts or sores."
D) "I should avoid all carbohydrates in my diet."
ANSWER: C) "I need to inspect my feet daily for cuts or sores."
RATIONALE: Daily foot inspection is essential for clients with diabetes to detect injuries early and
prevent complications such as infections and ulcers that can lead to amputations. Option A is incorrect
because blood glucose monitoring is typically done multiple times daily, not weekly. Option B is
incorrect because diabetes is a chronic condition requiring ongoing management. Option D is incorrect
because carbohydrates are necessary for energy and should be managed, not eliminated .
---------------------------------------------------------------------
QUESTION 6:
A nurse is assessing a client who has heart failure. Which of the following findings should the nurse
expect?
A) Flattened neck veins
B) Weight loss
C) Dependent edema
D) Decreased respiratory rate
ANSWER: C) Dependent edema
RATIONALE: Heart failure causes fluid retention, leading to dependent edema (swelling in lower
extremities) as fluid accumulates in gravity-dependent areas. Option A is incorrect because neck veins
are typically distended (jugular venous distension). Option B is incorrect because weight gain occurs due
to fluid retention. Option D is incorrect because respiratory rate often increases due to pulmonary
congestion .
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