,ATI PN Comprehensive Predictor - Form A Exam Questions And
Answers 2026/2027
SECTION 1: MANAGEMENT OF CARE & COORDINATED CARE (18 Questions)
**1.** A practical nurse is reviewing the techniques for transferring a client
from a bed to a chair with a group of assistive personnel (AP). Which of the
following instructions should the PN include in the teaching?
A) Stand with feet together for stability
B) Use the muscles of the back when lifting
C) Keep the client's feet flat on the floor
D) Position the chair at a 45-degree angle to the bed
**Correct Answer:** C) Keep the client's feet flat on the floor
**Rationale:** When transferring a client, the client's feet should be flat on
the floor to provide a stable base of support. The nurse should stand with
feet shoulder-width apart (not together), use leg muscles (not back muscles),
and position the chair close to the bed.
---
**2.** 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 furosemide
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
,**Correct Answer:** C) A client with a new diagnosis of diabetes needing
insulin instruction
**Rationale:** Client education, specifically initial instruction, falls under the
scope of the RN, as it requires complex assessment and evaluation of
learning. PNs can reinforce teaching but cannot perform initial patient
teaching.
---
**3.** A practical nurse is preparing to delegate tasks to an assistive
personnel (AP). Which task is appropriate to delegate?
A) Administering an enema
B) Inserting an indwelling urinary catheter
C) Assisting a client with ambulation using a gait belt
D) Performing a sterile dressing change
**Correct Answer:** C) Assisting a client with ambulation using a gait belt
**Rationale:** Assisting with ambulation is a routine task within the AP's
scope. Delegation follows the "Five Rights": right task, right circumstance,
right person, right direction/communication, and right supervision. The PN
can delegate stable, routine tasks to AP but cannot delegate assessment,
medication administration, or sterile procedures that require licensed nursing
judgment.
---
, **4.** A practical nurse is preparing to administer medications. Which action
demonstrates the "right documentation" component of the Rights of
Medication Administration?
A) Checking the client's wristband against the MAR
B) Recording the medication administration immediately after giving it
C) Explaining the medication's purpose to the client
D) Verifying the expiration date on the medication label
**Correct Answer:** B) Recording the medication administration immediately
after giving it
**Rationale:** Right documentation requires recording medication
administration immediately after giving it, including time, route, site (if
applicable), and client response.
---
**5.** A practical nurse is caring for a client who is a member of a vulnerable
population. Which action best demonstrates advocacy?
A) Making decisions for the client to save time
B) Ensuring the client has access to resources and their rights are protected
C) Avoiding discussing difficult topics to prevent distress
D) Following hospital policies regardless of client preference
**Correct Answer:** B) Ensuring the client has access to resources and their
rights are protected
Answers 2026/2027
SECTION 1: MANAGEMENT OF CARE & COORDINATED CARE (18 Questions)
**1.** A practical nurse is reviewing the techniques for transferring a client
from a bed to a chair with a group of assistive personnel (AP). Which of the
following instructions should the PN include in the teaching?
A) Stand with feet together for stability
B) Use the muscles of the back when lifting
C) Keep the client's feet flat on the floor
D) Position the chair at a 45-degree angle to the bed
**Correct Answer:** C) Keep the client's feet flat on the floor
**Rationale:** When transferring a client, the client's feet should be flat on
the floor to provide a stable base of support. The nurse should stand with
feet shoulder-width apart (not together), use leg muscles (not back muscles),
and position the chair close to the bed.
---
**2.** 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 furosemide
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
,**Correct Answer:** C) A client with a new diagnosis of diabetes needing
insulin instruction
**Rationale:** Client education, specifically initial instruction, falls under the
scope of the RN, as it requires complex assessment and evaluation of
learning. PNs can reinforce teaching but cannot perform initial patient
teaching.
---
**3.** A practical nurse is preparing to delegate tasks to an assistive
personnel (AP). Which task is appropriate to delegate?
A) Administering an enema
B) Inserting an indwelling urinary catheter
C) Assisting a client with ambulation using a gait belt
D) Performing a sterile dressing change
**Correct Answer:** C) Assisting a client with ambulation using a gait belt
**Rationale:** Assisting with ambulation is a routine task within the AP's
scope. Delegation follows the "Five Rights": right task, right circumstance,
right person, right direction/communication, and right supervision. The PN
can delegate stable, routine tasks to AP but cannot delegate assessment,
medication administration, or sterile procedures that require licensed nursing
judgment.
---
, **4.** A practical nurse is preparing to administer medications. Which action
demonstrates the "right documentation" component of the Rights of
Medication Administration?
A) Checking the client's wristband against the MAR
B) Recording the medication administration immediately after giving it
C) Explaining the medication's purpose to the client
D) Verifying the expiration date on the medication label
**Correct Answer:** B) Recording the medication administration immediately
after giving it
**Rationale:** Right documentation requires recording medication
administration immediately after giving it, including time, route, site (if
applicable), and client response.
---
**5.** A practical nurse is caring for a client who is a member of a vulnerable
population. Which action best demonstrates advocacy?
A) Making decisions for the client to save time
B) Ensuring the client has access to resources and their rights are protected
C) Avoiding discussing difficult topics to prevent distress
D) Following hospital policies regardless of client preference
**Correct Answer:** B) Ensuring the client has access to resources and their
rights are protected
