Ati Pn Comprehensive Predictor Exit Exam 2026 – 4 Versions, Ngn Q&A

ATI PN COMPREHENSIVE PREDICTOR EXIT
EXAM 2026 – 4 VERSIONS, NGN Q&A
ATI PN COMPREHENSIVE PREDICTOR EXIT EXAM 2026 – 200 QUESTIONS

DOCUMENT OVERVIEW:

• This study material simulates the actual ATI PN Exit Exam with 200 rigorous
multiple-choice questions formatted as NGN style items designed to test nursing
knowledge across all NCLEX-PN competency areas.

• Use this resource by studying each question carefully, reviewing rationales for
both correct and incorrect answers to strengthen weak areas, and practicing under
timed conditions to build test-taking speed and confidence before your licensing
exam.



QUESTION 1

A nurse is assisting a client with a new diagnosis of Type 2 diabetes mellitus.
Which statement by the client indicates understanding of the disease
process?

A) "I will need to take insulin injections for the rest of my life."

B) "My body cannot produce enough insulin to meet my needs."

C) "Type 2 diabetes means my pancreas produces no insulin at all."

D) "Exercise and diet changes can help improve my blood glucose control."

E) "Type 2 diabetes is curable if I lose weight quickly."

✓ CORRECT ANSWER: D) "Exercise and diet changes can help improve my blood
glucose control."

RATIONALE: In Type 2 diabetes, the pancreas produces insulin but the body's cells
resist it (insulin resistance) or the pancreas doesn't produce enough. Lifestyle
modifications including exercise and dietary changes are primary interventions and
can significantly improve glycemic control. Option A is incorrect because not all
Type 2 diabetics require insulin; many are managed with oral agents or lifestyle
changes. Option B describes Type 1 diabetes more accurately. Option C is
completely false—Type 2 still involves some insulin production. Option E is

,unrealistic and misleading; while weight loss helps, diabetes is not "cured," only
managed.



QUESTION 2

A nurse is preparing to administer a medication via intravenous push (IVP).
Which action is most important for the nurse to take first?

A) Verify the client's identity using two identifiers

B) Check the medication expiration date

C) Flush the IV line with normal saline

D) Put on sterile gloves

E) Document the medication in the medical record

✓ CORRECT ANSWER: A) Verify the client's identity using two identifiers

RATIONALE: Verifying client identity is the first step of the Six Rights of Medication
Administration and prevents medication errors. The Joint Commission's National
Patient Safety Goals require two identifiers (name and date of birth, name and
medical record number, etc.). While checking expiration date, flushing the line, and
donning gloves are all necessary, they occur after client identification.
Documentation occurs after administration, not before.



QUESTION 3

A client with a urinary tract infection (UTI) is prescribed nitrofurantoin. The
nurse should instruct the client about which expected side effect?

A) Darkening or discoloration of the urine

B) Severe photosensitivity requiring sun avoidance

C) Permanent yellow discoloration of the teeth

D) Irreversible peripheral neuropathy

,E) Immediate allergic reaction if taken with food

✓ CORRECT ANSWER: A) Darkening or discoloration of the urine

RATIONALE: Nitrofurantoin commonly causes darkening or brown discoloration of
urine, which is an expected and harmless side effect that clients should be warned
about to prevent unnecessary alarm. Option B is inaccurate; while photosensitivity
can occur, it is not the primary expected effect. Option C describes tetracycline
effects, not nitrofurantoin. Option D is not a typical side effect. Option E is incorrect;
food actually improves absorption and reduces GI upset with nitrofurantoin.



QUESTION 4

A nurse is caring for a postoperative client 4 hours after abdominal surgery.
The client's abdomen is firm and distended. Which action should the nurse
take first?

A) Notify the health care provider immediately

B) Increase the IV infusion rate

C) Encourage ambulation to promote peristalsis

D) Assess the client's vital signs and pain level

E) Insert a nasogastric tube

✓ CORRECT ANSWER: D) Assess the client's vital signs and pain level

RATIONALE: Assessment is the first step of the nursing process. The nurse must
gather data about the client's condition (vital signs, pain, output, bowel sounds)
before taking action. A firm, distended abdomen postoperatively may indicate
normal postoperative ileus, bowel obstruction, or bleeding, so complete
assessment is needed. While the provider may need to be notified, assessment
must occur first. Ambulation is not appropriate if serious complications are present.
NGT insertion and IV rate changes require provider orders based on assessment
findings.

, QUESTION 5

A nurse is caring for a client receiving chemotherapy who develops severe
nausea and vomiting. Which antiemetic medication works by blocking
serotonin receptors in the chemoreceptor trigger zone?

A) Metoclopramide (Reglan)

B) Ondansetron (Zofran)

C) Prochlorperazine (Compazine)

D) Dexamethasone (Decadron)

E) Lorazepam (Ativan)

✓ CORRECT ANSWER: B) Ondansetron (Zofran)

RATIONALE: Ondansetron is a 5-HT3 (serotonin) receptor antagonist highly
effective for chemotherapy-induced nausea and vomiting. Metoclopramide blocks
dopamine and enhances acetylcholine; prochlorperazine is a phenothiazine
blocking dopamine; dexamethasone is a corticosteroid; and lorazepam is an
anxiolytic—none primarily work via serotonin antagonism. Ondansetron is
considered the gold standard for chemo-related nausea.



QUESTION 6

A nurse is assessing a client with heart failure. Which finding would the nurse
expect to observe related to impaired left ventricular function?

A) Peripheral edema and weight gain

B) Orthopnea and paroxysmal nocturnal dyspnea

C) Hepatomegaly and right upper quadrant pain

D) Decreased creatinine and elevated albumin

E) Tachycardia with bounding pulses

✓ CORRECT ANSWER: B) Orthopnea and paroxysmal nocturnal dyspnea