ATI PN Comprehensive Predictor Exit Exam
2026/2027 | 180 NGN Practice Questions &
Verified Answers with Rationales | Forms A, B
& C | Pass Guaranteed
Section 1: Management of Care (Questions 1-30)
1. A PN is caring for four clients at the start of the shift. Which client should be
assessed FIRST?
A) Client with diabetes requesting pain medication for neuropathy
B) Client with COPD who has a new cough producing green sputum
C) Client post-op day 1 with new-onset confusion and BP 88/50
D) Client with a fractured tibia requesting help to the bathroom
Correct Answer: C
Rationale: New-onset confusion accompanied by hypotension suggests possible sepsis,
hemorrhage, or shock—an unstable priority. Airway and circulation precede stable
complaints. The other clients have stable conditions that can be addressed after the
unstable client is assessed .
, 2. A charge nurse is assigning staff for the shift. Which client should be assigned to
an RN rather than a PN?
A) Client with stable CHF receiving daily Lasix
B) Client requiring a blood transfusion for symptomatic anemia
C) Client with a new diagnosis of diabetes needing insulin instruction
D) Client with a PEG tube requiring intermittent feedings
Correct Answer: B
Rationale: Blood transfusions require complex assessment and monitoring that is typically
within the RN scope. The PN can administer stable medications, reinforce teaching, and
perform routine monitoring .
3. A PN is delegating tasks to an assistive personnel (AP). Which task is appropriate
to delegate?
A) Assessing a client's capillary refill
B) Teaching a client how to keep a cast dry
C) Assisting a client with ambulation to the bathroom
D) Evaluating a client's pain level
Correct Answer: C
, Rationale: Assisting with ambulation is a standard, stable task that falls within the scope of
AP practice. The PN cannot delegate assessment, evaluation, or teaching as these require
professional nursing judgment .
4. A client is placed on airborne precautions for active tuberculosis. Which action is
required?
A) Place the client in a room with positive pressure
B) Wear a surgical mask when entering the room
C) Place the client in a negative pressure room
D) Keep the door open for ventilation
Correct Answer: C
Rationale: TB is an airborne pathogen spread via droplet nuclei that remain suspended in
the air. Airborne precautions require a negative pressure room and the use of an N95
respirator by healthcare providers .
5. A client with dementia has a physician's order for bilateral soft wrist restraints.
Which action should the nurse take?
A) Secure the restraint ties to the side rails
B) Apply the restraint snugly against the skin
C) Obtain a written prescription for the restraint application
D) Observe the client every 60 minutes after application
, Correct Answer: C
Rationale: Restraints require a physician's written order, specifying the duration and reason.
Ties must never be secured to the side rails because they can cause injury if the rails are
lowered. The restraint should allow for two fingers of width to prevent circulation impairment.
Observations must be made every 15 to 30 minutes, not hourly .
6. A client is postoperative day 1 following a total knee replacement. The client
reports pain of 7/10 and is due for hydromorphone 2 mg IV PRN. What is the PN's
priority action?
A) Administer the prescribed hydromorphone immediately
B) Apply ice to the surgical site and elevate the leg
C) Encourage the client to use relaxation techniques
D) Notify the RN regarding the medication request
Correct Answer: A
Rationale: The client has a valid prescription for pain medication, is due for the dose, and is
reporting significant pain. Administering the medication is the priority intervention to relieve
pain. Ice and elevation are adjunctive but not the primary priority .
7. A nurse is planning care for a client who is on fall precautions. Which of the
following interventions should the nurse include?
2026/2027 | 180 NGN Practice Questions &
Verified Answers with Rationales | Forms A, B
& C | Pass Guaranteed
Section 1: Management of Care (Questions 1-30)
1. A PN is caring for four clients at the start of the shift. Which client should be
assessed FIRST?
A) Client with diabetes requesting pain medication for neuropathy
B) Client with COPD who has a new cough producing green sputum
C) Client post-op day 1 with new-onset confusion and BP 88/50
D) Client with a fractured tibia requesting help to the bathroom
Correct Answer: C
Rationale: New-onset confusion accompanied by hypotension suggests possible sepsis,
hemorrhage, or shock—an unstable priority. Airway and circulation precede stable
complaints. The other clients have stable conditions that can be addressed after the
unstable client is assessed .
, 2. A charge nurse is assigning staff for the shift. Which client should be assigned to
an RN rather than a PN?
A) Client with stable CHF receiving daily Lasix
B) Client requiring a blood transfusion for symptomatic anemia
C) Client with a new diagnosis of diabetes needing insulin instruction
D) Client with a PEG tube requiring intermittent feedings
Correct Answer: B
Rationale: Blood transfusions require complex assessment and monitoring that is typically
within the RN scope. The PN can administer stable medications, reinforce teaching, and
perform routine monitoring .
3. A PN is delegating tasks to an assistive personnel (AP). Which task is appropriate
to delegate?
A) Assessing a client's capillary refill
B) Teaching a client how to keep a cast dry
C) Assisting a client with ambulation to the bathroom
D) Evaluating a client's pain level
Correct Answer: C
, Rationale: Assisting with ambulation is a standard, stable task that falls within the scope of
AP practice. The PN cannot delegate assessment, evaluation, or teaching as these require
professional nursing judgment .
4. A client is placed on airborne precautions for active tuberculosis. Which action is
required?
A) Place the client in a room with positive pressure
B) Wear a surgical mask when entering the room
C) Place the client in a negative pressure room
D) Keep the door open for ventilation
Correct Answer: C
Rationale: TB is an airborne pathogen spread via droplet nuclei that remain suspended in
the air. Airborne precautions require a negative pressure room and the use of an N95
respirator by healthcare providers .
5. A client with dementia has a physician's order for bilateral soft wrist restraints.
Which action should the nurse take?
A) Secure the restraint ties to the side rails
B) Apply the restraint snugly against the skin
C) Obtain a written prescription for the restraint application
D) Observe the client every 60 minutes after application
, Correct Answer: C
Rationale: Restraints require a physician's written order, specifying the duration and reason.
Ties must never be secured to the side rails because they can cause injury if the rails are
lowered. The restraint should allow for two fingers of width to prevent circulation impairment.
Observations must be made every 15 to 30 minutes, not hourly .
6. A client is postoperative day 1 following a total knee replacement. The client
reports pain of 7/10 and is due for hydromorphone 2 mg IV PRN. What is the PN's
priority action?
A) Administer the prescribed hydromorphone immediately
B) Apply ice to the surgical site and elevate the leg
C) Encourage the client to use relaxation techniques
D) Notify the RN regarding the medication request
Correct Answer: A
Rationale: The client has a valid prescription for pain medication, is due for the dose, and is
reporting significant pain. Administering the medication is the priority intervention to relieve
pain. Ice and elevation are adjunctive but not the primary priority .
7. A nurse is planning care for a client who is on fall precautions. Which of the
following interventions should the nurse include?
