ATI PN CMS COMPREHENSIVE
PREDICTOR, EXIT EXAM, AND
RETAKE 2023/2026 WITH NGN |
VERIFIED QUESTIONS & ANSWERS |
GUARANTEED FIRST-ATTEMPT PASS!
Core Domains
• Management of Care and Prioritization
• Safety and Infection Control
• Health Promotion and Maintenance
• Psychosocial Integrity
• Basic Care and Comfort
• Pharmacological Therapies
• Reduction of Risk Potential
• Physiological Adaptation
• Integrated Clinical Scenarios and NGN Case Studies
Introduction
The ATI PN Comprehensive Predictor Exit Examination serves as the
definitive benchmark for practical nursing program completion and NCLEX-
PN readiness assessment. This comprehensive 180-question proctored
examination evaluates practical nursing students across all content domains
utilizing the latest NCLEX-PN test plan and the Clinical Judgment
Measurement Model (CJMM). The assessment includes multiple-choice,
select-all-that-apply, ordered response, and Next Generation NCLEX (NGN)
,clinical judgment case scenarios that mirror real-world patient encounters.
Candidates must demonstrate competency in prioritization, delegation,
medication administration, safety, infection control, and evidence-based
interventions required for safe entry-level practical nursing practice.
Section One: Questions 1–180
Section 1: Management of Care and Prioritization (Questions 1–25)
Question 1
A charge nurse on a medical-surgical unit is planning client assignments for
the shift. Which of the following clients should the charge nurse assign to the
LPN?
A. A client newly admitted with acute GI bleeding requiring fluid
resuscitation
B. A client who is 2 days post-op from a hip replacement needing routine
wound care and ambulation assistance
C. A client receiving their first dose of IV chemotherapy for lymphoma
D. A client with new-onset chest pain requiring STAT cardiac enzymes and
telemetry
B. A client who is 2 days post-op from a hip replacement needing routine
wound care and ambulation assistance
RATIONALE: The LPN scope of practice includes caring for stable clients
with predictable outcomes, performing routine wound care, and reinforcing
teaching. A 2-day post-op hip replacement client with routine needs fits this
scope. Clients with acute GI bleeding (unstable, fluid resuscitation), first-
dose IV chemotherapy (high risk for reaction), and new-onset chest pain
(requires RN assessment and intervention) require RN-level care.
Question 2
A practical nurse (PN) is caring for a client in a long-term care facility. During
the 0700 assessment, the PN notes: unresponsive to verbal stimuli,
respirations 8/min and shallow, pulse 42 bpm and weak, oxygen saturation
,84% on room air, history of advanced dementia and DNR/AND orders. Which
action should the PN take first?
A. Administer oxygen via non-rebreather mask
B. Call the client's family to inform them of the change
C. Reposition the client to facilitate airway clearance
D. Place the client in a supine position with a pillow under the head
C. Reposition the client to facilitate airway clearance
RATIONALE: In an unresponsive client with shallow respirations, the
priority is airway patency (ABC framework). The PN must first open the
airway and clear secretions. Repositioning (side-lying) helps drain secretions
and prevents aspiration. Oxygen is ineffective without a patent airway.
DNR/AND status means no CPR or intubation, but supportive care
(repositioning, suctioning) is still provided.
Question 3
A nurse is reinforcing teaching about advance directives. Which statement by
the client indicates understanding?
A. "Once I sign, I cannot change my advance directives."
B. "My family can override my decisions if they disagree."
C. "Advance directives only apply if I am unable to make decisions."
D. "I must have a lawyer present to create advance directives."
C. "Advance directives only apply if I am unable to make decisions."
RATIONALE: Advance directives provide guidance when the client cannot
communicate their wishes. Clients can change directives at any time as long
as they are competent. Family cannot override them, and a lawyer is not
required.
Question 4
The nurse has received change-of-shift report and is delegating tasks to the
assistive personnel (AP). Which task is appropriate to delegate?
, A. Feeding a client admitted 24 hours ago with aspiration pneumonia
B. Reinforcing teaching with a client learning to use a quad cane
C. Reapplying a condom catheter for a client with urinary incontinence
D. Applying a sterile dressing to a pressure ulcer
C. Reapplying a condom catheter for a client with urinary incontinence
RATIONALE: APs can perform routine care for stable clients, including
condom catheter reapplication. Feeding a client with aspiration precautions
requires specialized assessment, reinforcing teaching requires a licensed
nurse, and sterile dressing application requires nursing judgment.
Question 5
A nurse is caring for a client who has just returned from surgery. Which of the
following findings should the nurse report to the provider immediately?
A. Heart rate 88/min
B. Respiratory rate 28/min
C. Temperature 37.2°C (99.0°F)
D. Blood pressure 118/76 mm Hg
B. Respiratory rate 28/min
RATIONALE: Tachypnea (RR > 20) post-abdominal surgery may indicate
atelectasis, pneumonia, or pulmonary embolism. This requires immediate
intervention. The other vital signs are within normal limits.
Question 6
A nurse is caring for a client who has a prescription for soft wrist restraints.
Which of the following actions should the nurse take?
A. Remove the restraints every 4 hours for range of motion
B. Secure the restraints to the side rails
C. Tie the restraints in a quick-release knot
D. Apply the restraints tightly to prevent movement
PREDICTOR, EXIT EXAM, AND
RETAKE 2023/2026 WITH NGN |
VERIFIED QUESTIONS & ANSWERS |
GUARANTEED FIRST-ATTEMPT PASS!
Core Domains
• Management of Care and Prioritization
• Safety and Infection Control
• Health Promotion and Maintenance
• Psychosocial Integrity
• Basic Care and Comfort
• Pharmacological Therapies
• Reduction of Risk Potential
• Physiological Adaptation
• Integrated Clinical Scenarios and NGN Case Studies
Introduction
The ATI PN Comprehensive Predictor Exit Examination serves as the
definitive benchmark for practical nursing program completion and NCLEX-
PN readiness assessment. This comprehensive 180-question proctored
examination evaluates practical nursing students across all content domains
utilizing the latest NCLEX-PN test plan and the Clinical Judgment
Measurement Model (CJMM). The assessment includes multiple-choice,
select-all-that-apply, ordered response, and Next Generation NCLEX (NGN)
,clinical judgment case scenarios that mirror real-world patient encounters.
Candidates must demonstrate competency in prioritization, delegation,
medication administration, safety, infection control, and evidence-based
interventions required for safe entry-level practical nursing practice.
Section One: Questions 1–180
Section 1: Management of Care and Prioritization (Questions 1–25)
Question 1
A charge nurse on a medical-surgical unit is planning client assignments for
the shift. Which of the following clients should the charge nurse assign to the
LPN?
A. A client newly admitted with acute GI bleeding requiring fluid
resuscitation
B. A client who is 2 days post-op from a hip replacement needing routine
wound care and ambulation assistance
C. A client receiving their first dose of IV chemotherapy for lymphoma
D. A client with new-onset chest pain requiring STAT cardiac enzymes and
telemetry
B. A client who is 2 days post-op from a hip replacement needing routine
wound care and ambulation assistance
RATIONALE: The LPN scope of practice includes caring for stable clients
with predictable outcomes, performing routine wound care, and reinforcing
teaching. A 2-day post-op hip replacement client with routine needs fits this
scope. Clients with acute GI bleeding (unstable, fluid resuscitation), first-
dose IV chemotherapy (high risk for reaction), and new-onset chest pain
(requires RN assessment and intervention) require RN-level care.
Question 2
A practical nurse (PN) is caring for a client in a long-term care facility. During
the 0700 assessment, the PN notes: unresponsive to verbal stimuli,
respirations 8/min and shallow, pulse 42 bpm and weak, oxygen saturation
,84% on room air, history of advanced dementia and DNR/AND orders. Which
action should the PN take first?
A. Administer oxygen via non-rebreather mask
B. Call the client's family to inform them of the change
C. Reposition the client to facilitate airway clearance
D. Place the client in a supine position with a pillow under the head
C. Reposition the client to facilitate airway clearance
RATIONALE: In an unresponsive client with shallow respirations, the
priority is airway patency (ABC framework). The PN must first open the
airway and clear secretions. Repositioning (side-lying) helps drain secretions
and prevents aspiration. Oxygen is ineffective without a patent airway.
DNR/AND status means no CPR or intubation, but supportive care
(repositioning, suctioning) is still provided.
Question 3
A nurse is reinforcing teaching about advance directives. Which statement by
the client indicates understanding?
A. "Once I sign, I cannot change my advance directives."
B. "My family can override my decisions if they disagree."
C. "Advance directives only apply if I am unable to make decisions."
D. "I must have a lawyer present to create advance directives."
C. "Advance directives only apply if I am unable to make decisions."
RATIONALE: Advance directives provide guidance when the client cannot
communicate their wishes. Clients can change directives at any time as long
as they are competent. Family cannot override them, and a lawyer is not
required.
Question 4
The nurse has received change-of-shift report and is delegating tasks to the
assistive personnel (AP). Which task is appropriate to delegate?
, A. Feeding a client admitted 24 hours ago with aspiration pneumonia
B. Reinforcing teaching with a client learning to use a quad cane
C. Reapplying a condom catheter for a client with urinary incontinence
D. Applying a sterile dressing to a pressure ulcer
C. Reapplying a condom catheter for a client with urinary incontinence
RATIONALE: APs can perform routine care for stable clients, including
condom catheter reapplication. Feeding a client with aspiration precautions
requires specialized assessment, reinforcing teaching requires a licensed
nurse, and sterile dressing application requires nursing judgment.
Question 5
A nurse is caring for a client who has just returned from surgery. Which of the
following findings should the nurse report to the provider immediately?
A. Heart rate 88/min
B. Respiratory rate 28/min
C. Temperature 37.2°C (99.0°F)
D. Blood pressure 118/76 mm Hg
B. Respiratory rate 28/min
RATIONALE: Tachypnea (RR > 20) post-abdominal surgery may indicate
atelectasis, pneumonia, or pulmonary embolism. This requires immediate
intervention. The other vital signs are within normal limits.
Question 6
A nurse is caring for a client who has a prescription for soft wrist restraints.
Which of the following actions should the nurse take?
A. Remove the restraints every 4 hours for range of motion
B. Secure the restraints to the side rails
C. Tie the restraints in a quick-release knot
D. Apply the restraints tightly to prevent movement
