Section 1: Safe & Effective Care Environment — Safety, Delegation &
Infection Control
Question 1 (Delegation & Scope of Practice)
A Practical Nurse (PN) working on a medical-surgical unit is reviewing task
assignments for the shift. Which action is appropriate to delegate to an
Assistive Personnel (AP)?
A. Reinforcing teaching regarding a client's newly prescribed low-sodium
diet.
B. Obtaining routine vital signs on a client who is 2 days postoperative and
stable.
C. Evaluating the effectiveness of pain medication administered 30 minutes
prior.
D. Collecting focused lung sound data on a client diagnosed with
pneumonia.
Correct Answer: B
Rationale: The PN may delegate routine tasks on stable clients to AP,
such as measuring vital signs. Teaching reinforcement, evaluation of
interventions, and clinical assessment are within the scope of licensed
nursing personnel (PN/RN) and cannot be delegated.
Question 2 (Infection Control & Precautions)
A PN is caring for a client who has a urinary catheter. Which observation
requires immediate intervention by the PN to reduce infection risk?
A. The catheter drainage bag is secured to the bed frame below bladder
level.
B. The catheter drainage tubing contains small amounts of clear yellow
urine.
C. The drainage bag is placed on the bed rail while transferring the client.
D. The urinary bag is emptied every 8 hours into a clean container.
ATI PN Comprehensive Predictor 2026 Page 1 of 53
, Correct Answer: C
Rationale: Placing the drainage bag on the bed rail elevates it above the
bladder level, which allows urine to flow backward into the bladder,
significantly increasing the risk of Catheter-Associated Urinary Tract
Infections (CAUTI).
Question 3 (Infection Control — Order of PPE Donning/Doffing)
A PN is preparing to enter the room of a client placed on contact and droplet
precautions for influenza and suspected MRSA wound infection. What is the
correct sequence for donning Personal Protective Equipment (PPE)?
A. Gloves → Mask/Respirator → Goggles → Gown
B. Gown → Mask/Respirator → Goggles/Face Shield → Gloves
C. Mask/Respirator → Gown → Gloves → Goggles
D. Goggles → Mask → Gown → Gloves
Correct Answer: B
Rationale: Standard CDC sequence for donning PPE: Gown first,
followed by Mask/Respirator, Goggles/Face Shield, and Gloves last
(overlapping gown cuffs). Removal sequence is Gloves, Goggles, Gown,
Mask.
ATI PN Comprehensive Predictor 2026 Page 2 of 53
,Section 2: Next Generation NCLEX (NGN) Clinical Reasoning & Case
Studies
ATI PN Comprehensive Predictor 2026 Page 3 of 53
, ATI PN Comprehensive Predictor 2026 Page 4 of 53
Infection Control
Question 1 (Delegation & Scope of Practice)
A Practical Nurse (PN) working on a medical-surgical unit is reviewing task
assignments for the shift. Which action is appropriate to delegate to an
Assistive Personnel (AP)?
A. Reinforcing teaching regarding a client's newly prescribed low-sodium
diet.
B. Obtaining routine vital signs on a client who is 2 days postoperative and
stable.
C. Evaluating the effectiveness of pain medication administered 30 minutes
prior.
D. Collecting focused lung sound data on a client diagnosed with
pneumonia.
Correct Answer: B
Rationale: The PN may delegate routine tasks on stable clients to AP,
such as measuring vital signs. Teaching reinforcement, evaluation of
interventions, and clinical assessment are within the scope of licensed
nursing personnel (PN/RN) and cannot be delegated.
Question 2 (Infection Control & Precautions)
A PN is caring for a client who has a urinary catheter. Which observation
requires immediate intervention by the PN to reduce infection risk?
A. The catheter drainage bag is secured to the bed frame below bladder
level.
B. The catheter drainage tubing contains small amounts of clear yellow
urine.
C. The drainage bag is placed on the bed rail while transferring the client.
D. The urinary bag is emptied every 8 hours into a clean container.
ATI PN Comprehensive Predictor 2026 Page 1 of 53
, Correct Answer: C
Rationale: Placing the drainage bag on the bed rail elevates it above the
bladder level, which allows urine to flow backward into the bladder,
significantly increasing the risk of Catheter-Associated Urinary Tract
Infections (CAUTI).
Question 3 (Infection Control — Order of PPE Donning/Doffing)
A PN is preparing to enter the room of a client placed on contact and droplet
precautions for influenza and suspected MRSA wound infection. What is the
correct sequence for donning Personal Protective Equipment (PPE)?
A. Gloves → Mask/Respirator → Goggles → Gown
B. Gown → Mask/Respirator → Goggles/Face Shield → Gloves
C. Mask/Respirator → Gown → Gloves → Goggles
D. Goggles → Mask → Gown → Gloves
Correct Answer: B
Rationale: Standard CDC sequence for donning PPE: Gown first,
followed by Mask/Respirator, Goggles/Face Shield, and Gloves last
(overlapping gown cuffs). Removal sequence is Gloves, Goggles, Gown,
Mask.
ATI PN Comprehensive Predictor 2026 Page 2 of 53
,Section 2: Next Generation NCLEX (NGN) Clinical Reasoning & Case
Studies
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, ATI PN Comprehensive Predictor 2026 Page 4 of 53
