ATI PN Comprehensive Predictor 2025 –
Actual Proctored Exam Questions and
100% Verified Answers with Rationales |
Retake-Ready Bundle
Question 1: A nurse is caring for a client with a new colostomy who expresses anxiety about
body image. What is the priority nursing action to promote adjustment?
A. Teach self-care techniques for ostomy management
B. Encourage the client to look at the stoma
C. Provide information on ostomy supplies
D. Refer to an ostomy support group
Correct Answer: B. Encourage the client to look at the stoma
Rationale: Gradual exposure to the stoma reduces anxiety and promotes acceptance
(psychosocial integrity, NCLEX-PN Client Need: Psychosocial). Teaching (A) follows
acceptance; supplies (C) are logistical; support groups (D) are adjunctive. Priority: Address
emotional barriers first. Test Tip: For body image, focus on client interaction with change.
Question 2: A client with suspected pneumonia presents with a respiratory rate of 32
breaths/min, fever, and productive cough. Which finding requires immediate intervention?
A. Temperature of 101°F
B. Respiratory rate of 32 breaths/min
C. Productive cough with green sputum
D. Crackles on auscultation
Correct Answer: B. Respiratory rate of 32 breaths/min
Rationale: Tachypnea (>30) indicates potential respiratory distress, risking hypoxia
(physiological adaptation, NCLEX-PN: Physiological). Fever (A) is expected; cough (C) is
typical; crackles (D) confirm pneumonia but are less urgent. Priority: ABCs—assess oxygen
saturation. Test Tip: Prioritize airway and breathing abnormalities.
Question 3: A client with type 2 diabetes is prescribed metformin 500 mg twice daily. What
is the most important teaching point to ensure adherence?
A. Monitor for signs of hypoglycemia daily
B. Take the medication with meals to reduce GI upset
C. Avoid all alcohol consumption
D. Check blood glucose weekly
Correct Answer: B. Take the medication with meals to reduce GI upset
, Rationale: Metformin commonly causes nausea; taking with food improves tolerance
(pharmacology, NCLEX-PN: Pharmacological). Hypoglycemia (A) is rare; moderate alcohol (C)
is allowed; daily glucose checks (D) are needed. Priority: Promote adherence. Test Tip:
Biguanides—focus on GI side effects.
Question 4: The nurse is delegating tasks to an unlicensed assistive personnel (UAP).
Which task is appropriate to delegate for a stable client?
A. Assessing vital signs post-procedure
B. Assisting with ambulation
C. Teaching insulin administration
D. Performing sterile wound care
Correct Answer: B. Assisting with ambulation
Rationale: UAPs can assist with ADLs like ambulation for stable clients (safe care, NCLEX-
PN: Safe Environment). Assessment (A), teaching (C), and sterile procedures (D) are RN roles.
Priority: Scope of practice. Test Tip: Delegate non-invasive, non-teaching tasks to UAPs.
Question 5: A client post-hip replacement is receiving enoxaparin. Which laboratory value
should the nurse monitor for complications?
A. Activated partial thromboplastin time (aPTT)
B. Platelet count
C. International normalized ratio (INR)
D. Prothrombin time (PT)
Correct Answer: B. Platelet count
Rationale: Enoxaparin risks heparin-induced thrombocytopenia (HIT) days 5-10
(pharmacology, NCLEX-PN: Pharmacological). aPTT (A) for unfractionated heparin; INR/PT
(C, D) for warfarin. Priority: Monitor for bleeding/thrombocytopenia. Test Tip: LMWH—watch
for HIT.
Question 6: A client with schizophrenia on haloperidol reports muscle stiffness and tongue
protrusion. What is the priority nursing action?
A. Administer diphenhydramine as prescribed
B. Notify the provider of possible tardive dyskinesia
C. Encourage fluid intake
D. Monitor weight gain
Correct Answer: B. Notify the provider of possible tardive dyskinesia
Rationale: Tongue protrusion suggests tardive dyskinesia, potentially irreversible (psychosocial,
NCLEX-PN: Psychosocial). Diphenhydramine (A) for EPS, not TD; fluids (C) unrelated; weight
(D) later. Priority: AIMS assessment. Test Tip: Typical antipsychotics—monitor TD.
Actual Proctored Exam Questions and
100% Verified Answers with Rationales |
Retake-Ready Bundle
Question 1: A nurse is caring for a client with a new colostomy who expresses anxiety about
body image. What is the priority nursing action to promote adjustment?
A. Teach self-care techniques for ostomy management
B. Encourage the client to look at the stoma
C. Provide information on ostomy supplies
D. Refer to an ostomy support group
Correct Answer: B. Encourage the client to look at the stoma
Rationale: Gradual exposure to the stoma reduces anxiety and promotes acceptance
(psychosocial integrity, NCLEX-PN Client Need: Psychosocial). Teaching (A) follows
acceptance; supplies (C) are logistical; support groups (D) are adjunctive. Priority: Address
emotional barriers first. Test Tip: For body image, focus on client interaction with change.
Question 2: A client with suspected pneumonia presents with a respiratory rate of 32
breaths/min, fever, and productive cough. Which finding requires immediate intervention?
A. Temperature of 101°F
B. Respiratory rate of 32 breaths/min
C. Productive cough with green sputum
D. Crackles on auscultation
Correct Answer: B. Respiratory rate of 32 breaths/min
Rationale: Tachypnea (>30) indicates potential respiratory distress, risking hypoxia
(physiological adaptation, NCLEX-PN: Physiological). Fever (A) is expected; cough (C) is
typical; crackles (D) confirm pneumonia but are less urgent. Priority: ABCs—assess oxygen
saturation. Test Tip: Prioritize airway and breathing abnormalities.
Question 3: A client with type 2 diabetes is prescribed metformin 500 mg twice daily. What
is the most important teaching point to ensure adherence?
A. Monitor for signs of hypoglycemia daily
B. Take the medication with meals to reduce GI upset
C. Avoid all alcohol consumption
D. Check blood glucose weekly
Correct Answer: B. Take the medication with meals to reduce GI upset
, Rationale: Metformin commonly causes nausea; taking with food improves tolerance
(pharmacology, NCLEX-PN: Pharmacological). Hypoglycemia (A) is rare; moderate alcohol (C)
is allowed; daily glucose checks (D) are needed. Priority: Promote adherence. Test Tip:
Biguanides—focus on GI side effects.
Question 4: The nurse is delegating tasks to an unlicensed assistive personnel (UAP).
Which task is appropriate to delegate for a stable client?
A. Assessing vital signs post-procedure
B. Assisting with ambulation
C. Teaching insulin administration
D. Performing sterile wound care
Correct Answer: B. Assisting with ambulation
Rationale: UAPs can assist with ADLs like ambulation for stable clients (safe care, NCLEX-
PN: Safe Environment). Assessment (A), teaching (C), and sterile procedures (D) are RN roles.
Priority: Scope of practice. Test Tip: Delegate non-invasive, non-teaching tasks to UAPs.
Question 5: A client post-hip replacement is receiving enoxaparin. Which laboratory value
should the nurse monitor for complications?
A. Activated partial thromboplastin time (aPTT)
B. Platelet count
C. International normalized ratio (INR)
D. Prothrombin time (PT)
Correct Answer: B. Platelet count
Rationale: Enoxaparin risks heparin-induced thrombocytopenia (HIT) days 5-10
(pharmacology, NCLEX-PN: Pharmacological). aPTT (A) for unfractionated heparin; INR/PT
(C, D) for warfarin. Priority: Monitor for bleeding/thrombocytopenia. Test Tip: LMWH—watch
for HIT.
Question 6: A client with schizophrenia on haloperidol reports muscle stiffness and tongue
protrusion. What is the priority nursing action?
A. Administer diphenhydramine as prescribed
B. Notify the provider of possible tardive dyskinesia
C. Encourage fluid intake
D. Monitor weight gain
Correct Answer: B. Notify the provider of possible tardive dyskinesia
Rationale: Tongue protrusion suggests tardive dyskinesia, potentially irreversible (psychosocial,
NCLEX-PN: Psychosocial). Diphenhydramine (A) for EPS, not TD; fluids (C) unrelated; weight
(D) later. Priority: AIMS assessment. Test Tip: Typical antipsychotics—monitor TD.
