Fall Semester 2025 | ATI PN Comprehensive Predictor Exam Prep
| Complete Practical Nursing Final Review with Verified Predictor
Questions & Answers, Detailed Rationales, Remediation Focus,
NCLEX-PN Readiness, ATI Mastery Level Strategies & Pass-First-
Attempt Study Guide
Question 1: Prioritization
A nurse is caring for a client exhibiting signs of respiratory distress. Which
intervention should the nurse perform first?
• A) Administer oxygen therapy.
• B) Assess the client's lung sounds.
• C) Notify the healthcare provider.
• D) Position the client in a high Fowler's position.
CORRECT ANSWER: B) Assess the client's lung sounds.
Rationale: Assessing lung sounds provides essential information about the client's
respiratory status, which guides further interventions.
Question 2: Medication Administration
A nurse is preparing to administer medication to a client. Which of the following is
the best practice before giving medications?
• A) Check the client's identification bracelet.
• B) Review the client's medication history.
• C) Perform the three checks of medication administration.
• D) Explain the side effects to the client.
CORRECT ANSWER: C) Perform the three checks of medication administration.
Rationale: Performing the three checks ensures the right medication is given to the right
client in the right dose, at the right time, and by the right route, reducing the risk of
errors.
Question 3: Infection Control
Which of the following practices by a nurse demonstrates proper infection control?
• A) Wearing gloves when changing a dressing.
• B) Performing hand hygiene before and after patient contact.
, • C) Using hand sanitizer only when hands are visibly soiled.
• D) Placing the used IV catheter in a regular waste container.
CORRECT ANSWER: B) Performing hand hygiene before and after patient contact.
Rationale: Hand hygiene is the most effective way to prevent the spread of infection in
healthcare settings.
Question 4: Patient Education
What is the most important information a nurse should include when teaching a
client about the use of an inhaler?
• A) Inhale deeply and hold your breath after inhalation.
• B) Take the medication only when having symptoms.
• C) Shake the inhaler before each use.
• D) Use the inhaler only if prescribed daily.
CORRECT ANSWER: A) Inhale deeply and hold your breath after inhalation.
Rationale: Holding the breath after inhalation allows the medication to reach deeper
into the lungs for maximum effectiveness.
Question 1: Prioritization
A nurse is caring for a client exhibiting signs of respiratory distress. Which
intervention should the nurse perform first?
• A) Administer oxygen therapy.
• B) Assess the client's lung sounds.
• C) Notify the healthcare provider.
• D) Position the client in a high Fowler's position.
CORRECT ANSWER: B) Assess the client's lung sounds.
Rationale: Assessing lung sounds provides essential information about the client's
respiratory status, which guides further interventions.
Question 2: Medication Administration
A nurse is preparing to administer medication to a client. Which of the following is
the best practice before giving medications?
• A) Check the client's identification bracelet.
• B) Review the client's medication history.
, • C) Perform the three checks of medication administration.
• D) Explain the side effects to the client.
CORRECT ANSWER: C) Perform the three checks of medication administration.
Rationale: Performing the three checks ensures the right medication is given to the right
client in the right dose, at the right time, and by the right route, reducing the risk of
errors.
Question 3: Infection Control
Which of the following practices by a nurse demonstrates proper infection control?
• A) Wearing gloves when changing a dressing.
• B) Performing hand hygiene before and after patient contact.
• C) Using hand sanitizer only when hands are visibly soiled.
• D) Placing the used IV catheter in a regular waste container.
CORRECT ANSWER: B) Performing hand hygiene before and after patient contact.
Rationale: Hand hygiene is the most effective way to prevent the spread of infection in
healthcare settings.
Question 4: Patient Education
What is the most important information a nurse should include when teaching a
client about the use of an inhaler?
• A) Inhale deeply and hold your breath after inhalation.
• B) Take the medication only when having symptoms.
• C) Shake the inhaler before each use.
• D) Use the inhaler only if prescribed daily.
CORRECT ANSWER: A) Inhale deeply and hold your breath after inhalation.
Rationale: Holding the breath after inhalation allows the medication to reach deeper
into the lungs for maximum effectiveness.
Question 5: Vital Signs
A nurse is assessing a client’s vital signs. Which of the following findings would be
concerning?
• A) Heart rate of 62 beats per minute.
, • B) Blood pressure of 180/110 mmHg.
• C) Respiratory rate of 18 breaths per minute.
• D) Temperature of 98.6°F.
CORRECT ANSWER: B) Blood pressure of 180/110 mmHg.
Rationale: This reading indicates hypertension, which can lead to serious
complications if not addressed.
Question 6: Nutritional Needs
Which dietary choice would best support healing in a client with a pressure ulcer?
• A) Low-fat yogurt.
• B) White rice.
• C) Chicken breast with spinach.
• D) Whole grain toast with jam.
CORRECT ANSWER: C) Chicken breast with spinach.
Rationale: High-protein foods and those rich in vitamins and minerals are essential for
wound healing.
Question 7: Pain Management
A nurse is assessing a client’s pain level. Which tool is most appropriate for
assessing pain in a nonverbal client?
• A) Numeric pain scale.
• B) Wong-Baker faces pain rating scale.
• C) Behavioral pain scale.
• D) Visual analogue scale.
CORRECT ANSWER: C) Behavioral pain scale.
Rationale: This scale assesses pain by observing behavior, making it suitable for
nonverbal patients.
Question 8: Infection Control
What should a nurse do when caring for a client with C. diff infection?
• A) Use alcohol-based hand sanitizer after providing care.
• B) Wash hands with soap and water after providing care.
| Complete Practical Nursing Final Review with Verified Predictor
Questions & Answers, Detailed Rationales, Remediation Focus,
NCLEX-PN Readiness, ATI Mastery Level Strategies & Pass-First-
Attempt Study Guide
Question 1: Prioritization
A nurse is caring for a client exhibiting signs of respiratory distress. Which
intervention should the nurse perform first?
• A) Administer oxygen therapy.
• B) Assess the client's lung sounds.
• C) Notify the healthcare provider.
• D) Position the client in a high Fowler's position.
CORRECT ANSWER: B) Assess the client's lung sounds.
Rationale: Assessing lung sounds provides essential information about the client's
respiratory status, which guides further interventions.
Question 2: Medication Administration
A nurse is preparing to administer medication to a client. Which of the following is
the best practice before giving medications?
• A) Check the client's identification bracelet.
• B) Review the client's medication history.
• C) Perform the three checks of medication administration.
• D) Explain the side effects to the client.
CORRECT ANSWER: C) Perform the three checks of medication administration.
Rationale: Performing the three checks ensures the right medication is given to the right
client in the right dose, at the right time, and by the right route, reducing the risk of
errors.
Question 3: Infection Control
Which of the following practices by a nurse demonstrates proper infection control?
• A) Wearing gloves when changing a dressing.
• B) Performing hand hygiene before and after patient contact.
, • C) Using hand sanitizer only when hands are visibly soiled.
• D) Placing the used IV catheter in a regular waste container.
CORRECT ANSWER: B) Performing hand hygiene before and after patient contact.
Rationale: Hand hygiene is the most effective way to prevent the spread of infection in
healthcare settings.
Question 4: Patient Education
What is the most important information a nurse should include when teaching a
client about the use of an inhaler?
• A) Inhale deeply and hold your breath after inhalation.
• B) Take the medication only when having symptoms.
• C) Shake the inhaler before each use.
• D) Use the inhaler only if prescribed daily.
CORRECT ANSWER: A) Inhale deeply and hold your breath after inhalation.
Rationale: Holding the breath after inhalation allows the medication to reach deeper
into the lungs for maximum effectiveness.
Question 1: Prioritization
A nurse is caring for a client exhibiting signs of respiratory distress. Which
intervention should the nurse perform first?
• A) Administer oxygen therapy.
• B) Assess the client's lung sounds.
• C) Notify the healthcare provider.
• D) Position the client in a high Fowler's position.
CORRECT ANSWER: B) Assess the client's lung sounds.
Rationale: Assessing lung sounds provides essential information about the client's
respiratory status, which guides further interventions.
Question 2: Medication Administration
A nurse is preparing to administer medication to a client. Which of the following is
the best practice before giving medications?
• A) Check the client's identification bracelet.
• B) Review the client's medication history.
, • C) Perform the three checks of medication administration.
• D) Explain the side effects to the client.
CORRECT ANSWER: C) Perform the three checks of medication administration.
Rationale: Performing the three checks ensures the right medication is given to the right
client in the right dose, at the right time, and by the right route, reducing the risk of
errors.
Question 3: Infection Control
Which of the following practices by a nurse demonstrates proper infection control?
• A) Wearing gloves when changing a dressing.
• B) Performing hand hygiene before and after patient contact.
• C) Using hand sanitizer only when hands are visibly soiled.
• D) Placing the used IV catheter in a regular waste container.
CORRECT ANSWER: B) Performing hand hygiene before and after patient contact.
Rationale: Hand hygiene is the most effective way to prevent the spread of infection in
healthcare settings.
Question 4: Patient Education
What is the most important information a nurse should include when teaching a
client about the use of an inhaler?
• A) Inhale deeply and hold your breath after inhalation.
• B) Take the medication only when having symptoms.
• C) Shake the inhaler before each use.
• D) Use the inhaler only if prescribed daily.
CORRECT ANSWER: A) Inhale deeply and hold your breath after inhalation.
Rationale: Holding the breath after inhalation allows the medication to reach deeper
into the lungs for maximum effectiveness.
Question 5: Vital Signs
A nurse is assessing a client’s vital signs. Which of the following findings would be
concerning?
• A) Heart rate of 62 beats per minute.
, • B) Blood pressure of 180/110 mmHg.
• C) Respiratory rate of 18 breaths per minute.
• D) Temperature of 98.6°F.
CORRECT ANSWER: B) Blood pressure of 180/110 mmHg.
Rationale: This reading indicates hypertension, which can lead to serious
complications if not addressed.
Question 6: Nutritional Needs
Which dietary choice would best support healing in a client with a pressure ulcer?
• A) Low-fat yogurt.
• B) White rice.
• C) Chicken breast with spinach.
• D) Whole grain toast with jam.
CORRECT ANSWER: C) Chicken breast with spinach.
Rationale: High-protein foods and those rich in vitamins and minerals are essential for
wound healing.
Question 7: Pain Management
A nurse is assessing a client’s pain level. Which tool is most appropriate for
assessing pain in a nonverbal client?
• A) Numeric pain scale.
• B) Wong-Baker faces pain rating scale.
• C) Behavioral pain scale.
• D) Visual analogue scale.
CORRECT ANSWER: C) Behavioral pain scale.
Rationale: This scale assesses pain by observing behavior, making it suitable for
nonverbal patients.
Question 8: Infection Control
What should a nurse do when caring for a client with C. diff infection?
• A) Use alcohol-based hand sanitizer after providing care.
• B) Wash hands with soap and water after providing care.
