ATI PN COMPREHENSIVE PREDICTOR 2026 | NGN-Aligned |
180 Verified Q&A | Level 2 Passing Standard | Pass
Guaranteed - Graded A+
SECTION 1: FUNDAMENTALS OF NURSING (30 Questions) – 17%
Q1: Basic Care and Comfort – ADLs
A practical nurse is caring for a client who had a right total hip replacement 2 days ago.
The client requires assistance with hygiene. Which action by the PN demonstrates
proper technique for this client?
A. Assist the client to bend at the waist to wash the lower extremities
B. Apply lotion between the toes after washing the feet
C. Use a long-handled sponge to assist with washing the legs while maintaining hip
precautions [CORRECT]
D. Encourage the client to use a regular bathtub for bathing
Correct Answer: C
Rationale: Following right total hip replacement, clients must adhere to hip precautions:
no flexion beyond 90 degrees, no adduction past midline, and no internal rotation. A
,long-handled sponge allows the client to maintain these precautions while completing
hygiene needs.
● Option A is incorrect because bending at the waist violates hip flexion
precautions and risks prosthesis dislocation.
● Option B is incorrect because applying lotion between toes creates moisture that
promotes fungal growth; lotion should be applied to tops and bottoms of feet
only.
● Option D is incorrect because regular bathtubs require hip flexion beyond 90
degrees to enter/exit, violating precautions. Shower chairs or sponge baths are
preferred.
PN Scope Alert: Assisting with ADLs and maintaining post-operative precautions are
within PN scope. Teaching total hip precautions is a collaborative PN-RN activity.
Q2: Safety and Infection Control – Transmission-Based Precautions
A client is admitted with suspected pulmonary tuberculosis (TB). Which PPE
combination is appropriate for the PN when entering the room to administer oral
medications?
A. Gown, gloves, N95 respirator, and eye protection
B. Gloves and surgical mask only
C. Gown, gloves, and surgical mask
D. N95 respirator only [CORRECT]
Correct Answer: D
,Rationale: Pulmonary TB requires Airborne Precautions. An N95 respirator (or PAPR) is
required for all personnel entering the room. Standard precautions apply, but for
medication administration without anticipated splashing or contact with contaminated
surfaces, only the N95 is added. Gloves and gown are needed only if contact with
contaminated surfaces or secretions is anticipated.
● Option A is incorrect because eye protection and gown are unnecessary for brief
medication administration without splash risk; this represents over-precaution
that wastes resources.
● Option B is incorrect because surgical masks do not filter airborne particles; they
protect against droplets, not airborne transmission.
● Option C is incorrect because surgical masks are inadequate for airborne
pathogens, and gown/gloves are unnecessary without contact exposure.
Memory Trick: "Airborne = N95 alone for quick tasks; add gown/gloves for messy tasks"
Q3: Vital Signs – Abnormal Findings
A PN obtains vital signs on a 78-year-old client: BP 168/94 mmHg, HR 58 bpm, RR
14/min, Temp 36.8°C (98.2°F), SpO2 94% on room air. Which finding requires immediate
follow-up by the PN?
A. Blood pressure of 168/94 mmHg
B. Heart rate of 58 bpm [CORRECT]
C. Respiratory rate of 14/min
D. Oxygen saturation of 94%
Correct Answer: B
, Rationale: While the blood pressure is elevated (Stage 2 hypertension), the heart rate of
58 bpm represents bradycardia in an elderly client. Normal HR for adults is 60-100 bpm.
Bradycardia in older adults may indicate cardiac conduction issues, medication effects
(beta-blockers, digoxin), or ischemia. The PN must assess for dizziness, syncope, chest
pain, or altered mental status and report to the RN.
● Option A is incorrect because while hypertension requires intervention, it is not
immediately life-threatening in this stable client; it can be addressed with
scheduled antihypertensives and monitoring.
● Option C is incorrect because 14 breaths/min is within normal range (12-20/min
for adults).
● Option D is incorrect because 94% is acceptable for an elderly client on room air;
<90% would require immediate oxygen intervention.
PN Scope Alert: PNs can assess vital signs and recognize abnormalities. Reporting
bradycardia to the RN for further assessment is appropriate PN practice.
Q4: Assessment Techniques – Focused Assessment
During a focused respiratory assessment, the PN auscultates the posterior chest. Which
technique is correct?
A. Place the stethoscope diaphragm over the scapula and have the client breathe
normally
B. Listen in the intercostal spaces with the client breathing deeply through the mouth
[CORRECT]
C. Use the bell of the stethoscope to assess breath sounds
D. Auscultate each lung field for 5 seconds
180 Verified Q&A | Level 2 Passing Standard | Pass
Guaranteed - Graded A+
SECTION 1: FUNDAMENTALS OF NURSING (30 Questions) – 17%
Q1: Basic Care and Comfort – ADLs
A practical nurse is caring for a client who had a right total hip replacement 2 days ago.
The client requires assistance with hygiene. Which action by the PN demonstrates
proper technique for this client?
A. Assist the client to bend at the waist to wash the lower extremities
B. Apply lotion between the toes after washing the feet
C. Use a long-handled sponge to assist with washing the legs while maintaining hip
precautions [CORRECT]
D. Encourage the client to use a regular bathtub for bathing
Correct Answer: C
Rationale: Following right total hip replacement, clients must adhere to hip precautions:
no flexion beyond 90 degrees, no adduction past midline, and no internal rotation. A
,long-handled sponge allows the client to maintain these precautions while completing
hygiene needs.
● Option A is incorrect because bending at the waist violates hip flexion
precautions and risks prosthesis dislocation.
● Option B is incorrect because applying lotion between toes creates moisture that
promotes fungal growth; lotion should be applied to tops and bottoms of feet
only.
● Option D is incorrect because regular bathtubs require hip flexion beyond 90
degrees to enter/exit, violating precautions. Shower chairs or sponge baths are
preferred.
PN Scope Alert: Assisting with ADLs and maintaining post-operative precautions are
within PN scope. Teaching total hip precautions is a collaborative PN-RN activity.
Q2: Safety and Infection Control – Transmission-Based Precautions
A client is admitted with suspected pulmonary tuberculosis (TB). Which PPE
combination is appropriate for the PN when entering the room to administer oral
medications?
A. Gown, gloves, N95 respirator, and eye protection
B. Gloves and surgical mask only
C. Gown, gloves, and surgical mask
D. N95 respirator only [CORRECT]
Correct Answer: D
,Rationale: Pulmonary TB requires Airborne Precautions. An N95 respirator (or PAPR) is
required for all personnel entering the room. Standard precautions apply, but for
medication administration without anticipated splashing or contact with contaminated
surfaces, only the N95 is added. Gloves and gown are needed only if contact with
contaminated surfaces or secretions is anticipated.
● Option A is incorrect because eye protection and gown are unnecessary for brief
medication administration without splash risk; this represents over-precaution
that wastes resources.
● Option B is incorrect because surgical masks do not filter airborne particles; they
protect against droplets, not airborne transmission.
● Option C is incorrect because surgical masks are inadequate for airborne
pathogens, and gown/gloves are unnecessary without contact exposure.
Memory Trick: "Airborne = N95 alone for quick tasks; add gown/gloves for messy tasks"
Q3: Vital Signs – Abnormal Findings
A PN obtains vital signs on a 78-year-old client: BP 168/94 mmHg, HR 58 bpm, RR
14/min, Temp 36.8°C (98.2°F), SpO2 94% on room air. Which finding requires immediate
follow-up by the PN?
A. Blood pressure of 168/94 mmHg
B. Heart rate of 58 bpm [CORRECT]
C. Respiratory rate of 14/min
D. Oxygen saturation of 94%
Correct Answer: B
, Rationale: While the blood pressure is elevated (Stage 2 hypertension), the heart rate of
58 bpm represents bradycardia in an elderly client. Normal HR for adults is 60-100 bpm.
Bradycardia in older adults may indicate cardiac conduction issues, medication effects
(beta-blockers, digoxin), or ischemia. The PN must assess for dizziness, syncope, chest
pain, or altered mental status and report to the RN.
● Option A is incorrect because while hypertension requires intervention, it is not
immediately life-threatening in this stable client; it can be addressed with
scheduled antihypertensives and monitoring.
● Option C is incorrect because 14 breaths/min is within normal range (12-20/min
for adults).
● Option D is incorrect because 94% is acceptable for an elderly client on room air;
<90% would require immediate oxygen intervention.
PN Scope Alert: PNs can assess vital signs and recognize abnormalities. Reporting
bradycardia to the RN for further assessment is appropriate PN practice.
Q4: Assessment Techniques – Focused Assessment
During a focused respiratory assessment, the PN auscultates the posterior chest. Which
technique is correct?
A. Place the stethoscope diaphragm over the scapula and have the client breathe
normally
B. Listen in the intercostal spaces with the client breathing deeply through the mouth
[CORRECT]
C. Use the bell of the stethoscope to assess breath sounds
D. Auscultate each lung field for 5 seconds
