ATI PN Comprehensive Predictor (2025/2026) – Real Exam with 180 Verified Questions and Correct Answers | Grade A

ATI PN Comprehensive Predictor –
Real Exam with 180 Verified Questions
and Answers (2025/2026) | Grade A
Instructions: This exam contains 180 multiple-choice questions organized by module/topic.
Each question includes four answer choices, the correct answer in RED, and a detailed rationale
explaining why the correct answer is right and why the others are incorrect. Questions are
presented sequentially from 1 to 180, separated by horizontal lines for clarity.




Fundamentals of Nursing (Questions 1–30)
Question 1
A nurse is assisting a client with ambulation after surgery. Which action ensures client safety?
A. Allow the client to walk independently
B. Use a gait belt and stay close to the client
C. Provide a wheelchair for long distances
D. Encourage bed rest to prevent falls
Correct Answer: B. Use a gait belt and stay close to the client
Rationale: A gait belt ensures stability and allows the nurse to support the client, reducing fall
risk. Option A risks falls; Option C is for transport, not ambulation; Option D contradicts
mobility goals.



Question 2
A client is on contact precautions. Which personal protective equipment (PPE) is required?
A. Mask only
B. Gloves and gown
C. Goggles and mask
D. Shoe covers only
Correct Answer: B. Gloves and gown
Rationale: Contact precautions require gloves and gown to prevent pathogen transmission.
Masks (A, C) are for droplet/airborne; shoe covers (D) are not standard.



Question 3
A nurse is teaching a client about coughing and deep breathing. What is the purpose?
A. Increase pain tolerance
B. Prevent atelectasis

,C. Reduce blood pressure
D. Improve digestion
Correct Answer: B. Prevent atelectasis
Rationale: Coughing and deep breathing expand lungs, preventing collapse (atelectasis).
Options A, C, and D are unrelated to respiratory benefits.



Question 4
A client has a stage 2 pressure ulcer. What is the appropriate intervention?
A. Apply a dry gauze dressing
B. Use a moisture-retentive dressing
C. Leave the wound open to air
D. Apply a heating pad
Correct Answer: B. Use a moisture-retentive dressing
Rationale: Stage 2 ulcers require moist healing environments to promote tissue repair. Dry
gauze (A) delays healing; open air (C) risks infection; heat (D) is harmful.



Question 5
A nurse is performing hand hygiene. How long should alcohol-based hand rub be applied?
A. 5–10 seconds
B. 20–30 seconds
C. 45–60 seconds
D. Until hands are dry
Correct Answer: B. 20–30 seconds
Rationale: CDC recommends 20–30 seconds for effective disinfection. Shorter (A) is
inadequate; longer (C) unnecessary; dry hands (D) is outcome, not duration.



Question 6
A client refuses a morning bath. What should the nurse do?
A. Insist on the bath for hygiene
B. Respect the refusal and offer later
C. Report to the supervisor
D. Restrain the client for bathing
Correct Answer: B. Respect the refusal and offer later
Rationale: Respecting autonomy honors client rights. Insisting (A) or restraining (D) violates
rights; reporting (C) unnecessary.



Question 7
A nurse is positioning a client for comfort. Which position is best for a client with dyspnea?

,A. Supine
B. Prone
C. Fowler’s
D. Trendelenburg
Correct Answer: C. Fowler’s
Rationale: Fowler’s (semi-upright) promotes lung expansion. Supine (A) and prone (B) hinder
breathing; Trendelenburg (D) is for shock.



Question 8
A client is receiving oxygen at 2 L/min via nasal cannula. What should the nurse monitor?
A. Skin integrity around nares
B. Blood pressure changes
C. Urine output
D. Bowel sounds
Correct Answer: A. Skin integrity around nares
Rationale: Prolonged oxygen use can cause skin breakdown. Other options are unrelated to
cannula use.



Question 9
A nurse is assisting with a sterile procedure. What action maintains sterility?
A. Touching the edges of the sterile field
B. Keeping hands above waist level
C. Wearing non-sterile gloves
D. Placing items below the sterile field
Correct Answer: B. Keeping hands above waist level
Rationale: Hands above waist maintain sterility. Touching edges (A), non-sterile gloves (C), and
items below (D) contaminate the field.



Question 10
A client with a new colostomy asks about diet. What should the nurse recommend?
A. High-fiber diet immediately
B. Low-residue diet initially
C. Avoid all fluids
D. Unlimited dairy products
Correct Answer: B. Low-residue diet initially
Rationale: Low-residue diets reduce stool output, aiding stoma adaptation. High-fiber (A) later;
fluids (C) encouraged; dairy (D) may cause gas.

, Question 11
A nurse is measuring intake and output. Which fluid is considered output?
A. IV fluids
B. Oral liquids
C. Urine and emesis
D. Tube feedings
Correct Answer: C. Urine and emesis
Rationale: Output includes bodily fluids like urine and emesis. Options A, B, and D are intake.



Question 12
A client is at risk for falls. What is the priority intervention?
A. Restrain the client
B. Keep the bed in low position
C. Dim the room lights
D. Remove the call bell
Correct Answer: B. Keep the bed in low position
Rationale: Low bed height reduces injury risk. Restraints (A) are last resort; dim lights (C)
increase risk; call bell (D) essential.



Question 13
A nurse is teaching about infection control. Which action prevents cross-contamination?
A. Reusing single-use equipment
B. Changing gloves between clients
C. Storing clean supplies in a dirty utility room
D. Sharing a stethoscope without cleaning
Correct Answer: B. Changing gloves between clients
Rationale: New gloves prevent pathogen spread. Reusing (A), improper storage (C), and not
cleaning (D) increase contamination.



Question 14
A client is receiving a bed bath. What should the nurse do to promote dignity?
A. Expose the entire body
B. Cover areas not being washed
C. Use cold water to save time
D. Avoid explaining the procedure
Correct Answer: B. Cover areas not being washed
Rationale: Covering maintains modesty. Exposing (A), cold water (C), and no explanation (D)
disrespect dignity.