2026 UPDATED QUESTIONS DOWNLOAD
ATI PN Comprehensive Predictor Exit Exam 2025-2026 | Question Master Bank
with NGN Clinical Judgment & Detailed Rationales
Study Guide
This essential nursing resource features high-yield practice questions specifically
engineered for the ATI PN Comprehensive Exit Exam (2025–2026), incorporating
New Generation NCLEX (NGN) clinical judgment principles. The content covers the full
breadth of the PN curriculum, including Medical-Surgical, Pharmacology, Maternal-
Newborn, Pediatrics, and Mental Health, with a heavy emphasis on prioritization and
safety. Each question includes a bolded correct answer and a detailed scientific
rationale to bridge the gap between classroom theory and the proctored exit exam
environment.
A nurse is receiving change-of-shift report for four clients. Which client should the
nurse assess first?
A) A client with diabetes who has a morning blood glucose of 160 mg/dL.
B) A client with heart failure who reports 2+ pitting edema in the ankles.
C) A client with a new cast for a fractured tibia who reports intense pain not
relieved by medication.
D) A client who is 2 days postoperative and is requesting assistance to ambulate.
Rationale: Intense pain in a casted limb that is unresponsive to analgesics is a
hallmark sign of Compartment Syndrome, a surgical emergency. The other
clients are stable or presenting with expected findings.
A nurse is preparing to administer Digoxin to a client with heart failure. Which
assessment should the nurse perform first?
A) Check the client's blood pressure.
B) Measure the client's apical pulse for one full minute.
C) Monitor the client's respiratory rate.
D) Check the client's temperature.
,2026 UPDATED QUESTIONS DOWNLOAD
Rationale: Digoxin is a cardiac glycoside that slows the heart rate. The nurse must
assess the apical pulse; if it is less than 60 bpm (adult) or 90 bpm (child), the
dose should be withheld.
A nurse is teaching a parent about sudden infant death syndrome (SIDS) prevention.
Which instruction is correct?
A) "Place your baby on their side to sleep."
B) "Place your baby on their back on a firm mattress."
C) "Keep several soft blankets in the crib for warmth."
D) "Use a bumper pad to protect the baby's head."
Rationale: The "Back to Sleep" campaign emphasizes that infants should always
sleep on their backs on a firm surface with no loose bedding or soft toys.
A nurse is caring for a client with Schizophrenia who is experiencing auditory
hallucinations. Which response by the nurse is therapeutic?
A) "I don't hear the voices, so they aren't real."
B) "Tell the voices to go away and leave you alone."
C) "I understand the voices are real to you, but I do not hear them."
D) "What are the voices telling you to do?"
Rationale: This response acknowledges the client's reality without validating the
hallucination as fact, which helps maintain trust.
A nurse is caring for a client who is in the active phase of labor. Which action should the
nurse take to promote ethical practice?
A) Allow the client's family to decide the treatment plan.
B) Ensure the client has all the information needed to make an informed decision.
C) Tell the client that she must follow the hospital's standard protocols.
D) Withhold information about potential complications to prevent anxiety.
Rationale: Promoting Autonomy is a core ethical principle. Providing the client with
complete information ensures they can make an informed choice about their
care.
A client with Type 1 Diabetes is found confused, sweaty, and shaky. What is the
nurse's first action?
A) Administer 10 units of regular insulin.
B) Check the client's blood glucose level.
,2026 UPDATED QUESTIONS DOWNLOAD
C) Give the client a high-protein snack.
D) Call the laboratory for a STAT HbA1c.
Rationale: These are symptoms of hypoglycemia. The nurse must first assess the
blood glucose to confirm before treating with a fast-acting carbohydrate.
A nurse is reviewing the rights of a client who is involuntarily committed to a mental
health facility. Which right does the client retain?
A) The right to leave the facility at any time.
B) The right to refuse medication.
C) The right to have unlimited visitors.
D) The right to possess all personal belongings.
Rationale: Even if committed involuntarily, a client retains the right to refuse
treatment/medication unless they are an immediate danger to themselves or
others.
A nurse is providing community education about primary prevention. Which example
should the nurse include?
A) A support group for individuals with diabetes.
B) Providing influenza immunizations at a local clinic.
C) Performing physical therapy for a client after a stroke.
D) Screening for breast cancer with mammograms.
Rationale: Primary prevention focuses on preventing the onset of disease.
Immunizations are a classic example. Screening is secondary; rehab is tertiary.
A nurse is caring for a toddler with Laryngotracheobronchitis (Croup). Which finding
is the priority?
A) Barking cough
B) Stridor at rest
C) Temperature of 101°F
D) Irritability
Rationale: Stridor at rest indicates a significant narrowing of the airway and
impending respiratory failure. A barking cough is expected, but stridor is a priority
emergency.
A nurse is reviewing a client's chart and notes a prescription for Doxazosin. The nurse
should instruct the client to:
, 2026 UPDATED QUESTIONS DOWNLOAD
A) Take the medication with a high-protein meal.
B) Change positions slowly to prevent dizziness.
C) Expect a dry, hacking cough as a side effect.
D) Limit fluid intake to 1 liter per day.
Rationale: Doxazosin is an alpha-blocker used for hypertension and BPH. It carries
a high risk of orthostatic hypotension, so the client must move slowly when
rising.
A nurse is caring for a client with Anorexia Nervosa. Which intervention is the priority?
A) Discussing the client's body image perceptions.
B) Monitoring the client's electrolyte levels and cardiac rhythm.
C) Encouraging the client to help plan their meals.
D) Providing a reward system for weight gain.
Rationale: The physiological stability (electrolyte balance) of the client is the
priority over psychological interventions in the acute phase of treatment.
A nurse is teaching a client about the use of a walker. Which instruction should the
nurse include?
A) "Move the walker and your strong leg forward at the same time."
B) "Set the walker about 12 inches in front of you before stepping."
C) "Step into the walker with your affected leg first."
D) "Use the walker handles to pull yourself up from a sitting position."
Rationale: When using a walker, the client should move the walker forward, then
step with the affected (weak) leg followed by the strong leg. Using handles to
pull up is unsafe; the client should push up from the chair.
A nurse is assessing a client for alcohol withdrawal. Which finding should the nurse
expect?
A) Bradycardia and hypotension.
B) Tachycardia, tremors, and diaphoresis.
C) Somnolence and pinpoint pupils.
D) Increased appetite and calm demeanor.
Rationale: Alcohol withdrawal triggers the central nervous system, leading
to autonomic hyperactivity (high HR, shaking, sweating).
ATI PN Comprehensive Predictor Exit Exam 2025-2026 | Question Master Bank
with NGN Clinical Judgment & Detailed Rationales
Study Guide
This essential nursing resource features high-yield practice questions specifically
engineered for the ATI PN Comprehensive Exit Exam (2025–2026), incorporating
New Generation NCLEX (NGN) clinical judgment principles. The content covers the full
breadth of the PN curriculum, including Medical-Surgical, Pharmacology, Maternal-
Newborn, Pediatrics, and Mental Health, with a heavy emphasis on prioritization and
safety. Each question includes a bolded correct answer and a detailed scientific
rationale to bridge the gap between classroom theory and the proctored exit exam
environment.
A nurse is receiving change-of-shift report for four clients. Which client should the
nurse assess first?
A) A client with diabetes who has a morning blood glucose of 160 mg/dL.
B) A client with heart failure who reports 2+ pitting edema in the ankles.
C) A client with a new cast for a fractured tibia who reports intense pain not
relieved by medication.
D) A client who is 2 days postoperative and is requesting assistance to ambulate.
Rationale: Intense pain in a casted limb that is unresponsive to analgesics is a
hallmark sign of Compartment Syndrome, a surgical emergency. The other
clients are stable or presenting with expected findings.
A nurse is preparing to administer Digoxin to a client with heart failure. Which
assessment should the nurse perform first?
A) Check the client's blood pressure.
B) Measure the client's apical pulse for one full minute.
C) Monitor the client's respiratory rate.
D) Check the client's temperature.
,2026 UPDATED QUESTIONS DOWNLOAD
Rationale: Digoxin is a cardiac glycoside that slows the heart rate. The nurse must
assess the apical pulse; if it is less than 60 bpm (adult) or 90 bpm (child), the
dose should be withheld.
A nurse is teaching a parent about sudden infant death syndrome (SIDS) prevention.
Which instruction is correct?
A) "Place your baby on their side to sleep."
B) "Place your baby on their back on a firm mattress."
C) "Keep several soft blankets in the crib for warmth."
D) "Use a bumper pad to protect the baby's head."
Rationale: The "Back to Sleep" campaign emphasizes that infants should always
sleep on their backs on a firm surface with no loose bedding or soft toys.
A nurse is caring for a client with Schizophrenia who is experiencing auditory
hallucinations. Which response by the nurse is therapeutic?
A) "I don't hear the voices, so they aren't real."
B) "Tell the voices to go away and leave you alone."
C) "I understand the voices are real to you, but I do not hear them."
D) "What are the voices telling you to do?"
Rationale: This response acknowledges the client's reality without validating the
hallucination as fact, which helps maintain trust.
A nurse is caring for a client who is in the active phase of labor. Which action should the
nurse take to promote ethical practice?
A) Allow the client's family to decide the treatment plan.
B) Ensure the client has all the information needed to make an informed decision.
C) Tell the client that she must follow the hospital's standard protocols.
D) Withhold information about potential complications to prevent anxiety.
Rationale: Promoting Autonomy is a core ethical principle. Providing the client with
complete information ensures they can make an informed choice about their
care.
A client with Type 1 Diabetes is found confused, sweaty, and shaky. What is the
nurse's first action?
A) Administer 10 units of regular insulin.
B) Check the client's blood glucose level.
,2026 UPDATED QUESTIONS DOWNLOAD
C) Give the client a high-protein snack.
D) Call the laboratory for a STAT HbA1c.
Rationale: These are symptoms of hypoglycemia. The nurse must first assess the
blood glucose to confirm before treating with a fast-acting carbohydrate.
A nurse is reviewing the rights of a client who is involuntarily committed to a mental
health facility. Which right does the client retain?
A) The right to leave the facility at any time.
B) The right to refuse medication.
C) The right to have unlimited visitors.
D) The right to possess all personal belongings.
Rationale: Even if committed involuntarily, a client retains the right to refuse
treatment/medication unless they are an immediate danger to themselves or
others.
A nurse is providing community education about primary prevention. Which example
should the nurse include?
A) A support group for individuals with diabetes.
B) Providing influenza immunizations at a local clinic.
C) Performing physical therapy for a client after a stroke.
D) Screening for breast cancer with mammograms.
Rationale: Primary prevention focuses on preventing the onset of disease.
Immunizations are a classic example. Screening is secondary; rehab is tertiary.
A nurse is caring for a toddler with Laryngotracheobronchitis (Croup). Which finding
is the priority?
A) Barking cough
B) Stridor at rest
C) Temperature of 101°F
D) Irritability
Rationale: Stridor at rest indicates a significant narrowing of the airway and
impending respiratory failure. A barking cough is expected, but stridor is a priority
emergency.
A nurse is reviewing a client's chart and notes a prescription for Doxazosin. The nurse
should instruct the client to:
, 2026 UPDATED QUESTIONS DOWNLOAD
A) Take the medication with a high-protein meal.
B) Change positions slowly to prevent dizziness.
C) Expect a dry, hacking cough as a side effect.
D) Limit fluid intake to 1 liter per day.
Rationale: Doxazosin is an alpha-blocker used for hypertension and BPH. It carries
a high risk of orthostatic hypotension, so the client must move slowly when
rising.
A nurse is caring for a client with Anorexia Nervosa. Which intervention is the priority?
A) Discussing the client's body image perceptions.
B) Monitoring the client's electrolyte levels and cardiac rhythm.
C) Encouraging the client to help plan their meals.
D) Providing a reward system for weight gain.
Rationale: The physiological stability (electrolyte balance) of the client is the
priority over psychological interventions in the acute phase of treatment.
A nurse is teaching a client about the use of a walker. Which instruction should the
nurse include?
A) "Move the walker and your strong leg forward at the same time."
B) "Set the walker about 12 inches in front of you before stepping."
C) "Step into the walker with your affected leg first."
D) "Use the walker handles to pull yourself up from a sitting position."
Rationale: When using a walker, the client should move the walker forward, then
step with the affected (weak) leg followed by the strong leg. Using handles to
pull up is unsafe; the client should push up from the chair.
A nurse is assessing a client for alcohol withdrawal. Which finding should the nurse
expect?
A) Bradycardia and hypotension.
B) Tachycardia, tremors, and diaphoresis.
C) Somnolence and pinpoint pupils.
D) Increased appetite and calm demeanor.
Rationale: Alcohol withdrawal triggers the central nervous system, leading
to autonomic hyperactivity (high HR, shaking, sweating).
