PN ATI Comprehensive Predictor 2026: The Ultimate
Exit Exam Study Guide (Questions 1-100 with Answers
& Rationales)
---
**Question 1**
A charge nurse is delegating tasks to a Licensed Practical Nurse (LPN).
Which task is appropriate to delegate?
A. Initial admission assessment of a new client
B. Administering IV push morphine sulfate
C. Monitoring a client's nasogastric (NG) tube for placement and output
D. Teaching a client how to self-administer insulin
**Answer: C. Monitoring a client's nasogastric (NG) tube for placement
and output**
**Rationale:** LPNs/LVNs can monitor stable clients, collect data (like
NG output), and perform standard procedures. Initial assessments, IV
push medications, and discharge/patient teaching are the responsibility
of the RN .
,---
**Question 2**
An RN is making assignments for an LPN. Which client should the LPN
question being assigned to?
A. A client with stable CHF receiving daily furosemide
B. A client needing a clean-catch urine specimen
C. A client requiring nasopharyngeal suctioning for pneumonia
D. Replacing the cartridge and tubing on a PCA pump
**Answer: D. Replacing the cartridge and tubing on a PCA pump**
**Rationale:** Patient-Controlled Analgesia (PCA) pumps involve
complex medication programming and assessment that fall outside the
LPN's scope of practice in most states; this is an RN responsibility. The
other options are within LPN competencies for stable patients .
---
**Question 3**
A nurse observes a colleague administering a high-alert medication
without a second nurse verification. What is the first action?
,A. Report the nurse to the state board immediately
B. Speak directly to the nurse about the safety violation
C. Document the incident in the client's chart
D. Ignore it if no harm occurred
**Answer: B. Speak directly to the nurse about the safety violation**
**Rationale:** Client safety is the priority. The nurse should first speak
directly to the colleague about the violation. If the behavior continues
or the colleague is impaired, reporting to the charge nurse or manager
is appropriate. Confronting the colleague in front of the client is
unprofessional; documentation in the client's chart is not appropriate
for peer errors .
---
**Question 4**
A client with a DNR order is pulseless and not breathing. The family
member is crying and begging the nurse to "do something." What
should the nurse do?
A. Begin CPR per the family's request
B. Call the provider to reverse the DNR
, C. Respect the DNR and support the family
D. Ask the family to leave the room
**Answer: C. Respect the DNR and support the family**
**Rationale:** DNR orders are legally binding and must be honored.
The nurse should remain with the family, provide emotional support,
and offer to call a chaplain or social worker. The provider cannot
reverse the DNR without the client's prior consent or a new directive .
---
**Question 5**
A nurse is triaging clients in the emergency department. Which client
should be seen first?
A. Client with ankle sprain and mild swelling
B. Client with fever 101°F and cough for 3 days
C. Client with chest pain radiating to the jaw and diaphoresis
D. Client with abdominal pain and vomiting for 24 hours
**Answer: C. Client with chest pain radiating to the jaw and
diaphoresis**
Exit Exam Study Guide (Questions 1-100 with Answers
& Rationales)
---
**Question 1**
A charge nurse is delegating tasks to a Licensed Practical Nurse (LPN).
Which task is appropriate to delegate?
A. Initial admission assessment of a new client
B. Administering IV push morphine sulfate
C. Monitoring a client's nasogastric (NG) tube for placement and output
D. Teaching a client how to self-administer insulin
**Answer: C. Monitoring a client's nasogastric (NG) tube for placement
and output**
**Rationale:** LPNs/LVNs can monitor stable clients, collect data (like
NG output), and perform standard procedures. Initial assessments, IV
push medications, and discharge/patient teaching are the responsibility
of the RN .
,---
**Question 2**
An RN is making assignments for an LPN. Which client should the LPN
question being assigned to?
A. A client with stable CHF receiving daily furosemide
B. A client needing a clean-catch urine specimen
C. A client requiring nasopharyngeal suctioning for pneumonia
D. Replacing the cartridge and tubing on a PCA pump
**Answer: D. Replacing the cartridge and tubing on a PCA pump**
**Rationale:** Patient-Controlled Analgesia (PCA) pumps involve
complex medication programming and assessment that fall outside the
LPN's scope of practice in most states; this is an RN responsibility. The
other options are within LPN competencies for stable patients .
---
**Question 3**
A nurse observes a colleague administering a high-alert medication
without a second nurse verification. What is the first action?
,A. Report the nurse to the state board immediately
B. Speak directly to the nurse about the safety violation
C. Document the incident in the client's chart
D. Ignore it if no harm occurred
**Answer: B. Speak directly to the nurse about the safety violation**
**Rationale:** Client safety is the priority. The nurse should first speak
directly to the colleague about the violation. If the behavior continues
or the colleague is impaired, reporting to the charge nurse or manager
is appropriate. Confronting the colleague in front of the client is
unprofessional; documentation in the client's chart is not appropriate
for peer errors .
---
**Question 4**
A client with a DNR order is pulseless and not breathing. The family
member is crying and begging the nurse to "do something." What
should the nurse do?
A. Begin CPR per the family's request
B. Call the provider to reverse the DNR
, C. Respect the DNR and support the family
D. Ask the family to leave the room
**Answer: C. Respect the DNR and support the family**
**Rationale:** DNR orders are legally binding and must be honored.
The nurse should remain with the family, provide emotional support,
and offer to call a chaplain or social worker. The provider cannot
reverse the DNR without the client's prior consent or a new directive .
---
**Question 5**
A nurse is triaging clients in the emergency department. Which client
should be seen first?
A. Client with ankle sprain and mild swelling
B. Client with fever 101°F and cough for 3 days
C. Client with chest pain radiating to the jaw and diaphoresis
D. Client with abdominal pain and vomiting for 24 hours
**Answer: C. Client with chest pain radiating to the jaw and
diaphoresis**
