ATI PN Comprehensive Predictor
Practice Examination 100 Questions
And Correct Answers (Verified
Answers) Plus Rationales 2026 Q&A
Instant Download Pdf
1. A PN is caring for four clients at the start of the shift. Which client should
be assessed FIRST?
A) Client with diabetes requesting pain medication for neuropathy
B) Client with COPD who has a new cough producing green sputum
C) Client post-op day 1 with new-onset confusion and BP 88/50
D) Client with a fractured tibia requesting help to the bathroom
Correct Answer: C) Client post-op day 1 with new-onset confusion and BP
88/50
Rationale: New confusion combined with hypotension suggests possible
sepsis, hemorrhage, or shock. This represents a change in neurological status
and hemodynamic instability, which is the priority. Airway and circulation
concerns precede stable complaints.
2. Which client can be assigned to a PN (LPN/LVN) under RN supervision?
A) Client newly diagnosed with unstable angina on a titratable heparin drip
B) Client with stable congestive heart failure receiving daily furosemide
C) Client requiring blood transfusion for symptomatic anemia
D) Client with chest tube and continuous bubbling in water seal chamber
,Correct Answer: B) Client with stable congestive heart failure receiving daily
furosemide
Rationale: Stable CHF on routine diuretic is within PN scope of practice.
Titratable drips, blood transfusions, and chest tube troubleshooting are
typically RN scope.
3. A charge nurse is assigning staff for the shift. Which client should be
assigned to an RN rather than a PN?
A) A client with stable CHF receiving daily Lasix
B) A client requiring a blood transfusion for symptomatic anemia
C) A client with a new diagnosis of diabetes needing insulin instruction
D) A client with a PEG tube requiring intermittent feedings
Correct Answer: C) A client with a new diagnosis of diabetes needing insulin
instruction
Rationale: Client education, specifically initial instruction, falls under the
scope of the RN as it requires complex assessment and evaluation of learning.
PNs can reinforce teaching but cannot perform initial patient teaching.
4. A nurse is delegating tasks to an assistive personnel (AP). Which task is
appropriate to delegate?
A) Administering an enema
B) Inserting an indwelling urinary catheter
C) Measuring a client's vital signs
D) Teaching a client how to use an incentive spirometer
Correct Answer: C) Measuring a client's vital signs
Rationale: Measuring vital signs is within the AP's scope of practice. The
nurse cannot delegate tasks requiring nursing judgment, sterile technique, or
client education.
,5. A nurse discovers that a client received the wrong medication 2 hours ago.
The client is currently stable with no adverse effects noted. What is the FIRST
action the nurse should take?
A) Document the error in the client's medical record
B) Complete an incident report for the quality improvement department
C) Assess the client thoroughly and notify the healthcare provider
D) Wait to see if any adverse effects develop before reporting
Correct Answer: C) Assess the client thoroughly and notify the healthcare
provider
Rationale: Client safety is the priority. The nurse must first assess the client
for any potential adverse effects and notify the provider for further orders.
Documentation and incident reports follow client stabilization.
6. A charge nurse on a medical-surgical unit receives report on four clients.
Which client should the nurse assess FIRST?
A) A client with pneumonia who has an oxygen saturation of 92% on 2L nasal
cannula
B) A client post-appendectomy 24 hours ago with a temperature of 101.2°F
(38.4°C)
C) A client with heart failure who reports sudden onset of severe dyspnea and
is sitting upright
D) A client with diabetes who has a blood glucose of 180 mg/dL before lunch
Correct Answer: C) A client with heart failure who reports sudden onset of
severe dyspnea and is sitting upright
Rationale: The client with heart failure reporting sudden severe dyspnea
represents an acute change in respiratory status, indicating potential
pulmonary edema—a life-threatening emergency requiring immediate
assessment per the ABCs of prioritization.
, 7. A nurse is preparing a client for transfer to a long-term care facility. Which
information should the nurse include in the transfer report? (Select all that
apply)
A) The client's advance directive status
B) The client's recent laboratory values
C) The client's current medications
D) The client's preferred activities
E) The client's code status
Correct Answer: A, B, C, D, E
Rationale: All of these are essential for continuity of care. Transfer reports
must include advance directives, laboratory values, current medications,
preferred activities, and code status to ensure comprehensive continuity.
8. A nurse in an urgent-care clinic is collecting admission history from a client
who is 16 weeks of gestation and has bacterial vaginosis. The nurse should
recognize that which of the following clinical findings are associated with this
infection?
A) Frequency and dysuria
B) Profuse milky white discharge
C) Hematuria
D) Low grade fever
Correct Answer: B) Profuse milky white discharge
Rationale: Bacterial vaginosis typically presents with a profuse, thin, milky
white or gray vaginal discharge with a fishy odor. Frequency, dysuria, and
hematuria are more associated with urinary tract infections.
Practice Examination 100 Questions
And Correct Answers (Verified
Answers) Plus Rationales 2026 Q&A
Instant Download Pdf
1. A PN is caring for four clients at the start of the shift. Which client should
be assessed FIRST?
A) Client with diabetes requesting pain medication for neuropathy
B) Client with COPD who has a new cough producing green sputum
C) Client post-op day 1 with new-onset confusion and BP 88/50
D) Client with a fractured tibia requesting help to the bathroom
Correct Answer: C) Client post-op day 1 with new-onset confusion and BP
88/50
Rationale: New confusion combined with hypotension suggests possible
sepsis, hemorrhage, or shock. This represents a change in neurological status
and hemodynamic instability, which is the priority. Airway and circulation
concerns precede stable complaints.
2. Which client can be assigned to a PN (LPN/LVN) under RN supervision?
A) Client newly diagnosed with unstable angina on a titratable heparin drip
B) Client with stable congestive heart failure receiving daily furosemide
C) Client requiring blood transfusion for symptomatic anemia
D) Client with chest tube and continuous bubbling in water seal chamber
,Correct Answer: B) Client with stable congestive heart failure receiving daily
furosemide
Rationale: Stable CHF on routine diuretic is within PN scope of practice.
Titratable drips, blood transfusions, and chest tube troubleshooting are
typically RN scope.
3. A charge nurse is assigning staff for the shift. Which client should be
assigned to an RN rather than a PN?
A) A client with stable CHF receiving daily Lasix
B) A client requiring a blood transfusion for symptomatic anemia
C) A client with a new diagnosis of diabetes needing insulin instruction
D) A client with a PEG tube requiring intermittent feedings
Correct Answer: C) A client with a new diagnosis of diabetes needing insulin
instruction
Rationale: Client education, specifically initial instruction, falls under the
scope of the RN as it requires complex assessment and evaluation of learning.
PNs can reinforce teaching but cannot perform initial patient teaching.
4. A nurse is delegating tasks to an assistive personnel (AP). Which task is
appropriate to delegate?
A) Administering an enema
B) Inserting an indwelling urinary catheter
C) Measuring a client's vital signs
D) Teaching a client how to use an incentive spirometer
Correct Answer: C) Measuring a client's vital signs
Rationale: Measuring vital signs is within the AP's scope of practice. The
nurse cannot delegate tasks requiring nursing judgment, sterile technique, or
client education.
,5. A nurse discovers that a client received the wrong medication 2 hours ago.
The client is currently stable with no adverse effects noted. What is the FIRST
action the nurse should take?
A) Document the error in the client's medical record
B) Complete an incident report for the quality improvement department
C) Assess the client thoroughly and notify the healthcare provider
D) Wait to see if any adverse effects develop before reporting
Correct Answer: C) Assess the client thoroughly and notify the healthcare
provider
Rationale: Client safety is the priority. The nurse must first assess the client
for any potential adverse effects and notify the provider for further orders.
Documentation and incident reports follow client stabilization.
6. A charge nurse on a medical-surgical unit receives report on four clients.
Which client should the nurse assess FIRST?
A) A client with pneumonia who has an oxygen saturation of 92% on 2L nasal
cannula
B) A client post-appendectomy 24 hours ago with a temperature of 101.2°F
(38.4°C)
C) A client with heart failure who reports sudden onset of severe dyspnea and
is sitting upright
D) A client with diabetes who has a blood glucose of 180 mg/dL before lunch
Correct Answer: C) A client with heart failure who reports sudden onset of
severe dyspnea and is sitting upright
Rationale: The client with heart failure reporting sudden severe dyspnea
represents an acute change in respiratory status, indicating potential
pulmonary edema—a life-threatening emergency requiring immediate
assessment per the ABCs of prioritization.
, 7. A nurse is preparing a client for transfer to a long-term care facility. Which
information should the nurse include in the transfer report? (Select all that
apply)
A) The client's advance directive status
B) The client's recent laboratory values
C) The client's current medications
D) The client's preferred activities
E) The client's code status
Correct Answer: A, B, C, D, E
Rationale: All of these are essential for continuity of care. Transfer reports
must include advance directives, laboratory values, current medications,
preferred activities, and code status to ensure comprehensive continuity.
8. A nurse in an urgent-care clinic is collecting admission history from a client
who is 16 weeks of gestation and has bacterial vaginosis. The nurse should
recognize that which of the following clinical findings are associated with this
infection?
A) Frequency and dysuria
B) Profuse milky white discharge
C) Hematuria
D) Low grade fever
Correct Answer: B) Profuse milky white discharge
Rationale: Bacterial vaginosis typically presents with a profuse, thin, milky
white or gray vaginal discharge with a fishy odor. Frequency, dysuria, and
hematuria are more associated with urinary tract infections.
