ATI PN Comprehensive Predictor Exit
Exam – 2023/2024/2025 NGN Final Version
– Complete Answer Key and Verified
Question
Questions 1–40 – Fundamentals & Safety
Q1: The nurse identifies the priority action for a client experiencing dyspnea:
a) Elevate the head of the bed and administer oxygen
b) Encourage ambulation
c) Apply cold compress
d) Document the finding
Answer: a) Elevate HOB and administer oxygen
Rationale: Airway and breathing are the first priorities (ABCs).
Q2: Which intervention prevents falls in hospitalized older adults?
a) Keep the call light within reach
b) Encourage unsupervised walking
c) Place items on the floor
d) Lock only the bed brakes
Answer: a) Keep the call light within reach
Rationale: Ensures patient can call for assistance.
Q3: The correct hand hygiene technique:
a) Lather hands with soap for at least 20 seconds
b) Rinse quickly
c) Use sanitizer on visibly soiled hands
d) Gloves replace hand washing
Answer: a) Lather 20 sec
Rationale: Removes pathogens effectively.
Q4: A client with an IV infiltrate requires the nurse to:
a) Stop the IV and restart at another site
b) Increase the infusion rate
,c) Apply heat only
d) Document only
Answer: a) Stop IV and restart
Rationale: Prevents tissue damage and infection.
Q5: Correct subcutaneous injection technique:
a) 45–90° depending on tissue
b) Always 90°
c) 15°
d) 30°
Answer: a) 45–90°
Rationale: Ensures proper absorption into subcutaneous tissue.
Q6: IM injection site in adults:
a) Ventrogluteal
b) Dorsogluteal
c) Forearm
d) Abdomen
Answer: a) Ventrogluteal
Rationale: Safest site; avoids sciatic nerve.
Q7: A client on heparin requires:
a) Monitoring for signs of bleeding
b) Encouraging high-intensity exercise
c) Skipping lab checks
d) Increasing dose arbitrarily
Answer: a) Monitor bleeding
Rationale: Heparin is high-alert; bleeding can be life-threatening.
Q8: Correct PPE donning sequence:
a) Gown → Mask → Goggles → Gloves
b) Gloves → Gown → Mask → Goggles
c) Mask → Gloves → Gown → Goggles
d) Gown → Gloves → Mask → Goggles
Answer: a) Gown → Mask → Goggles → Gloves
Rationale: Protects nurse and patient from contamination.
Q9: Nursing process order:
a) Assessment → Diagnosis → Planning → Implementation → Evaluation
b) Planning → Assessment → Implementation → Evaluation → Diagnosis
, c) Diagnosis → Assessment → Planning → Evaluation → Implementation
d) Evaluation → Assessment → Planning → Implementation → Diagnosis
Answer: a) ADPIE
Rationale: Systematic framework for patient care.
Q10: ABC priority:
a) Airway → Breathing → Circulation
b) Activity → Balance → Comfort
c) Assessment → BP → Call provider
d) Alert → Breathing → Comfort
Answer: a) Airway → Breathing → Circulation
Rationale: Life-threatening conditions are prioritized.
Q11: A client with hypoglycemia should receive:
a) 15 g fast-acting carbohydrate
b) Insulin
c) Restrict fluids
d) Wait 30 minutes
Answer: a) 15 g carbohydrate
Rationale: Rapidly raises blood glucose to safe levels.
Q12: Client teaching for antibiotics:
a) Complete full course
b) Stop when feeling better
c) Skip doses
d) Double dose next time
Answer: a) Complete full course
Rationale: Prevents antibiotic resistance.
Q13: High-alert medication:
a) Insulin
b) Acetaminophen
c) Loratadine
d) Ibuprofen
Answer: a) Insulin
Rationale: Errors can cause severe hypoglycemia.
Q14: Pain assessment PQRST:
a) Provokes, Quality, Radiates, Severity, Time
b) Pressure, Quality, Response, Site, Treatment
Exam – 2023/2024/2025 NGN Final Version
– Complete Answer Key and Verified
Question
Questions 1–40 – Fundamentals & Safety
Q1: The nurse identifies the priority action for a client experiencing dyspnea:
a) Elevate the head of the bed and administer oxygen
b) Encourage ambulation
c) Apply cold compress
d) Document the finding
Answer: a) Elevate HOB and administer oxygen
Rationale: Airway and breathing are the first priorities (ABCs).
Q2: Which intervention prevents falls in hospitalized older adults?
a) Keep the call light within reach
b) Encourage unsupervised walking
c) Place items on the floor
d) Lock only the bed brakes
Answer: a) Keep the call light within reach
Rationale: Ensures patient can call for assistance.
Q3: The correct hand hygiene technique:
a) Lather hands with soap for at least 20 seconds
b) Rinse quickly
c) Use sanitizer on visibly soiled hands
d) Gloves replace hand washing
Answer: a) Lather 20 sec
Rationale: Removes pathogens effectively.
Q4: A client with an IV infiltrate requires the nurse to:
a) Stop the IV and restart at another site
b) Increase the infusion rate
,c) Apply heat only
d) Document only
Answer: a) Stop IV and restart
Rationale: Prevents tissue damage and infection.
Q5: Correct subcutaneous injection technique:
a) 45–90° depending on tissue
b) Always 90°
c) 15°
d) 30°
Answer: a) 45–90°
Rationale: Ensures proper absorption into subcutaneous tissue.
Q6: IM injection site in adults:
a) Ventrogluteal
b) Dorsogluteal
c) Forearm
d) Abdomen
Answer: a) Ventrogluteal
Rationale: Safest site; avoids sciatic nerve.
Q7: A client on heparin requires:
a) Monitoring for signs of bleeding
b) Encouraging high-intensity exercise
c) Skipping lab checks
d) Increasing dose arbitrarily
Answer: a) Monitor bleeding
Rationale: Heparin is high-alert; bleeding can be life-threatening.
Q8: Correct PPE donning sequence:
a) Gown → Mask → Goggles → Gloves
b) Gloves → Gown → Mask → Goggles
c) Mask → Gloves → Gown → Goggles
d) Gown → Gloves → Mask → Goggles
Answer: a) Gown → Mask → Goggles → Gloves
Rationale: Protects nurse and patient from contamination.
Q9: Nursing process order:
a) Assessment → Diagnosis → Planning → Implementation → Evaluation
b) Planning → Assessment → Implementation → Evaluation → Diagnosis
, c) Diagnosis → Assessment → Planning → Evaluation → Implementation
d) Evaluation → Assessment → Planning → Implementation → Diagnosis
Answer: a) ADPIE
Rationale: Systematic framework for patient care.
Q10: ABC priority:
a) Airway → Breathing → Circulation
b) Activity → Balance → Comfort
c) Assessment → BP → Call provider
d) Alert → Breathing → Comfort
Answer: a) Airway → Breathing → Circulation
Rationale: Life-threatening conditions are prioritized.
Q11: A client with hypoglycemia should receive:
a) 15 g fast-acting carbohydrate
b) Insulin
c) Restrict fluids
d) Wait 30 minutes
Answer: a) 15 g carbohydrate
Rationale: Rapidly raises blood glucose to safe levels.
Q12: Client teaching for antibiotics:
a) Complete full course
b) Stop when feeling better
c) Skip doses
d) Double dose next time
Answer: a) Complete full course
Rationale: Prevents antibiotic resistance.
Q13: High-alert medication:
a) Insulin
b) Acetaminophen
c) Loratadine
d) Ibuprofen
Answer: a) Insulin
Rationale: Errors can cause severe hypoglycemia.
Q14: Pain assessment PQRST:
a) Provokes, Quality, Radiates, Severity, Time
b) Pressure, Quality, Response, Site, Treatment
