ATI PN COMPREHENSIVE EXIT EXAM (2026/2027) | LATEST ACTUAL EXAMS FORM A,
B, C | 540 QUESTIONS WITH CORRECT ANSWERS
ATI PN Comprehensive Predictor / Exit Examination Forms A, B, C | Core Domains: Safe & Effective
Care, Health Promotion, Psychosocial Integrity, Physiological Integrity, Pharmacological Therapies,
Reduction of Risk Potential, and Basic Care & Comfort | NCLEX-PN® Blueprint Focus | High-Stakes
Exit Exam Format
Exam Structure
The ATI PN Comprehensive Exit Exam for the 2026/2027 testing cycle includes three distinct
180-question proctored exam forms (A, B, and C), for a total of 540 assessment items.
Introduction
This ATI PN Comprehensive Exit Exam preparation guide for the 2026/2027 academic year provides a
complete question bank from the latest actual exam forms. It is designed to mirror the style, difficulty,
and content distribution of the official high-stakes predictor exam, ensuring comprehensive readiness for
NCLEX-PN® success.
Answer Format
All correct answers and rationales across all three exam forms must be presented in bold and green,
followed by detailed explanations that reinforce fundamental nursing concepts, safety principles, and
clinical judgment for practical/vocational nursing.
Form A Questions (1–180)
1. The most effective way to prevent influenza is:
A. Taking vitamin C daily
B. Annual influenza vaccination
C. Avoiding all public places
D. Using antibiotics prophylactically
Rationale: Annual flu vaccine is the primary prevention strategy per CDC. Antivirals are for
treatment, not prevention; antibiotics do not affect viruses.
2. A client who is angry about a new diagnosis should be:
A. Told to calm down immediately
B. Allowed to express feelings in a safe environment
,C. Left alone until cooperative
D. Given antianxiety medication routinely
Rationale: Anger is a normal stage of grief. Providing emotional support and active listening
promotes coping and trust—key to psychosocial integrity.
3. A client with heart failure should limit intake of:
A. Protein
B. Sodium
C. Carbohydrates
D. Fiber
Rationale: Sodium causes fluid retention, worsening edema and preload in heart failure. Clients are
typically advised to limit sodium to ≤2,000–3,000 mg/day.
4. Before administering digoxin, the nurse should check:
A. Blood pressure
B. Apical pulse for 1 full minute
C. Respiratory rate
D. Temperature
Rationale: Digoxin can cause bradycardia and arrhythmias. Hold if apical pulse <60 bpm (or per
provider order) and notify the provider.
5. To prevent falls in an older adult, the nurse should:
A. Keep bed in high position
B. Ensure non-slip footwear and clear pathways
C. Restrict fluid intake
D. Use restraints at night
Rationale: Environmental modifications (lighting, grab bars, clutter removal) and proper footwear
reduce fall risk. High beds increase injury severity; restraints increase agitation and falls.
,6. When bathing an older adult, the nurse should:
A. Use hot water to improve circulation
B. Use warm water and moisturize skin afterward
C. Bathe daily with strong soap
D. Skip perineal care to save time
Rationale: Older adults have thin, dry skin prone to tears. Warm (not hot) water and fragrance-free
moisturizers prevent xerosis and breakdown. Daily strong soap strips natural oils.
7. Which task can be safely delegated to unlicensed assistive personnel (UAP)?
A. Assessing a new postoperative wound
B. Assisting a stable client with ambulation
C. Evaluating pain response to medication
D. Teaching discharge instructions
Rationale: UAPs may perform routine, non-assessment tasks under RN supervision. Ambulating a
stable client requires no clinical judgment. Assessment, evaluation, and teaching are RN responsibilities
per scope of practice.
8. The most effective way to prevent influenza is:
A. Taking vitamin C daily
B. Annual influenza vaccination
C. Avoiding all public places
D. Using antibiotics prophylactically
Rationale: Annual flu vaccine is the primary prevention strategy per CDC. Antivirals are for
treatment, not prevention; antibiotics do not affect viruses.
9. A client who is angry about a new diagnosis should be:
A. Told to calm down immediately
B. Allowed to express feelings in a safe environment
, C. Left alone until cooperative
D. Given antianxiety medication routinely
Rationale: Anger is a normal stage of grief. Providing emotional support and active listening
promotes coping and trust—key to psychosocial integrity.
10. A client with heart failure should limit intake of:
A. Protein
B. Sodium
C. Carbohydrates
D. Fiber
Rationale: Sodium causes fluid retention, worsening edema and preload in heart failure. Clients are
typically advised to limit sodium to ≤2,000–3,000 mg/day.
11. Before administering digoxin, the nurse should check:
A. Blood pressure
B. Apical pulse for 1 full minute
C. Respiratory rate
D. Temperature
Rationale: Digoxin can cause bradycardia and arrhythmias. Hold if apical pulse <60 bpm (or per
provider order) and notify the provider.
12. To prevent falls in an older adult, the nurse should:
A. Keep bed in high position
B. Ensure non-slip footwear and clear pathways
C. Restrict fluid intake
D. Use restraints at night
Rationale: Environmental modifications (lighting, grab bars, clutter removal) and proper footwear
reduce fall risk. High beds increase injury severity; restraints increase agitation and falls.
B, C | 540 QUESTIONS WITH CORRECT ANSWERS
ATI PN Comprehensive Predictor / Exit Examination Forms A, B, C | Core Domains: Safe & Effective
Care, Health Promotion, Psychosocial Integrity, Physiological Integrity, Pharmacological Therapies,
Reduction of Risk Potential, and Basic Care & Comfort | NCLEX-PN® Blueprint Focus | High-Stakes
Exit Exam Format
Exam Structure
The ATI PN Comprehensive Exit Exam for the 2026/2027 testing cycle includes three distinct
180-question proctored exam forms (A, B, and C), for a total of 540 assessment items.
Introduction
This ATI PN Comprehensive Exit Exam preparation guide for the 2026/2027 academic year provides a
complete question bank from the latest actual exam forms. It is designed to mirror the style, difficulty,
and content distribution of the official high-stakes predictor exam, ensuring comprehensive readiness for
NCLEX-PN® success.
Answer Format
All correct answers and rationales across all three exam forms must be presented in bold and green,
followed by detailed explanations that reinforce fundamental nursing concepts, safety principles, and
clinical judgment for practical/vocational nursing.
Form A Questions (1–180)
1. The most effective way to prevent influenza is:
A. Taking vitamin C daily
B. Annual influenza vaccination
C. Avoiding all public places
D. Using antibiotics prophylactically
Rationale: Annual flu vaccine is the primary prevention strategy per CDC. Antivirals are for
treatment, not prevention; antibiotics do not affect viruses.
2. A client who is angry about a new diagnosis should be:
A. Told to calm down immediately
B. Allowed to express feelings in a safe environment
,C. Left alone until cooperative
D. Given antianxiety medication routinely
Rationale: Anger is a normal stage of grief. Providing emotional support and active listening
promotes coping and trust—key to psychosocial integrity.
3. A client with heart failure should limit intake of:
A. Protein
B. Sodium
C. Carbohydrates
D. Fiber
Rationale: Sodium causes fluid retention, worsening edema and preload in heart failure. Clients are
typically advised to limit sodium to ≤2,000–3,000 mg/day.
4. Before administering digoxin, the nurse should check:
A. Blood pressure
B. Apical pulse for 1 full minute
C. Respiratory rate
D. Temperature
Rationale: Digoxin can cause bradycardia and arrhythmias. Hold if apical pulse <60 bpm (or per
provider order) and notify the provider.
5. To prevent falls in an older adult, the nurse should:
A. Keep bed in high position
B. Ensure non-slip footwear and clear pathways
C. Restrict fluid intake
D. Use restraints at night
Rationale: Environmental modifications (lighting, grab bars, clutter removal) and proper footwear
reduce fall risk. High beds increase injury severity; restraints increase agitation and falls.
,6. When bathing an older adult, the nurse should:
A. Use hot water to improve circulation
B. Use warm water and moisturize skin afterward
C. Bathe daily with strong soap
D. Skip perineal care to save time
Rationale: Older adults have thin, dry skin prone to tears. Warm (not hot) water and fragrance-free
moisturizers prevent xerosis and breakdown. Daily strong soap strips natural oils.
7. Which task can be safely delegated to unlicensed assistive personnel (UAP)?
A. Assessing a new postoperative wound
B. Assisting a stable client with ambulation
C. Evaluating pain response to medication
D. Teaching discharge instructions
Rationale: UAPs may perform routine, non-assessment tasks under RN supervision. Ambulating a
stable client requires no clinical judgment. Assessment, evaluation, and teaching are RN responsibilities
per scope of practice.
8. The most effective way to prevent influenza is:
A. Taking vitamin C daily
B. Annual influenza vaccination
C. Avoiding all public places
D. Using antibiotics prophylactically
Rationale: Annual flu vaccine is the primary prevention strategy per CDC. Antivirals are for
treatment, not prevention; antibiotics do not affect viruses.
9. A client who is angry about a new diagnosis should be:
A. Told to calm down immediately
B. Allowed to express feelings in a safe environment
, C. Left alone until cooperative
D. Given antianxiety medication routinely
Rationale: Anger is a normal stage of grief. Providing emotional support and active listening
promotes coping and trust—key to psychosocial integrity.
10. A client with heart failure should limit intake of:
A. Protein
B. Sodium
C. Carbohydrates
D. Fiber
Rationale: Sodium causes fluid retention, worsening edema and preload in heart failure. Clients are
typically advised to limit sodium to ≤2,000–3,000 mg/day.
11. Before administering digoxin, the nurse should check:
A. Blood pressure
B. Apical pulse for 1 full minute
C. Respiratory rate
D. Temperature
Rationale: Digoxin can cause bradycardia and arrhythmias. Hold if apical pulse <60 bpm (or per
provider order) and notify the provider.
12. To prevent falls in an older adult, the nurse should:
A. Keep bed in high position
B. Ensure non-slip footwear and clear pathways
C. Restrict fluid intake
D. Use restraints at night
Rationale: Environmental modifications (lighting, grab bars, clutter removal) and proper footwear
reduce fall risk. High beds increase injury severity; restraints increase agitation and falls.
