ATI PN Comprehensive
Predictor Exit 2026 NGN
Actual Exam: Full 180 Real
Questions & 100% Verified
Answers to Pass the 2026
PN ATI Predictor on First
Attempt
Question 1
A nurse is preparing to administer a nasogastric tube feeding to a client. Which of the
following actions should the nurse take first?
A. Warm the formula to room temperature
B. Place the client in Fowler's position
C. Verify tube placement by aspirating gastric contents
D. Flush the tube with 30 mL of water
Correct Answer: C. Verify tube placement by aspirating gastric contents
,Rationale: Before administering any tube feeding, the priority action is to verify correct
tube placement to prevent aspiration. Auscultation is no longer considered a reliable
method; aspiration of gastric contents with pH testing or radiographic confirmation is
the standard. Safety is the priority over comfort measures like warming formula or
positioning, though positioning (Fowler's) should occur before feeding as well.
Question 2
A nurse observes a small fire in a client's trash can. Which action should the nurse take
first?
A. Pull the fire alarm
B. Extinguish the fire with a fire extinguisher
C. Rescue the client from the room
D. Close the doors to contain the fire
Correct Answer: C. Rescue the client from the room
Rationale: The mnemonic RACE outlines the priority actions during a fire: Rescue
anyone in immediate danger, Alarm (pull the alarm), Contain the fire (close
doors), Extinguish (use fire extinguisher). The nurse's first priority is always to protect the
client from harm by moving them to safety.
Question 3
A nurse is caring for a client who has a new prescription for wrist restraints. Which of the
following actions is appropriate?
A. Tie the restraints to the bed frame using a quick-release knot
, B. Remove the restraints every 4 hours to assess skin integrity
C. Apply the restraints tightly to prevent movement
D. Secure the restraints to the side rail for easy access
Correct Answer: A. Tie the restraints to the bed frame using a quick-release knot
Rationale: Restraints must be secured to a non-movable part of the bed frame, never to
the side rail (which can move and increase injury risk). Quick-release knots allow for
rapid removal in an emergency. Restraints should be removed every 2 hours for skin
assessment, range of motion, and toileting, not every 4 hours. Restraints should be
applied snug enough to allow one to two fingers between the restraint and the client's
skin—never tight.
Question 4
A nurse is providing teaching to a client about a low-sodium diet. Which of the
following food choices by the client indicates an understanding of the teaching?
A. Canned vegetable soup
B. Dill pickles
C. Baked chicken breast
D. Processed cheese slices
Correct Answer: C. Baked chicken breast
Rationale: Baked chicken breast is naturally low in sodium when prepared without
added salt. Canned soups, pickles, and processed cheeses are high in sodium due to
preservation methods and added salt. Clients on low-sodium diets should focus on fresh
or frozen foods without added sauces or seasonings.
, Question 5
A nurse is preparing to administer an intramuscular injection to an adult client. Which
site is considered safest and most commonly used?
A. Dorsogluteal
B. Deltoid
C. Vastus lateralis
D. Ventrogluteal
Correct Answer: D. Ventrogluteal
Rationale: The ventrogluteal site is the preferred site for IM injections in adults because
it is free of major nerves and blood vessels, making it the safest option. The dorsogluteal
site is no longer recommended due to proximity to the sciatic nerve. The vastus lateralis
is commonly used in infants and children, while the deltoid is used for small volumes
(≤1 mL).
Question 6
A nurse is caring for a client who has a tracheostomy. Which of the following actions
should the nurse take when suctioning the airway?
A. Apply suction intermittently while inserting the catheter
B. Hyperoxygenate the client before suctioning
C. Suction for 30 seconds to ensure thorough clearance
D. Insert the catheter until resistance is met, then withdraw slightly
Correct Answer: B. Hyperoxygenate the client before suctioning
Rationale: Hyperoxygenation before suctioning prevents hypoxia, a common
complication of the procedure. Suction should be applied only during withdrawal, not
Predictor Exit 2026 NGN
Actual Exam: Full 180 Real
Questions & 100% Verified
Answers to Pass the 2026
PN ATI Predictor on First
Attempt
Question 1
A nurse is preparing to administer a nasogastric tube feeding to a client. Which of the
following actions should the nurse take first?
A. Warm the formula to room temperature
B. Place the client in Fowler's position
C. Verify tube placement by aspirating gastric contents
D. Flush the tube with 30 mL of water
Correct Answer: C. Verify tube placement by aspirating gastric contents
,Rationale: Before administering any tube feeding, the priority action is to verify correct
tube placement to prevent aspiration. Auscultation is no longer considered a reliable
method; aspiration of gastric contents with pH testing or radiographic confirmation is
the standard. Safety is the priority over comfort measures like warming formula or
positioning, though positioning (Fowler's) should occur before feeding as well.
Question 2
A nurse observes a small fire in a client's trash can. Which action should the nurse take
first?
A. Pull the fire alarm
B. Extinguish the fire with a fire extinguisher
C. Rescue the client from the room
D. Close the doors to contain the fire
Correct Answer: C. Rescue the client from the room
Rationale: The mnemonic RACE outlines the priority actions during a fire: Rescue
anyone in immediate danger, Alarm (pull the alarm), Contain the fire (close
doors), Extinguish (use fire extinguisher). The nurse's first priority is always to protect the
client from harm by moving them to safety.
Question 3
A nurse is caring for a client who has a new prescription for wrist restraints. Which of the
following actions is appropriate?
A. Tie the restraints to the bed frame using a quick-release knot
, B. Remove the restraints every 4 hours to assess skin integrity
C. Apply the restraints tightly to prevent movement
D. Secure the restraints to the side rail for easy access
Correct Answer: A. Tie the restraints to the bed frame using a quick-release knot
Rationale: Restraints must be secured to a non-movable part of the bed frame, never to
the side rail (which can move and increase injury risk). Quick-release knots allow for
rapid removal in an emergency. Restraints should be removed every 2 hours for skin
assessment, range of motion, and toileting, not every 4 hours. Restraints should be
applied snug enough to allow one to two fingers between the restraint and the client's
skin—never tight.
Question 4
A nurse is providing teaching to a client about a low-sodium diet. Which of the
following food choices by the client indicates an understanding of the teaching?
A. Canned vegetable soup
B. Dill pickles
C. Baked chicken breast
D. Processed cheese slices
Correct Answer: C. Baked chicken breast
Rationale: Baked chicken breast is naturally low in sodium when prepared without
added salt. Canned soups, pickles, and processed cheeses are high in sodium due to
preservation methods and added salt. Clients on low-sodium diets should focus on fresh
or frozen foods without added sauces or seasonings.
, Question 5
A nurse is preparing to administer an intramuscular injection to an adult client. Which
site is considered safest and most commonly used?
A. Dorsogluteal
B. Deltoid
C. Vastus lateralis
D. Ventrogluteal
Correct Answer: D. Ventrogluteal
Rationale: The ventrogluteal site is the preferred site for IM injections in adults because
it is free of major nerves and blood vessels, making it the safest option. The dorsogluteal
site is no longer recommended due to proximity to the sciatic nerve. The vastus lateralis
is commonly used in infants and children, while the deltoid is used for small volumes
(≤1 mL).
Question 6
A nurse is caring for a client who has a tracheostomy. Which of the following actions
should the nurse take when suctioning the airway?
A. Apply suction intermittently while inserting the catheter
B. Hyperoxygenate the client before suctioning
C. Suction for 30 seconds to ensure thorough clearance
D. Insert the catheter until resistance is met, then withdraw slightly
Correct Answer: B. Hyperoxygenate the client before suctioning
Rationale: Hyperoxygenation before suctioning prevents hypoxia, a common
complication of the procedure. Suction should be applied only during withdrawal, not
