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
Section 1: Medical-Surgical Nursing
1. A PN is reinforcing discharge teaching for a client with Type 2 Diabetes Mellitus who is prescribed
Metformin. Which statement by the client indicates a need for further teaching?
A) "I will take this medication with my meals to avoid an upset stomach."
B) "I need to stop taking this medication for 48 hours before any CT scan with contrast."
C) "If I skip a meal, I should still take my Metformin to keep my sugar steady."
D) "I will notify my provider if I experience unusual muscle pain or fatigue."
Correct Answer: C
Rationale: Metformin does not typically cause hypoglycemia because it does not stimulate insulin
release; however, if a meal is skipped, the medication should generally be held or timed with the next
meal to maintain consistent glycemic control and avoid GI distress. Options A, B, and D are correct
safety and administration protocols.
,2. A PN is caring for a client with Chronic Obstructive Pulmonary Disease (COPD) who is receiving o xygen
at 2 L/min via nasal cannula. Which finding should the nurse report to the provider immediately?
A) Oxygen saturation of 90% on room air
B) Increased anteroposterior (AP) chest diameter
C) Productive cough with thick, clear sputum
D) New onset of confusion and lethargy
Correct Answer: D
Rationale: In a client with COPD, a new onset of confusion and lethargy can indicate CO2 narcosis or
worsening hypoxemia, which are medical emergencies. An SpO2 of 90% and an increased AP diameter
(barrel chest) are expected findings for chronic COPD.
3. A PN is assisting with the care of a client who is 24 hours postoperative following a total hip
arthroplasty. Which action should the nurse take to prevent hip dislocation?
, A) Maintain the affected leg in an adducted position.
B) Place an abductor pillow between the client's legs while turning.
C) Encourage the client to lean forward when sitting in a chair.
D) Keep the head of the bed elevated to 90 degrees at all times.
Correct Answer: B
Rationale: An abductor pillow keeps the hips in an abducted position, which prevents the prosthesis
from dislodging from the acetabulum. Adduction, leaning forward, and hip flexion greater than 90
degrees are all contraindicated as they increase the risk of dislocation.
4. A PN is monitoring a client receiving a continuous IV infusion of Heparin for Deep Vein Thrombosis
(DVT). Which laboratory value should the nurse monitor to evaluate the effectiveness of the therapy?
A) Prothrombin Time (PT)
B) International Normalized Ratio (INR)
C) Activated Partial Thromboplastin Time (aPTT)
D) Platelet count
Correct Answer: C
Rationale: aPTT is the standard laboratory test used to monitor the effectiveness and titration of
unfractionated Heparin. PT and INR are used to monitor Warfarin therapy, while platelet counts are
monitored to screen for Heparin-Induced Thrombocytopenia (HIT).
Exam: Full 180 Real Questions & 100% Verified Answers
to Pass the 2026 PN ATI Predictor on First Attempt
Section 1: Medical-Surgical Nursing
1. A PN is reinforcing discharge teaching for a client with Type 2 Diabetes Mellitus who is prescribed
Metformin. Which statement by the client indicates a need for further teaching?
A) "I will take this medication with my meals to avoid an upset stomach."
B) "I need to stop taking this medication for 48 hours before any CT scan with contrast."
C) "If I skip a meal, I should still take my Metformin to keep my sugar steady."
D) "I will notify my provider if I experience unusual muscle pain or fatigue."
Correct Answer: C
Rationale: Metformin does not typically cause hypoglycemia because it does not stimulate insulin
release; however, if a meal is skipped, the medication should generally be held or timed with the next
meal to maintain consistent glycemic control and avoid GI distress. Options A, B, and D are correct
safety and administration protocols.
,2. A PN is caring for a client with Chronic Obstructive Pulmonary Disease (COPD) who is receiving o xygen
at 2 L/min via nasal cannula. Which finding should the nurse report to the provider immediately?
A) Oxygen saturation of 90% on room air
B) Increased anteroposterior (AP) chest diameter
C) Productive cough with thick, clear sputum
D) New onset of confusion and lethargy
Correct Answer: D
Rationale: In a client with COPD, a new onset of confusion and lethargy can indicate CO2 narcosis or
worsening hypoxemia, which are medical emergencies. An SpO2 of 90% and an increased AP diameter
(barrel chest) are expected findings for chronic COPD.
3. A PN is assisting with the care of a client who is 24 hours postoperative following a total hip
arthroplasty. Which action should the nurse take to prevent hip dislocation?
, A) Maintain the affected leg in an adducted position.
B) Place an abductor pillow between the client's legs while turning.
C) Encourage the client to lean forward when sitting in a chair.
D) Keep the head of the bed elevated to 90 degrees at all times.
Correct Answer: B
Rationale: An abductor pillow keeps the hips in an abducted position, which prevents the prosthesis
from dislodging from the acetabulum. Adduction, leaning forward, and hip flexion greater than 90
degrees are all contraindicated as they increase the risk of dislocation.
4. A PN is monitoring a client receiving a continuous IV infusion of Heparin for Deep Vein Thrombosis
(DVT). Which laboratory value should the nurse monitor to evaluate the effectiveness of the therapy?
A) Prothrombin Time (PT)
B) International Normalized Ratio (INR)
C) Activated Partial Thromboplastin Time (aPTT)
D) Platelet count
Correct Answer: C
Rationale: aPTT is the standard laboratory test used to monitor the effectiveness and titration of
unfractionated Heparin. PT and INR are used to monitor Warfarin therapy, while platelet counts are
monitored to screen for Heparin-Induced Thrombocytopenia (HIT).
