ATI PN Comprehensive Predictor Exit Exam with NGN
All 180 Questions and 100% Correct Answers to Pass
2026
Structure – 180 Original PN Exit Exam Questions
Sectio # of NGN Types
Topic Area
n Questions Included
Management of Care Bowtie (2), Matrix (2),
1 25
(Delegation, Ethics, Legal) Multiple Response (5)
Highlight (3), Ordered
2 Safety & Infection Control 20
Response (2)
Health Promotion & Case Study (1 case with 6
3 20
Maintenance NGN items)
Drag & Drop (2), Multiple
4 Psychosocial Integrity 15
Response (4)
5 Basic Care & Comfort 15 Matrix (2), Highlight (2)
Bowtie (3), Case Study (1
6 Pharmacology 25
case with 6 items)
Ordered Response (3),
7 Reduction of Risk Potential 25
Multiple Response (6)
Physiological Adaptation 2 Case Studies (12 items
8 35
(Med-Surg) total), Matrix (3)
Total 180
,SECTION 1: Management of Care
Questions 1–5 (Traditional Multiple Choice)
1. A PN is caring for four clients. Which task should the PN perform first?
A. Reinforce teaching on insulin administration to a newly diagnosed diabetic client
B. Obtain a stool sample for occult blood from a stable client
C. Check the restraints on a confused client who is attempting to pull out their NG tube
D. Ambulate a postoperative day 2 client who is ready for discharge
Correct Answer: C
Rationale: Safety first. Restraints require frequent checks; client attempting to remove NG
tube is at risk for aspiration or injury.
2. A client refuses a scheduled enema. Which action by the PN demonstrates respect for
client autonomy?
A. Explain the risks of not completing the procedure
B. Document the refusal and notify the RN
C. Ask the family to encourage the client
D. Reschedule the enema for later in the shift
Correct Answer: B
Rationale: Competent adults have the right to refuse treatment. The PN must document
refusal and report to RN.
3. The PN observes a UAP measuring a client’s blood pressure using a cuff that is too small.
What should the PN do first?
A. Report the UAP to the nurse manager
B. Instruct the UAP to use the correct cuff size immediately
C. Document the incident in the UAP’s file
D. Take over the task without comment
Correct Answer: B
Rationale: Immediate correction prevents harm. Teaching is within PN scope.
4. Which client can the PN assign to a UAP?
A. Client 1 hour post-cardiac catheterization requiring bed rest
B. Client with new-onset confusion needing frequent reorientation
C. Client requiring a clean-catch urine specimen
D. Client with a chest tube reporting increased bubbling
Correct Answer: C
Rationale: Clean-catch urine specimen is a standard, unchanging task appropriate for UAP.
,5. A client signs a living will. What is the PN’s best action?
A. Place a copy in the client’s chart and notify the RN
B. Ask the client to review it with the hospital ethics committee
C. Ensure the family signs as witnesses
D. Keep the original in the PN’s possession until discharge
Correct Answer: A
Rationale: Advance directives must be placed in the medical record so all team members can
honor them.
Questions 6–10 (Multiple Response – Select All That Apply)
6. Which actions by the PN indicate effective delegation to a UAP? (Select 3)
☐ A. Providing specific instructions for each task
☐ B. Asking the UAP to report client complaints of chest pain
☐ C. Verifying the UAP’s competency for a task
☐ D. Delegating medication administration
☐ E. Following up on delegated tasks
Correct Answers: A, C, E
Rationale: A – clear instructions; C – right task to right person; E – supervision is required. B
is incorrect – UAP cannot assess complaints; D is outside UAP scope.
7. A PN is floated to an unfamiliar medical unit. Which actions are appropriate? (Select 2)
☐ A. Request orientation to the unit layout and emergency equipment
☐ B. Accept the assignment only if familiar with all client diagnoses
☐ C. Ask for clients with stable, predictable conditions
☐ D. Refuse the assignment entirely
☐ E. Delegate all assessments to unit staff
Correct Answers: A, C
Rationale: A – safety requires knowing emergency equipment; C – floating to stable clients is
reasonable. B is unrealistic; D is insubordination; E is outside PN scope.
8. The PN identifies a client at risk for falls. Which interventions should be included? (Select
4)
☐ A. Keep call light within reach
☐ B. Raise all four side rails while sleeping
☐ C. Place bed in lowest position
☐ D. Use nonslip socks
☐ E. Lock wheelchair brakes
☐ F. Dim lights to promote sleep
, Correct Answers: A, C, D, E
Rationale: B is a restraint; F increases fall risk. A, C, D, E are standard fall precautions.
9. Which situations require the PN to report to the RN immediately? (Select 3)
☐ A. Client’s blood pressure 110/70 mm Hg
☐ B. Client with new slurred speech
☐ C. UAP reports a client’s oxygen saturation of 89%
☐ D. Client refuses breakfast
☐ E. Postoperative client’s temperature 101.8°F (38.8°C)
Correct Answers: B, C, E
Rationale: New neuro change (B), hypoxia (C), fever post-op (E) are acute changes requiring
RN assessment.
10. A PN is reviewing informed consent. Which elements must be present? (Select 4)
☐ A. Client understands risks and benefits
☐ B. Consent is obtained by the PN
☐ C. Procedure is explained in client’s primary language
☐ D. Client signs voluntarily
☐ E. Family member gives consent for a competent adult
☐ F. Client has capacity to make decisions
Correct Answers: A, C, D, F
Rationale: PN witnesses consent but does not obtain it (B is wrong). E is only for
incompetent adults or minors.
Questions 11–13 (NGN – Bowtie)
11. Bowtie Question: Client with New Confusion
Scenario: A PN cares for an older adult client who became acutely confused 2 hours after hip
surgery. Vital signs: HR 102, RR 24, BP 98/60, SpO₂ 91% on 2L NC.
Top left box (Potential Conditions):
Select the condition the PN should prioritize ruling out.
Top right box (Assessment findings supporting that condition):
Select 2 findings from the scenario.
Bottom box (Priority action):
Select 1 action.
Options for top left:
All 180 Questions and 100% Correct Answers to Pass
2026
Structure – 180 Original PN Exit Exam Questions
Sectio # of NGN Types
Topic Area
n Questions Included
Management of Care Bowtie (2), Matrix (2),
1 25
(Delegation, Ethics, Legal) Multiple Response (5)
Highlight (3), Ordered
2 Safety & Infection Control 20
Response (2)
Health Promotion & Case Study (1 case with 6
3 20
Maintenance NGN items)
Drag & Drop (2), Multiple
4 Psychosocial Integrity 15
Response (4)
5 Basic Care & Comfort 15 Matrix (2), Highlight (2)
Bowtie (3), Case Study (1
6 Pharmacology 25
case with 6 items)
Ordered Response (3),
7 Reduction of Risk Potential 25
Multiple Response (6)
Physiological Adaptation 2 Case Studies (12 items
8 35
(Med-Surg) total), Matrix (3)
Total 180
,SECTION 1: Management of Care
Questions 1–5 (Traditional Multiple Choice)
1. A PN is caring for four clients. Which task should the PN perform first?
A. Reinforce teaching on insulin administration to a newly diagnosed diabetic client
B. Obtain a stool sample for occult blood from a stable client
C. Check the restraints on a confused client who is attempting to pull out their NG tube
D. Ambulate a postoperative day 2 client who is ready for discharge
Correct Answer: C
Rationale: Safety first. Restraints require frequent checks; client attempting to remove NG
tube is at risk for aspiration or injury.
2. A client refuses a scheduled enema. Which action by the PN demonstrates respect for
client autonomy?
A. Explain the risks of not completing the procedure
B. Document the refusal and notify the RN
C. Ask the family to encourage the client
D. Reschedule the enema for later in the shift
Correct Answer: B
Rationale: Competent adults have the right to refuse treatment. The PN must document
refusal and report to RN.
3. The PN observes a UAP measuring a client’s blood pressure using a cuff that is too small.
What should the PN do first?
A. Report the UAP to the nurse manager
B. Instruct the UAP to use the correct cuff size immediately
C. Document the incident in the UAP’s file
D. Take over the task without comment
Correct Answer: B
Rationale: Immediate correction prevents harm. Teaching is within PN scope.
4. Which client can the PN assign to a UAP?
A. Client 1 hour post-cardiac catheterization requiring bed rest
B. Client with new-onset confusion needing frequent reorientation
C. Client requiring a clean-catch urine specimen
D. Client with a chest tube reporting increased bubbling
Correct Answer: C
Rationale: Clean-catch urine specimen is a standard, unchanging task appropriate for UAP.
,5. A client signs a living will. What is the PN’s best action?
A. Place a copy in the client’s chart and notify the RN
B. Ask the client to review it with the hospital ethics committee
C. Ensure the family signs as witnesses
D. Keep the original in the PN’s possession until discharge
Correct Answer: A
Rationale: Advance directives must be placed in the medical record so all team members can
honor them.
Questions 6–10 (Multiple Response – Select All That Apply)
6. Which actions by the PN indicate effective delegation to a UAP? (Select 3)
☐ A. Providing specific instructions for each task
☐ B. Asking the UAP to report client complaints of chest pain
☐ C. Verifying the UAP’s competency for a task
☐ D. Delegating medication administration
☐ E. Following up on delegated tasks
Correct Answers: A, C, E
Rationale: A – clear instructions; C – right task to right person; E – supervision is required. B
is incorrect – UAP cannot assess complaints; D is outside UAP scope.
7. A PN is floated to an unfamiliar medical unit. Which actions are appropriate? (Select 2)
☐ A. Request orientation to the unit layout and emergency equipment
☐ B. Accept the assignment only if familiar with all client diagnoses
☐ C. Ask for clients with stable, predictable conditions
☐ D. Refuse the assignment entirely
☐ E. Delegate all assessments to unit staff
Correct Answers: A, C
Rationale: A – safety requires knowing emergency equipment; C – floating to stable clients is
reasonable. B is unrealistic; D is insubordination; E is outside PN scope.
8. The PN identifies a client at risk for falls. Which interventions should be included? (Select
4)
☐ A. Keep call light within reach
☐ B. Raise all four side rails while sleeping
☐ C. Place bed in lowest position
☐ D. Use nonslip socks
☐ E. Lock wheelchair brakes
☐ F. Dim lights to promote sleep
, Correct Answers: A, C, D, E
Rationale: B is a restraint; F increases fall risk. A, C, D, E are standard fall precautions.
9. Which situations require the PN to report to the RN immediately? (Select 3)
☐ A. Client’s blood pressure 110/70 mm Hg
☐ B. Client with new slurred speech
☐ C. UAP reports a client’s oxygen saturation of 89%
☐ D. Client refuses breakfast
☐ E. Postoperative client’s temperature 101.8°F (38.8°C)
Correct Answers: B, C, E
Rationale: New neuro change (B), hypoxia (C), fever post-op (E) are acute changes requiring
RN assessment.
10. A PN is reviewing informed consent. Which elements must be present? (Select 4)
☐ A. Client understands risks and benefits
☐ B. Consent is obtained by the PN
☐ C. Procedure is explained in client’s primary language
☐ D. Client signs voluntarily
☐ E. Family member gives consent for a competent adult
☐ F. Client has capacity to make decisions
Correct Answers: A, C, D, F
Rationale: PN witnesses consent but does not obtain it (B is wrong). E is only for
incompetent adults or minors.
Questions 11–13 (NGN – Bowtie)
11. Bowtie Question: Client with New Confusion
Scenario: A PN cares for an older adult client who became acutely confused 2 hours after hip
surgery. Vital signs: HR 102, RR 24, BP 98/60, SpO₂ 91% on 2L NC.
Top left box (Potential Conditions):
Select the condition the PN should prioritize ruling out.
Top right box (Assessment findings supporting that condition):
Select 2 findings from the scenario.
Bottom box (Priority action):
Select 1 action.
Options for top left:
