ATI PN Comprehensive Predictor Exit Exam 2026/2027
ATI PN COMPREHENSIVE PREDICTOR
EXIT EXAM 2026/2027
With NGN Questions & Verified Answers
180 Questions Aligned with ATI PN Comprehensive Predictor
Exam Blueprint & NCLEX-PN Test Plan 2026/2027
EXAM FEATURES:
0. 180 Comprehensive Questions (Exactly per ATI Blueprint)
1. NGN (Next Generation NCLEX) Case Studies Included
2. Clinical Judgment Measurement Model Integration
3. Detailed Rationales with ATI/NCLEX-PN References
4. All Question Types: Multiple Choice, Select All That Apply, Priority, Delegation
SECTION BREAKDOWN:
5. Section 1: Safe & Effective Care Environment (40 questions)
6. Section 2: Health Promotion & Maintenance (25 questions)
7. Section 3: Psychosocial Integrity (20 questions)
8. Section 4: Basic Care & Comfort (20 questions)
9. Section 5: Pharmacological Therapies (25 questions)
10. Section 6: Reduction of Risk Potential (25 questions)
11. Section 7: Physiological Adaptation (25 questions)
, ATI PN Comprehensive Predictor Exit Exam 2026/2027
Table of Contents
(Right-click and select 'Update Field' to refresh page numbers)
Section 1: Safe & Effective Care Environment....................................................................... 3
Management of Care (Q1-25) .............................................................................................. 3
Safety & Infection Control (Q26-40).....................................................................................10
Section 2: Health Promotion & Maintenance ........................................................................14
Section 3: Psychosocial Integrity ..........................................................................................19
Section 4: Basic Care & Comfort ...........................................................................................23
Section 5: Pharmacological Therapies ..................................................................................27
Section 6: Reduction of Risk Potential ..................................................................................32
Section 7: Physiological Adaptation .....................................................................................37
, ATI PN Comprehensive Predictor Exit Exam 2026/2027
SECTION 1: SAFE & EFFECTIVE CARE ENVIRONMENT
Management of Care (Questions 1-25)
Q1: A charge nurse on a medical-surgical unit is delegating tasks for the shift. Which
task is MOST appropriate to delegate to a UAP (Unlicensed Assistive Personnel)?
A. Administering oral medications to stable patients
B. Assessing a patient's post-operative pain level
C. Assisting a patient with ambulation to the bathroom [CORRECT]
D. Teaching a patient about diabetic foot care
Correct Answer: C
Rationale:The UAP scope of practice includes basic patient care activities such as ambulation,
bathing, and vital signs. Medication administration (A), patient assessment (B), and patient
teaching (D) are within the RN/LPN scope of practice per the Nurse Practice Act and ATI
delegation guidelines.
Q2: An LPN is working under the supervision of an RN. Which activity is within the
LPN's scope of practice?
A. Developing a plan of care for a newly admitted patient
B. Administering enteral feedings via NG tube [CORRECT]
C. Assessing a patient's response to a new medication
D. Initiating discharge teaching for a patient going home
Correct Answer: B
Rationale:LPNs can perform procedures such as enteral feedings, wound care, and medication
administration for stable patients. Care planning (A), comprehensive assessment (C), and initial
teaching (D) require RN judgment and scope.
Q3: Using the Five Rights of Delegation, which element is MOST important when
delegating a task to UAP?
A. Right medication
B. Right circumstance [CORRECT]
C. Right documentation
D. Right equipment
Correct Answer: B
Rationale:The Five Rights of Delegation are: Right Task, Right Circumstance, Right Person,
Right Direction/Communication, and Right Supervision. Right circumstance ensures the patient's
condition is stable and appropriate for delegation.
Q4: A nurse manager is reviewing assignments. Which patient should be assigned to
the MOST experienced RN?
A. A patient 2 days post-op appendectomy preparing for discharge
, ATI PN Comprehensive Predictor Exit Exam 2026/2027
B. A patient admitted with chest pain requiring continuous cardiac monitoring
[CORRECT]
C. A patient with stable diabetes mellitus needing blood glucose checks
D. A patient with a fractured femur in Buck's traction
Correct Answer: B
Rationale:Priority assignment principles require the most experienced nurse to care for the most
unstable patient. The patient with chest pain requiring continuous monitoring is the highest acuity
and requires expert assessment skills.
Q5: Which task can an RN safely delegate to an LPN working on a skilled nursing
unit?
A. Performing the initial admission assessment
B. Inserting a urinary catheter using sterile technique [CORRECT]
C. Developing nursing diagnoses for the care plan
D. Evaluating the effectiveness of patient teaching
Correct Answer: B
Rationale:LPNs can perform technical procedures such as catheter insertion, wound care, and
medication administration. Initial assessments (A), nursing diagnoses (C), and evaluation of
teaching (D) are RN responsibilities.
Q6: A nurse is caring for four patients. Which patient requires IMMEDIATE attention?
A. A patient requesting PRN pain medication for a headache
B. A patient with a blood pressure of 88/52 mmHg and altered mental status
[CORRECT]
C. A patient asking for help to call family members
D. A patient who needs discharge instructions reviewed
Correct Answer: B
Rationale:Using the ABCs (Airway, Breathing, Circulation) and Maslow's hierarchy, the patient
with hypotension and altered mental status represents a life-threatening circulation problem
requiring immediate intervention.
Q7: Using Maslow's hierarchy of needs, which patient need has the HIGHEST priority?
A. A patient expressing fear about upcoming surgery
B. A patient with an oxygen saturation of 89% on room air [CORRECT]
C. A patient requesting a visit from the chaplain
D. A patient asking about support groups for diabetes
Correct Answer: B
Rationale:Maslow's hierarchy prioritizes physiological needs first. Oxygenation is a basic
physiological need. Psychosocial needs (A, C, D) are higher-level needs addressed after
physiological stability.
Q8: A nurse has multiple tasks to complete. Using time management principles, which
task should be done FIRST?
ATI PN COMPREHENSIVE PREDICTOR
EXIT EXAM 2026/2027
With NGN Questions & Verified Answers
180 Questions Aligned with ATI PN Comprehensive Predictor
Exam Blueprint & NCLEX-PN Test Plan 2026/2027
EXAM FEATURES:
0. 180 Comprehensive Questions (Exactly per ATI Blueprint)
1. NGN (Next Generation NCLEX) Case Studies Included
2. Clinical Judgment Measurement Model Integration
3. Detailed Rationales with ATI/NCLEX-PN References
4. All Question Types: Multiple Choice, Select All That Apply, Priority, Delegation
SECTION BREAKDOWN:
5. Section 1: Safe & Effective Care Environment (40 questions)
6. Section 2: Health Promotion & Maintenance (25 questions)
7. Section 3: Psychosocial Integrity (20 questions)
8. Section 4: Basic Care & Comfort (20 questions)
9. Section 5: Pharmacological Therapies (25 questions)
10. Section 6: Reduction of Risk Potential (25 questions)
11. Section 7: Physiological Adaptation (25 questions)
, ATI PN Comprehensive Predictor Exit Exam 2026/2027
Table of Contents
(Right-click and select 'Update Field' to refresh page numbers)
Section 1: Safe & Effective Care Environment....................................................................... 3
Management of Care (Q1-25) .............................................................................................. 3
Safety & Infection Control (Q26-40).....................................................................................10
Section 2: Health Promotion & Maintenance ........................................................................14
Section 3: Psychosocial Integrity ..........................................................................................19
Section 4: Basic Care & Comfort ...........................................................................................23
Section 5: Pharmacological Therapies ..................................................................................27
Section 6: Reduction of Risk Potential ..................................................................................32
Section 7: Physiological Adaptation .....................................................................................37
, ATI PN Comprehensive Predictor Exit Exam 2026/2027
SECTION 1: SAFE & EFFECTIVE CARE ENVIRONMENT
Management of Care (Questions 1-25)
Q1: A charge nurse on a medical-surgical unit is delegating tasks for the shift. Which
task is MOST appropriate to delegate to a UAP (Unlicensed Assistive Personnel)?
A. Administering oral medications to stable patients
B. Assessing a patient's post-operative pain level
C. Assisting a patient with ambulation to the bathroom [CORRECT]
D. Teaching a patient about diabetic foot care
Correct Answer: C
Rationale:The UAP scope of practice includes basic patient care activities such as ambulation,
bathing, and vital signs. Medication administration (A), patient assessment (B), and patient
teaching (D) are within the RN/LPN scope of practice per the Nurse Practice Act and ATI
delegation guidelines.
Q2: An LPN is working under the supervision of an RN. Which activity is within the
LPN's scope of practice?
A. Developing a plan of care for a newly admitted patient
B. Administering enteral feedings via NG tube [CORRECT]
C. Assessing a patient's response to a new medication
D. Initiating discharge teaching for a patient going home
Correct Answer: B
Rationale:LPNs can perform procedures such as enteral feedings, wound care, and medication
administration for stable patients. Care planning (A), comprehensive assessment (C), and initial
teaching (D) require RN judgment and scope.
Q3: Using the Five Rights of Delegation, which element is MOST important when
delegating a task to UAP?
A. Right medication
B. Right circumstance [CORRECT]
C. Right documentation
D. Right equipment
Correct Answer: B
Rationale:The Five Rights of Delegation are: Right Task, Right Circumstance, Right Person,
Right Direction/Communication, and Right Supervision. Right circumstance ensures the patient's
condition is stable and appropriate for delegation.
Q4: A nurse manager is reviewing assignments. Which patient should be assigned to
the MOST experienced RN?
A. A patient 2 days post-op appendectomy preparing for discharge
, ATI PN Comprehensive Predictor Exit Exam 2026/2027
B. A patient admitted with chest pain requiring continuous cardiac monitoring
[CORRECT]
C. A patient with stable diabetes mellitus needing blood glucose checks
D. A patient with a fractured femur in Buck's traction
Correct Answer: B
Rationale:Priority assignment principles require the most experienced nurse to care for the most
unstable patient. The patient with chest pain requiring continuous monitoring is the highest acuity
and requires expert assessment skills.
Q5: Which task can an RN safely delegate to an LPN working on a skilled nursing
unit?
A. Performing the initial admission assessment
B. Inserting a urinary catheter using sterile technique [CORRECT]
C. Developing nursing diagnoses for the care plan
D. Evaluating the effectiveness of patient teaching
Correct Answer: B
Rationale:LPNs can perform technical procedures such as catheter insertion, wound care, and
medication administration. Initial assessments (A), nursing diagnoses (C), and evaluation of
teaching (D) are RN responsibilities.
Q6: A nurse is caring for four patients. Which patient requires IMMEDIATE attention?
A. A patient requesting PRN pain medication for a headache
B. A patient with a blood pressure of 88/52 mmHg and altered mental status
[CORRECT]
C. A patient asking for help to call family members
D. A patient who needs discharge instructions reviewed
Correct Answer: B
Rationale:Using the ABCs (Airway, Breathing, Circulation) and Maslow's hierarchy, the patient
with hypotension and altered mental status represents a life-threatening circulation problem
requiring immediate intervention.
Q7: Using Maslow's hierarchy of needs, which patient need has the HIGHEST priority?
A. A patient expressing fear about upcoming surgery
B. A patient with an oxygen saturation of 89% on room air [CORRECT]
C. A patient requesting a visit from the chaplain
D. A patient asking about support groups for diabetes
Correct Answer: B
Rationale:Maslow's hierarchy prioritizes physiological needs first. Oxygenation is a basic
physiological need. Psychosocial needs (A, C, D) are higher-level needs addressed after
physiological stability.
Q8: A nurse has multiple tasks to complete. Using time management principles, which
task should be done FIRST?
