ATI PN COMPREHENSIVE PREDICTOR EXIT EXAM 2026/2027
| 180 Questions with NGN Format & Verified Answers |
Practical Nursing | Pass Guaranteed - A+ Graded
SECTION 1: SAFE & EFFECTIVE CARE ENVIRONMENT
Management of Care & Safety/Infection Control (Questions 1-40)
Q1: A charge nurse on a medical-surgical unit receives report on four clients. Which
client should the nurse assess FIRST?
● A. A client with pneumonia who has an oxygen saturation of 92% on 2L nasal
cannula
● B. A client post-appendectomy 24 hours ago with a temperature of 101.2°F
(38.4°C)
● C. A client with heart failure who reports sudden onset of severe dyspnea and is
sitting upright [CORRECT]
● D. A client with diabetes who has a blood glucose of 180 mg/dL before lunch
Correct Answer: C
Rationale: The client with heart failure reporting sudden severe dyspnea represents an
acute change in respiratory status, indicating potential pulmonary edema—a
life-threatening emergency requiring immediate assessment per the ABCs of
prioritization. Option A shows acceptable oxygenation for a pneumonia client. Option B
,shows expected post-operative inflammation. Option D shows mild hyperglycemia that
is not immediately dangerous. [VERIFIED per NCLEX-PN Test Plan: Safe & Effective Care
Environment - Management of Care - Prioritization]
Q2: An LPN is working under the supervision of an RN. Which task is MOST
APPROPRIATE for the LPN to perform?
● A. Developing the initial plan of care for a newly admitted client
● B. Administering IV push morphine to a client in acute pain
● C. Performing sterile dressing changes on a post-operative wound [CORRECT]
● D. Providing discharge teaching to a client starting anticoagulant therapy
Correct Answer: C
Rationale: LPN scope of practice includes performing sterile procedures such as
dressing changes under RN supervision. Option A (care planning) and Option D
(complex teaching) require RN-level judgment. Option B (IV push medications) typically
requires additional certification or RN licensure per state nurse practice acts. [VERIFIED
per ATI PN Comprehensive Predictor: Management of Care - Delegation & Supervision]
Q3: A nurse discovers that a client received the wrong medication 2 hours ago. The
client is currently stable with no adverse effects noted. What is the FIRST action the
nurse should take?
● A. Document the error in the client's medical record
, ● B. Complete an incident report for the quality improvement department
● C. Assess the client thoroughly and notify the healthcare provider [CORRECT]
● D. Wait to see if any adverse effects develop before reporting
Correct Answer: C
Rationale: Client safety is the priority. The nurse must first assess the client for any
potential adverse effects and notify the provider for further orders. Documentation and
incident reports follow client stabilization. Option D violates the ethical principle of
nonmaleficence. [VERIFIED per NCLEX-PN Test Plan: Safety & Infection Control -
Incident Reporting]
Q4: [NGN Case Study - Part 1/4] A 78-year-old client is admitted with confusion and
dehydration. During shift handoff, the outgoing nurse reports the client has a living will
and durable power of attorney for healthcare assigned to the adult daughter. The client
suddenly becomes unresponsive.
Which action should the nurse take FIRST?
● A. Begin CPR immediately
● B. Check the client's code status in the advance directive [CORRECT]
● C. Contact the daughter for permission to treat
● D. Transfer the client to the intensive care unit
Correct Answer: B
Rationale: The nurse must first verify the client's documented wishes regarding
resuscitation before initiating interventions. The living will provides legal direction for
, care when the client cannot speak for themselves. Option A assumes full code status
without verification. Option C delays care unnecessarily—the advance directive already
designates the daughter as decision-maker. [VERIFIED per ATI PN Content:
Management of Care - Advance Directives]
Q5: [NGN Case Study - Part 2/4] The advance directive indicates the client is DNR/DNI.
The daughter arrives and demands "everything be done" including intubation.
What is the nurse's MOST APPROPRIATE response?
● A. Follow the daughter's wishes as the healthcare proxy
● B. Honor the documented DNR/DNI order and inform the daughter [CORRECT]
● C. Call the ethics committee to make the decision
● D. Ask the provider to convince the daughter
Correct Answer: B
Rationale: An advance directive represents the client's autonomous wishes and is
legally binding. The nurse must advocate for the client's documented preferences while
providing emotional support to the family. The ethics committee (Option C) may be
consulted for support but does not override the legal document. [VERIFIED per
NCLEX-PN Test Plan: Management of Care - Ethical Practice]
Q6: [NGN Case Study - Part 3/4] The client stabilizes but remains confused. The nurse
needs to apply wrist restraints to prevent the client from pulling out the IV line.
| 180 Questions with NGN Format & Verified Answers |
Practical Nursing | Pass Guaranteed - A+ Graded
SECTION 1: SAFE & EFFECTIVE CARE ENVIRONMENT
Management of Care & Safety/Infection Control (Questions 1-40)
Q1: A charge nurse on a medical-surgical unit receives report on four clients. Which
client should the nurse assess FIRST?
● A. A client with pneumonia who has an oxygen saturation of 92% on 2L nasal
cannula
● B. A client post-appendectomy 24 hours ago with a temperature of 101.2°F
(38.4°C)
● C. A client with heart failure who reports sudden onset of severe dyspnea and is
sitting upright [CORRECT]
● D. A client with diabetes who has a blood glucose of 180 mg/dL before lunch
Correct Answer: C
Rationale: The client with heart failure reporting sudden severe dyspnea represents an
acute change in respiratory status, indicating potential pulmonary edema—a
life-threatening emergency requiring immediate assessment per the ABCs of
prioritization. Option A shows acceptable oxygenation for a pneumonia client. Option B
,shows expected post-operative inflammation. Option D shows mild hyperglycemia that
is not immediately dangerous. [VERIFIED per NCLEX-PN Test Plan: Safe & Effective Care
Environment - Management of Care - Prioritization]
Q2: An LPN is working under the supervision of an RN. Which task is MOST
APPROPRIATE for the LPN to perform?
● A. Developing the initial plan of care for a newly admitted client
● B. Administering IV push morphine to a client in acute pain
● C. Performing sterile dressing changes on a post-operative wound [CORRECT]
● D. Providing discharge teaching to a client starting anticoagulant therapy
Correct Answer: C
Rationale: LPN scope of practice includes performing sterile procedures such as
dressing changes under RN supervision. Option A (care planning) and Option D
(complex teaching) require RN-level judgment. Option B (IV push medications) typically
requires additional certification or RN licensure per state nurse practice acts. [VERIFIED
per ATI PN Comprehensive Predictor: Management of Care - Delegation & Supervision]
Q3: A nurse discovers that a client received the wrong medication 2 hours ago. The
client is currently stable with no adverse effects noted. What is the FIRST action the
nurse should take?
● A. Document the error in the client's medical record
, ● B. Complete an incident report for the quality improvement department
● C. Assess the client thoroughly and notify the healthcare provider [CORRECT]
● D. Wait to see if any adverse effects develop before reporting
Correct Answer: C
Rationale: Client safety is the priority. The nurse must first assess the client for any
potential adverse effects and notify the provider for further orders. Documentation and
incident reports follow client stabilization. Option D violates the ethical principle of
nonmaleficence. [VERIFIED per NCLEX-PN Test Plan: Safety & Infection Control -
Incident Reporting]
Q4: [NGN Case Study - Part 1/4] A 78-year-old client is admitted with confusion and
dehydration. During shift handoff, the outgoing nurse reports the client has a living will
and durable power of attorney for healthcare assigned to the adult daughter. The client
suddenly becomes unresponsive.
Which action should the nurse take FIRST?
● A. Begin CPR immediately
● B. Check the client's code status in the advance directive [CORRECT]
● C. Contact the daughter for permission to treat
● D. Transfer the client to the intensive care unit
Correct Answer: B
Rationale: The nurse must first verify the client's documented wishes regarding
resuscitation before initiating interventions. The living will provides legal direction for
, care when the client cannot speak for themselves. Option A assumes full code status
without verification. Option C delays care unnecessarily—the advance directive already
designates the daughter as decision-maker. [VERIFIED per ATI PN Content:
Management of Care - Advance Directives]
Q5: [NGN Case Study - Part 2/4] The advance directive indicates the client is DNR/DNI.
The daughter arrives and demands "everything be done" including intubation.
What is the nurse's MOST APPROPRIATE response?
● A. Follow the daughter's wishes as the healthcare proxy
● B. Honor the documented DNR/DNI order and inform the daughter [CORRECT]
● C. Call the ethics committee to make the decision
● D. Ask the provider to convince the daughter
Correct Answer: B
Rationale: An advance directive represents the client's autonomous wishes and is
legally binding. The nurse must advocate for the client's documented preferences while
providing emotional support to the family. The ethics committee (Option C) may be
consulted for support but does not override the legal document. [VERIFIED per
NCLEX-PN Test Plan: Management of Care - Ethical Practice]
Q6: [NGN Case Study - Part 3/4] The client stabilizes but remains confused. The nurse
needs to apply wrist restraints to prevent the client from pulling out the IV line.
