ATI PN Comprehensive Predictor 2023 Exit
Exam (2025/2026 Version)
.
Section 1: Management of Care & Legal/Ethical Issues (Questions 1-15)
1. A charge nurse is assigning a licensed practical nurse (LPN) to care for a group of clients. Which
assignment is appropriate for the LPN?
A. A client who is 1-hour post-cardiac catheterization requiring arterial pressure monitoring.
B. A client requiring initial admission assessment for new-onset chest pain.
C. A stable client with a gastrostomy tube requiring a scheduled feeding.
D. A client requiring teaching about newly diagnosed diabetes mellitus.
Correct Answer: C
• Rationale: The LPN's scope of practice includes caring for stable clients with predictable
outcomes and performing standard procedures like tube feedings . Option A requires
monitoring for complications best suited for an RN. Option B involves initial assessment, which
is an RN responsibility. Option D involves initial patient teaching (diagnosis/management), which
falls under RN or provider direction.
2. A nurse is reinforcing discharge teaching with a client who has a new permanent pacemaker. Which
statement by the client indicates an understanding?
A. "I will be able to have an MRI of my knee now."
B. "I should avoid standing near microwave ovens while they are on."
C. "I will notify airport security that I have a pacemaker before walking through the metal detector."
D. "I should keep my cell phone in my shirt pocket over my pacemaker."
Correct Answer: C
• Rationale: Metal detectors can interfere with pacemaker function; clients should carry an ID
card and notify security to avoid direct exposure to electromagnetic fields . MRI is generally
contraindicated unless the device is MRI-compatible. Modern microwaves are safe. Cell phones
should be kept at least 6 inches away from the device.
3. When reinforcing teaching about the use of a fire extinguisher (RACE), what does the 'A' stand for?
A. Aim
B. Alert
C. Activate
D. Assess
,Correct Answer: A
• Rationale: The PASS mnemonic is used for extinguishers: Pull the pin, Aim at the base, Squeeze
the handle, Sweep side to side. RACE is for general fire response (Rescue, Alarm, Contain,
Evacuate).
4. A nurse is reinforcing teaching about advance directives with a client. Which statement by the client
indicates a need for further teaching?
A. "I can change my mind about my advance directives at any time."
B. "My living will outlines the care I want if I cannot speak for myself."
C. "I need to name a healthcare proxy in case I become incapacitated."
D. "Once I sign the advance directive, it cannot be changed by anyone."
Correct Answer: D
• Rationale: Advance directives can be updated or revoked by the client at any time as long as
they are competent. Options A, B, and C are correct statements regarding living wills and
durable power of attorney for healthcare.
5. A nurse is reinforcing teaching with a client who has a prescription for a Holter monitor. Which
statement by the client indicates understanding?
A. "I can take a shower while wearing the monitor."
B. "I will press an event button and write down my activities in a diary."
C. "I should avoid all physical activity to get an accurate reading."
D. "The monitor will automatically defibrillate my heart if it stops."
Correct Answer: B
• Rationale: The client must keep a diary of activities and symptoms to correlate with the ECG
tracing. The monitor cannot get wet, so bathing is restricted. The client should continue normal
activities. It does not defibrillate.
6. A nurse is caring for a client who is in mechanical restraints after becoming violent with a staff
member. Which action should the nurse take?
A. Document the client's behavior every 4 hours.
B. Remove the restraints every 2 hours to check skin and offer fluids.
C. Place the client in a prone position to ensure safety.
D. Release the restraints immediately if the client verbally agrees to behave.
Correct Answer: B
• Rationale: Restraint standards require release every 2 hours for range of motion, hydration, and
toileting. Documentation should be every 15-30 minutes. Prone positioning is dangerous and
never indicated. Release requires assessment of behavior, not just verbal promise.
7. A newly hired LPN asks the charge nurse about the "chain of command." The charge nurse explains
that the primary purpose is to:
A. Limit the number of people who can make decisions.
B. Provide a communication pathway for reporting concerns.
,C. Ensure that physicians are always notified first.
D. Allow assistive personnel to make nursing diagnoses.
Correct Answer: B
• Rationale: The chain of command provides a structured communication pathway to escalate
concerns (e.g., a deteriorating client) when immediate action is not taken.
8. A nurse is reviewing a client's living will. The client is competent and asks the nurse to disregard a
specific section. What should the nurse do?
A. Tell the client it is too late to change the document.
B. Notify the provider that the client is refusing treatment.
C. Respect the client's current wishes and document the change of mind.
D. Contact the risk management department before acting.
Correct Answer: C
• Rationale: A competent client has the right to accept or refuse treatment, overriding a living
will. The nurse must document the client's current verbalized wishes.
9. A charge nurse is observing a new LPN perform a sterile dressing change. Which action requires
intervention?
A. Opening the top flap of the sterile kit away from the body.
B. Keeping the sterile field above the level of the waist.
C. Placing sterile items within the 1-inch border of the field.
D. Holding hands above the elbows while putting on gloves.
Correct Answer: C
• Rationale: The 1-inch border around a sterile field is considered contaminated . Items must be
placed in the center. The other options maintain sterility.
10. A nurse is assisting with the admission of an older adult client who has impaired mobility and is at
risk for falls. Which action should the nurse take first?
A. Place a fall risk bracelet on the client.
B. Check the client's ability to use the call light.
C. Request a referral for physical therapy.
D. Move the client to a room near the nurse's station.
Correct Answer: B
• Rationale: The priority is ensuring the client can summon help. Assessment of the call light is
immediate safety . The other actions are important but follow this check.
11. A nurse is reinforcing teaching about the HIPAA Privacy Rule with a newly licensed nurse. Which
statement indicates understanding?
A. "I can discuss a client's status with my family if I don't use the client's name."
B. "A client has the right to view their medical record."
C. "I can leave a client's printed lab results in the cafeteria trash."
D. "I only need consent for HIV status, not other conditions."
, Correct Answer: B
• Rationale: HIPAA grants patients the right to access their medical records. Discussing status with
family without authorization is a violation, regardless of naming .
12. A nurse is reinforcing teaching with a client about signing an informed consent for surgery. The
nurse understands that the responsibility of the witness (nurse) is to:
A. Explain the risks of the surgical procedure.
B. Sign that the client voluntarily signed the consent and appears competent.
C. Ensure the client has a signed do-not-resuscitate (DNR) order.
D. Decide if the surgery is necessary for the client.
Correct Answer: B
• Rationale: The nurse witnesses the signature, confirming the client signed voluntarily and
appears to understand what they are signing (not the medical details). The provider explains the
risks.
13. A nurse is caring for an older adult client who states, "My child took all my money and won't let
me go home." Which action should the nurse take?
A. Ignore the statement as the client is likely confused.
B. Discuss the matter with the client's child to verify.
C. Report the possible abuse to adult protective services.
D. Discharge the client to the child's care as planned.
Correct Answer: C
• Rationale: Nurses are mandatory reporters. Suspicion of financial exploitation (elder abuse)
must be reported to Adult Protective Services, regardless of the client's cognitive status .
14. A nurse is planning care for a client who has a history of seizures. Which equipment should the
nurse place in the client's room?
A. Suction catheter and oxygen
B. Restraints and bite block
C. Cardiac monitor and pacemaker
D. Cooling blanket and ice packs
Correct Answer: A
• Rationale: Suction equipment is essential during a seizure to maintain airway patency if the
client vomits or has secretions . Bite blocks are no longer recommended (they can break teeth).
15. A nurse is preparing to transfer a client who has left-sided weakness from the bed to a wheelchair.
Which action should the nurse take first?
A. Place the wheelchair on the client's left side.
B. Lock the wheels on the bed and wheelchair.
C. Assess the client's muscle strength.
D. Apply a gait belt to the client.
Correct Answer: B
Exam (2025/2026 Version)
.
Section 1: Management of Care & Legal/Ethical Issues (Questions 1-15)
1. A charge nurse is assigning a licensed practical nurse (LPN) to care for a group of clients. Which
assignment is appropriate for the LPN?
A. A client who is 1-hour post-cardiac catheterization requiring arterial pressure monitoring.
B. A client requiring initial admission assessment for new-onset chest pain.
C. A stable client with a gastrostomy tube requiring a scheduled feeding.
D. A client requiring teaching about newly diagnosed diabetes mellitus.
Correct Answer: C
• Rationale: The LPN's scope of practice includes caring for stable clients with predictable
outcomes and performing standard procedures like tube feedings . Option A requires
monitoring for complications best suited for an RN. Option B involves initial assessment, which
is an RN responsibility. Option D involves initial patient teaching (diagnosis/management), which
falls under RN or provider direction.
2. A nurse is reinforcing discharge teaching with a client who has a new permanent pacemaker. Which
statement by the client indicates an understanding?
A. "I will be able to have an MRI of my knee now."
B. "I should avoid standing near microwave ovens while they are on."
C. "I will notify airport security that I have a pacemaker before walking through the metal detector."
D. "I should keep my cell phone in my shirt pocket over my pacemaker."
Correct Answer: C
• Rationale: Metal detectors can interfere with pacemaker function; clients should carry an ID
card and notify security to avoid direct exposure to electromagnetic fields . MRI is generally
contraindicated unless the device is MRI-compatible. Modern microwaves are safe. Cell phones
should be kept at least 6 inches away from the device.
3. When reinforcing teaching about the use of a fire extinguisher (RACE), what does the 'A' stand for?
A. Aim
B. Alert
C. Activate
D. Assess
,Correct Answer: A
• Rationale: The PASS mnemonic is used for extinguishers: Pull the pin, Aim at the base, Squeeze
the handle, Sweep side to side. RACE is for general fire response (Rescue, Alarm, Contain,
Evacuate).
4. A nurse is reinforcing teaching about advance directives with a client. Which statement by the client
indicates a need for further teaching?
A. "I can change my mind about my advance directives at any time."
B. "My living will outlines the care I want if I cannot speak for myself."
C. "I need to name a healthcare proxy in case I become incapacitated."
D. "Once I sign the advance directive, it cannot be changed by anyone."
Correct Answer: D
• Rationale: Advance directives can be updated or revoked by the client at any time as long as
they are competent. Options A, B, and C are correct statements regarding living wills and
durable power of attorney for healthcare.
5. A nurse is reinforcing teaching with a client who has a prescription for a Holter monitor. Which
statement by the client indicates understanding?
A. "I can take a shower while wearing the monitor."
B. "I will press an event button and write down my activities in a diary."
C. "I should avoid all physical activity to get an accurate reading."
D. "The monitor will automatically defibrillate my heart if it stops."
Correct Answer: B
• Rationale: The client must keep a diary of activities and symptoms to correlate with the ECG
tracing. The monitor cannot get wet, so bathing is restricted. The client should continue normal
activities. It does not defibrillate.
6. A nurse is caring for a client who is in mechanical restraints after becoming violent with a staff
member. Which action should the nurse take?
A. Document the client's behavior every 4 hours.
B. Remove the restraints every 2 hours to check skin and offer fluids.
C. Place the client in a prone position to ensure safety.
D. Release the restraints immediately if the client verbally agrees to behave.
Correct Answer: B
• Rationale: Restraint standards require release every 2 hours for range of motion, hydration, and
toileting. Documentation should be every 15-30 minutes. Prone positioning is dangerous and
never indicated. Release requires assessment of behavior, not just verbal promise.
7. A newly hired LPN asks the charge nurse about the "chain of command." The charge nurse explains
that the primary purpose is to:
A. Limit the number of people who can make decisions.
B. Provide a communication pathway for reporting concerns.
,C. Ensure that physicians are always notified first.
D. Allow assistive personnel to make nursing diagnoses.
Correct Answer: B
• Rationale: The chain of command provides a structured communication pathway to escalate
concerns (e.g., a deteriorating client) when immediate action is not taken.
8. A nurse is reviewing a client's living will. The client is competent and asks the nurse to disregard a
specific section. What should the nurse do?
A. Tell the client it is too late to change the document.
B. Notify the provider that the client is refusing treatment.
C. Respect the client's current wishes and document the change of mind.
D. Contact the risk management department before acting.
Correct Answer: C
• Rationale: A competent client has the right to accept or refuse treatment, overriding a living
will. The nurse must document the client's current verbalized wishes.
9. A charge nurse is observing a new LPN perform a sterile dressing change. Which action requires
intervention?
A. Opening the top flap of the sterile kit away from the body.
B. Keeping the sterile field above the level of the waist.
C. Placing sterile items within the 1-inch border of the field.
D. Holding hands above the elbows while putting on gloves.
Correct Answer: C
• Rationale: The 1-inch border around a sterile field is considered contaminated . Items must be
placed in the center. The other options maintain sterility.
10. A nurse is assisting with the admission of an older adult client who has impaired mobility and is at
risk for falls. Which action should the nurse take first?
A. Place a fall risk bracelet on the client.
B. Check the client's ability to use the call light.
C. Request a referral for physical therapy.
D. Move the client to a room near the nurse's station.
Correct Answer: B
• Rationale: The priority is ensuring the client can summon help. Assessment of the call light is
immediate safety . The other actions are important but follow this check.
11. A nurse is reinforcing teaching about the HIPAA Privacy Rule with a newly licensed nurse. Which
statement indicates understanding?
A. "I can discuss a client's status with my family if I don't use the client's name."
B. "A client has the right to view their medical record."
C. "I can leave a client's printed lab results in the cafeteria trash."
D. "I only need consent for HIV status, not other conditions."
, Correct Answer: B
• Rationale: HIPAA grants patients the right to access their medical records. Discussing status with
family without authorization is a violation, regardless of naming .
12. A nurse is reinforcing teaching with a client about signing an informed consent for surgery. The
nurse understands that the responsibility of the witness (nurse) is to:
A. Explain the risks of the surgical procedure.
B. Sign that the client voluntarily signed the consent and appears competent.
C. Ensure the client has a signed do-not-resuscitate (DNR) order.
D. Decide if the surgery is necessary for the client.
Correct Answer: B
• Rationale: The nurse witnesses the signature, confirming the client signed voluntarily and
appears to understand what they are signing (not the medical details). The provider explains the
risks.
13. A nurse is caring for an older adult client who states, "My child took all my money and won't let
me go home." Which action should the nurse take?
A. Ignore the statement as the client is likely confused.
B. Discuss the matter with the client's child to verify.
C. Report the possible abuse to adult protective services.
D. Discharge the client to the child's care as planned.
Correct Answer: C
• Rationale: Nurses are mandatory reporters. Suspicion of financial exploitation (elder abuse)
must be reported to Adult Protective Services, regardless of the client's cognitive status .
14. A nurse is planning care for a client who has a history of seizures. Which equipment should the
nurse place in the client's room?
A. Suction catheter and oxygen
B. Restraints and bite block
C. Cardiac monitor and pacemaker
D. Cooling blanket and ice packs
Correct Answer: A
• Rationale: Suction equipment is essential during a seizure to maintain airway patency if the
client vomits or has secretions . Bite blocks are no longer recommended (they can break teeth).
15. A nurse is preparing to transfer a client who has left-sided weakness from the bed to a wheelchair.
Which action should the nurse take first?
A. Place the wheelchair on the client's left side.
B. Lock the wheels on the bed and wheelchair.
C. Assess the client's muscle strength.
D. Apply a gait belt to the client.
Correct Answer: B
