ATI PN Comprehensive Predictor Exam
2025-2026 Form A, B, and C – Questions
and Answers with Rationales | Updated
for 2026 | Graded A+
Q1. A nurse is contributing to the plan of care for a client who has a continent
urinary diversion. Which of the following interventions should the nurse plan to
implement to facilitate urinary elimination?
• ANSWER--- Use intermittent urinary catheterization at regular
intervals
• Expert Rationale:-A continent urinary diversion contains valves that
prevent urine from exiting the pouch; therefore, the nurse should plan to
insert a urinary catheter at regular intervals to drain urine from the client's
pouch.
Q2. A nurse is preparing to perform a bladder scan for a client. Which of the
following actions should the nurse take?
• ANSWER--- Tell the client they should not experience any discomfort
• Expert Rationale:-The nurse applies the handheld scanner over the area of
the bladder when performing a bladder scan. This noninvasive procedure
should not cause the client any discomfort.
Q3. A nurse is caring for a client who is crying and states that their provider
informed them that they have a tumor and will need a biopsy. Which of the
following responses should the nurse make?
• ANSWER--- "What have you done to help yourself get through stressful
situations before?"
• Expert Rationale:-This is a therapeutic response. The nurse is aware that
the client is under stress and encourages comparison to investigate whether
they have experience dealing with a stressful situation.
,Q4. A nurse is caring for a newborn who is 12 hr old. The nurse should expect the
newborn's stool to have which of the following characteristics within the first 24
hours following birth?
• ANSWER--- Dark greenish-black and viscous
• Expert Rationale:-The first stool passed by a newborn is the meconium that
develops in utero. It is dark greenish-black and viscous, containing amniotic
fluid, cells, intestinal secretions, and blood.
Q5. A licensed practical nurse is assisting with the preparation of a client for
insertion of a peripherally inserted central venous catheter (PICC). Which of the
following actions should the nurse take?
• ANSWER--- Witness the client's signature on the informed consent form
• Expert Rationale:-The insertion of a PICC is an invasive procedure with
risks and benefits. The nurse should witness the client's signature on the
consent form after ensuring the client has an understanding of the procedure,
including its risks and benefits.
Q6. A nurse is caring for a client who adheres to a kosher diet. Which of the
following food selections should the nurse expect to see on the client's meal tray?
• ANSWER--- Spaghetti noodles with red sauce
• Expert Rationale:-The nurse should identify that spaghetti noodles with red
sauce is appropriate for a client who adheres to a kosher diet because it
contains no meat and dairy together and no prohibited animals.
Q7. A nurse is contributing to the plan of care for a client who is receiving
continuous bladder irrigation following a transurethral resection of the prostate
(TURP). Which of the following interventions should the nurse include?
• ANSWER--- Maintain a drainage flow rate to keep the urine diluted to a
reddish-pink color
• Expert Rationale:-The nurse should maintain the flow rate of the bladder
irrigation to keep the urine diluted to a reddish-pink color and the tubing free
of clots and bleeding.
,Q8. A nurse is assisting with the care of a client who is postpartum and has a deep-
vein thrombosis. The client has been receiving heparin IV infusion. Which of the
following medications should the nurse ensure is readily available?
• ANSWER--- Protamine sulfate
• Expert Rationale:-The nurse should ensure that protamine sulfate is readily
available. Protamine sulfate is the antidote used to reverse the anticoagulant
effects of heparin.
Q9. A nurse is reinforcing teaching with a client about how to replace their two-
piece ostomy pouching system. The client tells the nurse that removing the skin
barrier is painful. Which of the following strategies should the nurse suggest?
• ANSWER--- Hold the skin taut while removing the barrier
• Expert Rationale:-Gently and gradually peeling the skin barrier away while
holding the skin taut minimizes discomfort and trauma to the peristomal
skin.
Q10. A nurse in an inpatient mental health facility is caring for a newly admitted
client who has alcohol use disorder. During a therapy session, the client asks about
Alcoholics Anonymous (AA). Which of the following responses should the nurse
make?
• ANSWER--- "What is your current understanding about the purpose of
AA?"
• Expert Rationale:-The nurse should identify the client's understanding
about the purpose of AA to provide further information about the program
and meetings and to facilitate a referral if needed. For treatment to be
successful, the nurse should involve the client in the care decision-making
process.
Q11. A nurse is performing a dressing change for a client who is 3 days
postoperative. Which of the following findings should the nurse report to the
provider?
• ANSWER--- Yellow-green drainage at the incision line
• Expert Rationale:-Yellow-green, purulent, or odorous drainage indicates
the wound is infected. The nurse should report this finding to the provider.
, Q12. A nurse is providing comfort to the partner of a client who has died. Which
of the following statements should the nurse make?
• ANSWER--- "Journaling about your relationship might help with the
grieving process."
• Expert Rationale:-Journaling provides a means for the client to identify
thoughts and feelings and to recognize and come to terms with the positive
and negative aspects of the client's relationship with their partner.
Q13. A nurse is assisting with an educational session for newly licensed nurses
about partner violence. Which of the following characteristics should the nurse
include as placing a vulnerable person at risk for partner violence?
• ANSWER--- Recent confirmation of pregnancy
• Expert Rationale:-The nurse should include pregnancy as a characteristic
placing a vulnerable person at risk for partner violence. The perpetrator
might view the pregnancy as a threat to the relationship due to the attention
the child receives.
Q14. A nurse is reinforcing teaching for a client who is preparing to return to work
after a back injury. Which of the following instructions for safe lifting technique
should the nurse include?
• ANSWER--- "You should hold a box close to your body when lifting it
up."
• Expert Rationale:-The client should hold the box as close to their body as
possible to maintain balance and prevent injury.
Q15. A nurse is reinforcing discharge teaching with a client who has a prescription
for home oxygen therapy via nasal cannula. Which of the following instructions
should the nurse include?
• ANSWER--- "Apply a water-based lubricant around the nostrils to
prevent irritation."
• Expert Rationale:-Water-based lubricant is safe to use around the nostrils to
prevent drying and irritation. Petroleum-based products are flammable and
should be avoided.
2025-2026 Form A, B, and C – Questions
and Answers with Rationales | Updated
for 2026 | Graded A+
Q1. A nurse is contributing to the plan of care for a client who has a continent
urinary diversion. Which of the following interventions should the nurse plan to
implement to facilitate urinary elimination?
• ANSWER--- Use intermittent urinary catheterization at regular
intervals
• Expert Rationale:-A continent urinary diversion contains valves that
prevent urine from exiting the pouch; therefore, the nurse should plan to
insert a urinary catheter at regular intervals to drain urine from the client's
pouch.
Q2. A nurse is preparing to perform a bladder scan for a client. Which of the
following actions should the nurse take?
• ANSWER--- Tell the client they should not experience any discomfort
• Expert Rationale:-The nurse applies the handheld scanner over the area of
the bladder when performing a bladder scan. This noninvasive procedure
should not cause the client any discomfort.
Q3. A nurse is caring for a client who is crying and states that their provider
informed them that they have a tumor and will need a biopsy. Which of the
following responses should the nurse make?
• ANSWER--- "What have you done to help yourself get through stressful
situations before?"
• Expert Rationale:-This is a therapeutic response. The nurse is aware that
the client is under stress and encourages comparison to investigate whether
they have experience dealing with a stressful situation.
,Q4. A nurse is caring for a newborn who is 12 hr old. The nurse should expect the
newborn's stool to have which of the following characteristics within the first 24
hours following birth?
• ANSWER--- Dark greenish-black and viscous
• Expert Rationale:-The first stool passed by a newborn is the meconium that
develops in utero. It is dark greenish-black and viscous, containing amniotic
fluid, cells, intestinal secretions, and blood.
Q5. A licensed practical nurse is assisting with the preparation of a client for
insertion of a peripherally inserted central venous catheter (PICC). Which of the
following actions should the nurse take?
• ANSWER--- Witness the client's signature on the informed consent form
• Expert Rationale:-The insertion of a PICC is an invasive procedure with
risks and benefits. The nurse should witness the client's signature on the
consent form after ensuring the client has an understanding of the procedure,
including its risks and benefits.
Q6. A nurse is caring for a client who adheres to a kosher diet. Which of the
following food selections should the nurse expect to see on the client's meal tray?
• ANSWER--- Spaghetti noodles with red sauce
• Expert Rationale:-The nurse should identify that spaghetti noodles with red
sauce is appropriate for a client who adheres to a kosher diet because it
contains no meat and dairy together and no prohibited animals.
Q7. A nurse is contributing to the plan of care for a client who is receiving
continuous bladder irrigation following a transurethral resection of the prostate
(TURP). Which of the following interventions should the nurse include?
• ANSWER--- Maintain a drainage flow rate to keep the urine diluted to a
reddish-pink color
• Expert Rationale:-The nurse should maintain the flow rate of the bladder
irrigation to keep the urine diluted to a reddish-pink color and the tubing free
of clots and bleeding.
,Q8. A nurse is assisting with the care of a client who is postpartum and has a deep-
vein thrombosis. The client has been receiving heparin IV infusion. Which of the
following medications should the nurse ensure is readily available?
• ANSWER--- Protamine sulfate
• Expert Rationale:-The nurse should ensure that protamine sulfate is readily
available. Protamine sulfate is the antidote used to reverse the anticoagulant
effects of heparin.
Q9. A nurse is reinforcing teaching with a client about how to replace their two-
piece ostomy pouching system. The client tells the nurse that removing the skin
barrier is painful. Which of the following strategies should the nurse suggest?
• ANSWER--- Hold the skin taut while removing the barrier
• Expert Rationale:-Gently and gradually peeling the skin barrier away while
holding the skin taut minimizes discomfort and trauma to the peristomal
skin.
Q10. A nurse in an inpatient mental health facility is caring for a newly admitted
client who has alcohol use disorder. During a therapy session, the client asks about
Alcoholics Anonymous (AA). Which of the following responses should the nurse
make?
• ANSWER--- "What is your current understanding about the purpose of
AA?"
• Expert Rationale:-The nurse should identify the client's understanding
about the purpose of AA to provide further information about the program
and meetings and to facilitate a referral if needed. For treatment to be
successful, the nurse should involve the client in the care decision-making
process.
Q11. A nurse is performing a dressing change for a client who is 3 days
postoperative. Which of the following findings should the nurse report to the
provider?
• ANSWER--- Yellow-green drainage at the incision line
• Expert Rationale:-Yellow-green, purulent, or odorous drainage indicates
the wound is infected. The nurse should report this finding to the provider.
, Q12. A nurse is providing comfort to the partner of a client who has died. Which
of the following statements should the nurse make?
• ANSWER--- "Journaling about your relationship might help with the
grieving process."
• Expert Rationale:-Journaling provides a means for the client to identify
thoughts and feelings and to recognize and come to terms with the positive
and negative aspects of the client's relationship with their partner.
Q13. A nurse is assisting with an educational session for newly licensed nurses
about partner violence. Which of the following characteristics should the nurse
include as placing a vulnerable person at risk for partner violence?
• ANSWER--- Recent confirmation of pregnancy
• Expert Rationale:-The nurse should include pregnancy as a characteristic
placing a vulnerable person at risk for partner violence. The perpetrator
might view the pregnancy as a threat to the relationship due to the attention
the child receives.
Q14. A nurse is reinforcing teaching for a client who is preparing to return to work
after a back injury. Which of the following instructions for safe lifting technique
should the nurse include?
• ANSWER--- "You should hold a box close to your body when lifting it
up."
• Expert Rationale:-The client should hold the box as close to their body as
possible to maintain balance and prevent injury.
Q15. A nurse is reinforcing discharge teaching with a client who has a prescription
for home oxygen therapy via nasal cannula. Which of the following instructions
should the nurse include?
• ANSWER--- "Apply a water-based lubricant around the nostrils to
prevent irritation."
• Expert Rationale:-Water-based lubricant is safe to use around the nostrils to
prevent drying and irritation. Petroleum-based products are flammable and
should be avoided.
