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*Core Domains*
*Safe and Effective Care Environment*
*Health Promotion and Maintenance*
*Psychosocial Integrity*
*Physiological Integrity*
*Pharmacological and Parenteral Therapies*
*Reduction of Risk Potential*
*Basic Care and Comfort*
*Management of Integrated Care*
*Introduction*
*The ATI PN Comprehensive Predictor Level 3 Exam is a summative assessment
evaluate a student's readiness for the NCLEX-PN licensure examination. This
measures foundational knowledge, clinical judgment, and the ability to appl
principles across the lifespan. The exam utilizes multiple-choice and scena
questions to challenge the candidate’s critical thinking and decision-makin
diverse clinical settings. By focusing on real-world applications of the nu
process, the assessment ensures that the prospective Licensed Practical Nur
, the necessary competencies to provide safe, ethical, and effective patient
meeting regulatory standards and professional guidelines.*
1. A nurse is caring for a client who is 24 hours postoperative following an
abdominal surgery. Which of the following findings should the nurse prioritize?
A. Report of pain as 5 on a scale of 0 to 10
B. Urinary output of 20 mL/hr over the last 2 hours
C. Serosanguineous drainage on the abdominal dressing
D. Diminished bowel sounds in all four quadrants
🟢 B. Urinary output of 20 mL/hr over the last 2 hours
🔴 Explanation: A urinary output of less than 30 mL/hr can indicate dehydration,
decreased cardiac output, or impending renal failure and requires immediate
intervention.
2. A nurse is reinforcing teaching with a client who has a new prescription for
sublingual nitroglycerin. Which of the following statements by the client indicates
an understanding of the teaching?
,A. I should swallow the tablet with a full glass of water.
B. I will take one tablet every 15 minutes until the pain stops.
C. I should store the tablets in their original dark glass bottle.
D. I will call the doctor if my mouth feels dry after taking it.
🟢 C. I should store the tablets in their original dark glass bottle.
🔴 Explanation: Nitroglycerin is light-sensitive and must be stored in its original dark
glass container to maintain potency.
3. A nurse is reviewing the medical records of four clients. Which of the following
clients is at the highest risk for developing a pressure injury?
A. A client who is ambulatory following a laparoscopic cholecystectomy.
B. A client who has a BMI of 24 and is receiving physical therapy.
C. A client who is older and has chronic obstructive pulmonary disease.
D. A client who is incontinent and has a spinal cord injury.
🟢 D. A client who is incontinent and has a spinal cord injury.
🔴 Explanation: Immobility due to spinal cord injury combined with moisture from
incontinence creates the highest risk for skin breakdown and pressure injuries.
, 4. A nurse is caring for a client who is in the active stage of labor. The nurse notes
the fetal heart rate (FHR) shows late decelerations. Which of the following
actions should the nurse take first?
A. Increase the rate of the maintenance IV fluids.
B. Administer oxygen at 8 to 10 L/min via nonrebreather mask.
C. Turn the client onto her left side.
D. Notify the provider of the FHR pattern.
🟢 C. Turn the client onto her left side.
🔴 Explanation: The first action the nurse should take is to improve placental
perfusion by repositioning the client to the lateral position.
5. A nurse is preparing to administer an intramuscular injection to an infant. Which
of the following muscles should the nurse select as the preferred site?
A. Dorsogluteal
B. Deltoid
C. Vastus lateralis
D. Ventrogluteal
🟢 C. Vastus lateralis