ATI PN Comprehensive Predictor
2025–2026
Three Complete Exam Sets (A, B, C)
Evidence-Based Questions with Correct Answers and Clinical Rationales
Prepared: May 2026
Already Graded A+ | 100% Verified
Correct answers highlighted in bold cyan
,Abstract
This document presents three comprehensive examination sets (Set A, Set B, Set C) designed to
evaluate practical nursing student readiness for the NCLEX-PN licensure examination. Each set
contains questions distributed across the four major NCLEX-PN Client Needs categories: Safe
and Effective Care Environment (Coordinated Care and Safety & Infection Control), Health
Promotion and Maintenance, Psychosocial Integrity, and Physiological Integrity (Basic Care &
Comfort, Pharmacological & Parenteral Therapies, Reduction of Risk Potential, and
Physiological Adaptation). Questions are aligned with the 2026 NCLEX-PN test plan and
emphasize clinical judgment, patient safety, evidence-based nursing interventions, and
prioritization skills essential for entry-level practical nursing practice. All items include the
correct answer highlighted in bold cyan accompanied by evidence-based rationales that explain
the clinical reasoning underlying each selection.
Keywords: ATI PN Comprehensive Predictor, NCLEX-PN, practical nursing exam, clinical
judgment, patient safety, evidence-based practice, 2026
,Table of Contents
Exam Set A (Questions 1–35)
Safe & Effective Care, Health Promotion, Psychosocial, Physiological Integrity
Exam Set B (Questions 1–35)
Coordinated Care, Infection Control, Pharmacology, Risk Reduction
Exam Set C (Questions 1–35)
Comprehensive NCLEX-PN Readiness Assessment
Answer Keys (All Sets)
Correct answers and domain mapping
, EXAM SET A
35 Questions | Comprehensive NCLEX-PN Predictor Examination
Coordinated Care & Safety
Question 1
A practical nurse is caring for four clients on a medical-surgical unit. Which client should the
nurse assess first?
[Management of Care: Prioritization | Moderate]
A. A client who is 2 days postoperative following an appendectomy and has a
temperature of 37.2°C (99°F)
B. A client who has heart failure and reports increasing shortness of breath and
needs two pillows to breathe comfortably
C. A client who has a new cast on the left forearm and reports mild itching under the cast
D. A client who has type 2 diabetes and a blood glucose of 168 mg/dL
Rationale: The client with heart failure reporting increasing shortness of breath (dyspnea)
requiring two pillows (orthopnea) should be assessed first because this may indicate worsening
fluid overload, pulmonary edema, or cardiac decompensation. According to the ABC (Airway,
Breathing, Circulation) prioritization framework, breathing difficulties take precedence over
other concerns. The postoperative client has a normal temperature. Mild itching under a cast is
expected and manageable. A glucose of 168 mg/dL, while slightly elevated, is not an immediate
crisis compared to respiratory distress.
Question 2
A practical nurse is assigned to care for a client with a new colostomy. Which action should the
nurse delegate to a UAP?
[Management of Care: Delegation | Easy]
2025–2026
Three Complete Exam Sets (A, B, C)
Evidence-Based Questions with Correct Answers and Clinical Rationales
Prepared: May 2026
Already Graded A+ | 100% Verified
Correct answers highlighted in bold cyan
,Abstract
This document presents three comprehensive examination sets (Set A, Set B, Set C) designed to
evaluate practical nursing student readiness for the NCLEX-PN licensure examination. Each set
contains questions distributed across the four major NCLEX-PN Client Needs categories: Safe
and Effective Care Environment (Coordinated Care and Safety & Infection Control), Health
Promotion and Maintenance, Psychosocial Integrity, and Physiological Integrity (Basic Care &
Comfort, Pharmacological & Parenteral Therapies, Reduction of Risk Potential, and
Physiological Adaptation). Questions are aligned with the 2026 NCLEX-PN test plan and
emphasize clinical judgment, patient safety, evidence-based nursing interventions, and
prioritization skills essential for entry-level practical nursing practice. All items include the
correct answer highlighted in bold cyan accompanied by evidence-based rationales that explain
the clinical reasoning underlying each selection.
Keywords: ATI PN Comprehensive Predictor, NCLEX-PN, practical nursing exam, clinical
judgment, patient safety, evidence-based practice, 2026
,Table of Contents
Exam Set A (Questions 1–35)
Safe & Effective Care, Health Promotion, Psychosocial, Physiological Integrity
Exam Set B (Questions 1–35)
Coordinated Care, Infection Control, Pharmacology, Risk Reduction
Exam Set C (Questions 1–35)
Comprehensive NCLEX-PN Readiness Assessment
Answer Keys (All Sets)
Correct answers and domain mapping
, EXAM SET A
35 Questions | Comprehensive NCLEX-PN Predictor Examination
Coordinated Care & Safety
Question 1
A practical nurse is caring for four clients on a medical-surgical unit. Which client should the
nurse assess first?
[Management of Care: Prioritization | Moderate]
A. A client who is 2 days postoperative following an appendectomy and has a
temperature of 37.2°C (99°F)
B. A client who has heart failure and reports increasing shortness of breath and
needs two pillows to breathe comfortably
C. A client who has a new cast on the left forearm and reports mild itching under the cast
D. A client who has type 2 diabetes and a blood glucose of 168 mg/dL
Rationale: The client with heart failure reporting increasing shortness of breath (dyspnea)
requiring two pillows (orthopnea) should be assessed first because this may indicate worsening
fluid overload, pulmonary edema, or cardiac decompensation. According to the ABC (Airway,
Breathing, Circulation) prioritization framework, breathing difficulties take precedence over
other concerns. The postoperative client has a normal temperature. Mild itching under a cast is
expected and manageable. A glucose of 168 mg/dL, while slightly elevated, is not an immediate
crisis compared to respiratory distress.
Question 2
A practical nurse is assigned to care for a client with a new colostomy. Which action should the
nurse delegate to a UAP?
[Management of Care: Delegation | Easy]
