ATI PN COMPREHENSIVE
PREDICTOR 2026: MEGA
PRACTICE EXAM|||questions and
answers with rationales/graded
A+/2026 update/100% correct
/instant download
Total Questions: 280
Content Areas: Management of Care, Safety & Infection Control, Health
Promotion, Psychosocial Integrity, Physiological Integrity (Pharmacology,
Medical-Surgical, Fundamentals)
Special Features: NGN Case Studies, Bow-Tie, & Matrix Items
SECTION I: MANAGEMENT OF CARE & PRIORITY SETTING
(Questions 1-40)
Focus: Delegation, Assignment, Triage, Case Management, Legal/Ethical Issues.
1. A charge nurse is assigning clients on a medical-surgical unit. Which client
should be assigned to a PN (LPN/LVN)?
A. A client newly diagnosed with unstable angina on a titratable heparin drip.
B. A client with stable congestive heart failure (CHF) receiving daily furosemide
(Lasix).
C. A client requiring a blood transfusion for symptomatic anemia.
D. A client with a chest tube and continuous bubbling in the water seal chamber.
Correct Answer: B
Rationale: PNs/LPNs can care for stable clients with predictable outcomes and
administer routine medications like oral or IV diuretics. Titratable drips (A),
initiating blood transfusions (C), and troubleshooting chest tubes (D) require the
advanced assessment and evaluation skills of an RN.
, 2. A PN is caring for four clients at the start of the shift. Which client should
be assessed FIRST?
A. A client with diabetes requesting pain medication for neuropathy.
B. A client with COPD who has a new cough producing green sputum.
C. A client post-op day 1 with new-onset confusion and BP 88/50.
D. A client with a fractured tibia requesting help to the bathroom.
Correct Answer: C
Rationale: New confusion combined with hypotension (88/50) is a RED FLAG
indicating potential sepsis, hemorrhage, or shock. This is an unstable client
requiring immediate intervention. ABCs (Airway, Breathing, Circulation) and
acute mental status changes take priority.
3. A client refuses to sign the surgical consent form. What is the PN’s priority
action?
A. Explain the risks of the surgery again to the client.
B. Have the family member sign the consent form.
C. Document the refusal and notify the provider.
D. Proceed with the surgery prep as scheduled.
Correct Answer: C
Rationale: Clients have the right to refuse treatment. The nurse must document the
refusal and notify the provider immediately. The provider must discuss alternatives
with the client; the nurse should not pressure the client or coerce a signature.
4. A PN observes an assistive personnel (AP) measure a client’s blood pressure
using a cuff that is too small. What should the PN do?
A. Ignore it because the AP is certified.
B. Report the AP to the police for assault.
C. Tell the AP to use a different cuff immediately and report the behavior to the
supervisor.
D. Take over the task and complete it silently.
Correct Answer: C
Rationale: Using an incorrect cuff size leads to inaccurate readings (falsely high).
The PN has a duty to intervene immediately to ensure client safety and correct the
AP. This should also be reported to the charge nurse to prevent recurrence.
5. A client with advanced directives (living will) is admitted. The family insists
on “doing everything.” What is the PN’s best action?
PREDICTOR 2026: MEGA
PRACTICE EXAM|||questions and
answers with rationales/graded
A+/2026 update/100% correct
/instant download
Total Questions: 280
Content Areas: Management of Care, Safety & Infection Control, Health
Promotion, Psychosocial Integrity, Physiological Integrity (Pharmacology,
Medical-Surgical, Fundamentals)
Special Features: NGN Case Studies, Bow-Tie, & Matrix Items
SECTION I: MANAGEMENT OF CARE & PRIORITY SETTING
(Questions 1-40)
Focus: Delegation, Assignment, Triage, Case Management, Legal/Ethical Issues.
1. A charge nurse is assigning clients on a medical-surgical unit. Which client
should be assigned to a PN (LPN/LVN)?
A. A client newly diagnosed with unstable angina on a titratable heparin drip.
B. A client with stable congestive heart failure (CHF) receiving daily furosemide
(Lasix).
C. A client requiring a blood transfusion for symptomatic anemia.
D. A client with a chest tube and continuous bubbling in the water seal chamber.
Correct Answer: B
Rationale: PNs/LPNs can care for stable clients with predictable outcomes and
administer routine medications like oral or IV diuretics. Titratable drips (A),
initiating blood transfusions (C), and troubleshooting chest tubes (D) require the
advanced assessment and evaluation skills of an RN.
, 2. A PN is caring for four clients at the start of the shift. Which client should
be assessed FIRST?
A. A client with diabetes requesting pain medication for neuropathy.
B. A client with COPD who has a new cough producing green sputum.
C. A client post-op day 1 with new-onset confusion and BP 88/50.
D. A client with a fractured tibia requesting help to the bathroom.
Correct Answer: C
Rationale: New confusion combined with hypotension (88/50) is a RED FLAG
indicating potential sepsis, hemorrhage, or shock. This is an unstable client
requiring immediate intervention. ABCs (Airway, Breathing, Circulation) and
acute mental status changes take priority.
3. A client refuses to sign the surgical consent form. What is the PN’s priority
action?
A. Explain the risks of the surgery again to the client.
B. Have the family member sign the consent form.
C. Document the refusal and notify the provider.
D. Proceed with the surgery prep as scheduled.
Correct Answer: C
Rationale: Clients have the right to refuse treatment. The nurse must document the
refusal and notify the provider immediately. The provider must discuss alternatives
with the client; the nurse should not pressure the client or coerce a signature.
4. A PN observes an assistive personnel (AP) measure a client’s blood pressure
using a cuff that is too small. What should the PN do?
A. Ignore it because the AP is certified.
B. Report the AP to the police for assault.
C. Tell the AP to use a different cuff immediately and report the behavior to the
supervisor.
D. Take over the task and complete it silently.
Correct Answer: C
Rationale: Using an incorrect cuff size leads to inaccurate readings (falsely high).
The PN has a duty to intervene immediately to ensure client safety and correct the
AP. This should also be reported to the charge nurse to prevent recurrence.
5. A client with advanced directives (living will) is admitted. The family insists
on “doing everything.” What is the PN’s best action?
