ATI PN Comprehensive Predictor:
Final Topic Test (2026 Edition)||
questions and answers with
rationales/graded A+/2026
update/100% correct /instant
download
Total Questions: 85
Time Allowed: 2 hours
Instructions: Choose the best answer. Correct answers are highlighted in bold.
Rationales follow each question.
Section 1: Fundamentals of Nursing (15 Questions)
1. A nurse is preparing to insert an indwelling urinary catheter for a female
patient. Which technique maintains sterile aseptic field?
• A) Open the outer packaging and place on the overbed table
• B) Use non-sterile gloves to open the inner sterile package
• C) Place sterile drape between patient’s legs, touching only 1 inch
border
• D) Pour sterile solution with bottle cap facing down
Rationale: The 1-inch border of a sterile drape is considered non-sterile; the inner
area is sterile. Option A contaminates the field; B requires sterile gloves; D should
have cap facing up to prevent contamination.
,2. A patient with a nasogastric (NG) tube attached to low intermittent suction
complains of nausea. What is the priority action?
• A) Check tube placement and suction settings
• B) Irrigate tube with 30 mL normal saline
• C) Increase suction to continuous
• D) Remove the NG tube immediately
Rationale: Nausea may indicate tube displacement or blockage. Checking
placement and suction is priority before irrigation or adjusting settings.
3. Which finding in a postoperative patient requires immediate intervention?
• A) Pain score 4/10
• B) Temperature 99.2°F (37.3°C)
• C) Oxygen saturation 88% on room air
• D) Urine output 40 mL/hr
Rationale: SpO2 <90% indicates hypoxemia, requiring oxygen and further
assessment. Other options are within normal or expected ranges.
4. A nurse is teaching about fall prevention. Which statement by an older
adult indicates understanding?
• A) “I’ll wear socks instead of shoes at night”
• B) “I’ll turn off all lights to save energy”
• C) “I’ll install grab bars near the toilet”
• D) “I’ll use a scatter rug in the hallway”
Rationale: Grab bars reduce fall risk. Socks are slippery; darkness and scatter rugs
increase fall risk.
5. A patient refuses a prescribed enema. What action by the nurse is
appropriate?
• A) Explain risks of constipation
• B) Ask family member to persuade patient
, • C) Document refusal and notify provider
• D) Administer enema while sleeping
Rationale: Competent patients have the right to refuse treatment. Document
refusal, no coercion.
6. Which patient requires airborne precautions?
• A) Clostridioides difficile diarrhea
• B) Methicillin-resistant Staphylococcus aureus (MRSA) wound
• C) Pulmonary tuberculosis (TB)
• D) Respiratory syncytial virus (RSV)
Rationale: TB requires N95 mask and negative pressure room (airborne). C. diff =
contact; MRSA = contact; RSV = droplet.
7. A nurse observes an insulin needle stick injury. What is the first action?
• A) Wash site with soap and water
• B) Report to employee health
• C) Start post-exposure prophylaxis
• D) Squeeze blood from the wound
Rationale: Immediate washing with soap and water is first. Reporting and PEP
follow.
8. Which finding indicates proper NG tube placement before feeding?
• A) Patient coughs during insertion
• B) Aspirate has pH of 8.0
• C) Aspirate has pH of 4.0
• D) Tube length 30 cm at nares
Rationale: Gastric aspirate pH ≤5 confirms placement. pH >6 suggests intestinal
or respiratory placement.
9. A patient on contact precautions needs a blood draw. What is correct?
• A) Wear gown and mask for procedure
Final Topic Test (2026 Edition)||
questions and answers with
rationales/graded A+/2026
update/100% correct /instant
download
Total Questions: 85
Time Allowed: 2 hours
Instructions: Choose the best answer. Correct answers are highlighted in bold.
Rationales follow each question.
Section 1: Fundamentals of Nursing (15 Questions)
1. A nurse is preparing to insert an indwelling urinary catheter for a female
patient. Which technique maintains sterile aseptic field?
• A) Open the outer packaging and place on the overbed table
• B) Use non-sterile gloves to open the inner sterile package
• C) Place sterile drape between patient’s legs, touching only 1 inch
border
• D) Pour sterile solution with bottle cap facing down
Rationale: The 1-inch border of a sterile drape is considered non-sterile; the inner
area is sterile. Option A contaminates the field; B requires sterile gloves; D should
have cap facing up to prevent contamination.
,2. A patient with a nasogastric (NG) tube attached to low intermittent suction
complains of nausea. What is the priority action?
• A) Check tube placement and suction settings
• B) Irrigate tube with 30 mL normal saline
• C) Increase suction to continuous
• D) Remove the NG tube immediately
Rationale: Nausea may indicate tube displacement or blockage. Checking
placement and suction is priority before irrigation or adjusting settings.
3. Which finding in a postoperative patient requires immediate intervention?
• A) Pain score 4/10
• B) Temperature 99.2°F (37.3°C)
• C) Oxygen saturation 88% on room air
• D) Urine output 40 mL/hr
Rationale: SpO2 <90% indicates hypoxemia, requiring oxygen and further
assessment. Other options are within normal or expected ranges.
4. A nurse is teaching about fall prevention. Which statement by an older
adult indicates understanding?
• A) “I’ll wear socks instead of shoes at night”
• B) “I’ll turn off all lights to save energy”
• C) “I’ll install grab bars near the toilet”
• D) “I’ll use a scatter rug in the hallway”
Rationale: Grab bars reduce fall risk. Socks are slippery; darkness and scatter rugs
increase fall risk.
5. A patient refuses a prescribed enema. What action by the nurse is
appropriate?
• A) Explain risks of constipation
• B) Ask family member to persuade patient
, • C) Document refusal and notify provider
• D) Administer enema while sleeping
Rationale: Competent patients have the right to refuse treatment. Document
refusal, no coercion.
6. Which patient requires airborne precautions?
• A) Clostridioides difficile diarrhea
• B) Methicillin-resistant Staphylococcus aureus (MRSA) wound
• C) Pulmonary tuberculosis (TB)
• D) Respiratory syncytial virus (RSV)
Rationale: TB requires N95 mask and negative pressure room (airborne). C. diff =
contact; MRSA = contact; RSV = droplet.
7. A nurse observes an insulin needle stick injury. What is the first action?
• A) Wash site with soap and water
• B) Report to employee health
• C) Start post-exposure prophylaxis
• D) Squeeze blood from the wound
Rationale: Immediate washing with soap and water is first. Reporting and PEP
follow.
8. Which finding indicates proper NG tube placement before feeding?
• A) Patient coughs during insertion
• B) Aspirate has pH of 8.0
• C) Aspirate has pH of 4.0
• D) Tube length 30 cm at nares
Rationale: Gastric aspirate pH ≤5 confirms placement. pH >6 suggests intestinal
or respiratory placement.
9. A patient on contact precautions needs a blood draw. What is correct?
• A) Wear gown and mask for procedure
