ATI PN Comprehensive Predictor
Exam Prep||questions and answers
with rationales/graded A+/2026
update/100% correct /instant
download
80+ Verified Questions for 2026
This comprehensive practice test mirrors the latest NCLEX-PN test plan and the
ATI Comprehensive Predictor format . Each question includes a detailed rationale
to reinforce your clinical judgment.
Exam Blueprint & Structure
The ATI PN Comprehensive Predictor Exam typically consists of 180 questions to
be completed in 180 minutes . Content distribution follows the NCLEX-PN
blueprint :
Category Approximate %
Safe and Effective Care Environment (Management of Care & Safety) 25-32%
Health Promotion and Maintenance 7-13%
Psychosocial Integrity 8-15%
Physiological Integrity (Basic Care, Pharm, Reduction of Risk, etc.) 43-60%
, Section 1: Priority & Emergency Nursing (Management of Care)
These questions test your ability to handle urgent situations and determine care
priorities.
1. A nurse is caring for four clients at the start of the shift. Which client should
be assessed first?
A. Client with diabetes requesting pain medication for neuropathy.
B. Client with COPD who has a new cough producing green sputum.
C. Client post-op day 1 with new-onset confusion and BP 88/50.
D. Client with a fractured tibia requesting help to the bathroom.
Correct Answer: C
Rationale: New onset confusion combined with hypotension (low BP) indicates a
potentially life-threatening condition such as shock, sepsis, or internal
hemorrhage. Unstable clients always take priority over those with stable or
expected findings .
2. A client with a tracheostomy tube has thick, dry secretions and difficulty
breathing. What is the nurse's first action?
A. Instill normal saline and suction the airway.
B. Call respiratory therapy for an evaluation.
C. Change the inner cannula of the tracheostomy.
D. Increase the oxygen flow rate to 6 L/min.
Correct Answer: A
Rationale: The priority is always Airway (ABCs). Thick secretions are physically
blocking the airway. Immediate suctioning is required to clear the obstruction.
Instilling saline helps loosen the mucus for removal .
3. A client is admitted with a suspected stroke. Which action should the nurse
perform first?
A. Obtain a detailed neurological history.
B. Check the client's blood glucose level.
C. Prepare the client for a CT scan.
D. Administer aspirin 325 mg PO.
Correct Answer: B
Rationale: Before diagnosing a stroke, the nurse must rule out hypoglycemia, as
Exam Prep||questions and answers
with rationales/graded A+/2026
update/100% correct /instant
download
80+ Verified Questions for 2026
This comprehensive practice test mirrors the latest NCLEX-PN test plan and the
ATI Comprehensive Predictor format . Each question includes a detailed rationale
to reinforce your clinical judgment.
Exam Blueprint & Structure
The ATI PN Comprehensive Predictor Exam typically consists of 180 questions to
be completed in 180 minutes . Content distribution follows the NCLEX-PN
blueprint :
Category Approximate %
Safe and Effective Care Environment (Management of Care & Safety) 25-32%
Health Promotion and Maintenance 7-13%
Psychosocial Integrity 8-15%
Physiological Integrity (Basic Care, Pharm, Reduction of Risk, etc.) 43-60%
, Section 1: Priority & Emergency Nursing (Management of Care)
These questions test your ability to handle urgent situations and determine care
priorities.
1. A nurse is caring for four clients at the start of the shift. Which client should
be assessed first?
A. Client with diabetes requesting pain medication for neuropathy.
B. Client with COPD who has a new cough producing green sputum.
C. Client post-op day 1 with new-onset confusion and BP 88/50.
D. Client with a fractured tibia requesting help to the bathroom.
Correct Answer: C
Rationale: New onset confusion combined with hypotension (low BP) indicates a
potentially life-threatening condition such as shock, sepsis, or internal
hemorrhage. Unstable clients always take priority over those with stable or
expected findings .
2. A client with a tracheostomy tube has thick, dry secretions and difficulty
breathing. What is the nurse's first action?
A. Instill normal saline and suction the airway.
B. Call respiratory therapy for an evaluation.
C. Change the inner cannula of the tracheostomy.
D. Increase the oxygen flow rate to 6 L/min.
Correct Answer: A
Rationale: The priority is always Airway (ABCs). Thick secretions are physically
blocking the airway. Immediate suctioning is required to clear the obstruction.
Instilling saline helps loosen the mucus for removal .
3. A client is admitted with a suspected stroke. Which action should the nurse
perform first?
A. Obtain a detailed neurological history.
B. Check the client's blood glucose level.
C. Prepare the client for a CT scan.
D. Administer aspirin 325 mg PO.
Correct Answer: B
Rationale: Before diagnosing a stroke, the nurse must rule out hypoglycemia, as
