ATI PN COMPREHENSIVE
PREDICTOR EXIT EXAM-FULL
PRACTICE TEST 2026||questions
and answers with rationales/graded
A+/2026 update/100% correct /instant
download
content distribution of the actual ATI PN Comprehensive Predictor. It
covers Management of Care, Safety, Pharmacology, Physiological Adaptation,
and Psychosocial Integrity. Select the best answer for each question. Rationales
are provided to reinforce clinical judgment.
SECTION I: PRIORITY & EMERGENCY NURSING (Management of Care)
1. A charge nurse is assigning staff for the shift. Which client should be
assigned to an RN rather than a PN (LPN)?
A. A client with stable CHF receiving daily Lasix.
B. A client requiring a blood transfusion for symptomatic anemia.
C. A client with a new diagnosis of diabetes needing insulin instruction.
D. A client with a PEG tube requiring intermittent feedings.
Answer: C
Rationale: Client education (specifically initial instruction) falls under the scope
of the RN, as it requires complex assessment and evaluation of learning. PNs can
reinforce teaching but cannot perform initial patient teaching. Task (B) involves
hanging blood, which requires RN monitoring. Task (A) and (D) are stable and
within PN scope.
2. A PN is caring for four clients. Which client should the PN assess FIRST?
A. Post-op day 2 client requesting pain medication for a 4/10 pain.
B. Client with COPD with a new onset of confusion and BP 88/50.
, C. Client with diabetes requesting a PRN snack due to hunger.
D. Client with a fractured tibia asking for help to the bathroom.
Answer: B
Rationale: New onset confusion combined with hypotension is a classic sign of
shock (sepsis, hemorrhage, or dehydration). This represents a change in
neurological status and hemodynamic instability, which is the priority.
3. A nurse is caring for a client with chronic heart failure who reports
increased shortness of breath and swelling in the ankles. Which intervention
should the nurse prioritize?
A. Encourage increased fluid intake.
B. Administer prescribed diuretic.
C. Provide a high-sodium snack.
D. Increase the room temperature.
Answer: B
Rationale: The symptoms indicate fluid overload. Administering a diuretic (e.g.,
furosemide) directly addresses the cause by reducing preload and pulmonary
congestion.
4. A client is admitted with suspected stroke. Which action should the nurse
perform first?
A. Obtain a detailed neurological history.
B. Check blood glucose level.
C. Prepare for CT scan.
D. Administer aspirin.
Answer: B
Rationale: Hypoglycemia can mimic stroke symptoms (slurred speech, weakness,
confusion). The nurse must quickly rule out low blood sugar before proceeding
with a stroke workup.
5. A client with a new tracheostomy has thick, dry secretions and difficulty
breathing. What is the priority action?
A. Call respiratory therapy.
B. Change the inner cannula.
C. Instill normal saline and suction.
D. Increase oxygen flow rate.
PREDICTOR EXIT EXAM-FULL
PRACTICE TEST 2026||questions
and answers with rationales/graded
A+/2026 update/100% correct /instant
download
content distribution of the actual ATI PN Comprehensive Predictor. It
covers Management of Care, Safety, Pharmacology, Physiological Adaptation,
and Psychosocial Integrity. Select the best answer for each question. Rationales
are provided to reinforce clinical judgment.
SECTION I: PRIORITY & EMERGENCY NURSING (Management of Care)
1. A charge nurse is assigning staff for the shift. Which client should be
assigned to an RN rather than a PN (LPN)?
A. A client with stable CHF receiving daily Lasix.
B. A client requiring a blood transfusion for symptomatic anemia.
C. A client with a new diagnosis of diabetes needing insulin instruction.
D. A client with a PEG tube requiring intermittent feedings.
Answer: C
Rationale: Client education (specifically initial instruction) falls under the scope
of the RN, as it requires complex assessment and evaluation of learning. PNs can
reinforce teaching but cannot perform initial patient teaching. Task (B) involves
hanging blood, which requires RN monitoring. Task (A) and (D) are stable and
within PN scope.
2. A PN is caring for four clients. Which client should the PN assess FIRST?
A. Post-op day 2 client requesting pain medication for a 4/10 pain.
B. Client with COPD with a new onset of confusion and BP 88/50.
, C. Client with diabetes requesting a PRN snack due to hunger.
D. Client with a fractured tibia asking for help to the bathroom.
Answer: B
Rationale: New onset confusion combined with hypotension is a classic sign of
shock (sepsis, hemorrhage, or dehydration). This represents a change in
neurological status and hemodynamic instability, which is the priority.
3. A nurse is caring for a client with chronic heart failure who reports
increased shortness of breath and swelling in the ankles. Which intervention
should the nurse prioritize?
A. Encourage increased fluid intake.
B. Administer prescribed diuretic.
C. Provide a high-sodium snack.
D. Increase the room temperature.
Answer: B
Rationale: The symptoms indicate fluid overload. Administering a diuretic (e.g.,
furosemide) directly addresses the cause by reducing preload and pulmonary
congestion.
4. A client is admitted with suspected stroke. Which action should the nurse
perform first?
A. Obtain a detailed neurological history.
B. Check blood glucose level.
C. Prepare for CT scan.
D. Administer aspirin.
Answer: B
Rationale: Hypoglycemia can mimic stroke symptoms (slurred speech, weakness,
confusion). The nurse must quickly rule out low blood sugar before proceeding
with a stroke workup.
5. A client with a new tracheostomy has thick, dry secretions and difficulty
breathing. What is the priority action?
A. Call respiratory therapy.
B. Change the inner cannula.
C. Instill normal saline and suction.
D. Increase oxygen flow rate.
