ATI PN COMPREHENSIVE
PREDICTOR PRACTICE EXAM –
REAL EXAM SIMULATION
(LATEST VERSION 2026)|| Questions
And Answers With Rationales/Graded
A+/2026 Update/100% Correct
/Instant Download
Total Questions: 80+
Time Suggested: 2 hours (1.5 min/question)
Instructions: Select the best answer. Correct answers are highlighted in bold with
rationales.
Section 1: Safe & Effective Care Environment (Management of Care)
1. A nurse is caring for a client who has a new diagnosis of terminal cancer.
The client asks, “Am I going to die?” Which of the following responses is
therapeutic?
A. “Everyone dies eventually, but let’s focus on today.”
B. “Why would you think that?”
C. “What have the doctors told you about your illness?”
D. “Don’t worry, you have a lot of time left.”
Rationale: C – This open-ended response assesses the client’s understanding and
allows exploration of fears. A is dismissive, B is confrontational, D gives false
reassurance.
,2. A nurse is preparing to delegate tasks to an assistive personnel (AP). Which
of the following tasks is appropriate for the AP?
A. Suctioning a tracheostomy
B. Assisting a client with ambulation using a gait belt
C. Evaluating a client’s pain level
D. Administering a tube feeding
Rationale: B – Ambulation with a gait belt is within AP scope. Suctioning,
evaluation, and tube feedings require licensed nursing judgment.
3. A charge nurse is making client assignments. Which client should be
assigned to a PN, rather than an AP?
A. A client requiring a bed bath
B. A client needing sterile wound irrigation
C. A client who needs oral feeding assistance
D. A client who requires vital signs every 4 hours
Rationale: B – Sterile wound irrigation requires sterile technique and assessment
skills, which a PN can perform. AP can do bed bath, feeding, stable vitals.
4. A nurse receives a verbal order from a provider for a new medication.
Which of the following actions should the nurse take first?
A. Administer the medication immediately
B. Ask the provider to repeat the order
C. Write down the order and read it back to the provider
D. Tell the provider to come back later
Rationale: C – Read-back is essential for safety. Verbal orders must be repeated
and confirmed.
5. A client refuses a prescribed medication. What is the nurse’s priority
action?
A. Hide the medication in food
B. Document the refusal and notify the provider
C. Ask a family member to convince the client
D. Restrain the client to give the medication
, Rationale: B – Right to refuse must be respected and documented. Coercion or
restraint is unethical.
Section 2: Health Promotion & Maintenance
6. A nurse is teaching a postpartum client about signs of infection. Which of
the following should be reported immediately?
A. Afterpains during breastfeeding
B. Foul-smelling lochia
C. Light pink lochia on day 4
D. Breast engorgement on day 3
Rationale: B – Foul-smelling lochia suggests endometritis. Others are normal.
7. A school nurse is providing education about the HPV vaccine. Which age
group is the primary target for routine vaccination?
A. 2–4 years
B. 5–10 years
C. 11–12 years
D. 18–21 years
Rationale: C – CDC recommends routine HPV vaccination at 11–12 years for
cancer prevention.
8. A nurse is assessing a 9-month-old infant. Which finding requires further
evaluation?
A. Sits without support
B. Does not bear weight on legs
C. Plays peek-a-boo
D. Has a strong palmar grasp
Rationale: B – By 9 months, most infants bear weight on legs with support. Lack
of this may indicate developmental delay.
PREDICTOR PRACTICE EXAM –
REAL EXAM SIMULATION
(LATEST VERSION 2026)|| Questions
And Answers With Rationales/Graded
A+/2026 Update/100% Correct
/Instant Download
Total Questions: 80+
Time Suggested: 2 hours (1.5 min/question)
Instructions: Select the best answer. Correct answers are highlighted in bold with
rationales.
Section 1: Safe & Effective Care Environment (Management of Care)
1. A nurse is caring for a client who has a new diagnosis of terminal cancer.
The client asks, “Am I going to die?” Which of the following responses is
therapeutic?
A. “Everyone dies eventually, but let’s focus on today.”
B. “Why would you think that?”
C. “What have the doctors told you about your illness?”
D. “Don’t worry, you have a lot of time left.”
Rationale: C – This open-ended response assesses the client’s understanding and
allows exploration of fears. A is dismissive, B is confrontational, D gives false
reassurance.
,2. A nurse is preparing to delegate tasks to an assistive personnel (AP). Which
of the following tasks is appropriate for the AP?
A. Suctioning a tracheostomy
B. Assisting a client with ambulation using a gait belt
C. Evaluating a client’s pain level
D. Administering a tube feeding
Rationale: B – Ambulation with a gait belt is within AP scope. Suctioning,
evaluation, and tube feedings require licensed nursing judgment.
3. A charge nurse is making client assignments. Which client should be
assigned to a PN, rather than an AP?
A. A client requiring a bed bath
B. A client needing sterile wound irrigation
C. A client who needs oral feeding assistance
D. A client who requires vital signs every 4 hours
Rationale: B – Sterile wound irrigation requires sterile technique and assessment
skills, which a PN can perform. AP can do bed bath, feeding, stable vitals.
4. A nurse receives a verbal order from a provider for a new medication.
Which of the following actions should the nurse take first?
A. Administer the medication immediately
B. Ask the provider to repeat the order
C. Write down the order and read it back to the provider
D. Tell the provider to come back later
Rationale: C – Read-back is essential for safety. Verbal orders must be repeated
and confirmed.
5. A client refuses a prescribed medication. What is the nurse’s priority
action?
A. Hide the medication in food
B. Document the refusal and notify the provider
C. Ask a family member to convince the client
D. Restrain the client to give the medication
, Rationale: B – Right to refuse must be respected and documented. Coercion or
restraint is unethical.
Section 2: Health Promotion & Maintenance
6. A nurse is teaching a postpartum client about signs of infection. Which of
the following should be reported immediately?
A. Afterpains during breastfeeding
B. Foul-smelling lochia
C. Light pink lochia on day 4
D. Breast engorgement on day 3
Rationale: B – Foul-smelling lochia suggests endometritis. Others are normal.
7. A school nurse is providing education about the HPV vaccine. Which age
group is the primary target for routine vaccination?
A. 2–4 years
B. 5–10 years
C. 11–12 years
D. 18–21 years
Rationale: C – CDC recommends routine HPV vaccination at 11–12 years for
cancer prevention.
8. A nurse is assessing a 9-month-old infant. Which finding requires further
evaluation?
A. Sits without support
B. Does not bear weight on legs
C. Plays peek-a-boo
D. Has a strong palmar grasp
Rationale: B – By 9 months, most infants bear weight on legs with support. Lack
of this may indicate developmental delay.
