ATI PN COMPREHENSIVE
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SECTION 1: SAFE & EFFECTIVE CARE ENVIRONMENT (15 Questions)
1. A practical nurse is reinforcing teaching about advance directives. Which
statement by a client indicates understanding?
• A) "Advance directives are only for older adults."
• B) "I can change my advance directives at any time."
• C) "Once signed, advance directives cannot be changed."
• D) "A lawyer must create my advance directives."
Correct Answer: B
Rationale: Clients can modify or revoke advance directives at any time as long as
they are competent. They are for any adult, not just older adults, and do not require
a lawyer.
2. A PN is caring for a client who is agitated and attempting to remove IV
lines. What is the priority action?
• A) Apply wrist restraints.
, • B) Call the provider for a sedative order.
• C) Assign a staff member to stay with the client.
• D) Dim the lights to calm the client.
Correct Answer: C
Rationale: Least restrictive measures first. Assigning a staff member to stay with
the client can provide supervision and de-escalation before considering restraints.
3. A nurse discovers a small fire in a patient’s trash can. Using RACE, what
should the nurse do FIRST?
• A) Extinguish the fire.
• B) Remove the patient from the room.
• C) Activate the fire alarm.
• D) Close the door to contain smoke.
Correct Answer: B
Rationale: RACE = Rescue, Alarm, Confine, Extinguish. Remove the patient from
immediate danger first.
4. A PN is reinforcing discharge teaching about a low-sodium diet. Which food
choice indicates understanding?
• A) Canned tomato soup
• B) Fresh grilled chicken breast
• C) Pickles
• D) Processed cheese slices
Correct Answer: B
Rationale: Fresh chicken is naturally low in sodium. Canned soups, pickles, and
processed cheese are high in sodium due to preservatives and brining.
5. A client is prescribed warfarin. Which lab value requires immediate
notification to the provider?
• A) INR 2.5
• B) INR 4.2
, • C) Platelets 250,000
• D) Hemoglobin 13 g/dL
Correct Answer: B
Rationale: Therapeutic INR for most conditions is 2–3. INR 4.2 increases bleeding
risk significantly.
6. A PN is performing hand hygiene. When is alcohol-based hand rub
appropriate?
• A) Hands are visibly soiled with blood
• B) Before contact with a client on contact precautions for C. diff
• C) After removing gloves
• D) Before touching a client with MRSA in a wound
Correct Answer: C
Rationale: Alcohol-based rub is effective after glove removal unless hands are
visibly soiled. C. diff requires soap and water.
7. A client falls in the bathroom. What is the PN’s priority documentation
action?
• A) Complete an incident report.
• B) Document in the chart that an incident report was filed.
• C) Describe the fall only in the incident report.
• D) Note the incident report number in the medical record.
Correct Answer: A
Rationale: Incident report is a confidential risk management document. Never
mention it in the patient’s chart. Chart objective facts about the fall separately.
8. A PN is reinforcing teaching about HIPAA. Which action violates HIPAA?
• A) Discussing a patient’s case with a clinical instructor during a break in a
private area.
• B) Leaving a patient’s printed lab results on the nurses’ station desk.
• C) Faxing records to another hospital with a signed release.
PREDICTOR Q&A PACK – LATEST
2026||questions and answers with
rationales/graded A+/2026
update/100% correct /instant
download
Verified Answers with Rationales for Student School Testing
SECTION 1: SAFE & EFFECTIVE CARE ENVIRONMENT (15 Questions)
1. A practical nurse is reinforcing teaching about advance directives. Which
statement by a client indicates understanding?
• A) "Advance directives are only for older adults."
• B) "I can change my advance directives at any time."
• C) "Once signed, advance directives cannot be changed."
• D) "A lawyer must create my advance directives."
Correct Answer: B
Rationale: Clients can modify or revoke advance directives at any time as long as
they are competent. They are for any adult, not just older adults, and do not require
a lawyer.
2. A PN is caring for a client who is agitated and attempting to remove IV
lines. What is the priority action?
• A) Apply wrist restraints.
, • B) Call the provider for a sedative order.
• C) Assign a staff member to stay with the client.
• D) Dim the lights to calm the client.
Correct Answer: C
Rationale: Least restrictive measures first. Assigning a staff member to stay with
the client can provide supervision and de-escalation before considering restraints.
3. A nurse discovers a small fire in a patient’s trash can. Using RACE, what
should the nurse do FIRST?
• A) Extinguish the fire.
• B) Remove the patient from the room.
• C) Activate the fire alarm.
• D) Close the door to contain smoke.
Correct Answer: B
Rationale: RACE = Rescue, Alarm, Confine, Extinguish. Remove the patient from
immediate danger first.
4. A PN is reinforcing discharge teaching about a low-sodium diet. Which food
choice indicates understanding?
• A) Canned tomato soup
• B) Fresh grilled chicken breast
• C) Pickles
• D) Processed cheese slices
Correct Answer: B
Rationale: Fresh chicken is naturally low in sodium. Canned soups, pickles, and
processed cheese are high in sodium due to preservatives and brining.
5. A client is prescribed warfarin. Which lab value requires immediate
notification to the provider?
• A) INR 2.5
• B) INR 4.2
, • C) Platelets 250,000
• D) Hemoglobin 13 g/dL
Correct Answer: B
Rationale: Therapeutic INR for most conditions is 2–3. INR 4.2 increases bleeding
risk significantly.
6. A PN is performing hand hygiene. When is alcohol-based hand rub
appropriate?
• A) Hands are visibly soiled with blood
• B) Before contact with a client on contact precautions for C. diff
• C) After removing gloves
• D) Before touching a client with MRSA in a wound
Correct Answer: C
Rationale: Alcohol-based rub is effective after glove removal unless hands are
visibly soiled. C. diff requires soap and water.
7. A client falls in the bathroom. What is the PN’s priority documentation
action?
• A) Complete an incident report.
• B) Document in the chart that an incident report was filed.
• C) Describe the fall only in the incident report.
• D) Note the incident report number in the medical record.
Correct Answer: A
Rationale: Incident report is a confidential risk management document. Never
mention it in the patient’s chart. Chart objective facts about the fall separately.
8. A PN is reinforcing teaching about HIPAA. Which action violates HIPAA?
• A) Discussing a patient’s case with a clinical instructor during a break in a
private area.
• B) Leaving a patient’s printed lab results on the nurses’ station desk.
• C) Faxing records to another hospital with a signed release.
