ATI PN COMPREHENSIVE PREDICTOR RETAKE GUIDE
2026/2027 | 150 Questions & Answers | Latest Update |
Pass Guaranteed - A+ Graded
SECTION 1: SAFE & EFFECTIVE CARE ENVIRONMENT -
COORDINATED CARE & SAFETY/INFECTION CONTROL
(Questions 1-35)
Q1. A practical nurse (PN) is working under the supervision of a registered nurse
(RN). Which task is within the PN's scope of practice to perform independently?
A. Developing a plan of care for a newly admitted client
B. Administering oral medications to a stable client with a well-established care plan
[CORRECT]
C. Assessing a client with new-onset chest pain and interpreting ECG changes
D. Delegating client assessments to unlicensed assistive personnel (UAP)
Rationale: PNs may administer oral medications to stable clients with established
plans; care plan development, complex assessment/ECG interpretation, and
delegating assessments are RN responsibilities. Option A requires RN judgment.
Option C exceeds PN scope. Option D is an RN function.
Correct Answer: B
Q2. A PN is assigned to care for four clients. Which client should the PN assess first?
A. A client scheduled for discharge in 2 hours who needs teaching about wound care
B. A client with a blood pressure of 88/50 mmHg, heart rate 118 bpm, and cool,
clammy skin [CORRECT]
,C. A client requesting a PRN pain medication for a headache rated 4/10
D. A client who needs assistance with ambulation to the bathroom
Rationale: The client with hypotension, tachycardia, and signs of poor perfusion is
unstable and requires immediate assessment; this follows the urgent vs. non-urgent
priority framework. Options A, C, and D are stable or non-urgent.
Correct Answer: B
Q3. A PN is delegating tasks to a UAP. Which task is appropriate to delegate?
A. Measuring and recording vital signs for a stable client [CORRECT]
B. Inserting a nasogastric tube
C. Teaching a client about diabetic foot care
D. Assessing a postoperative client's incision
Rationale: Measuring vital signs for stable clients is within UAP scope. Options B, C,
and D require licensed nursing judgment and are outside UAP scope.
Correct Answer: A
Q4. A PN notes that a client's indwelling urinary catheter drainage bag has been
placed on the bed above the level of the bladder. Which action should the PN take?
A. Leave it in place as the client is comfortable
B. Lower the drainage bag below the level of the bladder to prevent reflux and
infection [CORRECT]
C. Disconnect the tubing to reposition the bag
D. Clamp the tubing until the bag can be repositioned
,Rationale: The drainage bag must remain below bladder level to prevent urinary
reflux and CAUTI. Option A risks infection. Option C breaks the closed system. Option
D is unnecessary.
Correct Answer: B
Q5. A PN is caring for a client on contact precautions for methicillin-resistant
Staphylococcus aureus (MRSA). Which personal protective equipment (PPE) is
required?
A. Gown and gloves [CORRECT]
B. N95 respirator only
C. Gown, gloves, N95 respirator, and face shield
D. Standard precautions only
Rationale: Contact precautions for MRSA require gown and gloves. Option B is for
airborne precautions. Option C is for droplet precautions with splash risk. Option D is
insufficient.
Correct Answer: A
Q6. A PN is supervising a UAP who is providing hygiene to a client. The UAP removes
gloves and immediately touches the client's food tray. Which action should the PN
take?
A. Allow the UAP to continue and discuss hand hygiene later
B. Instruct the UAP to perform hand hygiene immediately and review proper glove
removal technique [CORRECT]
C. Complete the hygiene care and report the UAP to the nurse manager
D. Ignore the incident as the client is not on isolation precautions
, Rationale: Immediate correction of infection control breaches prevents cross-
contamination and provides teaching. Option A delays correction. Option C is
punitive. Option D is negligent.
Correct Answer: B
Q7. A PN is assigned to a client with a new tracheostomy. The PN should:
A. Perform tracheostomy suctioning independently without supervision
B. Request RN supervision for the first tracheostomy suctioning and care [CORRECT]
C. Delegate tracheostomy care to a UAP
D. Avoid suctioning and only provide stoma cleaning
Rationale: New tracheostomies require RN supervision for PN care until competency
is established. Option A may exceed initial competency. Option C is outside UAP
scope. Option D is insufficient care.
Correct Answer: B
Q8. A client is on fall precautions. The PN finds the client on the floor beside the bed.
Which action is the priority?
A. Immediately lift the client back into bed
B. Assess the client for injuries, check vital signs, and notify the RN [CORRECT]
C. Document the incident before assessing the client
D. Ask the client why they got out of bed without assistance
Rationale: Assessment for injuries and vital signs are priorities after a fall; RN
notification is required. Option A may worsen injuries. Option C delays care. Option D
is not the priority.
Correct Answer: B
2026/2027 | 150 Questions & Answers | Latest Update |
Pass Guaranteed - A+ Graded
SECTION 1: SAFE & EFFECTIVE CARE ENVIRONMENT -
COORDINATED CARE & SAFETY/INFECTION CONTROL
(Questions 1-35)
Q1. A practical nurse (PN) is working under the supervision of a registered nurse
(RN). Which task is within the PN's scope of practice to perform independently?
A. Developing a plan of care for a newly admitted client
B. Administering oral medications to a stable client with a well-established care plan
[CORRECT]
C. Assessing a client with new-onset chest pain and interpreting ECG changes
D. Delegating client assessments to unlicensed assistive personnel (UAP)
Rationale: PNs may administer oral medications to stable clients with established
plans; care plan development, complex assessment/ECG interpretation, and
delegating assessments are RN responsibilities. Option A requires RN judgment.
Option C exceeds PN scope. Option D is an RN function.
Correct Answer: B
Q2. A PN is assigned to care for four clients. Which client should the PN assess first?
A. A client scheduled for discharge in 2 hours who needs teaching about wound care
B. A client with a blood pressure of 88/50 mmHg, heart rate 118 bpm, and cool,
clammy skin [CORRECT]
,C. A client requesting a PRN pain medication for a headache rated 4/10
D. A client who needs assistance with ambulation to the bathroom
Rationale: The client with hypotension, tachycardia, and signs of poor perfusion is
unstable and requires immediate assessment; this follows the urgent vs. non-urgent
priority framework. Options A, C, and D are stable or non-urgent.
Correct Answer: B
Q3. A PN is delegating tasks to a UAP. Which task is appropriate to delegate?
A. Measuring and recording vital signs for a stable client [CORRECT]
B. Inserting a nasogastric tube
C. Teaching a client about diabetic foot care
D. Assessing a postoperative client's incision
Rationale: Measuring vital signs for stable clients is within UAP scope. Options B, C,
and D require licensed nursing judgment and are outside UAP scope.
Correct Answer: A
Q4. A PN notes that a client's indwelling urinary catheter drainage bag has been
placed on the bed above the level of the bladder. Which action should the PN take?
A. Leave it in place as the client is comfortable
B. Lower the drainage bag below the level of the bladder to prevent reflux and
infection [CORRECT]
C. Disconnect the tubing to reposition the bag
D. Clamp the tubing until the bag can be repositioned
,Rationale: The drainage bag must remain below bladder level to prevent urinary
reflux and CAUTI. Option A risks infection. Option C breaks the closed system. Option
D is unnecessary.
Correct Answer: B
Q5. A PN is caring for a client on contact precautions for methicillin-resistant
Staphylococcus aureus (MRSA). Which personal protective equipment (PPE) is
required?
A. Gown and gloves [CORRECT]
B. N95 respirator only
C. Gown, gloves, N95 respirator, and face shield
D. Standard precautions only
Rationale: Contact precautions for MRSA require gown and gloves. Option B is for
airborne precautions. Option C is for droplet precautions with splash risk. Option D is
insufficient.
Correct Answer: A
Q6. A PN is supervising a UAP who is providing hygiene to a client. The UAP removes
gloves and immediately touches the client's food tray. Which action should the PN
take?
A. Allow the UAP to continue and discuss hand hygiene later
B. Instruct the UAP to perform hand hygiene immediately and review proper glove
removal technique [CORRECT]
C. Complete the hygiene care and report the UAP to the nurse manager
D. Ignore the incident as the client is not on isolation precautions
, Rationale: Immediate correction of infection control breaches prevents cross-
contamination and provides teaching. Option A delays correction. Option C is
punitive. Option D is negligent.
Correct Answer: B
Q7. A PN is assigned to a client with a new tracheostomy. The PN should:
A. Perform tracheostomy suctioning independently without supervision
B. Request RN supervision for the first tracheostomy suctioning and care [CORRECT]
C. Delegate tracheostomy care to a UAP
D. Avoid suctioning and only provide stoma cleaning
Rationale: New tracheostomies require RN supervision for PN care until competency
is established. Option A may exceed initial competency. Option C is outside UAP
scope. Option D is insufficient care.
Correct Answer: B
Q8. A client is on fall precautions. The PN finds the client on the floor beside the bed.
Which action is the priority?
A. Immediately lift the client back into bed
B. Assess the client for injuries, check vital signs, and notify the RN [CORRECT]
C. Document the incident before assessing the client
D. Ask the client why they got out of bed without assistance
Rationale: Assessment for injuries and vital signs are priorities after a fall; RN
notification is required. Option A may worsen injuries. Option C delays care. Option D
is not the priority.
Correct Answer: B
