ATI PN COMPREHENSIVE PREDICTOR EXIT
EXAM WITH NGN – 2026 EDITION
SECTION I: MANAGEMENT OF CARE (PRIORITIZATION, DELEGATION, ASSIGNMENT)
Q1. A PN 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 confusion + hypotension suggests possible sepsis, hemorrhage, or shock —
unstable priority. Airway and circulation precede stable complaints .
Q2. Which client can be assigned to a PN (LPN/LVN) under RN supervision?
A) Client newly diagnosed with unstable angina on a titratable heparin drip
B) Client with stable congestive heart failure receiving daily furosemide
C) Client requiring blood transfusion for symptomatic anemia
D) Client with chest tube and continuous bubbling in water seal chamber
Correct Answer: B
Rationale: Stable CHF on routine diuretic is within PN scope. Titratable drips, blood
transfusions, and chest tube troubleshooting are typically RN scope .
Q3. A charge nurse is assigning staff for the shift. Which client should be assigned to an RN
rather than a PN?
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
Correct 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 .
Q4. A nurse is delegating tasks to an assistive personnel (AP). Which task is appropriate to
delegate?
A) Administering an enema
,B) Inserting an indwelling urinary catheter
C) Measuring a client's vital signs
D) Teaching a client how to use an incentive spirometer
Correct Answer: C
Rationale: Measuring vital signs is within the AP's scope of practice. The nurse cannot delegate
tasks requiring nursing judgment, sterile technique (catheter insertion), or client education .
Q5. A nurse is preparing a client for transfer to a long-term care facility. Which information
should the nurse include in the transfer report? (Select all that apply)
A) The client's advance directive status
B) The client's recent laboratory values
C) The client's current medications
D) The client's preferred activities
E) The client's code status
Correct Answers: A, B, C, D, E
Rationale: All of these are essential for continuity of care. Transfer reports must include advance
directives, recent labs, current medications, activity preferences, and code status to ensure safe
handoff .
Q6. A nurse is caring for a client who is scheduled for a surgical procedure. Which action is the
priority?
A) Ensure the client has signed the informed consent form
B) Review the client's laboratory results
C) Verify the client's allergies
D) Administer preoperative medication as prescribed
Correct Answer: A
Rationale: Informed consent is a legal requirement before any invasive procedure. The nurse's
priority is to ensure consent is signed and witnessed, as failure to do so could result in legal
liability and cancellation of the procedure .
Q7. A nurse notes that a colleague administered the wrong medication to a client. Which action
should the nurse take FIRST?
A) Report the colleague to the nursing supervisor
B) Assess the client for adverse effects
C) Complete an incident report
D) Discuss the error with the colleague privately
Correct Answer: B
Rationale: Client safety is the priority. The nurse should first assess the client for any adverse
effects from the wrong medication. After ensuring client safety, the nurse should report the error
through appropriate channels .
, Q8. A nurse is caring for a client who has a new diagnosis of diabetes mellitus. Which action by
the nurse demonstrates advocacy?
A) Administering insulin as prescribed
B) Teaching the client how to check blood glucose
C) Contacting the provider about the client's inability to afford glucose test strips
D) Documenting the client's blood glucose readings
Correct Answer: C
Rationale: Advocacy involves speaking up for the client's needs, including access to care and
resources. Contacting the provider about financial barriers is a key advocacy role .
SECTION II: SAFETY & INFECTION CONTROL
Q9. A client with a tracheostomy tube has thick, dry secretions and difficulty breathing. What is
the priority action?
A) Instill normal saline and suction
B) Call respiratory therapy
C) Change the inner cannula
D) Increase oxygen flow rate
Correct Answer: A
Rationale: Airway obstruction from thick secretions requires immediate suctioning. Instilling
saline helps loosen mucus. Airway always comes first .
Q10. 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
Correct 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 .
Q11. A client with a seizure disorder has a generalized tonic-clonic seizure lasting 2 minutes.
After the seizure, the client is confused. What should the PN do?
A) Restrain the client to prevent injury
B) Offer oral fluids immediately
C) Place the client on their side and reorient
D) Administer PRN lorazepam
Correct Answer: C
EXAM WITH NGN – 2026 EDITION
SECTION I: MANAGEMENT OF CARE (PRIORITIZATION, DELEGATION, ASSIGNMENT)
Q1. A PN 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 confusion + hypotension suggests possible sepsis, hemorrhage, or shock —
unstable priority. Airway and circulation precede stable complaints .
Q2. Which client can be assigned to a PN (LPN/LVN) under RN supervision?
A) Client newly diagnosed with unstable angina on a titratable heparin drip
B) Client with stable congestive heart failure receiving daily furosemide
C) Client requiring blood transfusion for symptomatic anemia
D) Client with chest tube and continuous bubbling in water seal chamber
Correct Answer: B
Rationale: Stable CHF on routine diuretic is within PN scope. Titratable drips, blood
transfusions, and chest tube troubleshooting are typically RN scope .
Q3. A charge nurse is assigning staff for the shift. Which client should be assigned to an RN
rather than a PN?
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
Correct 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 .
Q4. A nurse is delegating tasks to an assistive personnel (AP). Which task is appropriate to
delegate?
A) Administering an enema
,B) Inserting an indwelling urinary catheter
C) Measuring a client's vital signs
D) Teaching a client how to use an incentive spirometer
Correct Answer: C
Rationale: Measuring vital signs is within the AP's scope of practice. The nurse cannot delegate
tasks requiring nursing judgment, sterile technique (catheter insertion), or client education .
Q5. A nurse is preparing a client for transfer to a long-term care facility. Which information
should the nurse include in the transfer report? (Select all that apply)
A) The client's advance directive status
B) The client's recent laboratory values
C) The client's current medications
D) The client's preferred activities
E) The client's code status
Correct Answers: A, B, C, D, E
Rationale: All of these are essential for continuity of care. Transfer reports must include advance
directives, recent labs, current medications, activity preferences, and code status to ensure safe
handoff .
Q6. A nurse is caring for a client who is scheduled for a surgical procedure. Which action is the
priority?
A) Ensure the client has signed the informed consent form
B) Review the client's laboratory results
C) Verify the client's allergies
D) Administer preoperative medication as prescribed
Correct Answer: A
Rationale: Informed consent is a legal requirement before any invasive procedure. The nurse's
priority is to ensure consent is signed and witnessed, as failure to do so could result in legal
liability and cancellation of the procedure .
Q7. A nurse notes that a colleague administered the wrong medication to a client. Which action
should the nurse take FIRST?
A) Report the colleague to the nursing supervisor
B) Assess the client for adverse effects
C) Complete an incident report
D) Discuss the error with the colleague privately
Correct Answer: B
Rationale: Client safety is the priority. The nurse should first assess the client for any adverse
effects from the wrong medication. After ensuring client safety, the nurse should report the error
through appropriate channels .
, Q8. A nurse is caring for a client who has a new diagnosis of diabetes mellitus. Which action by
the nurse demonstrates advocacy?
A) Administering insulin as prescribed
B) Teaching the client how to check blood glucose
C) Contacting the provider about the client's inability to afford glucose test strips
D) Documenting the client's blood glucose readings
Correct Answer: C
Rationale: Advocacy involves speaking up for the client's needs, including access to care and
resources. Contacting the provider about financial barriers is a key advocacy role .
SECTION II: SAFETY & INFECTION CONTROL
Q9. A client with a tracheostomy tube has thick, dry secretions and difficulty breathing. What is
the priority action?
A) Instill normal saline and suction
B) Call respiratory therapy
C) Change the inner cannula
D) Increase oxygen flow rate
Correct Answer: A
Rationale: Airway obstruction from thick secretions requires immediate suctioning. Instilling
saline helps loosen mucus. Airway always comes first .
Q10. 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
Correct 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 .
Q11. A client with a seizure disorder has a generalized tonic-clonic seizure lasting 2 minutes.
After the seizure, the client is confused. What should the PN do?
A) Restrain the client to prevent injury
B) Offer oral fluids immediately
C) Place the client on their side and reorient
D) Administer PRN lorazepam
Correct Answer: C
