ATI PN COMPREHENSIVE PREDICTOR Actual
Exam 2026/2027 – Complete Questions and
Answers with Detailed Rationales – Pass
Guaranteed - A+ Graded
Total Questions: 180 | Time: 240 min | Pass: Level 2 Proficiency
TABLE OF CONTENTS
Section 1 | Management of Care | Q1 – Q25
Section 2 | Safety & Infection Control | Q26 – Q50
Section 3 | Health Promotion & Maintenance | Q51 – Q73
Section 4 | Psychosocial Integrity | Q74 – Q96
Section 5 | Basic Care & Comfort | Q97 – Q114
Section 6 | Pharmacological & Parenteral Therapies | Q115 – Q137
Section 7 | Reduction of Risk Potential | Q138 – Q160
Section 8 | Physiological Adaptation | Q161 – Q180
Instructions: Choose the single best answer. Pass: Level 2 proficiency in 240 minutes.
══════════════════════════════════════
SECTION 1: MANAGEMENT OF CARE Q1 – Q25
══════════════════════════════════════
Question 1 of 180
A 72-year-old client with a stage III sacral pressure injury is being transferred from the
acute care hospital to a skilled nursing facility. The sending unit nurse has completed
the discharge summary but has not yet communicated with the receiving nurse about
the wound care regimen or the client's refusal of a protein supplement. According to
continuity-of-care standards, the priority action before transport is:
A. Faxing the complete medical record to the receiving facility
B. Notifying the case manager to arrange home health instead
,C. Performing a verbal handoff report that includes wound status and nutritional
concerns ✓ CORRECT
D. Asking the client to sign a new advance directive
Correct Answer: C
Rationale: A structured verbal handoff ensures critical information about wound care
and nutritional refusal transfers accurately to the next care team. Faxing the record
alone does not guarantee the receiving nurse will review the relevant sections before
assuming care.
Question 2 of 180
The charge nurse on a busy medical-surgical unit observes that a newly licensed PN has
administered a morning dose of metoprolol to a client whose blood pressure is 92/58
mmHg. The PN states the client has been on the medication for years and the order is
still active. The charge nurse should first:
A. Document the incident in the quality improvement log
B. Instruct the PN to withhold the dose and reassess the client ✓ CORRECT
C. Notify the physician immediately for a new order
D. Complete an incident report and suspend the PN
Correct Answer: B
Rationale: The immediate priority is client safety; withholding the antihypertensive and
reassessing protects the client from further hypotension. Documenting and reporting
are necessary steps, but they occur after the client is stabilized.
Question 3 of 180
A 54-year-old client scheduled for an elective colonoscopy tells the admitting PN that he
does not want any sedation because he is afraid of anesthesia. The physician has
ordered moderate sedation per standard protocol. The PN's most appropriate action is:
A. Administering the sedation as ordered to prevent movement during the procedure
,B. Informing the client that the procedure cannot be done without sedation
C. Notifying the physician of the client's refusal and documenting the conversation ✓
CORRECT
D. Asking a family member to convince the client to accept the medication
Correct Answer: C
Rationale: Clients have the right to refuse treatment, and the PN must advocate by
informing the physician so alternative plans can be discussed. Administering
medication against a competent client's will constitutes battery.
Question 4 of 180
During morning rounds, a PN notices that an assistive personnel (AP) has placed a
confused client in wrist restraints without a physician's order because the client kept
pulling at the IV line. The PN's priority intervention is:
A. Leaving the restraints in place and obtaining an order within the hour
B. Removing the restraints immediately and reassessing the need for less restrictive
measures ✓ CORRECT
C. Documenting that the AP acted appropriately to protect the IV
D. Transferring the client to a room closer to the nurses' station
Correct Answer: B
Rationale: Restraints require a physician's order and must be the least restrictive
intervention; removing them and trying alternatives first aligns with client rights and
safety standards. Leaving unauthorized restraints in place violates regulatory
requirements.
Question 5 of 180
A home health PN is caring for a client with diabetes whose daughter consistently
administers the evening insulin at incorrect times, resulting in recurrent morning
hypoglycemia. After teaching the daughter proper timing twice without improvement,
the PN should:
, A. Report the situation to adult protective services immediately
B. Collaborate with the case manager to arrange supervised medication administration
✓ CORRECT
C. Discontinue home health services and recommend institutional placement
D. Change the insulin order to a more flexible sliding scale
Correct Answer: B
Rationale: Collaboration with the interdisciplinary team to provide supervised
administration addresses the safety issue while preserving the client's home
environment. Reporting to protective services is reserved for suspected abuse or
neglect, not for education gaps.
Question 6 of 180
A client with end-stage heart failure has a living will stating no intubation or mechanical
ventilation. In the emergency department, the client becomes unresponsive and the
adult son demands that the team "do everything possible." The PN should:
A. Honor the son's request because he is the next of kin
B. Follow the living will and inform the son of the documented wishes ✓ CORRECT
C. Ask the emergency physician to make the final decision
D. Delay any action until the hospital attorney arrives
Correct Answer: B
Rationale: A valid living will directs care when the client cannot speak, and the PN is
obligated to follow the client's documented wishes while supporting the family through
the process. Next-of-kin preferences do not override an explicit advance directive.
Question 7 of 180
The nurse manager reviews incident reports and notices three falls in one month
involving clients who were toileting independently but had orthostatic hypotension
documented in their charts. The manager's best quality-improvement response is:
Exam 2026/2027 – Complete Questions and
Answers with Detailed Rationales – Pass
Guaranteed - A+ Graded
Total Questions: 180 | Time: 240 min | Pass: Level 2 Proficiency
TABLE OF CONTENTS
Section 1 | Management of Care | Q1 – Q25
Section 2 | Safety & Infection Control | Q26 – Q50
Section 3 | Health Promotion & Maintenance | Q51 – Q73
Section 4 | Psychosocial Integrity | Q74 – Q96
Section 5 | Basic Care & Comfort | Q97 – Q114
Section 6 | Pharmacological & Parenteral Therapies | Q115 – Q137
Section 7 | Reduction of Risk Potential | Q138 – Q160
Section 8 | Physiological Adaptation | Q161 – Q180
Instructions: Choose the single best answer. Pass: Level 2 proficiency in 240 minutes.
══════════════════════════════════════
SECTION 1: MANAGEMENT OF CARE Q1 – Q25
══════════════════════════════════════
Question 1 of 180
A 72-year-old client with a stage III sacral pressure injury is being transferred from the
acute care hospital to a skilled nursing facility. The sending unit nurse has completed
the discharge summary but has not yet communicated with the receiving nurse about
the wound care regimen or the client's refusal of a protein supplement. According to
continuity-of-care standards, the priority action before transport is:
A. Faxing the complete medical record to the receiving facility
B. Notifying the case manager to arrange home health instead
,C. Performing a verbal handoff report that includes wound status and nutritional
concerns ✓ CORRECT
D. Asking the client to sign a new advance directive
Correct Answer: C
Rationale: A structured verbal handoff ensures critical information about wound care
and nutritional refusal transfers accurately to the next care team. Faxing the record
alone does not guarantee the receiving nurse will review the relevant sections before
assuming care.
Question 2 of 180
The charge nurse on a busy medical-surgical unit observes that a newly licensed PN has
administered a morning dose of metoprolol to a client whose blood pressure is 92/58
mmHg. The PN states the client has been on the medication for years and the order is
still active. The charge nurse should first:
A. Document the incident in the quality improvement log
B. Instruct the PN to withhold the dose and reassess the client ✓ CORRECT
C. Notify the physician immediately for a new order
D. Complete an incident report and suspend the PN
Correct Answer: B
Rationale: The immediate priority is client safety; withholding the antihypertensive and
reassessing protects the client from further hypotension. Documenting and reporting
are necessary steps, but they occur after the client is stabilized.
Question 3 of 180
A 54-year-old client scheduled for an elective colonoscopy tells the admitting PN that he
does not want any sedation because he is afraid of anesthesia. The physician has
ordered moderate sedation per standard protocol. The PN's most appropriate action is:
A. Administering the sedation as ordered to prevent movement during the procedure
,B. Informing the client that the procedure cannot be done without sedation
C. Notifying the physician of the client's refusal and documenting the conversation ✓
CORRECT
D. Asking a family member to convince the client to accept the medication
Correct Answer: C
Rationale: Clients have the right to refuse treatment, and the PN must advocate by
informing the physician so alternative plans can be discussed. Administering
medication against a competent client's will constitutes battery.
Question 4 of 180
During morning rounds, a PN notices that an assistive personnel (AP) has placed a
confused client in wrist restraints without a physician's order because the client kept
pulling at the IV line. The PN's priority intervention is:
A. Leaving the restraints in place and obtaining an order within the hour
B. Removing the restraints immediately and reassessing the need for less restrictive
measures ✓ CORRECT
C. Documenting that the AP acted appropriately to protect the IV
D. Transferring the client to a room closer to the nurses' station
Correct Answer: B
Rationale: Restraints require a physician's order and must be the least restrictive
intervention; removing them and trying alternatives first aligns with client rights and
safety standards. Leaving unauthorized restraints in place violates regulatory
requirements.
Question 5 of 180
A home health PN is caring for a client with diabetes whose daughter consistently
administers the evening insulin at incorrect times, resulting in recurrent morning
hypoglycemia. After teaching the daughter proper timing twice without improvement,
the PN should:
, A. Report the situation to adult protective services immediately
B. Collaborate with the case manager to arrange supervised medication administration
✓ CORRECT
C. Discontinue home health services and recommend institutional placement
D. Change the insulin order to a more flexible sliding scale
Correct Answer: B
Rationale: Collaboration with the interdisciplinary team to provide supervised
administration addresses the safety issue while preserving the client's home
environment. Reporting to protective services is reserved for suspected abuse or
neglect, not for education gaps.
Question 6 of 180
A client with end-stage heart failure has a living will stating no intubation or mechanical
ventilation. In the emergency department, the client becomes unresponsive and the
adult son demands that the team "do everything possible." The PN should:
A. Honor the son's request because he is the next of kin
B. Follow the living will and inform the son of the documented wishes ✓ CORRECT
C. Ask the emergency physician to make the final decision
D. Delay any action until the hospital attorney arrives
Correct Answer: B
Rationale: A valid living will directs care when the client cannot speak, and the PN is
obligated to follow the client's documented wishes while supporting the family through
the process. Next-of-kin preferences do not override an explicit advance directive.
Question 7 of 180
The nurse manager reviews incident reports and notices three falls in one month
involving clients who were toileting independently but had orthostatic hypotension
documented in their charts. The manager's best quality-improvement response is:
