Page 1 of 45
ATI PN COMPREHENSIVE PREDICTOR
UPDATED LEVEL 3 2026 EXIT EXAM WITH NGN
180 COMPLETE (150) CURRENT TESTING
QUESTIONS AND CORRECT ANSWERS WITH
DETAILED EXPLANATIONS|GUARANTEED
PASS.
ATI PN
Prepare for the ATI PN Comprehensive Predictor Updated Level 3 Exit
Exam with NGN 180 Q&A featuring practice questions covering nursing
fundamentals, pharmacology, medical-surgical care, maternal and
pediatric nursing, mental health, and Next Generation NCLEX (NGN)
clinical judgment concepts. This study guide helps reinforce essential
practical nursing knowledge and supports effective exit exam
preparation. Designed to improve critical thinking and boost
confidence in real-world patient care and licensure readiness. Suitable
for PN nursing students and healthcare learners.
MULTIPLE CHOICE.
Section 1: Management of Care (15 Questions)
1. A charge nurse is assigning clients on a medical-surgical unit. Which client should be
assigned to an LPN (licensed practical nurse)?
A. Client with new tracheostomy requiring frequent suctioning
B. Client 1-hour post-cardiac catheterization with bleeding at site
C. Client with chest tube and continuous bubbling in water seal chamber
D. Client newly admitted with unstable angina
Answer: A
Rationale: The LPN can perform stable, routine suctioning. Options B, C, and D
require initial assessment or unstable conditions best managed by an RN.
, Page 2 of 45
2. A nurse is preparing to delegate vital signs to an unlicensed assistive personnel (UAP).
Which client should the nurse not delegate?
A. Postoperative day 2, stable vitals every 4 hours
B. Client with frequent diarrhea and dehydration risk
C. Client with hip fracture scheduled for surgery tomorrow
D. Client with chronic hypertension, vital signs stable
Answer: B
Rationale: The client with dehydration risk requires skilled assessment for orthostatic
changes or subtle instability. Delegate only stable, predictable clients.
3. A PN notes that a colleague administered the wrong antibiotic to a client. What
should the PN do first?
A. Report the colleague to the nursing supervisor
B. Assess the client for adverse effects
C. Complete an incident report
D. Ask the colleague what happened
Answer: B
Rationale: Client safety is always first. Assess for harm, then report, document, and
complete incident report.
4. A client refuses a prescribed enema. Which action by the PN is appropriate?
A. Explain the risks of refusal and document
B. Ask a family member to persuade the client
C. Administer the enema quickly to minimize discomfort
D. Notify the provider only if the client becomes unstable
Answer: A
Rationale: The client has the right to refuse. Provide education, document refusal, and
notify provider if refusal impacts medical outcomes.
, Page 3 of 45
5. A PN is caring for four clients. Which requires immediate nursing intervention?
A. Client with dementia wandering into another client’s room
B. Client with diabetes requesting a snack
C. Client with pneumonia and O2 saturation of 89% on room air
D. Client with a new order for acetaminophen
Answer: C
Rationale: O2 sat <90% indicates hypoxemia, requiring immediate intervention
(positioning, O2 therapy, notify RN/provider).
6. A PN is assisting with discharge teaching for a client who speaks little English. What
should the nurse do first?
A. Provide written instructions in English
B. Use a professional medical interpreter
C. Ask the client’s bilingual child to translate
D. Speak loudly and slowly in English
Answer: B
Rationale: Professional interpreter ensures accurate medical communication. Family
members may omit or alter information.
7. A PN notes a small fire in a client’s trash can. What is the priority action?
A. Pull the fire alarm
B. Evacuate the client
C. Use a fire extinguisher
D. Close the client’s door
Answer: B
Rationale: RACE: Rescue (evacuate client), Alarm, Contain, Extinguish.
8. Which action by a PN indicates an understanding of advance directives?
A. Providing a copy to the admitting department
B. Asking the client to sign the directive on admission
, Page 4 of 45
C. Witnessing the client’s signature on the directive
D. Explaining different types of advance directives
Answer: C
Rationale: PNs can witness signatures but cannot provide legal advice or explain
directives in place of a provider/designated staff.
9. A client is being transferred to a long-term care facility. The PN should ensure that
which information is included in the transfer report?
A. Detailed financial information
B. Most recent laboratory results
C. Client’s personal dietary preferences
D. Names of visitors from the past week
Answer: B
Rationale: Transfer report includes clinical status, recent labs, medications, allergies,
code status, and pending tests.
10. A PN observes a UAP using a gait belt incorrectly. What should the PN do first?
A. Report the UAP to the nurse manager
B. Demonstrate correct technique immediately
C. Complete a performance improvement form
D. Ignore it if no injury occurred
Answer: B
Rationale: Correct the action in the moment to prevent injury. Report only if behavior
continues or is unsafe.
11. A client with a do-not-resuscitate (DNR) order becomes unresponsive and stops
breathing. What should the PN do?
A. Start chest compressions
B. Call a code blue
ATI PN COMPREHENSIVE PREDICTOR
UPDATED LEVEL 3 2026 EXIT EXAM WITH NGN
180 COMPLETE (150) CURRENT TESTING
QUESTIONS AND CORRECT ANSWERS WITH
DETAILED EXPLANATIONS|GUARANTEED
PASS.
ATI PN
Prepare for the ATI PN Comprehensive Predictor Updated Level 3 Exit
Exam with NGN 180 Q&A featuring practice questions covering nursing
fundamentals, pharmacology, medical-surgical care, maternal and
pediatric nursing, mental health, and Next Generation NCLEX (NGN)
clinical judgment concepts. This study guide helps reinforce essential
practical nursing knowledge and supports effective exit exam
preparation. Designed to improve critical thinking and boost
confidence in real-world patient care and licensure readiness. Suitable
for PN nursing students and healthcare learners.
MULTIPLE CHOICE.
Section 1: Management of Care (15 Questions)
1. A charge nurse is assigning clients on a medical-surgical unit. Which client should be
assigned to an LPN (licensed practical nurse)?
A. Client with new tracheostomy requiring frequent suctioning
B. Client 1-hour post-cardiac catheterization with bleeding at site
C. Client with chest tube and continuous bubbling in water seal chamber
D. Client newly admitted with unstable angina
Answer: A
Rationale: The LPN can perform stable, routine suctioning. Options B, C, and D
require initial assessment or unstable conditions best managed by an RN.
, Page 2 of 45
2. A nurse is preparing to delegate vital signs to an unlicensed assistive personnel (UAP).
Which client should the nurse not delegate?
A. Postoperative day 2, stable vitals every 4 hours
B. Client with frequent diarrhea and dehydration risk
C. Client with hip fracture scheduled for surgery tomorrow
D. Client with chronic hypertension, vital signs stable
Answer: B
Rationale: The client with dehydration risk requires skilled assessment for orthostatic
changes or subtle instability. Delegate only stable, predictable clients.
3. A PN notes that a colleague administered the wrong antibiotic to a client. What
should the PN do first?
A. Report the colleague to the nursing supervisor
B. Assess the client for adverse effects
C. Complete an incident report
D. Ask the colleague what happened
Answer: B
Rationale: Client safety is always first. Assess for harm, then report, document, and
complete incident report.
4. A client refuses a prescribed enema. Which action by the PN is appropriate?
A. Explain the risks of refusal and document
B. Ask a family member to persuade the client
C. Administer the enema quickly to minimize discomfort
D. Notify the provider only if the client becomes unstable
Answer: A
Rationale: The client has the right to refuse. Provide education, document refusal, and
notify provider if refusal impacts medical outcomes.
, Page 3 of 45
5. A PN is caring for four clients. Which requires immediate nursing intervention?
A. Client with dementia wandering into another client’s room
B. Client with diabetes requesting a snack
C. Client with pneumonia and O2 saturation of 89% on room air
D. Client with a new order for acetaminophen
Answer: C
Rationale: O2 sat <90% indicates hypoxemia, requiring immediate intervention
(positioning, O2 therapy, notify RN/provider).
6. A PN is assisting with discharge teaching for a client who speaks little English. What
should the nurse do first?
A. Provide written instructions in English
B. Use a professional medical interpreter
C. Ask the client’s bilingual child to translate
D. Speak loudly and slowly in English
Answer: B
Rationale: Professional interpreter ensures accurate medical communication. Family
members may omit or alter information.
7. A PN notes a small fire in a client’s trash can. What is the priority action?
A. Pull the fire alarm
B. Evacuate the client
C. Use a fire extinguisher
D. Close the client’s door
Answer: B
Rationale: RACE: Rescue (evacuate client), Alarm, Contain, Extinguish.
8. Which action by a PN indicates an understanding of advance directives?
A. Providing a copy to the admitting department
B. Asking the client to sign the directive on admission
, Page 4 of 45
C. Witnessing the client’s signature on the directive
D. Explaining different types of advance directives
Answer: C
Rationale: PNs can witness signatures but cannot provide legal advice or explain
directives in place of a provider/designated staff.
9. A client is being transferred to a long-term care facility. The PN should ensure that
which information is included in the transfer report?
A. Detailed financial information
B. Most recent laboratory results
C. Client’s personal dietary preferences
D. Names of visitors from the past week
Answer: B
Rationale: Transfer report includes clinical status, recent labs, medications, allergies,
code status, and pending tests.
10. A PN observes a UAP using a gait belt incorrectly. What should the PN do first?
A. Report the UAP to the nurse manager
B. Demonstrate correct technique immediately
C. Complete a performance improvement form
D. Ignore it if no injury occurred
Answer: B
Rationale: Correct the action in the moment to prevent injury. Report only if behavior
continues or is unsafe.
11. A client with a do-not-resuscitate (DNR) order becomes unresponsive and stops
breathing. What should the PN do?
A. Start chest compressions
B. Call a code blue
