2026 PN ATI Comprehensive Predictor

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Sample questions from 2026 PN ATI Comprehensive Predictor

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.A client with asthma is admitted with severe dyspnea, audible wheezing, and an oxygen saturation of 88% on room air. Which action should the nurse take first?

   • A.Administer the prescribed inhaled short-acting bronchodilator
   • B.Obtain a detailed history of the client's asthma triggers
   • C.Encourage the client to drink warm fluids
   • D.Teach the client how to use a peak-flow meter

   Rationale: The short-acting bronchodilator treats acute bronchoconstriction and should be given promptly while oxygenation and respiratory status are monitored. A trigger history and peak-flow teaching are important later but do not treat the immediate breathing problem. Warm fluids may soothe the throat but do not reverse severe bronchospasm. The exam takeaway is to address an immediate airway or breathing threat before teaching.

2. 2.The RN is assigning care for four clients. Which task is appropriate to delegate to an experienced unlicensed assistive personnel (UAP)?

   • A.Assess a client who reports new chest pain
   • B.Teach a client how to use an incentive spirometer
   • C.Obtain the daily weight of a stable client with heart failure
   • D.Evaluate whether a pain medication relieved a client's pain

   Rationale: Obtaining a routine weight on a stable client is a predictable task that can be delegated, with results reported to the nurse. Assessing new chest pain requires nursing judgment, teaching requires a licensed nurse, and evaluating medication effectiveness is part of the nurse's responsibility. The exam takeaway is to delegate routine data collection, not assessment, teaching, or evaluation.

3. 3.A client with type 1 diabetes is awake, diaphoretic, and shaky; the blood glucose is 54 mg/dL. Which action should the nurse take?

   • A.Give 15 g of a fast-acting carbohydrate and recheck glucose in 15 minutes
   • B.Administer the scheduled rapid-acting insulin
   • C.Give a high-fat snack and recheck glucose in 1 hour
   • D.Prepare to administer glucagon intramuscularly

   Rationale: An alert client with hypoglycemia should receive about 15 g of fast-acting carbohydrate, followed by a glucose recheck in 15 minutes. Scheduled insulin could worsen the hypoglycemia, and high-fat food delays glucose absorption. Glucagon is generally reserved for severe hypoglycemia when the client cannot safely swallow or is unconscious. The exam takeaway is to match hypoglycemia treatment to the client's ability to take oral carbohydrate safely.

4. 4.A client with heart failure suddenly develops severe dyspnea, crackles, and pink, frothy sputum. Which action is the priority?

   • A.Place the client in high-Fowler position and apply oxygen as prescribed
   • B.Encourage oral fluids to thin respiratory secretions
   • C.Obtain a routine morning weight
   • D.Place the client flat and elevate the legs

   Answer and rationale are in the full material.

5. 5.A client arrives with sudden facial droop and arm weakness that began 45 minutes ago. Which information is most important to obtain immediately?

   • A.The exact time the client was last known to be well
   • B.The client's usual daily fluid intake
   • C.Whether the client has received an influenza vaccine
   • D.The client's preferred pharmacy

   Answer and rationale are in the full material.