ATI PN Comprehensive Predictor

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Sample questions from ATI PN Comprehensive Predictor

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

1. 1.During a community clinic visit, a 16-year-old client with asthma says a parent is not allowed to hear the discussion. The client is alert, has an oxygen saturation of 98% on room air, and is not in respiratory distress. Which action should the practical nurse take?

   • A.Ask the parent to obtain the client's medical record from the clinic.
   • B.Provide privacy, explain that confidentiality has safety-related limits, and follow clinic policy for adolescent consent.
   • C.Explain that the parent must remain present because the client is a minor.
   • D.Promise that nothing the client says will be shared with anyone.

   Rationale: Providing privacy supports respectful communication, while explaining confidentiality limits avoids making a promise the nurse cannot keep. A minor's rights to confidential care vary by service and jurisdiction, so the PN should follow clinic policy and applicable law. Requiring the parent to remain or promising absolute secrecy may compromise appropriate care and safety. The client should not be asked to disclose private information through a parent.

2. 2.At change of shift on a medical unit, a PN receives report on four clients. Which client should the PN check first?

   • A.A 72-year-old client with heart failure who gained 0.5 kg (1.1 lb) since yesterday and has an oxygen saturation of 95% on room air.
   • B.A 54-year-old client 1 day after surgery who reports pain of 7 on a 0-to-10 scale and has stable vital signs.
   • C.A 68-year-old client with pneumonia who is newly confused, has a respiratory rate of 30/min, and has an oxygen saturation of 88% on room air.
   • D.A 41-year-old client with diabetes who is waiting for discharge instructions and has a blood glucose of 142 mg/dL.

   Rationale: New confusion, tachypnea, and an oxygen saturation of 88% suggest acute deterioration and require prompt data collection and notification of the RN. The weight gain and postoperative pain require follow-up but are less immediately concerning given the reported stable status. Discharge teaching can wait while a potentially unstable client is addressed. The PN should promptly report the respiratory findings and follow emergency procedures if the client's condition worsens.

3. 3.In a long-term care facility, an 82-year-old resident with a stable chronic condition needs help eating breakfast and walking to the dining room. Which task is appropriate for the PN to assign to an experienced unlicensed assistive personnel (UAP)?

   • A.Assist the resident with eating and report coughing or difficulty swallowing.
   • B.Evaluate whether the resident's swallowing has improved.
   • C.Determine whether the resident's care plan needs revision.
   • D.Teach the resident how to use a newly prescribed thickening agent.

   Rationale: Assisting a stable resident with eating is a basic care task that can be assigned to a trained UAP, with instructions to report concerning observations. Evaluating swallowing, teaching a new intervention, and revising the care plan require nursing judgment and are not appropriate UAP tasks. The PN remains responsible for monitoring the information reported and communicating changes to the RN. Delegation does not transfer accountability for appropriate follow-up.

4. 4.During a home visit, a 67-year-old client with heart failure is preparing to manage a new medication regimen after discharge. The client is alert, has a blood pressure of 128/76 mm Hg and an oxygen saturation of 96% on room air, and says, "I get mixed up about which pill to take." Which actions should the PN take to support a safe transition of care? Select all that apply.

   • A.Independently change the medication schedule to make it easier for the client.
   • B.Reinforce the medication instructions already provided by the RN and ask the client to explain them back.
   • C.Tell the client to stop any medication that is not clearly identified without contacting the care team.
   • D.Check whether the client can obtain the prescribed medications and report barriers to the RN.
   • E.Encourage the client to keep a current medication list and bring it to follow-up appointments.
   • F.Compare the medication list available in the home with the discharge list and report discrepancies to the RN.

   Answer and rationale are in the full material.

5. 5.The provider prescribes a new oral antibiotic for a 9-year-old client in a pediatric clinic. The parent says the child developed facial swelling after taking the same medication in the past. The child is alert, with a temperature of 37.2 C, heart rate of 96/min, and respiratory rate of 20/min. What should the PN do?

   • A.Administer the first dose and observe the child for a reaction.
   • B.Document the history and administer the medication if the child has no rash.
   • C.Ask the parent to give half the prescribed dose at home.
   • D.Hold the medication and promptly report the reported reaction to the RN or provider.

   Answer and rationale are in the full material.