ATI PN Comprehensive Predictor 2026 All Versions

Free preview · Original latest version

Sample questions from ATI PN Comprehensive Predictor 2026 All Versions

This material has 180 questions with answers and rationales. Here are the first 5.

1. 1.At change of shift in a rehabilitation unit, the practical nurse receives report on four clients. Which client should the nurse report to the RN first?

   • A.A 45-year-old client receiving antibiotics for cellulitis who has a temperature of 38.0 C (100.4 F), unchanged from the previous shift
   • B.A 64-year-old client with diabetes who is newly diaphoretic and confused, with a blood glucose of 48 mg/dL
   • C.A 72-year-old client with chronic heart failure who has gained 0.5 kg (1.1 lb) since yesterday and has clear lung sounds
   • D.A 59-year-old client 2 days after knee replacement who reports pain of 7 on a 0-to-10 scale before a scheduled analgesic

   Rationale: The new confusion and diaphoresis with a glucose of 48 mg/dL indicate symptomatic hypoglycemia that requires immediate attention and prompt reporting to the RN. The weight gain may warrant follow-up, but clear lung sounds and the small change do not take priority over an acute neurologic change. Pain should be addressed, and the stable fever should be monitored, but neither finding is as urgent as the low glucose with symptoms.

2. 2.During a home visit, a practical nurse is reviewing medications with a 76-year-old client who takes warfarin and has new bruising. The client reports taking an over-the-counter product for back pain. Which action is most appropriate?

   • A.Reinforce that bruising is expected and schedule a routine follow-up next month
   • B.Advise the client to take aspirin instead because it is less likely to interact with warfarin
   • C.Ask the client to identify the product and dose, then promptly report the findings to the RN
   • D.Tell the client to stop warfarin until the bruises disappear

   Rationale: Identifying the product and dose provides essential medication-reconciliation data; bruising in a client taking warfarin may signal increased bleeding risk and should be reported promptly. The practical nurse should not independently stop warfarin or substitute aspirin, which can also increase bleeding risk. Dismissing new bruising as expected and delaying follow-up could miss a clinically important adverse effect.

3. 3.The parent of a 4-year-old asks how to help prevent medication errors after the child is discharged with a liquid antibiotic. Which instructions should the practical nurse reinforce? Select all that apply.

   • A.Use an oral syringe to measure each dose
   • B.Stop giving the medicine when the child has been without a fever for 24 hours
   • C.Keep the medicine in its original, labeled container and store it out of the child's reach
   • D.Use the dosing cup from another medicine if it has the same volume markings
   • E.Check the child's name and the medication label before each dose

   Rationale: An oral syringe supports accurate measurement of a small liquid dose, and checking the child's identity and medication label helps prevent administration errors. Keeping the medication in its original labeled container and out of reach supports safe storage and identification. A dosing device from another medicine may not be appropriate, and the parent should not stop the antibiotic based only on fever resolution; the prescribed course should be followed, with questions directed to the care team.

4. 4.In a long-term care facility, a 83-year-old resident with mild dementia is scheduled for transport to a clinic. The resident says, 'I do not want to go today,' and pushes the wheelchair away. What should the practical nurse do first?

   • A.Pause the transfer, ask the resident about the concern, and report the refusal to the RN
   • B.Tell the resident that refusal is not permitted once transportation has arrived
   • C.Document the refusal and arrange transport without further discussion
   • D.Ask the family to persuade the resident to go because the appointment is scheduled

   Answer and rationale are in the full material.

5. 5.A practical nurse in a pediatric clinic is preparing to give a prescribed immunization to a 9-year-old. The parent says the child had facial swelling and difficulty breathing after a previous vaccine. Which action should the practical nurse take?

   • A.Ask the parent to sign a waiver and proceed with the immunization
   • B.Give half the prescribed dose and ask the parent to watch for a reaction at home
   • C.Administer the vaccine and observe the child for 30 minutes
   • D.Withhold the vaccine and promptly report the reported reaction to the RN or provider

   Answer and rationale are in the full material.