PN ATI Comprehensive Predictor Exam 2026/2027
Study Guide with Questions and Well Verified Answers
Practical/Vocational Nursing NCLEX-PN Readiness Assessment
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150 Multiple-Choice Questions with Detailed Rationales
2026
A comprehensive study resource covering all NCLEX-PN client need categories.
Designed to assess nursing knowledge and clinical judgment readiness.
,Table of Contents
Table of Contents .............................................................................................................................................2
Domain 1: Coordinated Care & Delegation.............................................................................................2
Domain 2: Safety & Infection Control .......................................................................................................9
Domain 3: Health Promotion & Maintenance..................................................................................... 15
Domain 4: Psychosocial Integrity ........................................................................................................... 22
Domain 5: Basic Care & Comfort ............................................................................................................. 29
Domain 6: Pharmacological Therapies................................................................................................. 35
Domain 7: Reduction of Risk Potential ................................................................................................. 45
Domain 8: Physiological Adaptation ..................................................................................................... 55
Domain 9: Medical-Surgical Nursing Integration.............................................................................. 65
Domain 10: NCSBN Clinical Judgment Measurement Model ......................................................... 76
Answer Key ..................................................................................................................................................... 87
Table of Contents ...............................................................................................................................................2
Domain 1: Coordinated Care & Delegation ................................................................................................2
Domain 2: Safety & Infection Control..........................................................................................................9
Domain 3: Health Promotion & Maintenance ......................................................................................... 15
Domain 4: Psychosocial Integrity ............................................................................................................... 22
Domain 5: Basic Care & Comfort .............................................................................................................. 29
Domain 6: Pharmacological Therapies ..................................................................................................... 35
Domain 7: Reduction of Risk Potential ..................................................................................................... 45
Domain 8: Physiological Adaptation .......................................................................................................... 55
Domain 9: Medical-Surgical Nursing Integration .................................................................................. 65
Domain 10: NCSBN Clinical Judgment Measurement Model ............................................................ 76
Answer Key ...................................................................................................................................................... 87
Domain 1: Coordinated Care & Delegation
1. A nurse is delegating tasks to an unlicensed assistive personnel (UAP). Which task is MOST
appropriate for the nurse to delegate?
A. A. Perform an initial admission assessment on a new client
B. B. Obtain a bedside blood glucose reading from a stable client
2
, C. C. Administer oral medications to assigned clients
D. D. Provide discharge teaching to a client going home
Rationale: Obtaining a bedside blood glucose reading is a routine, standardized task within
UAP scope of practice for a stable client. The nurse must assess, plan, and evaluate but can
delegate standardized tasks that do not require nursing judgment. Option A requires nursing
assessment skills and clinical judgment to establish a baseline. Option C requires medication
administration, which is a nursing function regulated by the Nurse Practice Act. Option D
requires teaching, which is a nursing responsibility that requires assessment of learning
needs and evaluation of comprehension.
2. A charge nurse is making client assignments for the shift. Which client is MOST
appropriate to assign to a new graduate LPN under the supervision of an experienced RN?
A. A. A client who is 12 hours postoperative following a colon resection with a new
colostomy
B. B. A client with acute respiratory distress requiring frequent oxygen titration
C. C. A client admitted with chest pain who has pending cardiac enzyme results
D. D. A client with a stable chronic condition who is being discharged home today
Rationale: A client with a stable chronic condition being discharged is the most appropriate
assignment for a new graduate LPN. This client has predictable outcomes and requires
routine care that is within the LPN scope. Option A involves a complex postoperative client
with a new colostomy that requires extensive assessment and teaching beyond new graduate
scope. Option B describes an unstable client requiring frequent titration, which demands
advanced assessment skills. Option C involves a potentially unstable client with chest pain
and requires continuous monitoring and interpretation of cardiac enzymes.
3. A nurse is caring for multiple clients on a medical-surgical unit. Which client should the
nurse see FIRST?
A. A. A client who is requesting pain medication for chronic back pain rated as 4 out of 10
B. B. A client who reports feeling short of breath after walking to the bathroom
C. C. A client who needs assistance filling out the dietary menu for the next day
D. D. A client who is 2 days postoperative and has not had a bowel movement since surgery
Rationale: Using the ABC (Airway, Breathing, Circulation) priority framework, the client
reporting shortness of breath should be seen first. Difficulty breathing is a potentially life-
3
, threatening alteration that requires immediate assessment and intervention. Option A
describes chronic pain at a mild level, which is important but not emergent. Option C
involves a non-urgent dietary need that can be addressed after more critical clients are seen.
Option D describes constipation, a common postoperative concern that is not immediately
life-threatening.
4. A nurse is preparing to obtain informed consent from a client for a surgical procedure.
Which action by the nurse is MOST appropriate?
A. A. The nurse explains the risks and benefits of the procedure to the client in detail
B. B. The nurse witnesses the client's signature on the consent form after the provider
has explained the procedure
C. C. The nurse obtains the consent from the family member when the client is sedated
D. D. The nurse signs the consent form on behalf of the client who is unable to write
Rationale: The nurse's role in informed consent is to witness the client's signature after the
provider has explained the procedure, risks, benefits, and alternatives. The provider is
responsible for obtaining informed consent, as they have the knowledge to explain the
procedure thoroughly. Option A is incorrect because the nurse does not explain the procedure
details, risks, and benefits; that is the provider's responsibility. Option C is incorrect because
a client must give consent while competent and alert; consent cannot be obtained from a
sedated client. Option D is incorrect because only the client can sign their own consent unless
there is a legally appointed healthcare proxy.
5. A nurse is using the SBAR communication tool to report a change in client status to the
primary healthcare provider. Which statement by the nurse represents the 'R' in SBAR?
A. A. The client's blood pressure is 90/58 mmHg and heart rate is 110 beats per minute
B. B. The client is a 68-year-old admitted for heart failure exacerbation
C. C. I am concerned about hypovolemia and request IV fluid resuscitation
D. D. The client reports feeling dizzy and has had two episodes of vomiting
Rationale: The 'R' in SBAR stands for Recommendation. This is where the nurse
communicates their professional judgment about what action is needed. Option C represents
the recommendation component because the nurse is expressing concern and requesting a
specific intervention. Option A represents Assessment because it provides objective and
subjective findings. Option B represents Situation because it identifies who the client is and
4
Study Guide with Questions and Well Verified Answers
Practical/Vocational Nursing NCLEX-PN Readiness Assessment
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
━━━━━━━━━━
150 Multiple-Choice Questions with Detailed Rationales
2026
A comprehensive study resource covering all NCLEX-PN client need categories.
Designed to assess nursing knowledge and clinical judgment readiness.
,Table of Contents
Table of Contents .............................................................................................................................................2
Domain 1: Coordinated Care & Delegation.............................................................................................2
Domain 2: Safety & Infection Control .......................................................................................................9
Domain 3: Health Promotion & Maintenance..................................................................................... 15
Domain 4: Psychosocial Integrity ........................................................................................................... 22
Domain 5: Basic Care & Comfort ............................................................................................................. 29
Domain 6: Pharmacological Therapies................................................................................................. 35
Domain 7: Reduction of Risk Potential ................................................................................................. 45
Domain 8: Physiological Adaptation ..................................................................................................... 55
Domain 9: Medical-Surgical Nursing Integration.............................................................................. 65
Domain 10: NCSBN Clinical Judgment Measurement Model ......................................................... 76
Answer Key ..................................................................................................................................................... 87
Table of Contents ...............................................................................................................................................2
Domain 1: Coordinated Care & Delegation ................................................................................................2
Domain 2: Safety & Infection Control..........................................................................................................9
Domain 3: Health Promotion & Maintenance ......................................................................................... 15
Domain 4: Psychosocial Integrity ............................................................................................................... 22
Domain 5: Basic Care & Comfort .............................................................................................................. 29
Domain 6: Pharmacological Therapies ..................................................................................................... 35
Domain 7: Reduction of Risk Potential ..................................................................................................... 45
Domain 8: Physiological Adaptation .......................................................................................................... 55
Domain 9: Medical-Surgical Nursing Integration .................................................................................. 65
Domain 10: NCSBN Clinical Judgment Measurement Model ............................................................ 76
Answer Key ...................................................................................................................................................... 87
Domain 1: Coordinated Care & Delegation
1. A nurse is delegating tasks to an unlicensed assistive personnel (UAP). Which task is MOST
appropriate for the nurse to delegate?
A. A. Perform an initial admission assessment on a new client
B. B. Obtain a bedside blood glucose reading from a stable client
2
, C. C. Administer oral medications to assigned clients
D. D. Provide discharge teaching to a client going home
Rationale: Obtaining a bedside blood glucose reading is a routine, standardized task within
UAP scope of practice for a stable client. The nurse must assess, plan, and evaluate but can
delegate standardized tasks that do not require nursing judgment. Option A requires nursing
assessment skills and clinical judgment to establish a baseline. Option C requires medication
administration, which is a nursing function regulated by the Nurse Practice Act. Option D
requires teaching, which is a nursing responsibility that requires assessment of learning
needs and evaluation of comprehension.
2. A charge nurse is making client assignments for the shift. Which client is MOST
appropriate to assign to a new graduate LPN under the supervision of an experienced RN?
A. A. A client who is 12 hours postoperative following a colon resection with a new
colostomy
B. B. A client with acute respiratory distress requiring frequent oxygen titration
C. C. A client admitted with chest pain who has pending cardiac enzyme results
D. D. A client with a stable chronic condition who is being discharged home today
Rationale: A client with a stable chronic condition being discharged is the most appropriate
assignment for a new graduate LPN. This client has predictable outcomes and requires
routine care that is within the LPN scope. Option A involves a complex postoperative client
with a new colostomy that requires extensive assessment and teaching beyond new graduate
scope. Option B describes an unstable client requiring frequent titration, which demands
advanced assessment skills. Option C involves a potentially unstable client with chest pain
and requires continuous monitoring and interpretation of cardiac enzymes.
3. A nurse is caring for multiple clients on a medical-surgical unit. Which client should the
nurse see FIRST?
A. A. A client who is requesting pain medication for chronic back pain rated as 4 out of 10
B. B. A client who reports feeling short of breath after walking to the bathroom
C. C. A client who needs assistance filling out the dietary menu for the next day
D. D. A client who is 2 days postoperative and has not had a bowel movement since surgery
Rationale: Using the ABC (Airway, Breathing, Circulation) priority framework, the client
reporting shortness of breath should be seen first. Difficulty breathing is a potentially life-
3
, threatening alteration that requires immediate assessment and intervention. Option A
describes chronic pain at a mild level, which is important but not emergent. Option C
involves a non-urgent dietary need that can be addressed after more critical clients are seen.
Option D describes constipation, a common postoperative concern that is not immediately
life-threatening.
4. A nurse is preparing to obtain informed consent from a client for a surgical procedure.
Which action by the nurse is MOST appropriate?
A. A. The nurse explains the risks and benefits of the procedure to the client in detail
B. B. The nurse witnesses the client's signature on the consent form after the provider
has explained the procedure
C. C. The nurse obtains the consent from the family member when the client is sedated
D. D. The nurse signs the consent form on behalf of the client who is unable to write
Rationale: The nurse's role in informed consent is to witness the client's signature after the
provider has explained the procedure, risks, benefits, and alternatives. The provider is
responsible for obtaining informed consent, as they have the knowledge to explain the
procedure thoroughly. Option A is incorrect because the nurse does not explain the procedure
details, risks, and benefits; that is the provider's responsibility. Option C is incorrect because
a client must give consent while competent and alert; consent cannot be obtained from a
sedated client. Option D is incorrect because only the client can sign their own consent unless
there is a legally appointed healthcare proxy.
5. A nurse is using the SBAR communication tool to report a change in client status to the
primary healthcare provider. Which statement by the nurse represents the 'R' in SBAR?
A. A. The client's blood pressure is 90/58 mmHg and heart rate is 110 beats per minute
B. B. The client is a 68-year-old admitted for heart failure exacerbation
C. C. I am concerned about hypovolemia and request IV fluid resuscitation
D. D. The client reports feeling dizzy and has had two episodes of vomiting
Rationale: The 'R' in SBAR stands for Recommendation. This is where the nurse
communicates their professional judgment about what action is needed. Option C represents
the recommendation component because the nurse is expressing concern and requesting a
specific intervention. Option A represents Assessment because it provides objective and
subjective findings. Option B represents Situation because it identifies who the client is and
4
