Online ATI PN Comprehensive Predictor Level 3 Exit Exam
for NUR 265 Forms A, B & C with NGN Next Gen NCLEX
Actual & Retake Answers — Pass on First Attempt
,
,Section 1: Management of Care, Prioritization, & Delegation
Question 1
A charge nurse is making assignments on a medical-surgical unit. Which client is most
appropriate to assign to the LPN/LVN?
A. A client with a new tracheostomy requiring frequent suctioning
B. A client 1 hour post-cardiac catheterization with bleeding at the insertion site
C. A client with stable diabetes mellitus requiring routine insulin administration and
wound care
D. A client newly admitted with stroke and altered mental status
, Rationale:
Correct Answer: C
LPNs/LVNs can administer insulin and perform stable wound care for predictable
clients . Option A requires frequent skilled assessment, Option B indicates an unstable,
actively bleeding client, and Option D represents a client with a new, complex
neurological condition—all of which require RN-level assessment and judgment .
Question 2
A nurse on a medical-surgical unit receives shift report. Which client should the nurse
assess FIRST?
A. A client with diabetes mellitus who has a blood glucose of 48 mg/dL and is
diaphoretic
B. A client with heart failure who has 3+ pitting edema and crackles in the lung bases
C. A client who is 2 days post-operative and reports pain of 5/10
D. A client with a urinary tract infection who has a temperature of 38°C (100.4°F)
Rationale:
Correct Answer: A
A blood glucose of 48 mg/dL indicates severe hypoglycemia, which can rapidly lead to
unconsciousness, seizures, or death if not treated immediately. This is an acute, life-
threatening condition that must be addressed before any others .
Question 3
A PN is preparing to delegate a task to an assistive personnel (AP). Which task is
appropriate for the PN to delegate?
A. Ambulating a client who is post-operative hip replacement with weight-bearing
restrictions
B. Teaching a client how to use an incentive spirometer
C. Assessing a client's pain level after administering an analgesic
D. Changing a sterile dressing on a surgical wound
Rationale:
Correct Answer: A
Ambulating a stable client with known restrictions can be delegated to an AP if the
client is stable and the AP is trained in the correct technique . Teaching (B), assessment
(C), and sterile procedures (D) all require licensed nursing judgment and are not within
the AP's scope of practice.
Question 4
A nurse observes a colleague administer the wrong medication to a client. What is the
nurse's first priority action?
for NUR 265 Forms A, B & C with NGN Next Gen NCLEX
Actual & Retake Answers — Pass on First Attempt
,
,Section 1: Management of Care, Prioritization, & Delegation
Question 1
A charge nurse is making assignments on a medical-surgical unit. Which client is most
appropriate to assign to the LPN/LVN?
A. A client with a new tracheostomy requiring frequent suctioning
B. A client 1 hour post-cardiac catheterization with bleeding at the insertion site
C. A client with stable diabetes mellitus requiring routine insulin administration and
wound care
D. A client newly admitted with stroke and altered mental status
, Rationale:
Correct Answer: C
LPNs/LVNs can administer insulin and perform stable wound care for predictable
clients . Option A requires frequent skilled assessment, Option B indicates an unstable,
actively bleeding client, and Option D represents a client with a new, complex
neurological condition—all of which require RN-level assessment and judgment .
Question 2
A nurse on a medical-surgical unit receives shift report. Which client should the nurse
assess FIRST?
A. A client with diabetes mellitus who has a blood glucose of 48 mg/dL and is
diaphoretic
B. A client with heart failure who has 3+ pitting edema and crackles in the lung bases
C. A client who is 2 days post-operative and reports pain of 5/10
D. A client with a urinary tract infection who has a temperature of 38°C (100.4°F)
Rationale:
Correct Answer: A
A blood glucose of 48 mg/dL indicates severe hypoglycemia, which can rapidly lead to
unconsciousness, seizures, or death if not treated immediately. This is an acute, life-
threatening condition that must be addressed before any others .
Question 3
A PN is preparing to delegate a task to an assistive personnel (AP). Which task is
appropriate for the PN to delegate?
A. Ambulating a client who is post-operative hip replacement with weight-bearing
restrictions
B. Teaching a client how to use an incentive spirometer
C. Assessing a client's pain level after administering an analgesic
D. Changing a sterile dressing on a surgical wound
Rationale:
Correct Answer: A
Ambulating a stable client with known restrictions can be delegated to an AP if the
client is stable and the AP is trained in the correct technique . Teaching (B), assessment
(C), and sterile procedures (D) all require licensed nursing judgment and are not within
the AP's scope of practice.
Question 4
A nurse observes a colleague administer the wrong medication to a client. What is the
nurse's first priority action?
