PN COMPREHENSIVE PREDICTOR
FORM A,B,C 2023 TEST BANK
Core Domains
Management of Care
Safety and Infection Control
Health Promotion and Maintenance
Psychosocial Integrity
Basic Care and Comfort
Pharmacological and Parenteral Therapies
Reduction of Risk Potential
Physiological Adaptation
Introduction
The PN Comprehensive Predictor is a summative assessment
designed to evaluate the practical nursing student’s readiness for
entry-level practice and licensure. It assesses foundational nursing
knowledge, clinical judgment, and the ability to apply safe, effective
care across the lifespan. The exam employs multiple-choice and
scenario-based questions that require critical thinking and decision-
making in real-world contexts. Content emphasizes prioritization,
delegation, legal and ethical responsibilities, and evidence-based
interventions. Success on this comprehensive exam demonstrates the
competencies essential for safe practical nursing practice.
SECTION ONE: QUESTIONS 1–100
,1. A nurse is assigning tasks to an assistive personnel (AP) for a
group of clients. Which of the following tasks should the
nurse delegate to the AP?
A. Administering oral medications to a stable client
B. Measuring and recording intake and output for a client with a
Foley catheter
C. Assessing a postoperative client’s incision for signs of infection
D. Teaching a client about diabetic foot care
B. Measuring and recording intake and output for a client with a
Foley catheter
RATIONALE: Measuring and recording intake and output is a
routine, non-invasive task with predictable outcomes that falls
within the AP scope of practice. It does not require nursing
judgment, assessment, or teaching skills. Medication
administration, wound assessment, and client teaching are all
nursing responsibilities that require licensure and clinical
judgment.
2. A nurse is caring for four clients. Which client should the
nurse assess first?
A. A client with a blood pressure of 138/88 mm Hg who reports a
headache
B. A client with a heart rate of 110/min who is anxious about an
upcoming procedure
C. A client with a respiratory rate of 28/min and SpO2 of 88% on
room air
,D. A client with a temperature of 38.2°C (100.8°F) who has a surgical
incision
C. A client with a respiratory rate of 28/min and SpO2 of 88% on
room air
RATIONALE: According to the ABCs (Airway, Breathing,
Circulation) priority framework, the client with compromised
oxygenation (SpO2 88%, RR 28) requires immediate assessment
and intervention. This represents a life-threatening situation. The
other clients require monitoring but are not in immediate danger.
3. A nurse is reviewing the legal aspects of informed consent
with a newly licensed practical nurse. Which of the following
statements by the LPN indicates understanding?
A. “I can obtain informed consent for a client undergoing a routine
procedure.”
B. “The physician is responsible for explaining the risks and benefits
of the procedure.”
C. “I can witness the client’s signature on the consent form if I
observed the signing.”
D. “Informed consent is not needed for emergency procedures when
the client is unconscious.”
C. “I can witness the client’s signature on the consent form if I
observed the signing.”
RATIONALE: An LPN can serve as a witness to informed
consent by observing the client sign the form and confirming that
the signature is voluntary. This is within LPN scope. Obtaining
informed consent (explaining risks, benefits, alternatives) is the
, physician’s responsibility. While emergency treatment may proceed
under implied consent doctrine, this statement oversimplifies the
legal requirements.
4. A nurse is caring for a client who has a new diagnosis of
diabetes mellitus. The client asks the nurse to explain the
results of the glycosylated hemoglobin (HbA1c) test. Which of
the following responses should the nurse make?
A. “It measures your blood sugar level from the past 24 hours.”
B. “It shows your average blood glucose control over the past 2 to 3
months.”
C. “It indicates whether you need insulin therapy.”
D. “It tells us if you have type 1 or type 2 diabetes.”
B. “It shows your average blood glucose control over the past 2 to
3 months.”
RATIONALE: HbA1c reflects average blood glucose levels over
the lifespan of red blood cells (approximately 120 days), providing a
2-3 month average of glycemic control. Fasting blood glucose or
random glucose testing measures shorter timeframes. Insulin
therapy decisions are based on multiple factors. The test does not
differentiate between type 1 and type 2 diabetes.
5. A nurse is collecting data from a client who is in severe pain.
Which of the following questions should the nurse ask first?
A. “What makes your pain worse?”
B. “Where is your pain located?”
C. “How would you rate your pain on a scale of 0 to 10?”
D. “What medications have you taken for the pain?”
FORM A,B,C 2023 TEST BANK
Core Domains
Management of Care
Safety and Infection Control
Health Promotion and Maintenance
Psychosocial Integrity
Basic Care and Comfort
Pharmacological and Parenteral Therapies
Reduction of Risk Potential
Physiological Adaptation
Introduction
The PN Comprehensive Predictor is a summative assessment
designed to evaluate the practical nursing student’s readiness for
entry-level practice and licensure. It assesses foundational nursing
knowledge, clinical judgment, and the ability to apply safe, effective
care across the lifespan. The exam employs multiple-choice and
scenario-based questions that require critical thinking and decision-
making in real-world contexts. Content emphasizes prioritization,
delegation, legal and ethical responsibilities, and evidence-based
interventions. Success on this comprehensive exam demonstrates the
competencies essential for safe practical nursing practice.
SECTION ONE: QUESTIONS 1–100
,1. A nurse is assigning tasks to an assistive personnel (AP) for a
group of clients. Which of the following tasks should the
nurse delegate to the AP?
A. Administering oral medications to a stable client
B. Measuring and recording intake and output for a client with a
Foley catheter
C. Assessing a postoperative client’s incision for signs of infection
D. Teaching a client about diabetic foot care
B. Measuring and recording intake and output for a client with a
Foley catheter
RATIONALE: Measuring and recording intake and output is a
routine, non-invasive task with predictable outcomes that falls
within the AP scope of practice. It does not require nursing
judgment, assessment, or teaching skills. Medication
administration, wound assessment, and client teaching are all
nursing responsibilities that require licensure and clinical
judgment.
2. A nurse is caring for four clients. Which client should the
nurse assess first?
A. A client with a blood pressure of 138/88 mm Hg who reports a
headache
B. A client with a heart rate of 110/min who is anxious about an
upcoming procedure
C. A client with a respiratory rate of 28/min and SpO2 of 88% on
room air
,D. A client with a temperature of 38.2°C (100.8°F) who has a surgical
incision
C. A client with a respiratory rate of 28/min and SpO2 of 88% on
room air
RATIONALE: According to the ABCs (Airway, Breathing,
Circulation) priority framework, the client with compromised
oxygenation (SpO2 88%, RR 28) requires immediate assessment
and intervention. This represents a life-threatening situation. The
other clients require monitoring but are not in immediate danger.
3. A nurse is reviewing the legal aspects of informed consent
with a newly licensed practical nurse. Which of the following
statements by the LPN indicates understanding?
A. “I can obtain informed consent for a client undergoing a routine
procedure.”
B. “The physician is responsible for explaining the risks and benefits
of the procedure.”
C. “I can witness the client’s signature on the consent form if I
observed the signing.”
D. “Informed consent is not needed for emergency procedures when
the client is unconscious.”
C. “I can witness the client’s signature on the consent form if I
observed the signing.”
RATIONALE: An LPN can serve as a witness to informed
consent by observing the client sign the form and confirming that
the signature is voluntary. This is within LPN scope. Obtaining
informed consent (explaining risks, benefits, alternatives) is the
, physician’s responsibility. While emergency treatment may proceed
under implied consent doctrine, this statement oversimplifies the
legal requirements.
4. A nurse is caring for a client who has a new diagnosis of
diabetes mellitus. The client asks the nurse to explain the
results of the glycosylated hemoglobin (HbA1c) test. Which of
the following responses should the nurse make?
A. “It measures your blood sugar level from the past 24 hours.”
B. “It shows your average blood glucose control over the past 2 to 3
months.”
C. “It indicates whether you need insulin therapy.”
D. “It tells us if you have type 1 or type 2 diabetes.”
B. “It shows your average blood glucose control over the past 2 to
3 months.”
RATIONALE: HbA1c reflects average blood glucose levels over
the lifespan of red blood cells (approximately 120 days), providing a
2-3 month average of glycemic control. Fasting blood glucose or
random glucose testing measures shorter timeframes. Insulin
therapy decisions are based on multiple factors. The test does not
differentiate between type 1 and type 2 diabetes.
5. A nurse is collecting data from a client who is in severe pain.
Which of the following questions should the nurse ask first?
A. “What makes your pain worse?”
B. “Where is your pain located?”
C. “How would you rate your pain on a scale of 0 to 10?”
D. “What medications have you taken for the pain?”
