ATI PN Comprehensive Predictor | 200
Advanced NGN-Aligned Questions with
Verified Answers & Detailed Rationales |
Complete Review for Practical Nursing
Exit Exam Success
SECTION 1: MANAGEMENT OF CARE – LPN SCOPE, DELEGATION & PRIORITIZATION (Questions
1–30)
1. A nurse is caring for a client who is 1 hour postoperative following a total hip arthroplasty
and reports shortness of breath. Which action should the LPN take FIRST?
A. Administer the prescribed PRN analgesic
B. Elevate the head of the bed and notify the RN
C. Document the finding and reassess in 30 minutes
D. Assist the client to ambulate
Correct Answer: B
Rationale: Shortness of breath postoperatively may indicate a pulmonary embolism or other
respiratory complication. The LPN should elevate the head of the bed to promote oxygenation
and notify the RN immediately. This is a change in condition requiring RN assessment.
2. An LPN is delegating tasks to an unlicensed assistive personnel (UAP). Which task is
appropriate for the LPN to delegate?
A. Administering oral medications
B. Performing a sterile dressing change
C. Measuring and recording vital signs on a stable client
D. Assessing a client's lung sounds
Correct Answer: C
,Rationale: UAPs may measure and record vital signs on stable clients. Medication
administration, sterile procedures, and assessments are within the LPN or RN scope of practice.
3. A nurse receives report on four clients. Which client should the LPN assess FIRST?
A. A client with COPD whose oxygen saturation is 88% on room air
B. A client with diabetes whose fasting glucose is 142 mg/dL
C. A client 2 days post-op reporting incisional pain of 5/10
D. A client with heart failure who has 1+ pitting edema bilaterally
Correct Answer: A
Rationale: Using ABC prioritization, hypoxia (SpO₂ 88%) is an immediate life threat requiring
assessment and intervention. The other findings are second-level priorities.
4. An LPN is caring for a client who is scheduled for surgery. Which action is within the LPN's
scope of practice?
A. Obtaining informed consent
B. Witnessing the client's signature on the consent form
C. Explaining the risks and benefits of the procedure
D. Determining the client's legal capacity
Correct Answer: B
Rationale: The LPN may witness the client's signature on the consent form. The surgeon is
responsible for explaining risks and benefits. Informed consent and legal capacity
determinations are provider responsibilities.
5. A client with a DNR order becomes pulseless. The family demands that everything be done.
What should the LPN do?
A. Begin CPR immediately
B. Respect the DNR and provide comfort measures while supporting the family
C. Call the provider to cancel the DNR
D. Ask the family to sign a revocation
Correct Answer: B
,Rationale: A valid DNR order must be honored. The LPN should provide comfort care and
support the family. The DNR can only be revoked by the client or legal surrogate.
6. An LPN suspects a colleague is working while impaired. What is the priority action?
A. Confront the colleague privately
B. Document the observation and report to the charge nurse immediately
C. Send the colleague home
D. Monitor the colleague for the rest of the shift
Correct Answer: B
Rationale: Patient safety is paramount. The LPN must report suspected impairment to the
charge nurse immediately and document objectively.
7. A nurse is preparing to administer a high-alert medication. Which action is correct for the
LPN?
A. Verify the dose with a second nurse per policy
B. Administer independently
C. Skip the second check if the client is stable
D. Delegate administration to a UAP
Correct Answer: A
Rationale: High-alert medications require an independent double-check per policy. UAPs cannot
administer medications.
8. An LPN is caring for a client who speaks a different language. Which action best ensures
understanding?
A. Use a family member as an interpreter
B. Use a certified medical interpreter
C. Provide written materials only
D. Use gestures only
Correct Answer: B
Rationale: Certified interpreters protect accuracy and confidentiality. Family members may
misinterpret information.
, 9. A nurse is triaging after a mass casualty event. Which client should receive care FIRST?
A. A client with an open femur fracture
B. A client with a sucking chest wound and stridor
C. A client with a sprained ankle
D. A client with a closed head injury who is awake
Correct Answer: B
Rationale: Airway and breathing compromise take priority (emergent/red tag). The sucking
chest wound with stridor is immediately life-threatening.
10. An LPN is reviewing a provider's order that appears unsafe. What should the LPN do?
A. Implement the order as written
B. Clarify the order with the provider and document the clarification
C. Ask another nurse to implement the order
D. Refuse to care for the client
Correct Answer: B
Rationale: The LPN has a duty to clarify questionable orders. Implementing an unsafe order
breaches the standard of care.
11. A nurse is providing discharge teaching. Which action best promotes learning?
A. Providing all instructions at the end of the visit
B. Using a teach-back method
C. Giving a printed handout without discussion
D. Waiting until the client asks questions
Correct Answer: B
Rationale: Teach-back confirms comprehension and retention. Other methods are less effective.
12. An LPN is caring for a client who refuses a blood transfusion due to religious beliefs.
Which response is appropriate?
Advanced NGN-Aligned Questions with
Verified Answers & Detailed Rationales |
Complete Review for Practical Nursing
Exit Exam Success
SECTION 1: MANAGEMENT OF CARE – LPN SCOPE, DELEGATION & PRIORITIZATION (Questions
1–30)
1. A nurse is caring for a client who is 1 hour postoperative following a total hip arthroplasty
and reports shortness of breath. Which action should the LPN take FIRST?
A. Administer the prescribed PRN analgesic
B. Elevate the head of the bed and notify the RN
C. Document the finding and reassess in 30 minutes
D. Assist the client to ambulate
Correct Answer: B
Rationale: Shortness of breath postoperatively may indicate a pulmonary embolism or other
respiratory complication. The LPN should elevate the head of the bed to promote oxygenation
and notify the RN immediately. This is a change in condition requiring RN assessment.
2. An LPN is delegating tasks to an unlicensed assistive personnel (UAP). Which task is
appropriate for the LPN to delegate?
A. Administering oral medications
B. Performing a sterile dressing change
C. Measuring and recording vital signs on a stable client
D. Assessing a client's lung sounds
Correct Answer: C
,Rationale: UAPs may measure and record vital signs on stable clients. Medication
administration, sterile procedures, and assessments are within the LPN or RN scope of practice.
3. A nurse receives report on four clients. Which client should the LPN assess FIRST?
A. A client with COPD whose oxygen saturation is 88% on room air
B. A client with diabetes whose fasting glucose is 142 mg/dL
C. A client 2 days post-op reporting incisional pain of 5/10
D. A client with heart failure who has 1+ pitting edema bilaterally
Correct Answer: A
Rationale: Using ABC prioritization, hypoxia (SpO₂ 88%) is an immediate life threat requiring
assessment and intervention. The other findings are second-level priorities.
4. An LPN is caring for a client who is scheduled for surgery. Which action is within the LPN's
scope of practice?
A. Obtaining informed consent
B. Witnessing the client's signature on the consent form
C. Explaining the risks and benefits of the procedure
D. Determining the client's legal capacity
Correct Answer: B
Rationale: The LPN may witness the client's signature on the consent form. The surgeon is
responsible for explaining risks and benefits. Informed consent and legal capacity
determinations are provider responsibilities.
5. A client with a DNR order becomes pulseless. The family demands that everything be done.
What should the LPN do?
A. Begin CPR immediately
B. Respect the DNR and provide comfort measures while supporting the family
C. Call the provider to cancel the DNR
D. Ask the family to sign a revocation
Correct Answer: B
,Rationale: A valid DNR order must be honored. The LPN should provide comfort care and
support the family. The DNR can only be revoked by the client or legal surrogate.
6. An LPN suspects a colleague is working while impaired. What is the priority action?
A. Confront the colleague privately
B. Document the observation and report to the charge nurse immediately
C. Send the colleague home
D. Monitor the colleague for the rest of the shift
Correct Answer: B
Rationale: Patient safety is paramount. The LPN must report suspected impairment to the
charge nurse immediately and document objectively.
7. A nurse is preparing to administer a high-alert medication. Which action is correct for the
LPN?
A. Verify the dose with a second nurse per policy
B. Administer independently
C. Skip the second check if the client is stable
D. Delegate administration to a UAP
Correct Answer: A
Rationale: High-alert medications require an independent double-check per policy. UAPs cannot
administer medications.
8. An LPN is caring for a client who speaks a different language. Which action best ensures
understanding?
A. Use a family member as an interpreter
B. Use a certified medical interpreter
C. Provide written materials only
D. Use gestures only
Correct Answer: B
Rationale: Certified interpreters protect accuracy and confidentiality. Family members may
misinterpret information.
, 9. A nurse is triaging after a mass casualty event. Which client should receive care FIRST?
A. A client with an open femur fracture
B. A client with a sucking chest wound and stridor
C. A client with a sprained ankle
D. A client with a closed head injury who is awake
Correct Answer: B
Rationale: Airway and breathing compromise take priority (emergent/red tag). The sucking
chest wound with stridor is immediately life-threatening.
10. An LPN is reviewing a provider's order that appears unsafe. What should the LPN do?
A. Implement the order as written
B. Clarify the order with the provider and document the clarification
C. Ask another nurse to implement the order
D. Refuse to care for the client
Correct Answer: B
Rationale: The LPN has a duty to clarify questionable orders. Implementing an unsafe order
breaches the standard of care.
11. A nurse is providing discharge teaching. Which action best promotes learning?
A. Providing all instructions at the end of the visit
B. Using a teach-back method
C. Giving a printed handout without discussion
D. Waiting until the client asks questions
Correct Answer: B
Rationale: Teach-back confirms comprehension and retention. Other methods are less effective.
12. An LPN is caring for a client who refuses a blood transfusion due to religious beliefs.
Which response is appropriate?
