NGN ATI RN VATI Comprehensive Predictor – Latest
Nursing Exam Practice Questions, Study Guide, and
NCLEX Test Prep 2025
Section 1: Management of Care / Leadership
1. A nurse is caring for four clients. Which client should the nurse assess first?
A. A client 2 days postoperative reporting incisional pain rated 4/10
B. A client with a new onset of slurred speech and facial drooping
C. A client requesting discharge instructions
D. A client with a blood glucose of 110 mg/dL before breakfast
Rationale: New slurred speech and facial drooping suggest stroke — a time-critical
emergency. Pain, stable glucose, and discharge teaching are important but not immediate
priorities. Prioritize unstable, new, or life-threatening findings.
2. A nurse is delegating tasks to a UAP. Which task is appropriate to delegate?
A. Obtaining a stool specimen from a stable client
B. Teaching a client how to use an incentive spirometer
C. Assessing a client's surgical wound
D. Administering a PRN oral analgesic
Rationale: UAPs may perform specimen collection, vital signs, and ADLs on stable clients.
Assessment, teaching, and medication administration are RN responsibilities.
3. A nurse is preparing to administer a blood transfusion. Which action should the nurse take
first?
A. Prime the tubing with 0.9% sodium chloride
B. Verify the client's identity and blood product with a second nurse
C. Obtain baseline vital signs
D. Start the infusion at 10 mL/hr
Rationale: Two-nurse verification of client and product is the priority safety step before
transfusion to prevent hemolytic reactions. Baseline vitals are obtained, but verification comes
first.
4. A nurse manager is reviewing incident reports. Which situation requires immediate follow-
up?
,A. A nurse documents a late entry
B. A nurse removes a client's restraints without a new order
C. A nurse uses a translator phone for discharge teaching
D. A nurse double-checks a heparin drip with a second nurse
Rationale: Restraints require a provider's order, time-limited renewal, and ongoing
monitoring. Removing them without an order or assessment violates policy and client rights.
5. A client is being discharged with home oxygen. Which statement indicates correct
understanding?
A. "I will use petroleum jelly on my lips."
B. "I will smoke only when the oxygen is off."
C. "I will keep the oxygen at least 10 feet from open flames."
D. "I will store the tank on its side."
Rationale: Oxygen must be kept away from flames/heat (at least 10 feet). Petroleum
products and smoking are fire hazards; tanks must be secured upright.
6. A nurse is triaging clients after a mass casualty event. Which client should be tagged green
(minor)?
A. Client with an open femur fracture and weak pulse
B. Client with agonal respirations
C. Client with a sprained ankle who is ambulatory
D. Client with a tension pneumothorax
Rationale: Green = minor/ambulatory. Red = immediate, yellow = delayed, black =
expectant. Ambulatory minor injuries are green.
7. A nurse is reviewing informed consent. Which action is correct?
A. The nurse explains the procedure and obtains the signature
B. The nurse witnesses the signature and verifies the client understands
C. The nurse signs the consent on the client's behalf
D. The nurse obtains consent from the client's adult child without documentation
Rationale: The provider obtains informed consent; the nurse witnesses and ensures the
client understands and signs voluntarily. Surrogate consent requires legal documentation.
8. A nurse is assigning clients to staff. Which assignment is most appropriate for an LPN?
,A. A client receiving a titrated insulin drip
B. A stable client requiring a wound dressing change
C. A client 4 hours post cardiac catheterization with chest pain
D. A client requiring complex discharge teaching
Rationale: LPNs may perform stable, predictable tasks such as dressing changes. Unstable
clients, titrated drips, and initial teaching belong to the RN.
9. A nurse is preparing for a shift handoff. Which method best supports client safety?
A. Written notes left at the desk
B. A structured bedside report with the client involved
C. A taped report with no opportunity for questions
D. Report given only to the charge nurse
Rationale: Bedside handoff using a structured format (e.g., SBAR) improves safety, allows
client participation, and reduces omissions.
10. A nurse discovers a medication error. Which action should the nurse take first?
A. Document the error in the chart
B. Notify the provider
C. Assess the client for adverse effects
D. Complete an incident report
Rationale: Client assessment comes first. Then notify the provider, document factually, and
complete an incident report (not placed in the chart).
11. A nurse is caring for a client who speaks limited English. Which action is best?
A. Ask a family member to interpret
B. Use a certified medical interpreter
C. Speak loudly and slowly in English
D. Provide written English instructions only
Rationale: Certified interpreters protect accuracy and confidentiality. Family members may
misinterpret and create privacy/conflict issues.
12. A nurse is evaluating staffing for the next shift. Which client requires the most experienced
nurse?
A. A client requesting pain medication
B. A client with a new tracheostomy and frequent suctioning
, C. A client awaiting discharge
D. A client with an IV site due for a dressing change
Rationale: A new tracheostomy with airway management needs is high-acuity and
unpredictable, requiring an experienced RN.
13. A nurse is reviewing advance directives. Which statement is correct?
A. The physician can override a living will
B. A durable power of attorney for health care designates a surrogate decision-maker
C. Advance directives must be renewed yearly
D. A living will applies only after cardiac arrest
Rationale: Durable power of attorney for health care names a surrogate. Living wills address
end-of-life care preferences; they do not require annual renewal.
14. A nurse is preparing to discharge a client who is homeless. Which action is priority?
A. Provide a 30-day supply of medications
B. Collaborate with case management for shelter and follow-up resources
C. Instruct the client to return in 2 weeks
D. Give the client a bus pass
Rationale: Discharge planning for vulnerable clients requires interdisciplinary coordination
for safe housing, medications, and follow-up.
15. A nurse is reviewing the chain of command. Which action is appropriate when a provider's
order is unsafe?
A. Ignore the order
B. Ask another nurse to administer it
C. Clarify the order with the provider and escalate if unresolved
D. Document the order as given
Rationale: Nurses must question unsafe orders, clarify with the provider, and escalate
through the chain of command if the concern persists.
Section 2: Safety & Infection Control
16. A nurse is caring for a client on droplet precautions. Which PPE is required?
Nursing Exam Practice Questions, Study Guide, and
NCLEX Test Prep 2025
Section 1: Management of Care / Leadership
1. A nurse is caring for four clients. Which client should the nurse assess first?
A. A client 2 days postoperative reporting incisional pain rated 4/10
B. A client with a new onset of slurred speech and facial drooping
C. A client requesting discharge instructions
D. A client with a blood glucose of 110 mg/dL before breakfast
Rationale: New slurred speech and facial drooping suggest stroke — a time-critical
emergency. Pain, stable glucose, and discharge teaching are important but not immediate
priorities. Prioritize unstable, new, or life-threatening findings.
2. A nurse is delegating tasks to a UAP. Which task is appropriate to delegate?
A. Obtaining a stool specimen from a stable client
B. Teaching a client how to use an incentive spirometer
C. Assessing a client's surgical wound
D. Administering a PRN oral analgesic
Rationale: UAPs may perform specimen collection, vital signs, and ADLs on stable clients.
Assessment, teaching, and medication administration are RN responsibilities.
3. A nurse is preparing to administer a blood transfusion. Which action should the nurse take
first?
A. Prime the tubing with 0.9% sodium chloride
B. Verify the client's identity and blood product with a second nurse
C. Obtain baseline vital signs
D. Start the infusion at 10 mL/hr
Rationale: Two-nurse verification of client and product is the priority safety step before
transfusion to prevent hemolytic reactions. Baseline vitals are obtained, but verification comes
first.
4. A nurse manager is reviewing incident reports. Which situation requires immediate follow-
up?
,A. A nurse documents a late entry
B. A nurse removes a client's restraints without a new order
C. A nurse uses a translator phone for discharge teaching
D. A nurse double-checks a heparin drip with a second nurse
Rationale: Restraints require a provider's order, time-limited renewal, and ongoing
monitoring. Removing them without an order or assessment violates policy and client rights.
5. A client is being discharged with home oxygen. Which statement indicates correct
understanding?
A. "I will use petroleum jelly on my lips."
B. "I will smoke only when the oxygen is off."
C. "I will keep the oxygen at least 10 feet from open flames."
D. "I will store the tank on its side."
Rationale: Oxygen must be kept away from flames/heat (at least 10 feet). Petroleum
products and smoking are fire hazards; tanks must be secured upright.
6. A nurse is triaging clients after a mass casualty event. Which client should be tagged green
(minor)?
A. Client with an open femur fracture and weak pulse
B. Client with agonal respirations
C. Client with a sprained ankle who is ambulatory
D. Client with a tension pneumothorax
Rationale: Green = minor/ambulatory. Red = immediate, yellow = delayed, black =
expectant. Ambulatory minor injuries are green.
7. A nurse is reviewing informed consent. Which action is correct?
A. The nurse explains the procedure and obtains the signature
B. The nurse witnesses the signature and verifies the client understands
C. The nurse signs the consent on the client's behalf
D. The nurse obtains consent from the client's adult child without documentation
Rationale: The provider obtains informed consent; the nurse witnesses and ensures the
client understands and signs voluntarily. Surrogate consent requires legal documentation.
8. A nurse is assigning clients to staff. Which assignment is most appropriate for an LPN?
,A. A client receiving a titrated insulin drip
B. A stable client requiring a wound dressing change
C. A client 4 hours post cardiac catheterization with chest pain
D. A client requiring complex discharge teaching
Rationale: LPNs may perform stable, predictable tasks such as dressing changes. Unstable
clients, titrated drips, and initial teaching belong to the RN.
9. A nurse is preparing for a shift handoff. Which method best supports client safety?
A. Written notes left at the desk
B. A structured bedside report with the client involved
C. A taped report with no opportunity for questions
D. Report given only to the charge nurse
Rationale: Bedside handoff using a structured format (e.g., SBAR) improves safety, allows
client participation, and reduces omissions.
10. A nurse discovers a medication error. Which action should the nurse take first?
A. Document the error in the chart
B. Notify the provider
C. Assess the client for adverse effects
D. Complete an incident report
Rationale: Client assessment comes first. Then notify the provider, document factually, and
complete an incident report (not placed in the chart).
11. A nurse is caring for a client who speaks limited English. Which action is best?
A. Ask a family member to interpret
B. Use a certified medical interpreter
C. Speak loudly and slowly in English
D. Provide written English instructions only
Rationale: Certified interpreters protect accuracy and confidentiality. Family members may
misinterpret and create privacy/conflict issues.
12. A nurse is evaluating staffing for the next shift. Which client requires the most experienced
nurse?
A. A client requesting pain medication
B. A client with a new tracheostomy and frequent suctioning
, C. A client awaiting discharge
D. A client with an IV site due for a dressing change
Rationale: A new tracheostomy with airway management needs is high-acuity and
unpredictable, requiring an experienced RN.
13. A nurse is reviewing advance directives. Which statement is correct?
A. The physician can override a living will
B. A durable power of attorney for health care designates a surrogate decision-maker
C. Advance directives must be renewed yearly
D. A living will applies only after cardiac arrest
Rationale: Durable power of attorney for health care names a surrogate. Living wills address
end-of-life care preferences; they do not require annual renewal.
14. A nurse is preparing to discharge a client who is homeless. Which action is priority?
A. Provide a 30-day supply of medications
B. Collaborate with case management for shelter and follow-up resources
C. Instruct the client to return in 2 weeks
D. Give the client a bus pass
Rationale: Discharge planning for vulnerable clients requires interdisciplinary coordination
for safe housing, medications, and follow-up.
15. A nurse is reviewing the chain of command. Which action is appropriate when a provider's
order is unsafe?
A. Ignore the order
B. Ask another nurse to administer it
C. Clarify the order with the provider and escalate if unresolved
D. Document the order as given
Rationale: Nurses must question unsafe orders, clarify with the provider, and escalate
through the chain of command if the concern persists.
Section 2: Safety & Infection Control
16. A nurse is caring for a client on droplet precautions. Which PPE is required?
