Predictor 2026 Exit Exam NGN-Style
Practice Questions with Detailed
Answers, Rationales, Prioritization,
Delegation, Safety, Pharmacology,
Clinical Judgment, and Physiological
Adaptation for Nursing Review Covering
Management of Care, Health Promotion,
Psychosocial Integrity, Basic Comfort,
Risk Reduction
1–15: Management of Care /
Prioritization / Delegation
,1. A nurse is assessing four clients.
Which client should the nurse see first?
A. Client with angina relieved by
nitroglycerin
B. Client with new-onset confusion
C. Client requesting pain medication for
6/10 pain
D. Client with redness at an IV site
Answer: B
Rationale: New-onset confusion can
indicate decreased cerebral perfusion,
hypoxia, or delirium and is a priority over
stable or less urgent findings.
2. Which task is appropriate to delegate
to unlicensed assistive personnel (UAP)?
A. Ambulating a stable postoperative
,client
B. Administering a tube feeding
C. Assessing lung sounds
D. Teaching a client about insulin
Answer: A
Rationale: UAP can perform stable,
routine tasks. Assessment, teaching, and
tube feeding administration require
licensed nursing judgment.
3. Which client is most appropriate to
assign to an LPN?
A. New tracheostomy requiring initial
teaching
B. Stable client with diabetes needing
morning insulin
C. Client with chest tubes and
, continuous bubbling
D. Client with head injury and GCS 9
Answer: B
Rationale: LPNs can administer
medications to stable clients. Unstable
clients and initial teaching require an RN.
4. A client refuses chemotherapy. Which
ethical principle is the nurse supporting
by respecting this decision?
A. Beneficence
B. Autonomy
C. Justice
D. Nonmaleficence
Answer: B
Rationale: Autonomy is the right of a