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# ATI PN COMPREHENSIVE PREDICTOR
2026-2027
## PREMIUM PRACTICE QUESTION BANK
# Table Of Contents
| Section | Topic | Questions |
|---------|-------|-----------|
| **I** | **Safe And Effective Care Environment** | |
| | A. Management Of Care | 1-45 |
| | B. Safety And Infection Control | 46-75 |
| **Ii** | **Health Promotion And Maintenance** | 76-105 |
| **Iii** | **Psychosocial Integrity** | 106-135 |
| **Iv** | **Physiological Integrity** | |
| | A. Basic Care And Comfort | 136-165 |
| | B. Pharmacological And Parenteral Therapies | 166-215 |
| | C. Reduction Of Risk Potential | 216-255 |
| | D. Physiological Adaptation | 256-300 |
| **V** | **Next Generation Nclex (Ngn) Clinical Judgment Cases** | 301-325 |
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# SECTION I: SAFE AND EFFECTIVE CARE ENVIRONMENT
## A. Management of Care (Questions 1-45)
**Question 1**
*Bloom's Level: Application*
A nurse on a medical-surgical unit is making client assignments for the shift.
Which client should the nurse assign to the licensed practical nurse (LPN)?
A. A client who is 2 hours post-total hip arthroplasty with a continuous epidural
infusion
B. A client with a new tracheostomy requiring initial suctioning and stoma care
teaching
C. A client with type 2 diabetes mellitus who needs a fingerstick blood glucose
check and insulin administration
D. A client admitted with chest pain who is experiencing acute shortness of breath
**Correct Answer: C**
**Rationale:** The LPN's scope of practice includes caring for stable clients with
predictable outcomes and administering medications, including insulin, to stable
clients . Performing a fingerstick blood glucose check and administering insulin to
a client with stable type 2 diabetes mellitus falls within the LPN's scope of
practice. Option A involves a client with an epidural infusion requiring complex
assessment and management typically assigned to an RN. Option B involves
teaching and initial care of a new tracheostomy, which requires RN-level
,3|Page
assessment and education. Option D involves acute symptom management of a
potentially unstable client requiring RN assessment and intervention .
**Incorrect Answer Explanations:**
- **A:** A client with a continuous epidural infusion requires frequent assessment
of sensory/motor levels, pain management evaluation, and monitoring for
complications such as respiratory depression. This complex client requires RN
assessment and is not appropriate for LPN assignment.
- **B:** Initial tracheostomy suctioning and stoma care teaching require
comprehensive assessment and client/family education. The LPN may reinforce
teaching but should not be assigned to provide initial teaching or care for a new
tracheostomy.
- **D:** A client with chest pain and acute shortness of breath is unstable and
requires immediate RN assessment, ongoing monitoring, and complex decision-
making. This client should be assigned to an RN.
---
**Question 2**
*Bloom's Level: Analysis*
A charge nurse is delegating tasks to an assistive personnel (AP). Which of the
following tasks is most appropriate to delegate to the AP?
A. Measuring the intake and output for a client on strict fluid restriction
B. Assisting a client who is post-stroke with meals using a chin-tuck swallow
technique
, 4|Page
C. Obtaining a sterile urine specimen from a client with an indwelling Foley
catheter
D. Ambulating a client who is 1 day post-operative following knee replacement
surgery
**Correct Answer: A**
**Rationale:** Measuring and recording intake and output is a non-invasive task
that does not require nursing judgment and falls within the scope of practice for
APs . APs are trained to measure, document, and report findings to the nurse. The
client on strict fluid restriction is stable, and the AP can accurately measure all
fluids consumed and output produced.
**Incorrect Answer Explanations:**
- **B:** Assisting a post-stroke client with swallowing requires knowledge of
dysphagia precautions, including chin-tuck technique to prevent aspiration. This
task requires nursing judgment to assess for signs of aspiration and is not
appropriate for delegation to AP.
- **C:** Obtaining a sterile urine specimen from an indwelling Foley catheter
requires sterile technique and nursing knowledge to prevent contamination and
infection. This procedure requires specialized training beyond AP scope.
- **D:** Ambulating a client who is 1 day post-operative following knee
replacement requires assessment of stability, pain level, and fall risk before and
during ambulation. The client requires a nurse's assessment to determine readiness
and safety for ambulation.
---
# ATI PN COMPREHENSIVE PREDICTOR
2026-2027
## PREMIUM PRACTICE QUESTION BANK
# Table Of Contents
| Section | Topic | Questions |
|---------|-------|-----------|
| **I** | **Safe And Effective Care Environment** | |
| | A. Management Of Care | 1-45 |
| | B. Safety And Infection Control | 46-75 |
| **Ii** | **Health Promotion And Maintenance** | 76-105 |
| **Iii** | **Psychosocial Integrity** | 106-135 |
| **Iv** | **Physiological Integrity** | |
| | A. Basic Care And Comfort | 136-165 |
| | B. Pharmacological And Parenteral Therapies | 166-215 |
| | C. Reduction Of Risk Potential | 216-255 |
| | D. Physiological Adaptation | 256-300 |
| **V** | **Next Generation Nclex (Ngn) Clinical Judgment Cases** | 301-325 |
,2|Page
# SECTION I: SAFE AND EFFECTIVE CARE ENVIRONMENT
## A. Management of Care (Questions 1-45)
**Question 1**
*Bloom's Level: Application*
A nurse on a medical-surgical unit is making client assignments for the shift.
Which client should the nurse assign to the licensed practical nurse (LPN)?
A. A client who is 2 hours post-total hip arthroplasty with a continuous epidural
infusion
B. A client with a new tracheostomy requiring initial suctioning and stoma care
teaching
C. A client with type 2 diabetes mellitus who needs a fingerstick blood glucose
check and insulin administration
D. A client admitted with chest pain who is experiencing acute shortness of breath
**Correct Answer: C**
**Rationale:** The LPN's scope of practice includes caring for stable clients with
predictable outcomes and administering medications, including insulin, to stable
clients . Performing a fingerstick blood glucose check and administering insulin to
a client with stable type 2 diabetes mellitus falls within the LPN's scope of
practice. Option A involves a client with an epidural infusion requiring complex
assessment and management typically assigned to an RN. Option B involves
teaching and initial care of a new tracheostomy, which requires RN-level
,3|Page
assessment and education. Option D involves acute symptom management of a
potentially unstable client requiring RN assessment and intervention .
**Incorrect Answer Explanations:**
- **A:** A client with a continuous epidural infusion requires frequent assessment
of sensory/motor levels, pain management evaluation, and monitoring for
complications such as respiratory depression. This complex client requires RN
assessment and is not appropriate for LPN assignment.
- **B:** Initial tracheostomy suctioning and stoma care teaching require
comprehensive assessment and client/family education. The LPN may reinforce
teaching but should not be assigned to provide initial teaching or care for a new
tracheostomy.
- **D:** A client with chest pain and acute shortness of breath is unstable and
requires immediate RN assessment, ongoing monitoring, and complex decision-
making. This client should be assigned to an RN.
---
**Question 2**
*Bloom's Level: Analysis*
A charge nurse is delegating tasks to an assistive personnel (AP). Which of the
following tasks is most appropriate to delegate to the AP?
A. Measuring the intake and output for a client on strict fluid restriction
B. Assisting a client who is post-stroke with meals using a chin-tuck swallow
technique
, 4|Page
C. Obtaining a sterile urine specimen from a client with an indwelling Foley
catheter
D. Ambulating a client who is 1 day post-operative following knee replacement
surgery
**Correct Answer: A**
**Rationale:** Measuring and recording intake and output is a non-invasive task
that does not require nursing judgment and falls within the scope of practice for
APs . APs are trained to measure, document, and report findings to the nurse. The
client on strict fluid restriction is stable, and the AP can accurately measure all
fluids consumed and output produced.
**Incorrect Answer Explanations:**
- **B:** Assisting a post-stroke client with swallowing requires knowledge of
dysphagia precautions, including chin-tuck technique to prevent aspiration. This
task requires nursing judgment to assess for signs of aspiration and is not
appropriate for delegation to AP.
- **C:** Obtaining a sterile urine specimen from an indwelling Foley catheter
requires sterile technique and nursing knowledge to prevent contamination and
infection. This procedure requires specialized training beyond AP scope.
- **D:** Ambulating a client who is 1 day post-operative following knee
replacement requires assessment of stability, pain level, and fall risk before and
during ambulation. The client requires a nurse's assessment to determine readiness
and safety for ambulation.
---
