Complete Test Bank – 180+ Questions with Verified Answers
& Detailed Rationales
2026 Edition | NGN Format | Instant PDF Download Ready
This comprehensive review guide is designed to help Practical Nursing students prepare
for the Kaplan PN Comprehensive Predictor Exam. All questions and rationales have been
verified against current NCLEX-PN standards and the latest Kaplan testing formats.
Exam Overview
Specification Detail
Exam Name Kaplan PN Comprehensive Predictor / Nursing School Exit Exam
Total
180+ comprehensive practice questions
Questions
Format Multiple-choice, NGN-style case scenarios, prioritization
Safe & Effective Care Environment, Health Promotion, Psychosocial Integrity, Physiolog
Content Areas
Integrity
Key Focus Clinical judgment, prioritization, delegation, pharmacology, safety
, Section 1: Safe & Effective Care Environment (Questions 1-
35)
1. A charge nurse is making assignments for the medical-surgical unit. Which client
should be assigned to the most experienced practical nurse?
• A) A client with cirrhosis and a significant drop in blood pressure
• B) A client with diabetes requiring insulin administration
• C) A client with pneumonia on room air
• D) A client with a wound vac requiring dressing change
✅ Correct Answer: A
Rationale: The client with cirrhosis and a significant drop in blood pressure is unstable and
requires the most experienced nurse. This client may be experiencing hypovolemic shock
or bleeding complications. The other clients are stable and can be assigned to less
experienced staff.
2. A nurse is preparing to delegate tasks to an unlicensed assistive personnel (UAP).
Which task is appropriate to delegate?
• A) Assessing a post-operative incision
• B) Administering oral medications
• C) Ambulating a stable patient
• D) Performing a sterile wound dressing change
✅ Correct Answer: C
Rationale: Ambulating a stable patient is a routine, predictable task appropriate for UAP
delegation. Assessment (A), medication administration (B), and sterile procedures (D)
require nursing judgment and cannot be delegated.
, 3. A nurse is caring for a client with a new diagnosis of diabetes. Which statement by the
client indicates the need for further teaching?
• A) "I will check my blood sugar before meals."
• B) "I will rotate my insulin injection sites."
• C) "I will skip my insulin if I am not eating."
• D) "I will carry a source of sugar with me at all times."
✅ Correct Answer: C
Rationale: Insulin should never be skipped even if the client is not eating; this could lead to
hyperglycemia and diabetic ketoacidosis. The client should be taught to take insulin as
prescribed and to eat meals at scheduled times. Options A, B, and D are correct
statements.
4. A client with a history of falls is admitted to the unit. Which intervention should the
nurse implement FIRST?
• A) Apply a bed alarm
• B) Perform a fall risk assessment
• C) Place a fall risk sign on the door
• D) Raise all four side rails
✅ Correct Answer: B
Rationale: The nurse should first perform a fall risk assessment to identify specific risk
factors and guide appropriate interventions. The other actions (A, C, D) are implemented
AFTER the assessment is completed.
5. A nurse is caring for a client with a DNR order. The client's family member is crying
and begging the nurse to "do everything." Which response is most appropriate?
• A) "I will call a code if your loved one stops breathing."
• B) "I understand you are upset. Let me explain what a DNR means."
• C) "You need to accept your loved one's decision."
• D) "I will call the doctor to change the order."