ATI PN Comprehensive Predictor Real
Exam Prep Pack Questions with Verified Answers &
Full Rationales (Forms A, B, C High-Yield Concepts)
Question 1
A Licensed Practical Nurse (LPN) is planning client assignments for the shift.
Which of the following tasks is most appropriate to delegate to an Assistive
Personnel (AP)?
A. Transporting a stable client who is 3 days postoperative to the radiology
department.
B. Teaching a client with a new colostomy how to apply a skin barrier pouch.
C. Administering an initial dose of oral antibiotic medication to a newly
admitted client.
D. Assessing the skin integrity of a client who has a stage 3 pressure injury.
Answer: A. Transporting a stable client who is 3 days postoperative to the
radiology department.
Rationale: Delegation to Assistive Personnel (AP) must be guided by the
"Five Rights of Delegation." APs are trained to perform routine, non-
,invasive tasks for stable clients, such as basic transport, hygiene, and stable
vital sign measurement. Option B is incorrect because client teaching is a
core nursing responsibility that requires the clinical judgment of a licensed
nurse. Option C is incorrect because medication administration falls outside
the scope of practice for an AP. Option D is incorrect because comprehensive
skin assessment requires nursing judgment and evaluation.
Question 2
An LPN is working on a medical-surgical unit and receives a change-of-shift
report. Which of the following clients should the nurse assess first?
A. A client with chronic obstructive pulmonary disease (COPD) who has an
oxygen saturation of 89% on 2 L/min of nasal cannula.
B. A client who is 1 day postoperative following a total knee arthroplasty and
reports pain as 7 on a scale of 0 to 10.
C. A client with diabetes mellitus who has a fasting blood glucose level of 68
mg/dL and reports feeling sweaty and shaky.
D. A client who has an indwelling urinary catheter and whose urine output has
been 120 mL over the past 4 hours.
Answer: C. A client with diabetes mellitus who has a fasting blood glucose
level of 68 mg/dL and reports feeling sweaty and shaky.
Rationale: Using the Maslow’s Hierarchy of Needs and acute vs. chronic
prioritisation framework, the client with a blood glucose level of 68 mg/dL is
experiencing symptomatic hypoglycemia, which poses an immediate
physiological risk of rapid neurological decline. This client requires urgent
intervention with fast-acting carbohydrates. Option A is incorrect because a
mild reduction in oxygen saturation (88-92%) is an expected finding in clients
,with chronic COPD. Option B is incorrect because postoperative pain
requires management but is not a life-threatening emergency. Option D is
incorrect because a urine output of 120 mL over 4 hours averages 30 mL/hr,
which meets the standard minimum threshold for adequate organ perfusion.
Question 3
An LPN is caring for a client who is scheduled for an elective surgical
procedure. The client states, "I signed the consent form, but I am still not
entirely sure what parts of my colon they are removing." Which of the following
actions should the nurse take?
A. Explain the specific surgical steps and anatomic landmarks of the procedure
to the client.
B. Reassure the client that the surgeon is highly skilled and that there is no need
to worry.
C. Document that the client has a complete understanding and file the consent
form in the medical record.
D. Notify the charge nurse or the primary surgeon that the client requires further
clarification.
Answer: D. Notify the charge nurse or the primary surgeon that the client
requires further clarification.
Rationale: The nurse's role in informed consent is to witness the client’s
signature, verify that the client is competent to sign, and ensure that the client
understands their rights. If a client expresses confusion or lack of knowledge
regarding the risks, benefits, or specifics of a surgical procedure, it is the legal
responsibility of the primary operator (the surgeon) to clarify and provide
additional education. Option A is incorrect because outlining surgical
, specifics falls outside the practical nurse's scope of practice. Option B
provides false reassurance and ignores the client's educational deficit. Option
C is incorrect because filing the form while the client actively voices
confusion violates ethical and legal standards of care.
Question 4
A nurse is reviewing a client's plan of care and notes a prescription for strict
safety precautions due to a high risk for falls. Which of the following
interventions should the nurse implement?
A. Place the client's bed in the highest position with all four side rails raised.
B. Lock the wheels on the client's bed, wheelchair, and bedside commode.
C. Instruct the client to try to ambulate independently before calling for
assistance.
D. Keep the client’s room dimly lit at all times to promote rest and relaxation.
Answer: B. Lock the wheels on the client's bed, wheelchair, and bedside
commode.
Rationale: Ensuring that all wheels are securely locked prevents unexpected
movement of equipment during transfers, thereby reducing the risk of a fall.
Option A is incorrect because placing a bed in the highest position increases
the risk of injury if a fall occurs, and raising all four side rails is legally
classified as a physical restraint. Option C is incorrect because a high-risk
client must be explicitly instructed to use the call light to request assistance
before attempting to get out of bed. Option D is incorrect because adequate
lighting is vital during waking hours to maintain spatial orientation and
prevent environmental tripping hazards.
Exam Prep Pack Questions with Verified Answers &
Full Rationales (Forms A, B, C High-Yield Concepts)
Question 1
A Licensed Practical Nurse (LPN) is planning client assignments for the shift.
Which of the following tasks is most appropriate to delegate to an Assistive
Personnel (AP)?
A. Transporting a stable client who is 3 days postoperative to the radiology
department.
B. Teaching a client with a new colostomy how to apply a skin barrier pouch.
C. Administering an initial dose of oral antibiotic medication to a newly
admitted client.
D. Assessing the skin integrity of a client who has a stage 3 pressure injury.
Answer: A. Transporting a stable client who is 3 days postoperative to the
radiology department.
Rationale: Delegation to Assistive Personnel (AP) must be guided by the
"Five Rights of Delegation." APs are trained to perform routine, non-
,invasive tasks for stable clients, such as basic transport, hygiene, and stable
vital sign measurement. Option B is incorrect because client teaching is a
core nursing responsibility that requires the clinical judgment of a licensed
nurse. Option C is incorrect because medication administration falls outside
the scope of practice for an AP. Option D is incorrect because comprehensive
skin assessment requires nursing judgment and evaluation.
Question 2
An LPN is working on a medical-surgical unit and receives a change-of-shift
report. Which of the following clients should the nurse assess first?
A. A client with chronic obstructive pulmonary disease (COPD) who has an
oxygen saturation of 89% on 2 L/min of nasal cannula.
B. A client who is 1 day postoperative following a total knee arthroplasty and
reports pain as 7 on a scale of 0 to 10.
C. A client with diabetes mellitus who has a fasting blood glucose level of 68
mg/dL and reports feeling sweaty and shaky.
D. A client who has an indwelling urinary catheter and whose urine output has
been 120 mL over the past 4 hours.
Answer: C. A client with diabetes mellitus who has a fasting blood glucose
level of 68 mg/dL and reports feeling sweaty and shaky.
Rationale: Using the Maslow’s Hierarchy of Needs and acute vs. chronic
prioritisation framework, the client with a blood glucose level of 68 mg/dL is
experiencing symptomatic hypoglycemia, which poses an immediate
physiological risk of rapid neurological decline. This client requires urgent
intervention with fast-acting carbohydrates. Option A is incorrect because a
mild reduction in oxygen saturation (88-92%) is an expected finding in clients
,with chronic COPD. Option B is incorrect because postoperative pain
requires management but is not a life-threatening emergency. Option D is
incorrect because a urine output of 120 mL over 4 hours averages 30 mL/hr,
which meets the standard minimum threshold for adequate organ perfusion.
Question 3
An LPN is caring for a client who is scheduled for an elective surgical
procedure. The client states, "I signed the consent form, but I am still not
entirely sure what parts of my colon they are removing." Which of the following
actions should the nurse take?
A. Explain the specific surgical steps and anatomic landmarks of the procedure
to the client.
B. Reassure the client that the surgeon is highly skilled and that there is no need
to worry.
C. Document that the client has a complete understanding and file the consent
form in the medical record.
D. Notify the charge nurse or the primary surgeon that the client requires further
clarification.
Answer: D. Notify the charge nurse or the primary surgeon that the client
requires further clarification.
Rationale: The nurse's role in informed consent is to witness the client’s
signature, verify that the client is competent to sign, and ensure that the client
understands their rights. If a client expresses confusion or lack of knowledge
regarding the risks, benefits, or specifics of a surgical procedure, it is the legal
responsibility of the primary operator (the surgeon) to clarify and provide
additional education. Option A is incorrect because outlining surgical
, specifics falls outside the practical nurse's scope of practice. Option B
provides false reassurance and ignores the client's educational deficit. Option
C is incorrect because filing the form while the client actively voices
confusion violates ethical and legal standards of care.
Question 4
A nurse is reviewing a client's plan of care and notes a prescription for strict
safety precautions due to a high risk for falls. Which of the following
interventions should the nurse implement?
A. Place the client's bed in the highest position with all four side rails raised.
B. Lock the wheels on the client's bed, wheelchair, and bedside commode.
C. Instruct the client to try to ambulate independently before calling for
assistance.
D. Keep the client’s room dimly lit at all times to promote rest and relaxation.
Answer: B. Lock the wheels on the client's bed, wheelchair, and bedside
commode.
Rationale: Ensuring that all wheels are securely locked prevents unexpected
movement of equipment during transfers, thereby reducing the risk of a fall.
Option A is incorrect because placing a bed in the highest position increases
the risk of injury if a fall occurs, and raising all four side rails is legally
classified as a physical restraint. Option C is incorrect because a high-risk
client must be explicitly instructed to use the call light to request assistance
before attempting to get out of bed. Option D is incorrect because adequate
lighting is vital during waking hours to maintain spatial orientation and
prevent environmental tripping hazards.
