,ATI PN Predictor 2 (Late Assessment - PN) Exam Questions And
Answers 2026/2027
1.** A charge nurse is making client assignments on a busy medical-surgical
unit. Which client should be assigned to the most experienced PN (LPN/LVN)?
A) Client with diabetes requiring a routine fingerstick blood glucose check
B) Client with a new colostomy requiring stoma care teaching
C) Client with heart failure receiving daily oral furosemide
D) Client with an indwelling urinary catheter requiring routine care
**Correct Answer:** B) Client with a new colostomy requiring stoma care
teaching
**Rationale:** Client education requires advanced nursing knowledge and
should be assigned to the most experienced PN. Routine tasks (A, C, D) can
be assigned to less experienced staff or delegated to AP with appropriate
supervision.
**2.** A nurse is caring for a client who is 4 hours postoperative following a
total hip arthroplasty. The client's blood pressure is 88/52 mmHg, heart rate
112/min, and the client is pale and diaphoretic. What is the nurse's priority
action?
A) Notify the healthcare provider
B) Increase the IV fluid rate
C) Assess the surgical dressing for bleeding
D) Administer PRN pain medication
**Correct Answer:** C) Assess the surgical dressing for bleeding
,**Rationale:** Tachycardia and hypotension with pallor and diaphoresis
suggest possible hemorrhage. The nurse must first assess the surgical site
for bleeding. IV fluids and provider notification follow assessment.
**3.** A nurse is preparing a client for a procedure. The client asks, "What
exactly is this procedure going to do?" The nurse reviews the consent form
and realizes the provider did not fully explain the procedure. What is the
nurse's best action?
A) Explain the procedure to the client in detail
B) Have the client sign the consent form anyway
C) Contact the healthcare provider to come and explain the procedure
D) Document that the client asked questions
**Correct Answer:** C) Contact the healthcare provider to come and explain
the procedure
**Rationale:** Informed consent requires the provider to explain the
procedure, risks, benefits, and alternatives. The nurse cannot provide this
information. The provider must be contacted to obtain proper informed
consent.
**4.** A nurse is caring for a client who has been prescribed a new
medication. The client states, "I don't want to take that medication; it's too
expensive." What is the nurse's most appropriate response?
A) "You need to take this medication as prescribed."
B) "I understand. Let me talk to the healthcare provider about possible
alternatives."
C) "You can get a generic version at a lower cost."
D) "If you don't take it, your condition will get worse."
, **Correct Answer:** B) "I understand. Let me talk to the healthcare provider
about possible alternatives."
**Rationale:** The nurse should advocate for the client by addressing the
concern and exploring alternatives. Dismissing the concern (A, D) or
providing financial advice (C) without provider input is inappropriate.
**5.** A nurse observes a colleague administering medications without
checking the client's identification. What is the nurse's priority action?
A) Ignore the behavior to avoid conflict
B) Report the colleague to the nurse manager
C) Remind the colleague to check identification
D) Document the incident in the colleague's file
**Correct Answer:** C) Remind the colleague to check identification
**Rationale:** Client identification is a critical safety measure. The nurse
should address the behavior directly with the colleague first. Reporting to the
manager (B) may be necessary if the behavior continues.
**6.** A client with a history of falls is being admitted to a long-term care
facility. Which intervention should the nurse prioritize in the plan of care?
A) Apply restraints to prevent wandering
B) Keep the bed in the lowest position with side rails up
C) Place a bed alarm and perform frequent rounding
D) Encourage the client to remain in bed at all times
Answers 2026/2027
1.** A charge nurse is making client assignments on a busy medical-surgical
unit. Which client should be assigned to the most experienced PN (LPN/LVN)?
A) Client with diabetes requiring a routine fingerstick blood glucose check
B) Client with a new colostomy requiring stoma care teaching
C) Client with heart failure receiving daily oral furosemide
D) Client with an indwelling urinary catheter requiring routine care
**Correct Answer:** B) Client with a new colostomy requiring stoma care
teaching
**Rationale:** Client education requires advanced nursing knowledge and
should be assigned to the most experienced PN. Routine tasks (A, C, D) can
be assigned to less experienced staff or delegated to AP with appropriate
supervision.
**2.** A nurse is caring for a client who is 4 hours postoperative following a
total hip arthroplasty. The client's blood pressure is 88/52 mmHg, heart rate
112/min, and the client is pale and diaphoretic. What is the nurse's priority
action?
A) Notify the healthcare provider
B) Increase the IV fluid rate
C) Assess the surgical dressing for bleeding
D) Administer PRN pain medication
**Correct Answer:** C) Assess the surgical dressing for bleeding
,**Rationale:** Tachycardia and hypotension with pallor and diaphoresis
suggest possible hemorrhage. The nurse must first assess the surgical site
for bleeding. IV fluids and provider notification follow assessment.
**3.** A nurse is preparing a client for a procedure. The client asks, "What
exactly is this procedure going to do?" The nurse reviews the consent form
and realizes the provider did not fully explain the procedure. What is the
nurse's best action?
A) Explain the procedure to the client in detail
B) Have the client sign the consent form anyway
C) Contact the healthcare provider to come and explain the procedure
D) Document that the client asked questions
**Correct Answer:** C) Contact the healthcare provider to come and explain
the procedure
**Rationale:** Informed consent requires the provider to explain the
procedure, risks, benefits, and alternatives. The nurse cannot provide this
information. The provider must be contacted to obtain proper informed
consent.
**4.** A nurse is caring for a client who has been prescribed a new
medication. The client states, "I don't want to take that medication; it's too
expensive." What is the nurse's most appropriate response?
A) "You need to take this medication as prescribed."
B) "I understand. Let me talk to the healthcare provider about possible
alternatives."
C) "You can get a generic version at a lower cost."
D) "If you don't take it, your condition will get worse."
, **Correct Answer:** B) "I understand. Let me talk to the healthcare provider
about possible alternatives."
**Rationale:** The nurse should advocate for the client by addressing the
concern and exploring alternatives. Dismissing the concern (A, D) or
providing financial advice (C) without provider input is inappropriate.
**5.** A nurse observes a colleague administering medications without
checking the client's identification. What is the nurse's priority action?
A) Ignore the behavior to avoid conflict
B) Report the colleague to the nurse manager
C) Remind the colleague to check identification
D) Document the incident in the colleague's file
**Correct Answer:** C) Remind the colleague to check identification
**Rationale:** Client identification is a critical safety measure. The nurse
should address the behavior directly with the colleague first. Reporting to the
manager (B) may be necessary if the behavior continues.
**6.** A client with a history of falls is being admitted to a long-term care
facility. Which intervention should the nurse prioritize in the plan of care?
A) Apply restraints to prevent wandering
B) Keep the bed in the lowest position with side rails up
C) Place a bed alarm and perform frequent rounding
D) Encourage the client to remain in bed at all times
