LVN Exit ATI PN Comprehensive Predictor Level 3 2026 |
Verified Q&A with Rationales Chamberlain University
Prepare for the 2026 LVN Exit ATI PN Comprehensive Predictor Level 3
with 300 exam-style multiple-choice questions covering high-yield PN
content. Each question includes a verified correct answer and a concise
rationale to strengthen clinical judgment and test-taking strategy. This
digital study guide is ideal for Stuvia and Docsity buyers who want
focused PN/LVN review, rapid remediation, and confidence before exam
day
1. A PN is caring for four clients at the start of the shift. Which client
should the PN assess FIRST?
A) Client with diabetes requesting pain medication for neuropathy
B) Client with COPD who has a new cough producing green sputum
C) Client post-op day 1 with new-onset confusion and BP 88/50
D) Client with a fractured tibia requesting help to the bathroom
Correct Answer: C) Client post-op day 1 with new-onset confusion
and BP 88/50
Rationale: New confusion combined with hypotension (BP 88/50)
suggests possible sepsis, hemorrhage, or shock—unstable priority
findings. The ABCs (Airway, Breathing, Circulation) and Maslow's hierarchy
guide prioritization. Airway and circulation precede stable complaints. The
,client with COPD has a change in sputum that requires attention but is not
immediately life-threatening. The clients requesting pain medication and
bathroom assistance are stable and can wait.
2. Which client can be assigned to a PN (LPN/LVN) under RN
supervision?
A) Client newly diagnosed with unstable angina on a titratable heparin drip
B) Client with stable congestive heart failure receiving daily furosemide
C) Client requiring blood transfusion for symptomatic anemia
D) Client with chest tube and continuous bubbling in water seal chamber
Correct Answer: B) Client with stable congestive heart failure
receiving daily furosemide
Rationale: Stable CHF on routine diuretic is within PN scope of practice.
PNs can care for stable clients with predictable outcomes. Titratable
drips (A), blood transfusions (C), and chest tube troubleshooting (D) are
typically RN scope. PNs should not be assigned clients who are unstable
or require complex assessments and interventions.
3. A charge nurse is assigning staff for the shift. Which client should
be assigned to an RN rather than a PN?
,A) A client with stable CHF receiving daily Lasix
B) A client requiring a blood transfusion for symptomatic anemia
C) A client with a new diagnosis of diabetes needing insulin instruction
D) A client with a PEG tube requiring intermittent feedings
Correct Answer: B) A client requiring a blood transfusion for
symptomatic anemia
Rationale: Blood transfusions require RN administration and monitoring
due to the risk of transfusion reactions. The RN must assess the client,
verify blood compatibility, monitor vital signs during the transfusion, and
manage any adverse reactions. Stable CHF, diabetes education, and PEG
tube feedings can be managed by a PN under RN supervision.
4. A nurse is caring for a client who has a do-not-resuscitate (DNR)
order. The client's daughter demands that the nurse start CPR.
Which action should the nurse take?
A) Start CPR because the daughter is the legal surrogate
B) Respect the DNR order and not initiate CPR
C) Call the provider for clarification
D) Start CPR until the provider arrives
Correct Answer: B) Respect the DNR order and not initiate CPR
Rationale: A DNR order is legally binding and must be respected. A family
member cannot override a valid DNR order without a court order. The
, nurse should follow the DNR order and not initiate CPR. If there is any
question about the validity of the order, the nurse should clarify with the
provider, but the DNR remains in effect until modified.
5. A nurse is planning care for a client who is scheduled for a
surgical procedure. Which of the following actions is the priority for
the nurse to take?
A) Ensure the client has signed the informed consent form
B) Review the client's laboratory results
C) Verify the client's allergies
D) Administer preoperative medication as prescribed
Correct Answer: A) Ensure the client has signed the informed
consent form
Rationale: Informed consent is a legal requirement before any invasive
procedure. The nurse's priority is to ensure consent is signed and
witnessed, as failure to do so could result in legal liability and cancellation
of the procedure. The nurse does not obtain consent but verifies it is
present.
6. A nurse is caring for a client who has a terminal illness and is
approaching death. The client states, "I just want to be comfortable
Verified Q&A with Rationales Chamberlain University
Prepare for the 2026 LVN Exit ATI PN Comprehensive Predictor Level 3
with 300 exam-style multiple-choice questions covering high-yield PN
content. Each question includes a verified correct answer and a concise
rationale to strengthen clinical judgment and test-taking strategy. This
digital study guide is ideal for Stuvia and Docsity buyers who want
focused PN/LVN review, rapid remediation, and confidence before exam
day
1. A PN is caring for four clients at the start of the shift. Which client
should the PN assess FIRST?
A) Client with diabetes requesting pain medication for neuropathy
B) Client with COPD who has a new cough producing green sputum
C) Client post-op day 1 with new-onset confusion and BP 88/50
D) Client with a fractured tibia requesting help to the bathroom
Correct Answer: C) Client post-op day 1 with new-onset confusion
and BP 88/50
Rationale: New confusion combined with hypotension (BP 88/50)
suggests possible sepsis, hemorrhage, or shock—unstable priority
findings. The ABCs (Airway, Breathing, Circulation) and Maslow's hierarchy
guide prioritization. Airway and circulation precede stable complaints. The
,client with COPD has a change in sputum that requires attention but is not
immediately life-threatening. The clients requesting pain medication and
bathroom assistance are stable and can wait.
2. Which client can be assigned to a PN (LPN/LVN) under RN
supervision?
A) Client newly diagnosed with unstable angina on a titratable heparin drip
B) Client with stable congestive heart failure receiving daily furosemide
C) Client requiring blood transfusion for symptomatic anemia
D) Client with chest tube and continuous bubbling in water seal chamber
Correct Answer: B) Client with stable congestive heart failure
receiving daily furosemide
Rationale: Stable CHF on routine diuretic is within PN scope of practice.
PNs can care for stable clients with predictable outcomes. Titratable
drips (A), blood transfusions (C), and chest tube troubleshooting (D) are
typically RN scope. PNs should not be assigned clients who are unstable
or require complex assessments and interventions.
3. A charge nurse is assigning staff for the shift. Which client should
be assigned to an RN rather than a PN?
,A) A client with stable CHF receiving daily Lasix
B) A client requiring a blood transfusion for symptomatic anemia
C) A client with a new diagnosis of diabetes needing insulin instruction
D) A client with a PEG tube requiring intermittent feedings
Correct Answer: B) A client requiring a blood transfusion for
symptomatic anemia
Rationale: Blood transfusions require RN administration and monitoring
due to the risk of transfusion reactions. The RN must assess the client,
verify blood compatibility, monitor vital signs during the transfusion, and
manage any adverse reactions. Stable CHF, diabetes education, and PEG
tube feedings can be managed by a PN under RN supervision.
4. A nurse is caring for a client who has a do-not-resuscitate (DNR)
order. The client's daughter demands that the nurse start CPR.
Which action should the nurse take?
A) Start CPR because the daughter is the legal surrogate
B) Respect the DNR order and not initiate CPR
C) Call the provider for clarification
D) Start CPR until the provider arrives
Correct Answer: B) Respect the DNR order and not initiate CPR
Rationale: A DNR order is legally binding and must be respected. A family
member cannot override a valid DNR order without a court order. The
, nurse should follow the DNR order and not initiate CPR. If there is any
question about the validity of the order, the nurse should clarify with the
provider, but the DNR remains in effect until modified.
5. A nurse is planning care for a client who is scheduled for a
surgical procedure. Which of the following actions is the priority for
the nurse to take?
A) Ensure the client has signed the informed consent form
B) Review the client's laboratory results
C) Verify the client's allergies
D) Administer preoperative medication as prescribed
Correct Answer: A) Ensure the client has signed the informed
consent form
Rationale: Informed consent is a legal requirement before any invasive
procedure. The nurse's priority is to ensure consent is signed and
witnessed, as failure to do so could result in legal liability and cancellation
of the procedure. The nurse does not obtain consent but verifies it is
present.
6. A nurse is caring for a client who has a terminal illness and is
approaching death. The client states, "I just want to be comfortable
