ATI PN Comprehensive Predictor 2026 Actual +
Retake Bundle | Proctored Exam Questions
and Answers | NGN PN Exam Prep
Management of Care
1. A PN is caring for four clients at the start of the shift. Which client should be assessed
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
Rationale: New confusion combined with hypotension suggests possible sepsis,
hemorrhage, or shock—this is an unstable priority. Airway and circulation concerns always
precede stable complaints. The client with COPD and new green sputum requires assessment
but is not immediately unstable. Pain medication requests and bathroom assistance are routine
needs.
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
Rationale: Stable CHF on routine diuretic is within PN scope of practice. Titratable drips,
blood transfusions, and chest tube troubleshooting are typically RN responsibilities. The PN can
care for stable, predictable clients with routine 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: C
Rationale: Client education, specifically initial instruction, falls under the scope of the RN as
it requires complex assessment and evaluation of learning. PNs can reinforce teaching but
cannot perform initial patient teaching. Stable CHF, blood transfusions (with RN supervision),
and PEG feedings can be assigned to PNs.
4. A nurse is delegating tasks to an assistive personnel (AP). Which task is appropriate to
delegate?
A) Administering an enema
B) Inserting an indwelling urinary catheter
C) Measuring a client's vital signs
D) Teaching a client how to use an incentive spirometer
Correct Answer: C
Rationale: Measuring vital signs is within the AP's scope of practice. The nurse cannot
delegate tasks requiring nursing judgment, sterile technique (catheter insertion), or client
education. Enema administration and incentive spirometer teaching require nursing assessment
and judgment.
5. A nurse is preparing a client for transfer to a long-term care facility. Which information
should the nurse include in the transfer report? (Select all that apply)
A) The client's advance directive status
B) The client's recent laboratory values
C) The client's current medications
D) The client's preferred activities
E) The client's code status
Correct Answers: A, B, C, D, E
, Rationale: All of these are essential for continuity of care. Transfer reports must include
advance directives, recent labs, current medications, activity preferences, and code status to
ensure safe handoff and prevent gaps in care.
6. A nurse is caring for a client who is scheduled for a surgical procedure. Which action is the
priority?
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
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. While labs and allergies are important, consent
must be verified first.
7. A nurse notes that a colleague administered the wrong medication to a client. Which action
should the nurse take FIRST?
A) Report the colleague to the nursing supervisor
B) Assess the client for adverse effects
C) Complete an incident report
D) Discuss the error with the colleague privately
Correct Answer: B
Rationale: Client safety is the priority. The nurse should first assess the client for any
adverse effects from the wrong medication. After ensuring client safety, the nurse should report
the error through appropriate channels, complete an incident report, and address the colleague
privately.
8. A nurse is caring for a client who has a new diagnosis of diabetes mellitus. Which action by
the nurse demonstrates advocacy?
, A) Administering insulin as prescribed
B) Teaching the client how to check blood glucose
C) Contacting the provider about the client's inability to afford glucose test strips
D) Documenting the client's blood glucose readings
Correct Answer: C
Rationale: Advocacy involves acting on behalf of the client to ensure their needs are met.
Contacting the provider about financial barriers to care demonstrates advocacy by addressing a
social determinant of health. The other options are routine nursing tasks.
9. A PN is caring for a client who refuses a scheduled enema. Which action by the PN
demonstrates respect for client autonomy?
A) Explain the risks of not completing the procedure
B) Document the refusal and notify the RN
C) Ask the family to encourage the client
D) Reschedule the enema for later in the shift
Correct Answer: B
Rationale: Competent adults have the right to refuse treatment. The PN must document
refusal and report to the RN. Explaining risks is appropriate but does not demonstrate respect
for autonomy in the same way as honoring the refusal. Involving family or rescheduling without
consent violates autonomy.
10. The PN observes a UAP measuring a client's blood pressure using a cuff that is too small.
What should the PN do FIRST?
A) Report the UAP to the nurse manager
B) Instruct the UAP to use the correct cuff size immediately
C) Document the incident in the UAP's file
D) Take over the task without comment
Correct Answer: B
Rationale: Immediate correction prevents harm and ensures accurate assessment. Teaching
is within PN scope. Reporting to the manager, documenting in the UAP's file, or silently taking
over does not address the immediate need for correct technique and client safety.
Retake Bundle | Proctored Exam Questions
and Answers | NGN PN Exam Prep
Management of Care
1. A PN is caring for four clients at the start of the shift. Which client should be assessed
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
Rationale: New confusion combined with hypotension suggests possible sepsis,
hemorrhage, or shock—this is an unstable priority. Airway and circulation concerns always
precede stable complaints. The client with COPD and new green sputum requires assessment
but is not immediately unstable. Pain medication requests and bathroom assistance are routine
needs.
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
Rationale: Stable CHF on routine diuretic is within PN scope of practice. Titratable drips,
blood transfusions, and chest tube troubleshooting are typically RN responsibilities. The PN can
care for stable, predictable clients with routine 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: C
Rationale: Client education, specifically initial instruction, falls under the scope of the RN as
it requires complex assessment and evaluation of learning. PNs can reinforce teaching but
cannot perform initial patient teaching. Stable CHF, blood transfusions (with RN supervision),
and PEG feedings can be assigned to PNs.
4. A nurse is delegating tasks to an assistive personnel (AP). Which task is appropriate to
delegate?
A) Administering an enema
B) Inserting an indwelling urinary catheter
C) Measuring a client's vital signs
D) Teaching a client how to use an incentive spirometer
Correct Answer: C
Rationale: Measuring vital signs is within the AP's scope of practice. The nurse cannot
delegate tasks requiring nursing judgment, sterile technique (catheter insertion), or client
education. Enema administration and incentive spirometer teaching require nursing assessment
and judgment.
5. A nurse is preparing a client for transfer to a long-term care facility. Which information
should the nurse include in the transfer report? (Select all that apply)
A) The client's advance directive status
B) The client's recent laboratory values
C) The client's current medications
D) The client's preferred activities
E) The client's code status
Correct Answers: A, B, C, D, E
, Rationale: All of these are essential for continuity of care. Transfer reports must include
advance directives, recent labs, current medications, activity preferences, and code status to
ensure safe handoff and prevent gaps in care.
6. A nurse is caring for a client who is scheduled for a surgical procedure. Which action is the
priority?
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
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. While labs and allergies are important, consent
must be verified first.
7. A nurse notes that a colleague administered the wrong medication to a client. Which action
should the nurse take FIRST?
A) Report the colleague to the nursing supervisor
B) Assess the client for adverse effects
C) Complete an incident report
D) Discuss the error with the colleague privately
Correct Answer: B
Rationale: Client safety is the priority. The nurse should first assess the client for any
adverse effects from the wrong medication. After ensuring client safety, the nurse should report
the error through appropriate channels, complete an incident report, and address the colleague
privately.
8. A nurse is caring for a client who has a new diagnosis of diabetes mellitus. Which action by
the nurse demonstrates advocacy?
, A) Administering insulin as prescribed
B) Teaching the client how to check blood glucose
C) Contacting the provider about the client's inability to afford glucose test strips
D) Documenting the client's blood glucose readings
Correct Answer: C
Rationale: Advocacy involves acting on behalf of the client to ensure their needs are met.
Contacting the provider about financial barriers to care demonstrates advocacy by addressing a
social determinant of health. The other options are routine nursing tasks.
9. A PN is caring for a client who refuses a scheduled enema. Which action by the PN
demonstrates respect for client autonomy?
A) Explain the risks of not completing the procedure
B) Document the refusal and notify the RN
C) Ask the family to encourage the client
D) Reschedule the enema for later in the shift
Correct Answer: B
Rationale: Competent adults have the right to refuse treatment. The PN must document
refusal and report to the RN. Explaining risks is appropriate but does not demonstrate respect
for autonomy in the same way as honoring the refusal. Involving family or rescheduling without
consent violates autonomy.
10. The PN observes a UAP measuring a client's blood pressure using a cuff that is too small.
What should the PN do FIRST?
A) Report the UAP to the nurse manager
B) Instruct the UAP to use the correct cuff size immediately
C) Document the incident in the UAP's file
D) Take over the task without comment
Correct Answer: B
Rationale: Immediate correction prevents harm and ensures accurate assessment. Teaching
is within PN scope. Reporting to the manager, documenting in the UAP's file, or silently taking
over does not address the immediate need for correct technique and client safety.
