ATI PN Comprehensive Predictor 2025 Exam
Test Bank | Practical Nursing NCLEX-PN
Review Questions & Study Guide
Section I: Management of Care & Coordinated Care
1. A practical nurse (PN) is caring for four clients. Which task is most appropriate
for the PN to delegate to an unlicensed assistive personnel (UAP)?
A. Assessing a client's surgical incision for signs of infection
B. Measuring and recording intake and output for a client with heart failure
C. Teaching a client how to use a peak flow meter
D. Evaluating the effectiveness of a newly administered pain medication
Correct Answer: B
Rationale: Measuring and recording intake and output is a routine, repetitive
task within the UAP's scope of practice and does not require nursing judgment .
Assessment, teaching, and evaluation are nursing responsibilities that cannot be
delegated to unlicensed personnel.
2. A PN receives a telephone order from a provider for "morphine 4 mg IV push
now." Which action should the PN take?
A. Administer the morphine immediately
B. Ask the provider to spell morphine
C. Read back the order, verify, and document with the provider's name
D. Refuse all telephone orders
Correct Answer: C
Rationale: Read-back is required for safety when receiving telephone orders.
Telephone orders are acceptable but must be verified and documented with the
provider's name . The PN should follow facility policy for co-signature.
,3. A PN is preparing to transfer a client to another unit. Which information must be
communicated during the handoff report?
A. The client's room number and diagnosis only
B. The client's current condition, medications, treatment plan, and special needs
C. The client's insurance information and next of kin
D. The client's age and occupation
Correct Answer: B
Rationale: Effective handoff communication requires sharing comprehensive
information about the client's current condition, medications, treatment plan, and
special needs to ensure continuity and safety .
4. A PN notices that a client's blood pressure is significantly elevated. What is the
nurse's priority action?
A. Document the finding and continue with routine care
B. Inform the client that their blood pressure is high and suggest they relax
C. Report the finding to the healthcare provider immediately
D. Recheck the blood pressure in 15 minutes
Correct Answer: C
Rationale: Significant deviations from normal vital signs must be reported
promptly to the healthcare provider to allow for timely intervention .
Documentation alone is insufficient.
5. A PN is working with a client who has limited English proficiency. Which action
best demonstrates culturally competent care?
A. Speaking loudly and slowly to the client
B. Using a certified medical interpreter to communicate healthcare information
C. Asking a family member to translate
D. Using hand gestures
, Correct Answer: B
Rationale: Using a certified medical interpreter ensures accurate
communication and protects client confidentiality. Family members should not be
used as interpreters for medical information .
6. A PN is caring for a client who has been prescribed a new medication. Which
action demonstrates appropriate coordination of care?
A. Administering the medication without checking the client's allergy status
B. Documenting the medication administration after the shift ends
C. Verifying the prescription with the healthcare provider and checking the client's
allergy history
D. Asking the client if they have taken this medication before
Correct Answer: C
Rationale: Coordinated care requires the PN to verify prescriptions and check
for allergies before administration to ensure patient safety .
7. A PN is receiving a change-of-shift report. Which client should the nurse plan to
assist first?
A. A client who has a hip fracture and is scheduled for surgery in 4 hours
B. A client who is requesting pain medication for a headache
C. A client who needs assistance with ambulation to the bathroom
D. A client who is scheduled for discharge in 2 hours
Correct Answer: A
Rationale: The client with a hip fracture is at highest risk for complications
including fat embolism, bleeding, and neurovascular compromise. Using the ABC
framework, this client requires priority assessment and intervention .
, 8. A PN is supervising a UAP who reports a client's blood pressure is 88/54 mm Hg
and the client feels lightheaded. Which action should the PN take first?
A. Go immediately to the client's room to assess the client
B. Ask the UAP to recheck the blood pressure in 30 minutes
C. Instruct the UAP to document the reading and continue
D. Report the finding to the RN by phone from the nursing station
Correct Answer: A
Rationale: Hypotension with lightheadedness may indicate hypovolemia,
hemorrhage, or other acute conditions requiring immediate intervention. The PN
should personally assess the client .
9. A PN is delegating tasks to a UAP. Which task is appropriate to delegate?
A. Administering oral medications
B. Performing a sterile dressing change
C. Assisting a stable client with ambulation
D. Assessing a client's lung sounds
Correct Answer: C
Rationale: Assisting stable clients with ambulation is within the UAP's scope
of practice and does not require nursing judgment . Medication administration and
assessment require nursing knowledge.
10. A client with diabetes needs to learn how to self-administer insulin. Which
action by the PN best ensures client competency?
A. Tell the client to read the medication insert at home
B. Demonstrate the injection technique and observe the client's return
demonstration
C. Ask the pharmacist to teach the client
D. Provide a video for the client to watch at home
Test Bank | Practical Nursing NCLEX-PN
Review Questions & Study Guide
Section I: Management of Care & Coordinated Care
1. A practical nurse (PN) is caring for four clients. Which task is most appropriate
for the PN to delegate to an unlicensed assistive personnel (UAP)?
A. Assessing a client's surgical incision for signs of infection
B. Measuring and recording intake and output for a client with heart failure
C. Teaching a client how to use a peak flow meter
D. Evaluating the effectiveness of a newly administered pain medication
Correct Answer: B
Rationale: Measuring and recording intake and output is a routine, repetitive
task within the UAP's scope of practice and does not require nursing judgment .
Assessment, teaching, and evaluation are nursing responsibilities that cannot be
delegated to unlicensed personnel.
2. A PN receives a telephone order from a provider for "morphine 4 mg IV push
now." Which action should the PN take?
A. Administer the morphine immediately
B. Ask the provider to spell morphine
C. Read back the order, verify, and document with the provider's name
D. Refuse all telephone orders
Correct Answer: C
Rationale: Read-back is required for safety when receiving telephone orders.
Telephone orders are acceptable but must be verified and documented with the
provider's name . The PN should follow facility policy for co-signature.
,3. A PN is preparing to transfer a client to another unit. Which information must be
communicated during the handoff report?
A. The client's room number and diagnosis only
B. The client's current condition, medications, treatment plan, and special needs
C. The client's insurance information and next of kin
D. The client's age and occupation
Correct Answer: B
Rationale: Effective handoff communication requires sharing comprehensive
information about the client's current condition, medications, treatment plan, and
special needs to ensure continuity and safety .
4. A PN notices that a client's blood pressure is significantly elevated. What is the
nurse's priority action?
A. Document the finding and continue with routine care
B. Inform the client that their blood pressure is high and suggest they relax
C. Report the finding to the healthcare provider immediately
D. Recheck the blood pressure in 15 minutes
Correct Answer: C
Rationale: Significant deviations from normal vital signs must be reported
promptly to the healthcare provider to allow for timely intervention .
Documentation alone is insufficient.
5. A PN is working with a client who has limited English proficiency. Which action
best demonstrates culturally competent care?
A. Speaking loudly and slowly to the client
B. Using a certified medical interpreter to communicate healthcare information
C. Asking a family member to translate
D. Using hand gestures
, Correct Answer: B
Rationale: Using a certified medical interpreter ensures accurate
communication and protects client confidentiality. Family members should not be
used as interpreters for medical information .
6. A PN is caring for a client who has been prescribed a new medication. Which
action demonstrates appropriate coordination of care?
A. Administering the medication without checking the client's allergy status
B. Documenting the medication administration after the shift ends
C. Verifying the prescription with the healthcare provider and checking the client's
allergy history
D. Asking the client if they have taken this medication before
Correct Answer: C
Rationale: Coordinated care requires the PN to verify prescriptions and check
for allergies before administration to ensure patient safety .
7. A PN is receiving a change-of-shift report. Which client should the nurse plan to
assist first?
A. A client who has a hip fracture and is scheduled for surgery in 4 hours
B. A client who is requesting pain medication for a headache
C. A client who needs assistance with ambulation to the bathroom
D. A client who is scheduled for discharge in 2 hours
Correct Answer: A
Rationale: The client with a hip fracture is at highest risk for complications
including fat embolism, bleeding, and neurovascular compromise. Using the ABC
framework, this client requires priority assessment and intervention .
, 8. A PN is supervising a UAP who reports a client's blood pressure is 88/54 mm Hg
and the client feels lightheaded. Which action should the PN take first?
A. Go immediately to the client's room to assess the client
B. Ask the UAP to recheck the blood pressure in 30 minutes
C. Instruct the UAP to document the reading and continue
D. Report the finding to the RN by phone from the nursing station
Correct Answer: A
Rationale: Hypotension with lightheadedness may indicate hypovolemia,
hemorrhage, or other acute conditions requiring immediate intervention. The PN
should personally assess the client .
9. A PN is delegating tasks to a UAP. Which task is appropriate to delegate?
A. Administering oral medications
B. Performing a sterile dressing change
C. Assisting a stable client with ambulation
D. Assessing a client's lung sounds
Correct Answer: C
Rationale: Assisting stable clients with ambulation is within the UAP's scope
of practice and does not require nursing judgment . Medication administration and
assessment require nursing knowledge.
10. A client with diabetes needs to learn how to self-administer insulin. Which
action by the PN best ensures client competency?
A. Tell the client to read the medication insert at home
B. Demonstrate the injection technique and observe the client's return
demonstration
C. Ask the pharmacist to teach the client
D. Provide a video for the client to watch at home
