PN Comprehensive Predictor Exam
Next Generation NCLEX (NGN) • 2025 Practice Examination
180 Multiple-Choice Questions with Answers & Rationales
Practical Nursing • Clinical Judgment • Patient Safety
Original independent study resource. Not an official NCLEX examination, leaked test, or
professor-verified assessment.
Page 1 of 45
,Table of Contents
Section 1: Management of Care & Professional Practice 3
Section 2: Safety & Infection Control 9
Section 3: Health Promotion & Maintenance 13
Section 4: Psychosocial Integrity 18
Section 5: Basic Care & Comfort 23
Section 6: Pharmacological & Parenteral Therapies 28
Section 7: Reduction of Risk Potential 34
Section 8: Physiological Adaptation & Clinical Judgment 40
Page 2 of 45
,Section 1: Management of Care & Professional Practice
Q1: An LPN receives report on four clients. Which client should be assessed first?
A. A client requesting pain medicine for chronic back pain
B. A client awaiting routine discharge teaching
C. A client with stable blood glucose awaiting lunch
D. A client with new stridor after thyroid surgery [CORRECT]
Correct Answer: D
Rationale: Stridor may signal airway obstruction and takes priority over stable needs.
Q2: A stable client needs help with bathing and feeding. Which task is appropriate to
delegate to trained assistive personnel?
A. Assess new confusion
B. Teach insulin self-injection
C. Assist with bathing and report skin changes [CORRECT]
D. Evaluate response to analgesic
Correct Answer: C
Rationale: Routine ADLs may be delegated; assessment, teaching, and evaluation remain nursing
responsibilities.
Q3: A client refuses a prescribed medication. What is the LPN’s best action?
A. Hide the medication in food
B. Explore the reason, provide factual information, respect refusal, and notify the RN/provider
as indicated [CORRECT]
C. Threaten to withhold other care
D. Document it as administered
Correct Answer: B
Rationale: Respect autonomy, assess the concern within scope, and communicate the refusal; never
conceal or falsify administration.
Q4: A nurse realizes a medication was given to the wrong client. What should happen
first?
A. Assess the client for effects and ensure immediate safety [CORRECT]
B. Complete an incident report before seeing the client
C. Wait for symptoms
D. Alter the medication record
Correct Answer: A
Rationale: Client assessment and safety come first; reporting and documentation follow agency
policy without changing the record.
Page 3 of 45
, Q5: A client asks the LPN to explain a newly diagnosed malignancy prognosis. What is
the best response?
A. Give a personal estimate
B. Avoid the client
C. Ask a family member to answer
D. Acknowledge the question and arrange for the provider or RN to discuss prognosis
[CORRECT]
Correct Answer: D
Rationale: The LPN should not independently provide a new prognosis; facilitate appropriate
communication and support.
Q6: Which action protects confidentiality during bedside handoff?
A. Discuss diagnoses in the elevator
B. Leave the chart open in a public hall
C. Share relevant information discreetly with authorized staff [CORRECT]
D. Send details to an unverified personal email
Correct Answer: C
Rationale: Only necessary information should be shared with authorized people in a private manner.
Q7: A client says a staff member has been taking money from the bedside drawer.
What should the LPN do?
A. Confront the staff member alone
B. Ensure immediate safety and report the allegation promptly through required channels
[CORRECT]
C. Promise secrecy
D. Wait for proof before reporting
Correct Answer: B
Rationale: Suspected exploitation requires prompt reporting and protection, not investigation or
secrecy by the LPN.
Q8: Which client assignment is most appropriate for an LPN, subject to local law and
facility policy?
A. A stable client requiring routine dressing care and prescribed medications [CORRECT]
B. A newly admitted unstable client needing initial comprehensive assessment
C. A client requiring development of the initial nursing plan
D. A client with rapidly worsening respiratory distress
Correct Answer: A
Rationale: Stable, predictable care is generally appropriate; initial assessment, planning, and
unstable care require RN-level judgment.
Page 4 of 45
Next Generation NCLEX (NGN) • 2025 Practice Examination
180 Multiple-Choice Questions with Answers & Rationales
Practical Nursing • Clinical Judgment • Patient Safety
Original independent study resource. Not an official NCLEX examination, leaked test, or
professor-verified assessment.
Page 1 of 45
,Table of Contents
Section 1: Management of Care & Professional Practice 3
Section 2: Safety & Infection Control 9
Section 3: Health Promotion & Maintenance 13
Section 4: Psychosocial Integrity 18
Section 5: Basic Care & Comfort 23
Section 6: Pharmacological & Parenteral Therapies 28
Section 7: Reduction of Risk Potential 34
Section 8: Physiological Adaptation & Clinical Judgment 40
Page 2 of 45
,Section 1: Management of Care & Professional Practice
Q1: An LPN receives report on four clients. Which client should be assessed first?
A. A client requesting pain medicine for chronic back pain
B. A client awaiting routine discharge teaching
C. A client with stable blood glucose awaiting lunch
D. A client with new stridor after thyroid surgery [CORRECT]
Correct Answer: D
Rationale: Stridor may signal airway obstruction and takes priority over stable needs.
Q2: A stable client needs help with bathing and feeding. Which task is appropriate to
delegate to trained assistive personnel?
A. Assess new confusion
B. Teach insulin self-injection
C. Assist with bathing and report skin changes [CORRECT]
D. Evaluate response to analgesic
Correct Answer: C
Rationale: Routine ADLs may be delegated; assessment, teaching, and evaluation remain nursing
responsibilities.
Q3: A client refuses a prescribed medication. What is the LPN’s best action?
A. Hide the medication in food
B. Explore the reason, provide factual information, respect refusal, and notify the RN/provider
as indicated [CORRECT]
C. Threaten to withhold other care
D. Document it as administered
Correct Answer: B
Rationale: Respect autonomy, assess the concern within scope, and communicate the refusal; never
conceal or falsify administration.
Q4: A nurse realizes a medication was given to the wrong client. What should happen
first?
A. Assess the client for effects and ensure immediate safety [CORRECT]
B. Complete an incident report before seeing the client
C. Wait for symptoms
D. Alter the medication record
Correct Answer: A
Rationale: Client assessment and safety come first; reporting and documentation follow agency
policy without changing the record.
Page 3 of 45
, Q5: A client asks the LPN to explain a newly diagnosed malignancy prognosis. What is
the best response?
A. Give a personal estimate
B. Avoid the client
C. Ask a family member to answer
D. Acknowledge the question and arrange for the provider or RN to discuss prognosis
[CORRECT]
Correct Answer: D
Rationale: The LPN should not independently provide a new prognosis; facilitate appropriate
communication and support.
Q6: Which action protects confidentiality during bedside handoff?
A. Discuss diagnoses in the elevator
B. Leave the chart open in a public hall
C. Share relevant information discreetly with authorized staff [CORRECT]
D. Send details to an unverified personal email
Correct Answer: C
Rationale: Only necessary information should be shared with authorized people in a private manner.
Q7: A client says a staff member has been taking money from the bedside drawer.
What should the LPN do?
A. Confront the staff member alone
B. Ensure immediate safety and report the allegation promptly through required channels
[CORRECT]
C. Promise secrecy
D. Wait for proof before reporting
Correct Answer: B
Rationale: Suspected exploitation requires prompt reporting and protection, not investigation or
secrecy by the LPN.
Q8: Which client assignment is most appropriate for an LPN, subject to local law and
facility policy?
A. A stable client requiring routine dressing care and prescribed medications [CORRECT]
B. A newly admitted unstable client needing initial comprehensive assessment
C. A client requiring development of the initial nursing plan
D. A client with rapidly worsening respiratory distress
Correct Answer: A
Rationale: Stable, predictable care is generally appropriate; initial assessment, planning, and
unstable care require RN-level judgment.
Page 4 of 45
