2025 PN ATI COMPREHENSIVE PREDICTOR EXAM | ALL
EXAM QUESTIONS AND CORRECT ANSWERS | GRADED
A+ | VERIFIED ANSWERS | LATEST UPDATE
Practical/Vocational Nursing NCLEX-PN Preparation | Key Domains: Coordinated Care & Delegation,
Safety & Infection Control, Health Promotion & Maintenance, Psychosocial Integrity, Basic Care &
Comfort, Pharmacological Therapies, Reduction of Risk Potential, Physiological Adaptation, Nursing
Procedures, and Communication | Expert-Aligned Structure | Exam-Ready Format
Introduction
This structured 2025 PN ATI Comprehensive Predictor Exam provides 180 high-quality exam-style
questions with correct answers and rationales. It emphasizes the scope of practice for the Licensed
Practical/Vocational Nurse (LPN/LVN), focused patient care, accurate data collection, safe
medication administration under supervision, and the clinical judgment required to predict success
on the NCLEX-PN licensure examination.
Answer Format
All correct answers must appear in bold and cyan blue, accompanied by concise rationales
explaining the LPN/LVN role and scope, the foundational nursing principle, the appropriate action
within the vocational nurse's responsibilities, and why alternative options are outside the scope of
practice or represent unsafe care.
1. A nurse is caring for a client who has a new prescription for digoxin 0.25 mg PO daily.
Which of the following actions should the nurse take before administering the medication?
A. Check the client’s serum potassium level.
B. Assess the client’s apical pulse for 1 full minute.
C. Monitor the client’s daily weight.
D. Evaluate the client’s urine output.
,B. Assess the client’s apical pulse for 1 full minute.
Digoxin can cause bradycardia; the apical pulse must be assessed for a full minute before
administration. If the pulse is < 60 bpm (or per provider parameters), the dose should be withheld and
the RN or provider notified. While potassium levels (A) affect digoxin toxicity, pulse assessment is the
immediate, required action before each dose within the LPN scope.
2. An LPN is assigned to care for a client with a percutaneous endoscopic gastrostomy (PEG)
tube. Which task should the LPN question or clarify with the RN?
A. Administering a prescribed crushed medication through the tube.
B. Flushing the tube with water before and after feedings.
C. Initiating a new enteral feeding formula at a new rate.
D. Checking tube placement by measuring pH of aspirate.
C. Initiating a new enteral feeding formula at a new rate.
Initiating or changing enteral feeding rates/formulas is an assessment and evaluation task that falls
outside the LPN scope of practice and requires RN supervision or delegation. LPNs may maintain
established feedings, flush tubes, and administer medications per protocol.
3. A client reports pain of 7 on a 0-to-10 scale. The client has a prescription for morphine 2
mg IV every 2 hours PRN. The LPN notifies the RN, who administers the medication. One hour
later, the client states the pain is now 3. What should the LPN do next?
A. Document the pain score and client’s response.
B. Administer another dose of morphine.
C. Request a new pain medication order from the provider.
D. Assess the client’s vital signs and notify the RN.
,A. Document the pain score and client’s response.
The LPN’s role includes monitoring and documenting the client’s response to interventions. Since the
pain has decreased and the client is stable, documentation is appropriate. Administering IV
medications (B) is beyond LPN scope in most states. The RN should be notified only if the client’s
condition changes or pain worsens.
4. Which of the following actions by an LPN demonstrates proper infection control when
caring for a client with Clostridium difficile?
A. Using alcohol-based hand sanitizer after glove removal.
B. Wearing a gown and gloves for all client contact.
C. Placing the client in a negative-pressure room.
D. Using a surgical mask during routine care.
B. Wearing a gown and gloves for all client contact.
C. diff requires contact precautions: gown and gloves for all interactions, and handwashing with soap
and water (not alcohol-based sanitizer, which is ineffective against C. diff spores). Negative-pressure
rooms (C) are for airborne pathogens like TB, not C. diff.
5. An LPN is assisting with the care of a client who has type 2 diabetes mellitus. Which task is
within the LPN’s scope of practice?
A. Teaching the client how to adjust insulin based on blood glucose levels.
B. Evaluating the effectiveness of a new diabetic diet plan.
C. Administering a scheduled dose of metformin orally.
D. Developing a long-term care plan for glycemic control.
C. Administering a scheduled dose of metformin orally.
, Administering oral medications like metformin is within the LPN scope. Teaching insulin adjustment
(A), evaluating diet plans (B), and developing care plans (D) require assessment and critical thinking
skills reserved for RNs.
6. A client is scheduled for a thoracentesis. The LPN notes the client is anxious and asks, “Will
this hurt?” What is the most appropriate response by the LPN?
A. “You’ll feel a slight pinch, but it’s over quickly.”
B. “I’ll have the doctor explain the pain level to you.”
C. “The RN will answer all your questions about the procedure.”
D. “It might hurt, but it’s necessary.”
A. “You’ll feel a slight pinch, but it’s over quickly.”
Providing simple, honest, and reassuring information about procedures is within the LPN’s
communication role. The LPN should not defer basic comfort questions to the RN or provider when
they can be answered safely and accurately.
7. Which client should the LPN prioritize for immediate assessment?
A. A client 2 days post-op with mild incisional pain.
B. A client with heart failure reporting sudden shortness of breath.
C. A client requesting a bed bath.
D. A client with constipation asking for a stool softener.
B. A client with heart failure reporting sudden shortness of breath.
Sudden shortness of breath in a client with heart failure may indicate acute pulmonary edema or
worsening cardiac status—a potential emergency requiring immediate RN or provider notification.
LPNs must recognize and report acute changes in condition.
EXAM QUESTIONS AND CORRECT ANSWERS | GRADED
A+ | VERIFIED ANSWERS | LATEST UPDATE
Practical/Vocational Nursing NCLEX-PN Preparation | Key Domains: Coordinated Care & Delegation,
Safety & Infection Control, Health Promotion & Maintenance, Psychosocial Integrity, Basic Care &
Comfort, Pharmacological Therapies, Reduction of Risk Potential, Physiological Adaptation, Nursing
Procedures, and Communication | Expert-Aligned Structure | Exam-Ready Format
Introduction
This structured 2025 PN ATI Comprehensive Predictor Exam provides 180 high-quality exam-style
questions with correct answers and rationales. It emphasizes the scope of practice for the Licensed
Practical/Vocational Nurse (LPN/LVN), focused patient care, accurate data collection, safe
medication administration under supervision, and the clinical judgment required to predict success
on the NCLEX-PN licensure examination.
Answer Format
All correct answers must appear in bold and cyan blue, accompanied by concise rationales
explaining the LPN/LVN role and scope, the foundational nursing principle, the appropriate action
within the vocational nurse's responsibilities, and why alternative options are outside the scope of
practice or represent unsafe care.
1. A nurse is caring for a client who has a new prescription for digoxin 0.25 mg PO daily.
Which of the following actions should the nurse take before administering the medication?
A. Check the client’s serum potassium level.
B. Assess the client’s apical pulse for 1 full minute.
C. Monitor the client’s daily weight.
D. Evaluate the client’s urine output.
,B. Assess the client’s apical pulse for 1 full minute.
Digoxin can cause bradycardia; the apical pulse must be assessed for a full minute before
administration. If the pulse is < 60 bpm (or per provider parameters), the dose should be withheld and
the RN or provider notified. While potassium levels (A) affect digoxin toxicity, pulse assessment is the
immediate, required action before each dose within the LPN scope.
2. An LPN is assigned to care for a client with a percutaneous endoscopic gastrostomy (PEG)
tube. Which task should the LPN question or clarify with the RN?
A. Administering a prescribed crushed medication through the tube.
B. Flushing the tube with water before and after feedings.
C. Initiating a new enteral feeding formula at a new rate.
D. Checking tube placement by measuring pH of aspirate.
C. Initiating a new enteral feeding formula at a new rate.
Initiating or changing enteral feeding rates/formulas is an assessment and evaluation task that falls
outside the LPN scope of practice and requires RN supervision or delegation. LPNs may maintain
established feedings, flush tubes, and administer medications per protocol.
3. A client reports pain of 7 on a 0-to-10 scale. The client has a prescription for morphine 2
mg IV every 2 hours PRN. The LPN notifies the RN, who administers the medication. One hour
later, the client states the pain is now 3. What should the LPN do next?
A. Document the pain score and client’s response.
B. Administer another dose of morphine.
C. Request a new pain medication order from the provider.
D. Assess the client’s vital signs and notify the RN.
,A. Document the pain score and client’s response.
The LPN’s role includes monitoring and documenting the client’s response to interventions. Since the
pain has decreased and the client is stable, documentation is appropriate. Administering IV
medications (B) is beyond LPN scope in most states. The RN should be notified only if the client’s
condition changes or pain worsens.
4. Which of the following actions by an LPN demonstrates proper infection control when
caring for a client with Clostridium difficile?
A. Using alcohol-based hand sanitizer after glove removal.
B. Wearing a gown and gloves for all client contact.
C. Placing the client in a negative-pressure room.
D. Using a surgical mask during routine care.
B. Wearing a gown and gloves for all client contact.
C. diff requires contact precautions: gown and gloves for all interactions, and handwashing with soap
and water (not alcohol-based sanitizer, which is ineffective against C. diff spores). Negative-pressure
rooms (C) are for airborne pathogens like TB, not C. diff.
5. An LPN is assisting with the care of a client who has type 2 diabetes mellitus. Which task is
within the LPN’s scope of practice?
A. Teaching the client how to adjust insulin based on blood glucose levels.
B. Evaluating the effectiveness of a new diabetic diet plan.
C. Administering a scheduled dose of metformin orally.
D. Developing a long-term care plan for glycemic control.
C. Administering a scheduled dose of metformin orally.
, Administering oral medications like metformin is within the LPN scope. Teaching insulin adjustment
(A), evaluating diet plans (B), and developing care plans (D) require assessment and critical thinking
skills reserved for RNs.
6. A client is scheduled for a thoracentesis. The LPN notes the client is anxious and asks, “Will
this hurt?” What is the most appropriate response by the LPN?
A. “You’ll feel a slight pinch, but it’s over quickly.”
B. “I’ll have the doctor explain the pain level to you.”
C. “The RN will answer all your questions about the procedure.”
D. “It might hurt, but it’s necessary.”
A. “You’ll feel a slight pinch, but it’s over quickly.”
Providing simple, honest, and reassuring information about procedures is within the LPN’s
communication role. The LPN should not defer basic comfort questions to the RN or provider when
they can be answered safely and accurately.
7. Which client should the LPN prioritize for immediate assessment?
A. A client 2 days post-op with mild incisional pain.
B. A client with heart failure reporting sudden shortness of breath.
C. A client requesting a bed bath.
D. A client with constipation asking for a stool softener.
B. A client with heart failure reporting sudden shortness of breath.
Sudden shortness of breath in a client with heart failure may indicate acute pulmonary edema or
worsening cardiac status—a potential emergency requiring immediate RN or provider notification.
LPNs must recognize and report acute changes in condition.
