LPN ATI FINAL COMPREHENSIVE
PREDICTOR 2026 Exit Exam with NGN
180 Questions with Both Actual and
Retake Exam Versions and Answers to
Score 97% and Above Level 3 in the
New 2026 2026/2027 – Verified Q&As
with Detailed Rationales (Test Bank
Bundle - 106 Questions)
---
*QUESTION 1:*
A charge nurse is assigning client care tasks to an LPN. Which task is within the LPN's scope of practice?
A) Administer IV push medications
B) Perform initial admission assessment
C) Administer oral medications and monitor for side effects
D) Create the patient's initial plan of care
> 🎯 *CORRECT ANSWER:* C) Administer oral medications and monitor for side effects
> 💡 *CLINICAL RATIONALE:*
> * *Why It's Right:* LPNs can administer oral medications and monitor patient status.
> * *Why Distractors Fail:* IV push, initial assessments, and care plans are RN or higher scope.
> * *Core Takeaway:* Know your scope of practice for delegation.
,---
*QUESTION 2:*
A patient with a nasogastric tube to low intermittent suction has a potassium level of 3.1 mEq/L. The
LPN should first:
A) Notify the healthcare provider
B) Administer potassium chloride IV push
C) Increase the patient's oral fluid intake
D) Document the finding and continue to monitor
> 🎯 *CORRECT ANSWER:* A) Notify the healthcare provider
> 💡 *CLINICAL RATIONALE:*
> * *Why It's Right:* Hypokalemia is a critical lab value requiring provider notification.
> * *Why Distractors Fail:* IV push is unsafe; fluids alone won't correct it; monitoring without action is
insufficient.
> * *Core Takeaway:* Report critical potassium levels immediately.
---
*QUESTION 3:*
An LPN is reinforcing teaching for a patient with a new colostomy. Which statement by the patient
indicates a need for further teaching?
A) "I will change my pouch system every 3 to 5 days."
B) "I will cut the skin barrier slightly larger than my stoma."
C) "I will be able to eat high-fiber foods immediately after surgery."
D) "I will notify my provider if my stoma becomes dark or purple."
> 🎯 *CORRECT ANSWER:* C) "I will be able to eat high-fiber foods immediately after surgery."
> 💡 *CLINICAL RATIONALE:*
,> * *Why It's Right:* High-fiber foods should be introduced gradually to prevent blockage.
> * *Why Distractors Fail:* Pouching changes, cutting the barrier, and stoma color assessment are
correct.
> * *Core Takeaway:* Dietary changes post-colostomy must be gradual.
---
*QUESTION 4:*
A patient with heart failure is receiving furosemide. Which assessment finding is most important for the
LPN to report?
A) Serum potassium of 3.2 mEq/L
B) Weight loss of 2 pounds in 1 week
C) Blood pressure of 118/72 mm Hg
D) Urine output of 150 mL in 4 hours
> 🎯 *CORRECT ANSWER:* A) Serum potassium of 3.2 mEq/L
> 💡 *CLINICAL RATIONALE:*
> * *Why It's Right:* Hypokalemia is a life-threatening side effect of loop diuretics.
> * *Why Distractors Fail:* Weight loss and BP are expected; urine output is adequate.
> * *Core Takeaway:* Monitor potassium levels in patients on furosemide.
---
*QUESTION 5:*
A patient is receiving a blood transfusion. Fifteen minutes after the start, the patient reports chills and
low back pain. The LPN's priority action is to:
A) Slow the infusion rate
B) Stop the transfusion immediately
C) Administer acetaminophen
, D) Notify the healthcare provider
> 🎯 *CORRECT ANSWER:* B) Stop the transfusion immediately
> 💡 *CLINICAL RATIONALE:*
> * *Why It's Right:* Chills and back pain indicate a possible transfusion reaction.
> * *Why Distractors Fail:* Slowing the infusion, giving acetaminophen, and notification come after
stopping.
> * *Core Takeaway:* Stop the transfusion at the first sign of a reaction.
---
*QUESTION 6:*
An LPN is caring for a patient on contact precautions. Which PPE is required for entering the room?
A) N95 respirator and gown
B) Gown and gloves
C) Mask and eye protection
D) Gloves only
> 🎯 *CORRECT ANSWER:* B) Gown and gloves
> 💡 *CLINICAL RATIONALE:*
> * *Why It's Right:* Contact precautions require gown and gloves to prevent transmission.
> * *Why Distractors Fail:* N95 is for airborne precautions; mask/eye protection is for droplet.
> * *Core Takeaway:* Use the correct PPE for each type of precaution.
---
*QUESTION 7:*
A patient with a new tracheostomy has a small amount of blood-tinged mucus. The LPN should:
A) Suction the tracheostomy immediately
B) Notify the provider stat
PREDICTOR 2026 Exit Exam with NGN
180 Questions with Both Actual and
Retake Exam Versions and Answers to
Score 97% and Above Level 3 in the
New 2026 2026/2027 – Verified Q&As
with Detailed Rationales (Test Bank
Bundle - 106 Questions)
---
*QUESTION 1:*
A charge nurse is assigning client care tasks to an LPN. Which task is within the LPN's scope of practice?
A) Administer IV push medications
B) Perform initial admission assessment
C) Administer oral medications and monitor for side effects
D) Create the patient's initial plan of care
> 🎯 *CORRECT ANSWER:* C) Administer oral medications and monitor for side effects
> 💡 *CLINICAL RATIONALE:*
> * *Why It's Right:* LPNs can administer oral medications and monitor patient status.
> * *Why Distractors Fail:* IV push, initial assessments, and care plans are RN or higher scope.
> * *Core Takeaway:* Know your scope of practice for delegation.
,---
*QUESTION 2:*
A patient with a nasogastric tube to low intermittent suction has a potassium level of 3.1 mEq/L. The
LPN should first:
A) Notify the healthcare provider
B) Administer potassium chloride IV push
C) Increase the patient's oral fluid intake
D) Document the finding and continue to monitor
> 🎯 *CORRECT ANSWER:* A) Notify the healthcare provider
> 💡 *CLINICAL RATIONALE:*
> * *Why It's Right:* Hypokalemia is a critical lab value requiring provider notification.
> * *Why Distractors Fail:* IV push is unsafe; fluids alone won't correct it; monitoring without action is
insufficient.
> * *Core Takeaway:* Report critical potassium levels immediately.
---
*QUESTION 3:*
An LPN is reinforcing teaching for a patient with a new colostomy. Which statement by the patient
indicates a need for further teaching?
A) "I will change my pouch system every 3 to 5 days."
B) "I will cut the skin barrier slightly larger than my stoma."
C) "I will be able to eat high-fiber foods immediately after surgery."
D) "I will notify my provider if my stoma becomes dark or purple."
> 🎯 *CORRECT ANSWER:* C) "I will be able to eat high-fiber foods immediately after surgery."
> 💡 *CLINICAL RATIONALE:*
,> * *Why It's Right:* High-fiber foods should be introduced gradually to prevent blockage.
> * *Why Distractors Fail:* Pouching changes, cutting the barrier, and stoma color assessment are
correct.
> * *Core Takeaway:* Dietary changes post-colostomy must be gradual.
---
*QUESTION 4:*
A patient with heart failure is receiving furosemide. Which assessment finding is most important for the
LPN to report?
A) Serum potassium of 3.2 mEq/L
B) Weight loss of 2 pounds in 1 week
C) Blood pressure of 118/72 mm Hg
D) Urine output of 150 mL in 4 hours
> 🎯 *CORRECT ANSWER:* A) Serum potassium of 3.2 mEq/L
> 💡 *CLINICAL RATIONALE:*
> * *Why It's Right:* Hypokalemia is a life-threatening side effect of loop diuretics.
> * *Why Distractors Fail:* Weight loss and BP are expected; urine output is adequate.
> * *Core Takeaway:* Monitor potassium levels in patients on furosemide.
---
*QUESTION 5:*
A patient is receiving a blood transfusion. Fifteen minutes after the start, the patient reports chills and
low back pain. The LPN's priority action is to:
A) Slow the infusion rate
B) Stop the transfusion immediately
C) Administer acetaminophen
, D) Notify the healthcare provider
> 🎯 *CORRECT ANSWER:* B) Stop the transfusion immediately
> 💡 *CLINICAL RATIONALE:*
> * *Why It's Right:* Chills and back pain indicate a possible transfusion reaction.
> * *Why Distractors Fail:* Slowing the infusion, giving acetaminophen, and notification come after
stopping.
> * *Core Takeaway:* Stop the transfusion at the first sign of a reaction.
---
*QUESTION 6:*
An LPN is caring for a patient on contact precautions. Which PPE is required for entering the room?
A) N95 respirator and gown
B) Gown and gloves
C) Mask and eye protection
D) Gloves only
> 🎯 *CORRECT ANSWER:* B) Gown and gloves
> 💡 *CLINICAL RATIONALE:*
> * *Why It's Right:* Contact precautions require gown and gloves to prevent transmission.
> * *Why Distractors Fail:* N95 is for airborne precautions; mask/eye protection is for droplet.
> * *Core Takeaway:* Use the correct PPE for each type of precaution.
---
*QUESTION 7:*
A patient with a new tracheostomy has a small amount of blood-tinged mucus. The LPN should:
A) Suction the tracheostomy immediately
B) Notify the provider stat
