PN COMPREHENSIVE PREDICTOR RETAKE
EXAMINATION 2025: PRACTICAL NURSING
COMPREHENSIVE PREDICTOR STUDY GUIDE
SECTION 1: MANAGEMENT OF CARE & DELEGATION
1. A charge nurse is making client assignments on a medical-surgical unit. Which client
should the charge nurse assign to a licensed practical nurse (LPN)?
A. A client who is 1 hour post-cardiac catheterization with groin bleeding
B. A client with new-onset confusion and hypotension
C. A stable client with diabetes mellitus requiring routine insulin administration
D. A client requiring initial admission assessment and care plan development
Answer: C
2. A nurse is delegating the ambulation of a client who had knee arthroplasty 5 days ago to
an assistive personnel (AP). Which of the following information should the nurse share with
the AP? (Select all that apply)
A. The roommate is up independently
,B. The client ambulates with slippers on over antiembolic stockings
C. The client uses a front-wheeled walker when ambulating
D. The client had pain medication 30 minutes ago
E. The client is allergic to codeine
F. The client ate 50% of breakfast this morning
Answer: B, C, D
3. A nurse is preparing an in-service program about delegation. Which of the following
elements should the nurse identify when presenting the five rights of delegation? (Select all
that apply)
A. Right client
B. Right supervision and evaluation
C. Right direction and communication
D. Right time
E. Right circumstances
Answer: B, C, E
4. An RN is making assignments for client care to an LPN at the beginning of the shift.
Which of the following assignments should the LPN question?
A. Assisting a client who is 24 hours postoperative to use an incentive spirometer
B. Collecting a clean-catch urine specimen from a client admitted on the previous shift
C. Providing nasopharyngeal suctioning for a client who has pneumonia
D. Replacing the cartridge and tubing on a patient-controlled analgesia (PCA) pump
,Answer: D
5. A nurse is reinforcing teaching about confidentiality with a client who has a new
diagnosis of HIV. Which of the following information should the nurse include in the
teaching?
A. "Your HIV status will be kept confidential from all healthcare team members"
B. "Your HIV status will be shared with members of your healthcare team"
C. "You can request that your HIV status be hidden from your primary provider"
D. "Only the charge nurse needs to know your HIV status"
Answer: B
6. A nurse is reinforcing informed consent with a client scheduled for surgery. Which
statement by the client indicates a need for further teaching?
A. "I can change my mind after signing the form"
B. "My doctor explained the risks of the procedure to me"
C. "I signed the form because my spouse told me to"
D. "I understand I might need a blood transfusion"
Answer: C
7. A nurse is admitting a client who is scheduled for elective surgery. Which of the following
actions should the nurse take to verify the status of the client's advance directives?
, A. Review the client's medical record for advance directive documentation
B. Ask the client whether they have advance directives
C. Contact the client's family to inquire about advance directives
D. Assume the client has no advance directives unless specified
Answer: B
8. A charge nurse in a long-term care facility notices an assistive personnel's (AP) repeated
failure to provide oral care for clients. Which of the following actions should the charge
nurse take?
A. Report the AP to the state board of nursing
B. Discuss this behavior with the AP while reinforcing expectations
C. Terminate the AP immediately
D. Assign the AP to non-client care duties
Answer: B
9. A nurse is participating in a quality improvement study about the effectiveness of client
pain management on the unit. Which of the following strategies should the nurse use to
collect data?
A. Ask clients to rate their pain during discharge interviews
B. Review clients' charts for their rating of pain before pain medication was administered
and 1 hour after administration
C. Observe clients for nonverbal signs of pain throughout the shift
D. Survey nursing staff about their perceptions of client pain levels
EXAMINATION 2025: PRACTICAL NURSING
COMPREHENSIVE PREDICTOR STUDY GUIDE
SECTION 1: MANAGEMENT OF CARE & DELEGATION
1. A charge nurse is making client assignments on a medical-surgical unit. Which client
should the charge nurse assign to a licensed practical nurse (LPN)?
A. A client who is 1 hour post-cardiac catheterization with groin bleeding
B. A client with new-onset confusion and hypotension
C. A stable client with diabetes mellitus requiring routine insulin administration
D. A client requiring initial admission assessment and care plan development
Answer: C
2. A nurse is delegating the ambulation of a client who had knee arthroplasty 5 days ago to
an assistive personnel (AP). Which of the following information should the nurse share with
the AP? (Select all that apply)
A. The roommate is up independently
,B. The client ambulates with slippers on over antiembolic stockings
C. The client uses a front-wheeled walker when ambulating
D. The client had pain medication 30 minutes ago
E. The client is allergic to codeine
F. The client ate 50% of breakfast this morning
Answer: B, C, D
3. A nurse is preparing an in-service program about delegation. Which of the following
elements should the nurse identify when presenting the five rights of delegation? (Select all
that apply)
A. Right client
B. Right supervision and evaluation
C. Right direction and communication
D. Right time
E. Right circumstances
Answer: B, C, E
4. An RN is making assignments for client care to an LPN at the beginning of the shift.
Which of the following assignments should the LPN question?
A. Assisting a client who is 24 hours postoperative to use an incentive spirometer
B. Collecting a clean-catch urine specimen from a client admitted on the previous shift
C. Providing nasopharyngeal suctioning for a client who has pneumonia
D. Replacing the cartridge and tubing on a patient-controlled analgesia (PCA) pump
,Answer: D
5. A nurse is reinforcing teaching about confidentiality with a client who has a new
diagnosis of HIV. Which of the following information should the nurse include in the
teaching?
A. "Your HIV status will be kept confidential from all healthcare team members"
B. "Your HIV status will be shared with members of your healthcare team"
C. "You can request that your HIV status be hidden from your primary provider"
D. "Only the charge nurse needs to know your HIV status"
Answer: B
6. A nurse is reinforcing informed consent with a client scheduled for surgery. Which
statement by the client indicates a need for further teaching?
A. "I can change my mind after signing the form"
B. "My doctor explained the risks of the procedure to me"
C. "I signed the form because my spouse told me to"
D. "I understand I might need a blood transfusion"
Answer: C
7. A nurse is admitting a client who is scheduled for elective surgery. Which of the following
actions should the nurse take to verify the status of the client's advance directives?
, A. Review the client's medical record for advance directive documentation
B. Ask the client whether they have advance directives
C. Contact the client's family to inquire about advance directives
D. Assume the client has no advance directives unless specified
Answer: B
8. A charge nurse in a long-term care facility notices an assistive personnel's (AP) repeated
failure to provide oral care for clients. Which of the following actions should the charge
nurse take?
A. Report the AP to the state board of nursing
B. Discuss this behavior with the AP while reinforcing expectations
C. Terminate the AP immediately
D. Assign the AP to non-client care duties
Answer: B
9. A nurse is participating in a quality improvement study about the effectiveness of client
pain management on the unit. Which of the following strategies should the nurse use to
collect data?
A. Ask clients to rate their pain during discharge interviews
B. Review clients' charts for their rating of pain before pain medication was administered
and 1 hour after administration
C. Observe clients for nonverbal signs of pain throughout the shift
D. Survey nursing staff about their perceptions of client pain levels
