ATI PN Comprehensive Predictor 2025 Exam
Test Bank | Practical Nursing NCLEX-PN
Review Questions & Study Guide
Section 1: Management of Care & Prioritization
1. A charge nurse is making client assignments for the shift. Which client is
most appropriate to assign to the licensed practical nurse (LPN)?
A. A client newly admitted with a suspected pulmonary embolism
B. A client requiring initial teaching for a new colostomy
C. A stable client requiring a scheduled dressing change for a stage 2 pressure
injury
D. A client with new-onset confusion and restlessness
[ CORRECT: C]
[ RATIONALE] The LPN scope of practice includes performing routine,
stable treatments such as dressing changes for a chronic wound. Option A requires
complex assessment and monitoring (RN scope). Option B involves initial
teaching, which is the RN's responsibility (LPNs reinforce teaching). Option D
indicates a potential acute change (hypoxia, infection) requiring RN assessment .
2. A nurse is caring for four clients. Which client should the nurse assess first?
A. A client with a cast reporting intense itching under the cast
B. A client with new-onset confusion and a oxygen saturation of 89% on room air
C. A client requesting pain medication for a headache rated 6/10
D. A client waiting for discharge instructions
[ CORRECT: B]
[ RATIONALE] New-onset confusion combined with hypoxemia (SpO2 <
90%) indicates a life-threatening condition requiring immediate intervention (ABC
priority). Itching (A) is a lower priority. Headache (C) and discharge planning (D)
are not emergent .
3. A nurse is delegating tasks to assistive personnel (AP). Which task is
appropriate to delegate?
,A. Administering an oral analgesic
B. Measuring and recording vital signs on a stable client
C. Assessing a client's incision for signs of infection
D. Teaching a client how to use an incentive spirometer
[ CORRECT: B]
[ RATIONALE] Measuring and recording vital signs on stable clients is within
the AP scope. Medication administration (A), assessment (C), and teaching (D)
require a licensed nurse .
4. A nurse is reviewing a client's medication administration record and sees
the abbreviation "U" for units. What action should the nurse take?
A. Administer the medication as written
B. Clarify the order with the provider
C. Ask another nurse to verify the order
D. Document the order as "U" on the MAR
[ CORRECT: B]
[ RATIONALE] "U" is a dangerous abbreviation that can be mistaken for "0"
or "4," leading to a tenfold overdose. The Joint Commission requires "units" to be
written out. The nurse must clarify the ambiguous order with the prescriber .
5. A client with a DNR (Do Not Resuscitate) order stops breathing. What is the
nurse's priority action?
A. Begin chest compressions immediately
B. Call a code blue and start rescue breathing
C. Withhold CPR and allow a natural death
D. Ask the family for permission to resuscitate
[ CORRECT: C]
[ RATIONALE] A DNR order means that if the client experiences cardiac or
respiratory arrest, CPR and advanced cardiac life support will not be initiated. The
nurse should provide comfort care and allow a natural death .
6. A nurse is preparing to discharge a client who speaks a different language.
Which action is most appropriate?
A. Ask the client's 12-year-old child to interpret
,B. Use a certified medical interpreter
C. Provide written instructions in English only
D. Use gestures and pictures to explain care
[ CORRECT: B]
[ RATIONALE] A certified medical interpreter ensures accurate
communication and understanding. Family members (especially children) should
not be used for medical interpretation due to accuracy and privacy concerns .
7. A nurse finds a client on the floor after a fall. What is the first action the
nurse should take?
A. Assist the client back to bed immediately
B. Assess the client for injury before moving them
C. Call for help and complete an incident report
D. Check the client's blood glucose level
[ CORRECT: B]
[ RATIONALE] The priority is to assess for injury (fractures, head trauma)
before moving the client. Moving a client with a fracture could cause further harm.
The incident report comes after ensuring safety and assessment .
8. A nurse is prioritizing care after receiving a change-of-shift report. Which
client should the nurse see first?
A. A client requesting a laxative for constipation
B. A client with a new tracheostomy who is coughing
C. A client with a hip fracture who is due for pain medication
D. A client with a history of COPD requesting assistance with ambulation
[ CORRECT: B]
[ RATIONALE] A new tracheostomy with coughing could indicate airway
obstruction or secretion management issues. Airway is the highest priority. The
other clients are stable .
9. Which action by the LPN demonstrates correct use of the "rights of
delegation"?
A. Delegating wound assessment to an AP
B. Delegating vital signs on an unstable client to an AP
, C. Delegating a routine bed bath to an AP while providing clear instructions
D. Delegating medication administration to an AP
[ CORRECT: C]
[ RATIONALE] The rights of delegation include right task, right
circumstances, right person, right direction/communication, and right supervision.
A routine bed bath is an appropriate task for AP with clear instructions. Assessment
and medication administration cannot be delegated to AP .
10. A nurse is caring for a client who is agitated and trying to climb out of bed.
What is the nurse's priority action?
A. Apply soft wrist restraints immediately
B. Administer a PRN sedative
C. Stay with the client and call for assistance
D. Raise all four side rails
[ CORRECT: C]
[ RATIONALE] Safety first: the nurse must stay with the client to prevent
injury and call for help. Restraints (A) require a provider's order and are a last
resort. Sedation (B) requires an order. Raising all four side rails (D) is considered a
restraint and is unsafe .
11. A client is being discharged after a stroke. Which instruction regarding fall
prevention is most important?
A. "Wear shoes with smooth, slick soles for easy movement."
B. "Remove throw rugs and install grab bars in the bathroom."
C. "Keep the lights dim to reduce glare."
D. "Take sedatives before bedtime to improve sleep."
[ CORRECT: B]
[ RATIONALE] Removing tripping hazards (throw rugs) and installing grab
bars are key environmental modifications to prevent falls. Slick soles (A) increase
fall risk. Dim lights (C) impair vision. Sedatives (D) increase fall risk .
12. A nurse is reviewing advance directives with a client. Which document
specifies the client's wishes regarding end-of-life care?
A. Durable power of attorney for health care
Test Bank | Practical Nursing NCLEX-PN
Review Questions & Study Guide
Section 1: Management of Care & Prioritization
1. A charge nurse is making client assignments for the shift. Which client is
most appropriate to assign to the licensed practical nurse (LPN)?
A. A client newly admitted with a suspected pulmonary embolism
B. A client requiring initial teaching for a new colostomy
C. A stable client requiring a scheduled dressing change for a stage 2 pressure
injury
D. A client with new-onset confusion and restlessness
[ CORRECT: C]
[ RATIONALE] The LPN scope of practice includes performing routine,
stable treatments such as dressing changes for a chronic wound. Option A requires
complex assessment and monitoring (RN scope). Option B involves initial
teaching, which is the RN's responsibility (LPNs reinforce teaching). Option D
indicates a potential acute change (hypoxia, infection) requiring RN assessment .
2. A nurse is caring for four clients. Which client should the nurse assess first?
A. A client with a cast reporting intense itching under the cast
B. A client with new-onset confusion and a oxygen saturation of 89% on room air
C. A client requesting pain medication for a headache rated 6/10
D. A client waiting for discharge instructions
[ CORRECT: B]
[ RATIONALE] New-onset confusion combined with hypoxemia (SpO2 <
90%) indicates a life-threatening condition requiring immediate intervention (ABC
priority). Itching (A) is a lower priority. Headache (C) and discharge planning (D)
are not emergent .
3. A nurse is delegating tasks to assistive personnel (AP). Which task is
appropriate to delegate?
,A. Administering an oral analgesic
B. Measuring and recording vital signs on a stable client
C. Assessing a client's incision for signs of infection
D. Teaching a client how to use an incentive spirometer
[ CORRECT: B]
[ RATIONALE] Measuring and recording vital signs on stable clients is within
the AP scope. Medication administration (A), assessment (C), and teaching (D)
require a licensed nurse .
4. A nurse is reviewing a client's medication administration record and sees
the abbreviation "U" for units. What action should the nurse take?
A. Administer the medication as written
B. Clarify the order with the provider
C. Ask another nurse to verify the order
D. Document the order as "U" on the MAR
[ CORRECT: B]
[ RATIONALE] "U" is a dangerous abbreviation that can be mistaken for "0"
or "4," leading to a tenfold overdose. The Joint Commission requires "units" to be
written out. The nurse must clarify the ambiguous order with the prescriber .
5. A client with a DNR (Do Not Resuscitate) order stops breathing. What is the
nurse's priority action?
A. Begin chest compressions immediately
B. Call a code blue and start rescue breathing
C. Withhold CPR and allow a natural death
D. Ask the family for permission to resuscitate
[ CORRECT: C]
[ RATIONALE] A DNR order means that if the client experiences cardiac or
respiratory arrest, CPR and advanced cardiac life support will not be initiated. The
nurse should provide comfort care and allow a natural death .
6. A nurse is preparing to discharge a client who speaks a different language.
Which action is most appropriate?
A. Ask the client's 12-year-old child to interpret
,B. Use a certified medical interpreter
C. Provide written instructions in English only
D. Use gestures and pictures to explain care
[ CORRECT: B]
[ RATIONALE] A certified medical interpreter ensures accurate
communication and understanding. Family members (especially children) should
not be used for medical interpretation due to accuracy and privacy concerns .
7. A nurse finds a client on the floor after a fall. What is the first action the
nurse should take?
A. Assist the client back to bed immediately
B. Assess the client for injury before moving them
C. Call for help and complete an incident report
D. Check the client's blood glucose level
[ CORRECT: B]
[ RATIONALE] The priority is to assess for injury (fractures, head trauma)
before moving the client. Moving a client with a fracture could cause further harm.
The incident report comes after ensuring safety and assessment .
8. A nurse is prioritizing care after receiving a change-of-shift report. Which
client should the nurse see first?
A. A client requesting a laxative for constipation
B. A client with a new tracheostomy who is coughing
C. A client with a hip fracture who is due for pain medication
D. A client with a history of COPD requesting assistance with ambulation
[ CORRECT: B]
[ RATIONALE] A new tracheostomy with coughing could indicate airway
obstruction or secretion management issues. Airway is the highest priority. The
other clients are stable .
9. Which action by the LPN demonstrates correct use of the "rights of
delegation"?
A. Delegating wound assessment to an AP
B. Delegating vital signs on an unstable client to an AP
, C. Delegating a routine bed bath to an AP while providing clear instructions
D. Delegating medication administration to an AP
[ CORRECT: C]
[ RATIONALE] The rights of delegation include right task, right
circumstances, right person, right direction/communication, and right supervision.
A routine bed bath is an appropriate task for AP with clear instructions. Assessment
and medication administration cannot be delegated to AP .
10. A nurse is caring for a client who is agitated and trying to climb out of bed.
What is the nurse's priority action?
A. Apply soft wrist restraints immediately
B. Administer a PRN sedative
C. Stay with the client and call for assistance
D. Raise all four side rails
[ CORRECT: C]
[ RATIONALE] Safety first: the nurse must stay with the client to prevent
injury and call for help. Restraints (A) require a provider's order and are a last
resort. Sedation (B) requires an order. Raising all four side rails (D) is considered a
restraint and is unsafe .
11. A client is being discharged after a stroke. Which instruction regarding fall
prevention is most important?
A. "Wear shoes with smooth, slick soles for easy movement."
B. "Remove throw rugs and install grab bars in the bathroom."
C. "Keep the lights dim to reduce glare."
D. "Take sedatives before bedtime to improve sleep."
[ CORRECT: B]
[ RATIONALE] Removing tripping hazards (throw rugs) and installing grab
bars are key environmental modifications to prevent falls. Slick soles (A) increase
fall risk. Dim lights (C) impair vision. Sedatives (D) increase fall risk .
12. A nurse is reviewing advance directives with a client. Which document
specifies the client's wishes regarding end-of-life care?
A. Durable power of attorney for health care
