2026 ATI PN Comprehensive Online Practice A
Exam | LPN Nursing Exam Prep | NGN Questions
(Pdf)
1. A PN is reinforcing discharge teaching for a client with
heart failure. Which statement by the client indicates a
need for further teaching?
A. "I will weigh myself every morning before breakfast."
B. "I can stop taking my diuretic if I feel dizzy."
C. "I will limit my sodium intake to 2 grams per day."
D. "I should report a weight gain of 3 pounds in a week."
Answer: B
Rationale: Stopping a diuretic without provider instruction
can lead to fluid overload. Dizziness should be reported,
not managed by stopping medication. Daily weights,
sodium limits, and reporting weight gain are correct.
1
,2. A PN notices a small fire in a client's wastebasket.
What action should the PN take first?
A. Activate the fire alarm
B. Use a fire extinguisher
C. Remove the client from the room
D. Close all doors and windows
Answer: C
Rationale: The priority is to rescue the client from
immediate danger (RACE: Rescue, Alarm, Confine,
Extinguish).
3. A client refuses a prescribed IM injection. What should
the PN do?
A. Administer it quickly before the client changes their
mind
B. Document the refusal and notify the RN
C. Ask family members to convince the client
D. Restrain the client briefly to administer the injection
2
,Answer: B
Rationale: Competent clients have the legal right to refuse
treatment. The PN must respect autonomy, document the
refusal, and report to the supervising RN.
4. Which task is appropriate for a PN to delegate to an
unlicensed assistive personnel (AP)?
A. Feeding a client with stable dysphagia
B. Assessing a postoperative incision
C. Administering a tube feeding
D. Checking NG tube placement
Answer: A
Rationale: Feeding a stable client with dysphagia (with
proper precautions) is within AP scope. Assessment, tube
feeding administration, and NG tube checks require
PN/RN level judgment.
3
, 5. A PN is reinforcing teaching about advance directives.
Which client statement indicates understanding?
A. "Once I sign it, my family can change it anytime."
B. "It tells doctors what treatments I want if I cannot speak
for myself."
C. "It only applies if I am in a permanent coma."
D. "A lawyer must write it for it to be legal."
Answer: B
Rationale: Advance directives communicate healthcare
wishes when the client is unable to make decisions. They
apply in various incapacitated states, not just coma, and
do not require a lawyer.
6. A PN observes an AP applying wrist restraints without
an order. What should the PN do first?
A. Remove the restraints immediately
B. Report the AP to the nurse manager
4
Exam | LPN Nursing Exam Prep | NGN Questions
(Pdf)
1. A PN is reinforcing discharge teaching for a client with
heart failure. Which statement by the client indicates a
need for further teaching?
A. "I will weigh myself every morning before breakfast."
B. "I can stop taking my diuretic if I feel dizzy."
C. "I will limit my sodium intake to 2 grams per day."
D. "I should report a weight gain of 3 pounds in a week."
Answer: B
Rationale: Stopping a diuretic without provider instruction
can lead to fluid overload. Dizziness should be reported,
not managed by stopping medication. Daily weights,
sodium limits, and reporting weight gain are correct.
1
,2. A PN notices a small fire in a client's wastebasket.
What action should the PN take first?
A. Activate the fire alarm
B. Use a fire extinguisher
C. Remove the client from the room
D. Close all doors and windows
Answer: C
Rationale: The priority is to rescue the client from
immediate danger (RACE: Rescue, Alarm, Confine,
Extinguish).
3. A client refuses a prescribed IM injection. What should
the PN do?
A. Administer it quickly before the client changes their
mind
B. Document the refusal and notify the RN
C. Ask family members to convince the client
D. Restrain the client briefly to administer the injection
2
,Answer: B
Rationale: Competent clients have the legal right to refuse
treatment. The PN must respect autonomy, document the
refusal, and report to the supervising RN.
4. Which task is appropriate for a PN to delegate to an
unlicensed assistive personnel (AP)?
A. Feeding a client with stable dysphagia
B. Assessing a postoperative incision
C. Administering a tube feeding
D. Checking NG tube placement
Answer: A
Rationale: Feeding a stable client with dysphagia (with
proper precautions) is within AP scope. Assessment, tube
feeding administration, and NG tube checks require
PN/RN level judgment.
3
, 5. A PN is reinforcing teaching about advance directives.
Which client statement indicates understanding?
A. "Once I sign it, my family can change it anytime."
B. "It tells doctors what treatments I want if I cannot speak
for myself."
C. "It only applies if I am in a permanent coma."
D. "A lawyer must write it for it to be legal."
Answer: B
Rationale: Advance directives communicate healthcare
wishes when the client is unable to make decisions. They
apply in various incapacitated states, not just coma, and
do not require a lawyer.
6. A PN observes an AP applying wrist restraints without
an order. What should the PN do first?
A. Remove the restraints immediately
B. Report the AP to the nurse manager
4
