TI PN Comprehensive Exit Exam Practical
A
Nursing Final Review Official Practice Exam
Actual Exam 2026/2027 with Detailed
Rationales | Complete Exam-Style Questions |
Pass Guaranteed – A+ Graded
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SECTION 1: SAFE & EFFECTIVE CARE ENVIRONMENT Q1 – Q10
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Question 1 of 50
A 72-year-old patient in a long-term care facility has a new prescription for a
low-potency antipsychotic, and the unlicensed assistive personnel (UAP) reports the
patient is experiencing sudden severe muscle rigidity and confusion. The practical
nurse should recognize this presentation indicates a likely adverse effect requiring
immediate evaluation.
. Stop the medication and notify the charge nurse or provider immediately ✓ CORRECT
A
B. Administer the prescribed PRN benzodiazepine to relax the muscles
C. Document the findings and continue to monitor for changes
D. Apply warming blankets to relieve the muscle rigidity
orrect Answer: A
C
Rationale: Sudden severe muscle rigidity and confusion in a patient on antipsychotics
indicates neuroleptic malignant syndrome, which is a medical emergency requiring
immediate cessation of the medication. Administering a benzodiazepine does not
,address the underlying life-threatening condition and delays critical intervention. On the
ATI exam, always prioritize stopping the offending medication when NMS is suspected.
Question 2 of 50
A newly admitted patient with a severe Clostridioides difficile infection is placed in a
private room, and the practical nurse is reviewing infection control protocols with the
UAP. The practical nurse should instruct the UAP that the most essential precaution to
prevent transmission is using proper hand hygiene and personal protective equipment.
. Wearing a surgical mask when entering the room
A
B. Performing hand hygiene with soap and water after leaving the room ✓ CORRECT
C. Keeping the patient door closed at all times
D. Using an alcohol-based hand rub before touching the patient
orrect Answer: B
C
Rationale: C. difficile spores are resistant to alcohol-based hand rubs, so hand hygiene
must be performed with soap and water to physically remove the spores from the
hands. Using an alcohol-based hand rub is a common ATI trap because it is the
standard for most infections but not for C. difficile. Remember: soap and water is the
only effective method for C. difficile hand hygiene.
Question 3 of 50
A 68-year-old patient with terminal cancer requests a Do Not Resuscitate (DNR) order,
but the family insists on full code status and demands the nurse not chart the patient's
request. The practical nurse must recognize that the ethical principle of autonomy
requires the nurse to honor the patient's right to make their own healthcare decisions.
, . Document the family's request and follow the family's wishes
A
B. Contact the provider to request a code status change without patient consent
C. Advocate for the patient by communicating the patient's wishes to the provider ✓
CORRECT
D. Explain to the patient that the family's decision overrides their own
orrect Answer: C
C
Rationale: The principle of autonomy dictates that a competent patient has the right to
make their own healthcare decisions, regardless of family demands. Documenting the
family's request over the patient's violates the patient's legal and ethical rights. Always
advocate for the patient's expressed wishes when there is a conflict with the family.
Question 4 of 50
A practical nurse is delegating vital signs to a UAP on a medical-surgical unit. The
practical nurse must evaluate the UAP's performance to ensure safe and effective care
is being delivered to the assigned patients.
. Asking the UAP to determine if a patient needs a PRN medication
A
B. Having the UAP decide when to notify the provider for abnormal vital signs
C. Instructing the UAP to document the vital signs and skip reporting them
D. Reviewing the recorded vital signs to assess for any abnormal findings ✓ CORRECT
orrect Answer: D
C
Rationale: The practical nurse remains accountable for the delegated task and must
evaluate the UAP's performance by reviewing the recorded vital signs for abnormalities.
Having a UAP determine the need for PRN medication or decide when to call the
provider is outside the UAP's scope of practice. Evaluation and assessment are nursing
responsibilities that cannot be delegated.
, Question 5 of 50
A 45-year-old patient becomes combative and attempts to strike the nurse during a
blood draw. The nurse's priority action is to maintain safety for both the patient and the
healthcare staff involved.
. Step back from the patient and call for security assistance ✓ CORRECT
A
B. Quickly apply physical restraints to protect the staff
C. Administer a prescribed PRN sedative medication immediately
D. Complete the blood draw as quickly as possible to calm the patient
orrect Answer: A
C
Rationale: Stepping back and calling for security is the priority action to maintain safety
for both the patient and the healthcare team when a patient becomes combative.
Applying physical restraints requires a provider's order and should not be done as an
immediate reaction without assistance. Safety is always the first priority in a violent or
threatening situation.
Question 6 of 50
A practical nurse is preparing to administer a scheduled medication to a patient who is
currently in the radiology department. The practical nurse must follow safe medication
administration standards to prevent errors.
. Leave the medication at the bedside for the patient to take upon return
A
B. Document the medication as held and administer it when the patient returns ✓
CORRECT
C. Ask the UAP to take the medication to the radiology department
D. Skip the dose entirely and administer the next scheduled dose on time
A
Nursing Final Review Official Practice Exam
Actual Exam 2026/2027 with Detailed
Rationales | Complete Exam-Style Questions |
Pass Guaranteed – A+ Graded
═════════════════════════════════════
═
SECTION 1: SAFE & EFFECTIVE CARE ENVIRONMENT Q1 – Q10
══════════════════════════════════════
Question 1 of 50
A 72-year-old patient in a long-term care facility has a new prescription for a
low-potency antipsychotic, and the unlicensed assistive personnel (UAP) reports the
patient is experiencing sudden severe muscle rigidity and confusion. The practical
nurse should recognize this presentation indicates a likely adverse effect requiring
immediate evaluation.
. Stop the medication and notify the charge nurse or provider immediately ✓ CORRECT
A
B. Administer the prescribed PRN benzodiazepine to relax the muscles
C. Document the findings and continue to monitor for changes
D. Apply warming blankets to relieve the muscle rigidity
orrect Answer: A
C
Rationale: Sudden severe muscle rigidity and confusion in a patient on antipsychotics
indicates neuroleptic malignant syndrome, which is a medical emergency requiring
immediate cessation of the medication. Administering a benzodiazepine does not
,address the underlying life-threatening condition and delays critical intervention. On the
ATI exam, always prioritize stopping the offending medication when NMS is suspected.
Question 2 of 50
A newly admitted patient with a severe Clostridioides difficile infection is placed in a
private room, and the practical nurse is reviewing infection control protocols with the
UAP. The practical nurse should instruct the UAP that the most essential precaution to
prevent transmission is using proper hand hygiene and personal protective equipment.
. Wearing a surgical mask when entering the room
A
B. Performing hand hygiene with soap and water after leaving the room ✓ CORRECT
C. Keeping the patient door closed at all times
D. Using an alcohol-based hand rub before touching the patient
orrect Answer: B
C
Rationale: C. difficile spores are resistant to alcohol-based hand rubs, so hand hygiene
must be performed with soap and water to physically remove the spores from the
hands. Using an alcohol-based hand rub is a common ATI trap because it is the
standard for most infections but not for C. difficile. Remember: soap and water is the
only effective method for C. difficile hand hygiene.
Question 3 of 50
A 68-year-old patient with terminal cancer requests a Do Not Resuscitate (DNR) order,
but the family insists on full code status and demands the nurse not chart the patient's
request. The practical nurse must recognize that the ethical principle of autonomy
requires the nurse to honor the patient's right to make their own healthcare decisions.
, . Document the family's request and follow the family's wishes
A
B. Contact the provider to request a code status change without patient consent
C. Advocate for the patient by communicating the patient's wishes to the provider ✓
CORRECT
D. Explain to the patient that the family's decision overrides their own
orrect Answer: C
C
Rationale: The principle of autonomy dictates that a competent patient has the right to
make their own healthcare decisions, regardless of family demands. Documenting the
family's request over the patient's violates the patient's legal and ethical rights. Always
advocate for the patient's expressed wishes when there is a conflict with the family.
Question 4 of 50
A practical nurse is delegating vital signs to a UAP on a medical-surgical unit. The
practical nurse must evaluate the UAP's performance to ensure safe and effective care
is being delivered to the assigned patients.
. Asking the UAP to determine if a patient needs a PRN medication
A
B. Having the UAP decide when to notify the provider for abnormal vital signs
C. Instructing the UAP to document the vital signs and skip reporting them
D. Reviewing the recorded vital signs to assess for any abnormal findings ✓ CORRECT
orrect Answer: D
C
Rationale: The practical nurse remains accountable for the delegated task and must
evaluate the UAP's performance by reviewing the recorded vital signs for abnormalities.
Having a UAP determine the need for PRN medication or decide when to call the
provider is outside the UAP's scope of practice. Evaluation and assessment are nursing
responsibilities that cannot be delegated.
, Question 5 of 50
A 45-year-old patient becomes combative and attempts to strike the nurse during a
blood draw. The nurse's priority action is to maintain safety for both the patient and the
healthcare staff involved.
. Step back from the patient and call for security assistance ✓ CORRECT
A
B. Quickly apply physical restraints to protect the staff
C. Administer a prescribed PRN sedative medication immediately
D. Complete the blood draw as quickly as possible to calm the patient
orrect Answer: A
C
Rationale: Stepping back and calling for security is the priority action to maintain safety
for both the patient and the healthcare team when a patient becomes combative.
Applying physical restraints requires a provider's order and should not be done as an
immediate reaction without assistance. Safety is always the first priority in a violent or
threatening situation.
Question 6 of 50
A practical nurse is preparing to administer a scheduled medication to a patient who is
currently in the radiology department. The practical nurse must follow safe medication
administration standards to prevent errors.
. Leave the medication at the bedside for the patient to take upon return
A
B. Document the medication as held and administer it when the patient returns ✓
CORRECT
C. Ask the UAP to take the medication to the radiology department
D. Skip the dose entirely and administer the next scheduled dose on time
