ATI RN CRITICAL THINKING
Entrance / Exit Exam - 150 Questions
100% Correct Answers | Verified & A+ Graded - 2026/2027 Edition
ATI RN Critical Thinking Entrance/Exit | 150Q | 2026/2027 Practice Guide Page 1
, TABLE OF CONTENTS
Section 1: Clinical Judgment & Nursing Process ADPIE (30 Qs) Page 3
Section 2: Prioritization, Delegation & Assignment (35 Qs) Page 10
Section 3: Patient Safety, Infection Control & QI (30 Qs) Page 18
Section 4: Pharmacology & Medication Safety (25 Qs) Page 25
Section 5: Management of Care, Ethics & Collaboration (30 Qs) Page 31
Answer Key Summary Page 40
ATI RN Critical Thinking Entrance/Exit | 150Q | 2026/2027 Practice Guide Page 2
, Section 1: Clinical Judgment & Nursing Process (30 Qs)
Q1. Post-op client 2hr post-op - which requires immediate intervention?
A) BP 132/78
B) O2 sat 89% room air
C) Pain 4/10
D) UO 35 mL/hr
Correct Answer: B
Rationale: ABCs: O2 sat 89% hypoxia priority.
Q2. Task can be delegated to UAP?
A) Assess wound
B) Insert catheter
C) Feed dysphagia
D) Vitals stable
Correct Answer: D
Rationale: UAP vitals stable, ADLs. No assessment/invasive.
Q3. Heparin therapeutic lab?
A) INR 2-3
B) aPTT 60-80
C) Platelets
D) PT
Correct Answer: B
Rationale: Heparin aPTT 60-80 sec.
Q4. Suspected transfusion reaction first action?
A) Slow
B) Stop transfusion keep IV NS
C) Finish then notify
D) Benadryl
Correct Answer: B
Rationale: Stop transfusion, NS new tubing, assess, notify.
Q5. Informed consent needed for?
A) NG
B) Oral meds
C) Surgery
D) Foley
Correct Answer: C
Rationale: Informed consent for surgery/invasive with risk.
Q6. Chest pain first order?
ATI RN Critical Thinking Entrance/Exit | 150Q | 2026/2027 Practice Guide Page 3
, A) Troponin
B) 12-lead ECG
C) X-ray
D) Lipids
Correct Answer: B
Rationale: ECG within 10 min rule out STEMI.
Q7. Priority to assess first?
A) Asthma wheeze
B) COPD O2 88% baseline
C) Post-op sudden dyspnea chest pain
D) CHF edema
Correct Answer: C
Rationale: Sudden dyspnea chest pain post-op = PE acute emergency.
Q8. Contact MRSA PPE?
A) Gloves
B) Gown+gloves
C) N95
D) Mask
Correct Answer: B
Rationale: Contact: gown+gloves.
Q9. Share info in elevator violates?
A) Autonomy
B) Beneficence
C) Confidentiality
D) Nonmaleficence
Correct Answer: C
Rationale: HIPAA confidentiality breach.
Q10. Morphine ordered RR 8 drowsy?
A) Give
B) Half
C) Hold notify
D) Give monitor
Correct Answer: C
Rationale: Hold opioid RR depression risk.
Q11. Post-op client 2hr post-op - which requires immediate intervention?
A) BP 132/78
B) O2 sat 89% room air
C) Pain 4/10
D) UO 35 mL/hr
ATI RN Critical Thinking Entrance/Exit | 150Q | 2026/2027 Practice Guide Page 4
Entrance / Exit Exam - 150 Questions
100% Correct Answers | Verified & A+ Graded - 2026/2027 Edition
ATI RN Critical Thinking Entrance/Exit | 150Q | 2026/2027 Practice Guide Page 1
, TABLE OF CONTENTS
Section 1: Clinical Judgment & Nursing Process ADPIE (30 Qs) Page 3
Section 2: Prioritization, Delegation & Assignment (35 Qs) Page 10
Section 3: Patient Safety, Infection Control & QI (30 Qs) Page 18
Section 4: Pharmacology & Medication Safety (25 Qs) Page 25
Section 5: Management of Care, Ethics & Collaboration (30 Qs) Page 31
Answer Key Summary Page 40
ATI RN Critical Thinking Entrance/Exit | 150Q | 2026/2027 Practice Guide Page 2
, Section 1: Clinical Judgment & Nursing Process (30 Qs)
Q1. Post-op client 2hr post-op - which requires immediate intervention?
A) BP 132/78
B) O2 sat 89% room air
C) Pain 4/10
D) UO 35 mL/hr
Correct Answer: B
Rationale: ABCs: O2 sat 89% hypoxia priority.
Q2. Task can be delegated to UAP?
A) Assess wound
B) Insert catheter
C) Feed dysphagia
D) Vitals stable
Correct Answer: D
Rationale: UAP vitals stable, ADLs. No assessment/invasive.
Q3. Heparin therapeutic lab?
A) INR 2-3
B) aPTT 60-80
C) Platelets
D) PT
Correct Answer: B
Rationale: Heparin aPTT 60-80 sec.
Q4. Suspected transfusion reaction first action?
A) Slow
B) Stop transfusion keep IV NS
C) Finish then notify
D) Benadryl
Correct Answer: B
Rationale: Stop transfusion, NS new tubing, assess, notify.
Q5. Informed consent needed for?
A) NG
B) Oral meds
C) Surgery
D) Foley
Correct Answer: C
Rationale: Informed consent for surgery/invasive with risk.
Q6. Chest pain first order?
ATI RN Critical Thinking Entrance/Exit | 150Q | 2026/2027 Practice Guide Page 3
, A) Troponin
B) 12-lead ECG
C) X-ray
D) Lipids
Correct Answer: B
Rationale: ECG within 10 min rule out STEMI.
Q7. Priority to assess first?
A) Asthma wheeze
B) COPD O2 88% baseline
C) Post-op sudden dyspnea chest pain
D) CHF edema
Correct Answer: C
Rationale: Sudden dyspnea chest pain post-op = PE acute emergency.
Q8. Contact MRSA PPE?
A) Gloves
B) Gown+gloves
C) N95
D) Mask
Correct Answer: B
Rationale: Contact: gown+gloves.
Q9. Share info in elevator violates?
A) Autonomy
B) Beneficence
C) Confidentiality
D) Nonmaleficence
Correct Answer: C
Rationale: HIPAA confidentiality breach.
Q10. Morphine ordered RR 8 drowsy?
A) Give
B) Half
C) Hold notify
D) Give monitor
Correct Answer: C
Rationale: Hold opioid RR depression risk.
Q11. Post-op client 2hr post-op - which requires immediate intervention?
A) BP 132/78
B) O2 sat 89% room air
C) Pain 4/10
D) UO 35 mL/hr
ATI RN Critical Thinking Entrance/Exit | 150Q | 2026/2027 Practice Guide Page 4