ATI PN NURSING PROGRAM EXIT EXAM QUESTIONS AND ANSWERS ALREADY GRADED A+|
100% VERIFIED SOLUTIONS………...]
Core Domains
Safe and Effective Care Environment
Health Promotion and Maintenance
Psychosocial Integrity
Physiological Integrity
Pharmacological and Parenteral Therapies
Reduction of Risk Potential
Basic Care and Comfort
Maternal, Newborn, and Pediatric Care
Mental Health Nursing
Leadership, Delegation, and Prioritization
Introduction
The ATI PN Nursing Program Exit Exam is designed to evaluate the knowledge and clinical
judgment of practical nursing students preparing to enter professional practice. This assessment
focuses on the critical skills required to provide safe, effective, and patient-centered care across the
lifespan. The exam utilizes a multiple-choice and scenario-based structure to emphasize real-world
application, critical thinking, and decision-making. It assesses competency in safety, pharmacology,
,maternal newborn care, pediatrics, mental health, and leadership, ensuring readiness for the
NCLEX-PN and safe professional practice.
SECTION ONE: QUESTIONS 1–100
1. A nurse is caring for a client who has an advance directive. Which action should the nurse
take?
A. Ensure a copy of the advance directive is in the medical record.
B. Witness the client signing the advance directive.
C. Interpret the advance directive for the family.
D. Revise the advance directive when the client's condition changes.
🟢 A. Ensure a copy of the advance directive is in the medical record.
🔴 RATIONALE: The nurse's role is to ensure the advance directive is documented and available
in the medical record. The nurse does not witness, interpret, or revise the document unless
properly authorized.
2. A nurse is delegating tasks to unlicensed assistive personnel (UAP). Which task is
appropriate to delegate?
A. Administering oral medications.
B. Obtaining vital signs on a stable client.
,C. Assessing a client's wound.
D. Teaching a client about a new diet.
🟢 B. Obtaining vital signs on a stable client.
🔴 RATIONALE: Obtaining vital signs on a stable client is within the scope of practice for UAP.
Medication administration, assessment, and teaching require a licensed nurse.
3. A nurse is prioritizing care for four clients. Which client should the nurse assess first?
A. A client requesting pain medication for arthritis.
B. A client who needs assistance with ambulation.
C. A client reporting chest pain and shortness of breath.
D. A client with a temperature of 100.2°F (37.9°C).
🟢 C. A client reporting chest pain and shortness of breath.
🔴 RATIONALE: Chest pain and shortness of breath may indicate a myocardial infarction or other
life-threatening condition. This client requires immediate assessment and intervention.
4. A nurse is preparing to care for a client with active pulmonary tuberculosis. Which type of
precautions should the nurse initiate?
A. Standard precautions.
B. Contact precautions.
C. Droplet precautions.
D. Airborne precautions.
, 🟢 D. Airborne precautions.
🔴 RATIONALE: Tuberculosis is transmitted via airborne droplets. The nurse should initiate
airborne precautions, including a negative-pressure room and an N95 respirator.
5. A nurse is preparing to administer digoxin to a client. Which finding should cause the nurse
to withhold the medication?
A. Apical pulse of 56 beats per minute.
B. Blood pressure of 118/76 mm Hg.
C. Serum potassium of 4.2 mEq/L.
D. Respiratory rate of 18 breaths per minute.
🟢 A. Apical pulse of 56 beats per minute.
🔴 RATIONALE: Digoxin slows the heart rate. It should be withheld if the adult client's apical
pulse is below 60 beats per minute. The nurse should notify the provider.
6. A nurse is teaching a client about regular insulin. Which statement indicates the client
understands the teaching?
A. "I will take regular insulin 30 minutes before meals."
B. "I will take regular insulin at bedtime."
C. "I will take regular insulin only when I feel sick."
D. "I will take regular insulin every 4 hours around the clock."
🟢 A. "I will take regular insulin 30 minutes before meals."
100% VERIFIED SOLUTIONS………...]
Core Domains
Safe and Effective Care Environment
Health Promotion and Maintenance
Psychosocial Integrity
Physiological Integrity
Pharmacological and Parenteral Therapies
Reduction of Risk Potential
Basic Care and Comfort
Maternal, Newborn, and Pediatric Care
Mental Health Nursing
Leadership, Delegation, and Prioritization
Introduction
The ATI PN Nursing Program Exit Exam is designed to evaluate the knowledge and clinical
judgment of practical nursing students preparing to enter professional practice. This assessment
focuses on the critical skills required to provide safe, effective, and patient-centered care across the
lifespan. The exam utilizes a multiple-choice and scenario-based structure to emphasize real-world
application, critical thinking, and decision-making. It assesses competency in safety, pharmacology,
,maternal newborn care, pediatrics, mental health, and leadership, ensuring readiness for the
NCLEX-PN and safe professional practice.
SECTION ONE: QUESTIONS 1–100
1. A nurse is caring for a client who has an advance directive. Which action should the nurse
take?
A. Ensure a copy of the advance directive is in the medical record.
B. Witness the client signing the advance directive.
C. Interpret the advance directive for the family.
D. Revise the advance directive when the client's condition changes.
🟢 A. Ensure a copy of the advance directive is in the medical record.
🔴 RATIONALE: The nurse's role is to ensure the advance directive is documented and available
in the medical record. The nurse does not witness, interpret, or revise the document unless
properly authorized.
2. A nurse is delegating tasks to unlicensed assistive personnel (UAP). Which task is
appropriate to delegate?
A. Administering oral medications.
B. Obtaining vital signs on a stable client.
,C. Assessing a client's wound.
D. Teaching a client about a new diet.
🟢 B. Obtaining vital signs on a stable client.
🔴 RATIONALE: Obtaining vital signs on a stable client is within the scope of practice for UAP.
Medication administration, assessment, and teaching require a licensed nurse.
3. A nurse is prioritizing care for four clients. Which client should the nurse assess first?
A. A client requesting pain medication for arthritis.
B. A client who needs assistance with ambulation.
C. A client reporting chest pain and shortness of breath.
D. A client with a temperature of 100.2°F (37.9°C).
🟢 C. A client reporting chest pain and shortness of breath.
🔴 RATIONALE: Chest pain and shortness of breath may indicate a myocardial infarction or other
life-threatening condition. This client requires immediate assessment and intervention.
4. A nurse is preparing to care for a client with active pulmonary tuberculosis. Which type of
precautions should the nurse initiate?
A. Standard precautions.
B. Contact precautions.
C. Droplet precautions.
D. Airborne precautions.
, 🟢 D. Airborne precautions.
🔴 RATIONALE: Tuberculosis is transmitted via airborne droplets. The nurse should initiate
airborne precautions, including a negative-pressure room and an N95 respirator.
5. A nurse is preparing to administer digoxin to a client. Which finding should cause the nurse
to withhold the medication?
A. Apical pulse of 56 beats per minute.
B. Blood pressure of 118/76 mm Hg.
C. Serum potassium of 4.2 mEq/L.
D. Respiratory rate of 18 breaths per minute.
🟢 A. Apical pulse of 56 beats per minute.
🔴 RATIONALE: Digoxin slows the heart rate. It should be withheld if the adult client's apical
pulse is below 60 beats per minute. The nurse should notify the provider.
6. A nurse is teaching a client about regular insulin. Which statement indicates the client
understands the teaching?
A. "I will take regular insulin 30 minutes before meals."
B. "I will take regular insulin at bedtime."
C. "I will take regular insulin only when I feel sick."
D. "I will take regular insulin every 4 hours around the clock."
🟢 A. "I will take regular insulin 30 minutes before meals."
