ATI PN Comprehensive Exit 2025 with NGN |
Comprehensive Practice Questions & Answers with
Detailed Rationales | Latest 2026/2027 Update | ATI PN
Exit Exam Study Guide | Verified Questions & Answers |
Graded A+
Section I: Fundamentals & Safety (Questions 1–22)
1. A nurse is preparing to administer a cleansing enema to a client. Which action
should the nurse take?
A. Position the client in the supine position
B. Lubricate the tip of the rectal tube
C. Insert the tube 15 cm (6 inches)
D. Administer the solution rapidly
Rationale: The rectal tube tip should be lubricated to facilitate insertion and
prevent trauma to the rectal mucosa. The client should be positioned in the left
lateral (Sims') position, not supine. The tube is inserted 7.5 to 10 cm (3–4 inches)
in adults, not 15 cm. The solution should be administered slowly to prevent
cramping and discomfort .
2. A nurse is caring for a client who has a surgical wound healing by primary
intention. Which finding should the nurse expect?
A. The wound edges are well approximated
B. The wound is left open to heal
C. The wound has significant granulation tissue
D. The wound requires daily packing
Rationale: Primary intention healing occurs when wound edges are well
approximated, such as with a surgical incision. This type of healing has minimal
,tissue loss and results in a thin scar. Wounds left open to heal by secondary
intention have granulation tissue and may require packing .
3. A nurse is preparing to apply restraints to a client who is at risk for injury.
Which action should the nurse take?
A. Apply the restraint tightly to prevent escape
B. Obtain a provider's prescription for the restraint
C. Apply the restraint to the client's dominant arm
D. Leave the restraint in place for 8 hours without release
Rationale: A provider's prescription is required for the application of
restraints. Restraints should be applied loosely enough to allow movement and
circulation. They should be applied to non-dominant extremities when possible.
Restraints must be removed or released every 2 hours for assessment and range
of motion .
4. A nurse is teaching a client about infection prevention. Which statement by
the client indicates a need for further teaching?
A. "I should wash my hands before and after touching my wound."
B. "I should cover my mouth when I cough."
C. "I can share my personal care items with my family."
D. "I should avoid touching my face with unwashed hands."
Rationale: Sharing personal care items can spread infection. Clients should not
share items such as towels, razors, or toothbrushes. The other statements
demonstrate correct understanding of infection prevention measures .
5. A nurse is caring for a client who is on isolation precautions. Which action
should the nurse take when leaving the client's room?
A. Remove PPE before exiting the room
B. Remove PPE after exiting the room
,C. Keep the PPE on for the next client
D. Discard PPE in the client's room trash can
Rationale: PPE should be removed before exiting the client's room to prevent
the spread of microorganisms to other areas. PPE should be discarded in
designated containers, not in the client's room trash can. PPE should not be
reused for another client .
6. A nurse is caring for a client who has tuberculosis. Which personal protective
equipment should the nurse wear when entering the client's room?
A. Surgical mask
B. N95 respirator
C. Gown and gloves only
D. Face shield only
Rationale: Tuberculosis is transmitted via airborne particles, requiring an N95
respirator (or higher-level respiratory protection). A surgical mask does not
provide adequate filtration for airborne pathogens. Gown, gloves, and face shields
do not provide respiratory protection .
7. A nurse is preparing to administer a medication via a nasogastric tube. Which
action should the nurse take?
A. Crush all medications together before administration
B. Flush the tube with 30 mL of water before and after each medication
C. Mix all medications together in one syringe
D. Administer medications at the same time as the tube feeding
Rationale: Flushing the tube with 30 mL of water before and after each
medication ensures the medication is delivered to the stomach and prevents
clogging. Medications should be administered separately, not mixed together.
Tube feedings should be paused during medication administration .
, 8. A nurse is performing hand hygiene. Which action is most effective for
removing transient microorganisms when hands are visibly soiled?
A. Using an alcohol-based hand rub
B. Washing hands with soap and water for at least 20 seconds
C. Using an antimicrobial wipe
D. Rinsing hands with warm water only
Rationale: Washing hands with soap and water for at least 20 seconds is the
most effective method for removing transient microorganisms, especially when
hands are visibly soiled or when caring for clients with C. difficile. Alcohol-based
hand rubs are effective but not for visibly soiled hands .
9. A nurse is assessing a client who is postoperative. Which finding should the
nurse report to the provider immediately?
A. Blood pressure 110/70 mm Hg
B. Heart rate 88/min
C. Respiratory rate 8/min
D. Temperature 37.2°C (99°F)
Rationale: A respiratory rate of 8/min indicates respiratory depression, which
requires immediate intervention. This can be caused by anesthesia, opioid
analgesics, or other postoperative complications. The other vital signs are within
expected ranges.
10. A nurse is caring for a client who has Clostridium difficile infection. Which
action should the nurse take?
A. Use alcohol-based hand rub after client contact
B. Wash hands with soap and water after client contact
C. Wear a surgical mask when entering the room
D. Place the client in a negative-pressure room
Comprehensive Practice Questions & Answers with
Detailed Rationales | Latest 2026/2027 Update | ATI PN
Exit Exam Study Guide | Verified Questions & Answers |
Graded A+
Section I: Fundamentals & Safety (Questions 1–22)
1. A nurse is preparing to administer a cleansing enema to a client. Which action
should the nurse take?
A. Position the client in the supine position
B. Lubricate the tip of the rectal tube
C. Insert the tube 15 cm (6 inches)
D. Administer the solution rapidly
Rationale: The rectal tube tip should be lubricated to facilitate insertion and
prevent trauma to the rectal mucosa. The client should be positioned in the left
lateral (Sims') position, not supine. The tube is inserted 7.5 to 10 cm (3–4 inches)
in adults, not 15 cm. The solution should be administered slowly to prevent
cramping and discomfort .
2. A nurse is caring for a client who has a surgical wound healing by primary
intention. Which finding should the nurse expect?
A. The wound edges are well approximated
B. The wound is left open to heal
C. The wound has significant granulation tissue
D. The wound requires daily packing
Rationale: Primary intention healing occurs when wound edges are well
approximated, such as with a surgical incision. This type of healing has minimal
,tissue loss and results in a thin scar. Wounds left open to heal by secondary
intention have granulation tissue and may require packing .
3. A nurse is preparing to apply restraints to a client who is at risk for injury.
Which action should the nurse take?
A. Apply the restraint tightly to prevent escape
B. Obtain a provider's prescription for the restraint
C. Apply the restraint to the client's dominant arm
D. Leave the restraint in place for 8 hours without release
Rationale: A provider's prescription is required for the application of
restraints. Restraints should be applied loosely enough to allow movement and
circulation. They should be applied to non-dominant extremities when possible.
Restraints must be removed or released every 2 hours for assessment and range
of motion .
4. A nurse is teaching a client about infection prevention. Which statement by
the client indicates a need for further teaching?
A. "I should wash my hands before and after touching my wound."
B. "I should cover my mouth when I cough."
C. "I can share my personal care items with my family."
D. "I should avoid touching my face with unwashed hands."
Rationale: Sharing personal care items can spread infection. Clients should not
share items such as towels, razors, or toothbrushes. The other statements
demonstrate correct understanding of infection prevention measures .
5. A nurse is caring for a client who is on isolation precautions. Which action
should the nurse take when leaving the client's room?
A. Remove PPE before exiting the room
B. Remove PPE after exiting the room
,C. Keep the PPE on for the next client
D. Discard PPE in the client's room trash can
Rationale: PPE should be removed before exiting the client's room to prevent
the spread of microorganisms to other areas. PPE should be discarded in
designated containers, not in the client's room trash can. PPE should not be
reused for another client .
6. A nurse is caring for a client who has tuberculosis. Which personal protective
equipment should the nurse wear when entering the client's room?
A. Surgical mask
B. N95 respirator
C. Gown and gloves only
D. Face shield only
Rationale: Tuberculosis is transmitted via airborne particles, requiring an N95
respirator (or higher-level respiratory protection). A surgical mask does not
provide adequate filtration for airborne pathogens. Gown, gloves, and face shields
do not provide respiratory protection .
7. A nurse is preparing to administer a medication via a nasogastric tube. Which
action should the nurse take?
A. Crush all medications together before administration
B. Flush the tube with 30 mL of water before and after each medication
C. Mix all medications together in one syringe
D. Administer medications at the same time as the tube feeding
Rationale: Flushing the tube with 30 mL of water before and after each
medication ensures the medication is delivered to the stomach and prevents
clogging. Medications should be administered separately, not mixed together.
Tube feedings should be paused during medication administration .
, 8. A nurse is performing hand hygiene. Which action is most effective for
removing transient microorganisms when hands are visibly soiled?
A. Using an alcohol-based hand rub
B. Washing hands with soap and water for at least 20 seconds
C. Using an antimicrobial wipe
D. Rinsing hands with warm water only
Rationale: Washing hands with soap and water for at least 20 seconds is the
most effective method for removing transient microorganisms, especially when
hands are visibly soiled or when caring for clients with C. difficile. Alcohol-based
hand rubs are effective but not for visibly soiled hands .
9. A nurse is assessing a client who is postoperative. Which finding should the
nurse report to the provider immediately?
A. Blood pressure 110/70 mm Hg
B. Heart rate 88/min
C. Respiratory rate 8/min
D. Temperature 37.2°C (99°F)
Rationale: A respiratory rate of 8/min indicates respiratory depression, which
requires immediate intervention. This can be caused by anesthesia, opioid
analgesics, or other postoperative complications. The other vital signs are within
expected ranges.
10. A nurse is caring for a client who has Clostridium difficile infection. Which
action should the nurse take?
A. Use alcohol-based hand rub after client contact
B. Wash hands with soap and water after client contact
C. Wear a surgical mask when entering the room
D. Place the client in a negative-pressure room
