1
Delight Test Banks
Ultimate 2025 ATI PN Exit Exam Test Bank:
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By Delight
, 2
Delight Test Banks
1. A nurse is caring for a client with a history of deep vein thrombosis
(DVT) who suddenly develops chest pain and dyspnea. Which action is
priority?
a) Administer oxygen via nasal cannula
b) Obtain a 12-lead ECG
✅ c) Prepare for a CT pulmonary angiogram
d) Administer nitroglycerin
Rationale: Sudden chest pain and dyspnea in a client with DVT suggest
pulmonary embolism (PE). A CT pulmonary angiogram (c) confirms PE.
2. A client with type 1 diabetes has a blood glucose of 60 mg/dL. Which
action should the nurse take first?
a) Administer glucagon IM
✅ b) Provide 15 g of fast-acting carbohydrates
c) Notify the provider
d) Recheck glucose in 15 minutes
Rationale: For conscious clients with hypoglycemia, oral glucose (b) is the
first-line treatment.
, 3
Delight Test Banks
3. A client with a history of alcohol use disorder is prescribed thiamine.
What is the rationale?
a) Treat anemia
b) Prevent seizures
✅ c) Prevent Wernicke-Korsakoff syndrome
d) Reduce liver damage
Rationale: Thiamine deficiency (c) is common in chronic alcoholism and leads
to Wernicke-Korsakoff syndrome.
4. A nurse is assessing a client with suspected appendicitis. Which finding
is most indicative of this condition?
a) Left lower quadrant pain
b) Rebound tenderness in the epigastric region
✅ c) McBurney’s point tenderness
d) Hyperactive bowel sounds
Rationale: McBurney’s point (c) (right lower quadrant pain) is classic for
appendicitis.
, 4
Delight Test Banks
5. A client with heart failure is prescribed spironolactone. Which lab value
is critical to monitor?
a) Sodium
✅ b) Potassium
c) Hemoglobin
d) BUN
Rationale: Spironolactone is potassium-sparing; monitor for hyperkalemia (b).
6. A client with a history of schizophrenia is prescribed risperidone.
Which side effect is most concerning?
a) Dry mouth
✅ b) Tardive dyskinesia
c) Weight gain
d) Sedation
Rationale: Tardive dyskinesia (b) is a potentially irreversible side effect of
antipsychotics.
7. A nurse is teaching a client about warfarin. Which food should the
client avoid?
Delight Test Banks
Ultimate 2025 ATI PN Exit Exam Test Bank:
150+ NCLEX-PN Practice Questions with
Expert Rationales | Pass Guaranteed
"Trusted by Top Nursing Programs & Educators
– Your Key to First-Attempt Success on the ATI
PN Comprehensive Exit Exam!"
By Delight
, 2
Delight Test Banks
1. A nurse is caring for a client with a history of deep vein thrombosis
(DVT) who suddenly develops chest pain and dyspnea. Which action is
priority?
a) Administer oxygen via nasal cannula
b) Obtain a 12-lead ECG
✅ c) Prepare for a CT pulmonary angiogram
d) Administer nitroglycerin
Rationale: Sudden chest pain and dyspnea in a client with DVT suggest
pulmonary embolism (PE). A CT pulmonary angiogram (c) confirms PE.
2. A client with type 1 diabetes has a blood glucose of 60 mg/dL. Which
action should the nurse take first?
a) Administer glucagon IM
✅ b) Provide 15 g of fast-acting carbohydrates
c) Notify the provider
d) Recheck glucose in 15 minutes
Rationale: For conscious clients with hypoglycemia, oral glucose (b) is the
first-line treatment.
, 3
Delight Test Banks
3. A client with a history of alcohol use disorder is prescribed thiamine.
What is the rationale?
a) Treat anemia
b) Prevent seizures
✅ c) Prevent Wernicke-Korsakoff syndrome
d) Reduce liver damage
Rationale: Thiamine deficiency (c) is common in chronic alcoholism and leads
to Wernicke-Korsakoff syndrome.
4. A nurse is assessing a client with suspected appendicitis. Which finding
is most indicative of this condition?
a) Left lower quadrant pain
b) Rebound tenderness in the epigastric region
✅ c) McBurney’s point tenderness
d) Hyperactive bowel sounds
Rationale: McBurney’s point (c) (right lower quadrant pain) is classic for
appendicitis.
, 4
Delight Test Banks
5. A client with heart failure is prescribed spironolactone. Which lab value
is critical to monitor?
a) Sodium
✅ b) Potassium
c) Hemoglobin
d) BUN
Rationale: Spironolactone is potassium-sparing; monitor for hyperkalemia (b).
6. A client with a history of schizophrenia is prescribed risperidone.
Which side effect is most concerning?
a) Dry mouth
✅ b) Tardive dyskinesia
c) Weight gain
d) Sedation
Rationale: Tardive dyskinesia (b) is a potentially irreversible side effect of
antipsychotics.
7. A nurse is teaching a client about warfarin. Which food should the
client avoid?
