ATI LPN Exit actual Exam (2026 Updated Version) –
Complete Test Bank with Correct Answers and
Detailed Rationales
Q001:
Type: NGN - Extended Multiple Response
Scenario: An 82-year-old resident in a long-term care facility has a stage 3 pressure
injury on the sacrum. The wound measures 4 cm × 3 cm with yellow slough, no
erythema, and no odor. The LPN is reviewing the care plan.
Question: Which findings must the LPN report to the RN immediately? (Select all that
apply.)
Options:
A. Temperature 38.1 °C (100.6 °F)
B. Slough becomes soft and easily removed
C. Foul odor noted during dressing change
D. Drainage increases from scant to moderate serous
E. Resident reports increased pain at site
(Correct: A, C, E)
Rationale:
● Answer: A, C, E
, ● Why (LPN Scope 2026): Fever, foul odor, and increased pain are signs of infection
and must be reported promptly so the RN can assess and initiate provider
contact.
● Errors: B is expected debridement; D is within normal progression—report only if
drainage becomes purulent or excessive.
Q002:
Type: Traditional
Scenario: A 6-year-old child in a pediatric clinic is scheduled to receive a live attenuated
influenza vaccine (LAIV). The LPN verifies the chart.
Question: Which contraindication should prevent the LPN from administering the
vaccine?
Options:
A. Mild runny nose without fever
B. History of egg allergy with hives only
C. Current amoxicillin therapy for otitis media
D. Asthma treated with inhaled corticosteroids
(Correct: D)
Rationale:
● Answer: D
● Why (LPN Scope 2026): LAIV is contraindicated in children with asthma because
of the risk of wheezing; the LPN must recognize this and inform the RN so an
injectable inactivated vaccine can be prepared.
● Errors: A is not a contraindication; B is okay for any flu vaccine; C is not a
contraindication.
,Q003:
Type: NGN - Drag-and-Drop
Scenario: A postoperative client has a new prescription for morphine 4 mg IV q4h prn.
The LPN is preparing to administer the first dose.
Question: Place the following steps in the correct order the LPN should follow before
giving the medication.
Options:
A. Check the MAR against the prescription
B. Verify client ID with two identifiers
C. Obtain the morphine from the Pyxis
D. Assess pain level and respiratory rate
E. Ask the RN to double-check the high-alert medication
(Correct Order: A, D, C, E, B)
Rationale:
● Answer: A, D, C, E, B
● Why (LPN Scope 2026): LPNs must assess baseline pain and respirations,
retrieve the med, request RN verification for high-alert drugs, and use two
identifiers before administration.
● Errors: Any order that omits RN verification or assessment violates policy.
Q004:
Type: Traditional
, Scenario: A client with heart failure is receiving digoxin 0.25 mg PO daily. The morning
apical pulse is 56 beats/min.
Question: What should the LPN do first?
Options:
A. Administer the medication and recheck the pulse in 30 minutes
B. Hold the dose and report the pulse rate to the RN immediately
C. Encourage the client to drink coffee to increase heart rate
D. Document the pulse and give the medication as scheduled
(Correct: B)
Rationale:
● Answer: B
● Why (LPN Scope 2026): A pulse <60 beats/min is a hold parameter for digoxin;
the LPN must report to the RN who will contact the provider.
● Errors: A risks toxicity; C is unsafe; D ignores hold parameter.
Q005:
Type: NGN - Bowtie
Scenario: A client with type 2 diabetes has a blood glucose meter reading of 48 mg/dL.
The LPN observes diaphoresis and mild confusion.
Question: Identify the cue, the immediate LPN action, and the expected outcome.
Cue | Immediate Action | Expected Outcome
Options (left to right):
Complete Test Bank with Correct Answers and
Detailed Rationales
Q001:
Type: NGN - Extended Multiple Response
Scenario: An 82-year-old resident in a long-term care facility has a stage 3 pressure
injury on the sacrum. The wound measures 4 cm × 3 cm with yellow slough, no
erythema, and no odor. The LPN is reviewing the care plan.
Question: Which findings must the LPN report to the RN immediately? (Select all that
apply.)
Options:
A. Temperature 38.1 °C (100.6 °F)
B. Slough becomes soft and easily removed
C. Foul odor noted during dressing change
D. Drainage increases from scant to moderate serous
E. Resident reports increased pain at site
(Correct: A, C, E)
Rationale:
● Answer: A, C, E
, ● Why (LPN Scope 2026): Fever, foul odor, and increased pain are signs of infection
and must be reported promptly so the RN can assess and initiate provider
contact.
● Errors: B is expected debridement; D is within normal progression—report only if
drainage becomes purulent or excessive.
Q002:
Type: Traditional
Scenario: A 6-year-old child in a pediatric clinic is scheduled to receive a live attenuated
influenza vaccine (LAIV). The LPN verifies the chart.
Question: Which contraindication should prevent the LPN from administering the
vaccine?
Options:
A. Mild runny nose without fever
B. History of egg allergy with hives only
C. Current amoxicillin therapy for otitis media
D. Asthma treated with inhaled corticosteroids
(Correct: D)
Rationale:
● Answer: D
● Why (LPN Scope 2026): LAIV is contraindicated in children with asthma because
of the risk of wheezing; the LPN must recognize this and inform the RN so an
injectable inactivated vaccine can be prepared.
● Errors: A is not a contraindication; B is okay for any flu vaccine; C is not a
contraindication.
,Q003:
Type: NGN - Drag-and-Drop
Scenario: A postoperative client has a new prescription for morphine 4 mg IV q4h prn.
The LPN is preparing to administer the first dose.
Question: Place the following steps in the correct order the LPN should follow before
giving the medication.
Options:
A. Check the MAR against the prescription
B. Verify client ID with two identifiers
C. Obtain the morphine from the Pyxis
D. Assess pain level and respiratory rate
E. Ask the RN to double-check the high-alert medication
(Correct Order: A, D, C, E, B)
Rationale:
● Answer: A, D, C, E, B
● Why (LPN Scope 2026): LPNs must assess baseline pain and respirations,
retrieve the med, request RN verification for high-alert drugs, and use two
identifiers before administration.
● Errors: Any order that omits RN verification or assessment violates policy.
Q004:
Type: Traditional
, Scenario: A client with heart failure is receiving digoxin 0.25 mg PO daily. The morning
apical pulse is 56 beats/min.
Question: What should the LPN do first?
Options:
A. Administer the medication and recheck the pulse in 30 minutes
B. Hold the dose and report the pulse rate to the RN immediately
C. Encourage the client to drink coffee to increase heart rate
D. Document the pulse and give the medication as scheduled
(Correct: B)
Rationale:
● Answer: B
● Why (LPN Scope 2026): A pulse <60 beats/min is a hold parameter for digoxin;
the LPN must report to the RN who will contact the provider.
● Errors: A risks toxicity; C is unsafe; D ignores hold parameter.
Q005:
Type: NGN - Bowtie
Scenario: A client with type 2 diabetes has a blood glucose meter reading of 48 mg/dL.
The LPN observes diaphoresis and mild confusion.
Question: Identify the cue, the immediate LPN action, and the expected outcome.
Cue | Immediate Action | Expected Outcome
Options (left to right):
