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ATI PN Comprehensive Exit Exam 2025/2026 – Practical Nursing – NCLEX Review Study Guide with Practice Questions & Answers

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This document provides updated ATI PN Comprehensive Exit Exam preparation material for the 2025/2026 academic cycle. It includes 180 structured NCLEX-style practice questions with detailed answers covering key practical nursing concepts such as patient care, pharmacology, safety, prioritization, delegation, and clinical judgment. The content is designed to support exam preparation and strengthen readiness for the NCLEX-PN through comprehensive review and application-based learning.

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ATI COMPREHENSIVE PN 2026 confidential




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ATI PN Comprehensive Exit Exam 2025/2026 –
Complete Actual Exam with 180 Verified Q&A
for Effective NCLEX Preparation
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SECTION 1: INTRODUCTION



This ATI PN Comprehensive Exit Exam practice set is structured
to closely reflect the content distribution, clinical reasoning
level, and format of the actual ATI PN Exit Examination.


The exam focuses on patient safety, medical-surgical nursing,
pharmacology, maternal-child health, mental health, health
promotion, and fundamental nursing principles using ATI and
NGN-style clinical scenarios.


Each question is designed to test critical thinking rather than
memorization. Correct answers are followed by detailed
rationales to strengthen clinical judgment and improve NCLEX-
PN readiness.



1|Page

,ATI COMPREHENSIVE PN 2026 confidential



Students should attempt each set under timed conditions (40–
50 minutes per 25 questions), then review rationales carefully
to identify weak areas.


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SECTION 2: PRACTICE EXAM — SET 1 (25 QUESTIONS)


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1. A nurse is caring for a client newly diagnosed with type 2
diabetes mellitus. Which intervention should the nurse
prioritize?


A. Administer insulin immediately
B. Provide education on carbohydrate counting
C. Schedule pancreatic imaging
D. Initiate a high-protein diet


✅ **Correct Answer: B**



2|Page

,ATI COMPREHENSIVE PN 2026 confidential



Rationale: Dietary education empowers the client to regulate
blood glucose levels and is a first-line management strategy in
type 2 diabetes.


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2. A client with heart failure reports sudden shortness of
breath and has crackles in both lungs. What is the nurse’s
priority action?


A. Encourage deep breathing
B. Place the client flat
C. Administer a diuretic
D. Perform ECG


Correct Answer: C


Rationale: Crackles indicate fluid overload. Diuretics rapidly
reduce pulmonary congestion and improve breathing.


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3|Page

, ATI COMPREHENSIVE PN 2026 confidential



3. A postoperative client reports severe pain. What should the
nurse do first?


A. Administer pain medication
B. Notify the provider
C. Assess the pain level
D. Reposition the client


Correct Answer: C


Rationale: Assessment always comes before intervention to
determine appropriate care.


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4. Which finding indicates hypoglycemia?


A. Blood glucose 180 mg/dL
B. Sweating and shakiness
C. Increased urination
D. Warm flushed skin
4|Page

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