ATI PN COMPREHENSIVE EXIT TEST BANK/PN EXIT EXAM
COMPREHENSIVE EXAM TEST BANK ACTUAL EXAM 200
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+
Q1. A PN is caring for four clients at the start of the shift. Which client should be assessed
FIRST?
A) Client with diabetes requesting pain medication for neuropathy
B) Client with COPD who has a new cough producing green sputum
C) Client post-op day 1 with new-onset confusion and BP 88/50
D) Client with a fractured tibia requesting help to the bathroom
Correct Answer: C. Client post-op day 1 with new-onset confusion and BP 88/50
Rationale: New confusion + hypotension suggests possible sepsis, hemorrhage, or shock—
unstable priority. Airway and circulation precede stable complaints. This client has the highest
priority based on Maslow's hierarchy and ABCs .
Q2. Which client can be assigned to a PN (LPN/LVN) under RN supervision?
A) Client newly diagnosed with unstable angina on a titratable heparin drip
B) Client with stable congestive heart failure receiving daily furosemide
C) Client requiring blood transfusion for symptomatic anemia
D) Client with chest tube and continuous bubbling in water seal chamber
Correct Answer: B. Client with stable congestive heart failure receiving daily furosemide
Rationale: Stable CHF on routine diuretic is within PN scope. Titratable drips, blood
transfusions, and chest tube troubleshooting are typically RN scope. PNs can administer
medications to stable clients and reinforce teaching .
Q3. A charge nurse is assigning staff for the shift. Which client should be assigned to an RN
rather than a PN?
,A) Client with stable CHF receiving daily Lasix
B) Client requiring a blood transfusion for symptomatic anemia
C) Client with a new diagnosis of diabetes needing insulin instruction
D) Client with a PEG tube requiring intermittent feedings
Correct Answer: C. Client with a new diagnosis of diabetes needing insulin instruction
Rationale: Client education (specifically initial instruction) falls under the scope of the RN, as it
requires complex assessment and evaluation of learning. PNs can reinforce teaching but cannot
perform initial patient teaching .
Q4. A nurse is delegating tasks to an assistive personnel (AP). Which task is appropriate to
delegate?
A) Administering an enema
B) Inserting an indwelling urinary catheter
C) Measuring a client's vital signs
D) Teaching a client how to use an incentive spirometer
Correct Answer: C. Measuring a client's vital signs
Rationale: Measuring vital signs is within the AP's scope of practice. The nurse cannot delegate
tasks requiring nursing judgment, sterile technique (catheter insertion), or client education .
Q5. A nurse is preparing a client for transfer to a long-term care facility. Which information
should the nurse include in the transfer report? (Select all that apply)
A) The client's advance directive status
B) The client's recent laboratory values
C) The client's current medications
D) The client's preferred activities
E) The client's code status
Correct Answers: A, B, C, D, E
,Rationale: All of these are essential for continuity of care. Transfer reports must include
advance directives, recent labs, current medications, activity preferences, and code status to
ensure safe handoff .
Q6. A nurse is caring for a client who is scheduled for a surgical procedure. Which action is the
priority?
A) Ensure the client has signed the informed consent form
B) Review the client's laboratory results
C) Verify the client's allergies
D) Administer preoperative medication as prescribed
Correct Answer: A. Ensure the client has signed the informed consent form
Rationale: Informed consent is a legal requirement before any invasive procedure. The nurse's
priority is to ensure consent is signed and witnessed, as failure to do so could result in legal
liability and cancellation of the procedure .
Q7. A nurse notes that a colleague administered the wrong medication to a client. Which action
should the nurse take FIRST?
A) Report the colleague to the nursing supervisor
B) Assess the client for adverse effects
C) Complete an incident report
D) Discuss the error with the colleague privately
Correct Answer: B. Assess the client for adverse effects
Rationale: Client safety is the priority. The nurse should first assess the client for any adverse
effects from the wrong medication. After ensuring client safety, the nurse should report the
error through appropriate channels .
Q8. A nurse is receiving change-of-shift report for four clients. Which of the following clients
should the nurse see first?
, A) A client whose urinary output was 100mL for the past 12 hours
B) A client with stable vital signs awaiting discharge
C) A client requesting pain medication
D) A client who needs help with ambulation
Correct Answer: A. A client whose urinary output was 100mL for the past 12 hours
Rationale: Urine output of 100 mL over 12 hours indicates oliguria and possible renal
impairment or fluid volume deficit. This is a priority concern requiring immediate assessment .
Q9. A nurse is receiving report on 4 clients. Which of the following clients should the nurse plan
to see first?
A) A client who has pneumonia and a new onset of confusion
B) A client with diabetes requesting pain medication
C) A client with a fractured tibia requesting help to the bathroom
D) A client scheduled for discharge
Correct Answer: A. A client who has pneumonia and a new onset of confusion
Rationale: New onset confusion in a client with pneumonia may indicate hypoxia, sepsis, or
worsening respiratory status. This is a priority based on ABCs and potential for deterioration .
Q10. A nurse manager is providing an in-service on hand hygiene to assistive personnel. Which
information should the nurse manager include?
A) Remove rings when washing hands with soap and water
B) Hand sanitizer is effective against C. difficile
C) Wash hands with soap and water for 10 seconds
D) Gloves replace the need for hand hygiene
Correct Answer: A. Remove rings when washing hands with soap and water
Rationale: Rings can harbor microorganisms and interfere with proper hand hygiene. Hand
sanitizer is NOT effective against C. difficile (soap and water required). Hand hygiene should last
at least 20 seconds. Gloves do not replace hand hygiene .
COMPREHENSIVE EXAM TEST BANK ACTUAL EXAM 200
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+
Q1. A PN is caring for four clients at the start of the shift. Which client should be assessed
FIRST?
A) Client with diabetes requesting pain medication for neuropathy
B) Client with COPD who has a new cough producing green sputum
C) Client post-op day 1 with new-onset confusion and BP 88/50
D) Client with a fractured tibia requesting help to the bathroom
Correct Answer: C. Client post-op day 1 with new-onset confusion and BP 88/50
Rationale: New confusion + hypotension suggests possible sepsis, hemorrhage, or shock—
unstable priority. Airway and circulation precede stable complaints. This client has the highest
priority based on Maslow's hierarchy and ABCs .
Q2. Which client can be assigned to a PN (LPN/LVN) under RN supervision?
A) Client newly diagnosed with unstable angina on a titratable heparin drip
B) Client with stable congestive heart failure receiving daily furosemide
C) Client requiring blood transfusion for symptomatic anemia
D) Client with chest tube and continuous bubbling in water seal chamber
Correct Answer: B. Client with stable congestive heart failure receiving daily furosemide
Rationale: Stable CHF on routine diuretic is within PN scope. Titratable drips, blood
transfusions, and chest tube troubleshooting are typically RN scope. PNs can administer
medications to stable clients and reinforce teaching .
Q3. A charge nurse is assigning staff for the shift. Which client should be assigned to an RN
rather than a PN?
,A) Client with stable CHF receiving daily Lasix
B) Client requiring a blood transfusion for symptomatic anemia
C) Client with a new diagnosis of diabetes needing insulin instruction
D) Client with a PEG tube requiring intermittent feedings
Correct Answer: C. Client with a new diagnosis of diabetes needing insulin instruction
Rationale: Client education (specifically initial instruction) falls under the scope of the RN, as it
requires complex assessment and evaluation of learning. PNs can reinforce teaching but cannot
perform initial patient teaching .
Q4. A nurse is delegating tasks to an assistive personnel (AP). Which task is appropriate to
delegate?
A) Administering an enema
B) Inserting an indwelling urinary catheter
C) Measuring a client's vital signs
D) Teaching a client how to use an incentive spirometer
Correct Answer: C. Measuring a client's vital signs
Rationale: Measuring vital signs is within the AP's scope of practice. The nurse cannot delegate
tasks requiring nursing judgment, sterile technique (catheter insertion), or client education .
Q5. A nurse is preparing a client for transfer to a long-term care facility. Which information
should the nurse include in the transfer report? (Select all that apply)
A) The client's advance directive status
B) The client's recent laboratory values
C) The client's current medications
D) The client's preferred activities
E) The client's code status
Correct Answers: A, B, C, D, E
,Rationale: All of these are essential for continuity of care. Transfer reports must include
advance directives, recent labs, current medications, activity preferences, and code status to
ensure safe handoff .
Q6. A nurse is caring for a client who is scheduled for a surgical procedure. Which action is the
priority?
A) Ensure the client has signed the informed consent form
B) Review the client's laboratory results
C) Verify the client's allergies
D) Administer preoperative medication as prescribed
Correct Answer: A. Ensure the client has signed the informed consent form
Rationale: Informed consent is a legal requirement before any invasive procedure. The nurse's
priority is to ensure consent is signed and witnessed, as failure to do so could result in legal
liability and cancellation of the procedure .
Q7. A nurse notes that a colleague administered the wrong medication to a client. Which action
should the nurse take FIRST?
A) Report the colleague to the nursing supervisor
B) Assess the client for adverse effects
C) Complete an incident report
D) Discuss the error with the colleague privately
Correct Answer: B. Assess the client for adverse effects
Rationale: Client safety is the priority. The nurse should first assess the client for any adverse
effects from the wrong medication. After ensuring client safety, the nurse should report the
error through appropriate channels .
Q8. A nurse is receiving change-of-shift report for four clients. Which of the following clients
should the nurse see first?
, A) A client whose urinary output was 100mL for the past 12 hours
B) A client with stable vital signs awaiting discharge
C) A client requesting pain medication
D) A client who needs help with ambulation
Correct Answer: A. A client whose urinary output was 100mL for the past 12 hours
Rationale: Urine output of 100 mL over 12 hours indicates oliguria and possible renal
impairment or fluid volume deficit. This is a priority concern requiring immediate assessment .
Q9. A nurse is receiving report on 4 clients. Which of the following clients should the nurse plan
to see first?
A) A client who has pneumonia and a new onset of confusion
B) A client with diabetes requesting pain medication
C) A client with a fractured tibia requesting help to the bathroom
D) A client scheduled for discharge
Correct Answer: A. A client who has pneumonia and a new onset of confusion
Rationale: New onset confusion in a client with pneumonia may indicate hypoxia, sepsis, or
worsening respiratory status. This is a priority based on ABCs and potential for deterioration .
Q10. A nurse manager is providing an in-service on hand hygiene to assistive personnel. Which
information should the nurse manager include?
A) Remove rings when washing hands with soap and water
B) Hand sanitizer is effective against C. difficile
C) Wash hands with soap and water for 10 seconds
D) Gloves replace the need for hand hygiene
Correct Answer: A. Remove rings when washing hands with soap and water
Rationale: Rings can harbor microorganisms and interfere with proper hand hygiene. Hand
sanitizer is NOT effective against C. difficile (soap and water required). Hand hygiene should last
at least 20 seconds. Gloves do not replace hand hygiene .
