lOMoAR cPSD| 69298410
lVN ATI Exit Exam Ques on 1
A nurse is caring for a client with pulmonary tuberculosis. Which type of isola on precau ons
should be ini ated?
A. Droplet
B. Airborne
C. Contact
D. Standard
Correct Answer: B. Airborne
Ra onale:
• B. Airborne (Correct): Tuberculosis is transmi ed via ny droplet nuclei that remain
suspended in the air. Airborne precau ons, including a nega ve-pressure room and an
N95 respirator, are required.
• A. Droplet: Appropriate for illnesses like influenza or meningi s, where larger
respiratory droplets fall within 3 feet.
• C. Contact: Used for infec ons like C. difficile or MRSA.
• D. Standard: Basic precau ons used for all clients but not sufficient for TB.
Reference: ATI PN Fundamentals Review Module 11.1, p. 40; CDC TB Guidelines.
Ques on 2
A nurse prepares to administer digoxin to a client with heart failure. Which finding indicates the
nurse should withhold the dose?
A. Heart rate 52 bpm
B. Potassium 4.2 mEq/L
C. Respiratory rate 18/min
D. Blood pressure 138/88 mm HgCorrect Answer: A. Heart rate 52 bpm
Ra onale:
• A. (Correct): Withhold digoxin if the apical pulse is below 60 bpm due to risk of
bradycardia and toxicity.
• B.: Potassium within normal limits; hypokalemia increases toxicity risk.
• C.: Respiratory rate is normal and not a contraindica on.
• D.: Blood pressure is slightly elevated but not a reason to hold digoxin.
, lOMoAR cPSD| 69298410
Reference: ATI PN Pharmacology Review Module 11.0, p. 156.
Ques on 3
A client with a new ileostomy reports liquid stool output. Which nursing ac on is appropriate?
A. No fy provider immediately
B. Document as a normal finding
C. Restrict oral fluids
D. Administer an diarrheal medica on
Correct Answer: B. Document as a normal finding
Ra onale:
• B. (Correct): Liquid stool is expected from an ileostomy due to bypassing the large
intes ne.
• A.: No abnormality to report.
• C.: Fluids should not be restricted; clients are at risk for dehydra on.
• D.: An diarrheal use is not rou ne for ileostomies.
Reference: ATI PN Fundamentals Review Module 11.1, p. 231.
Ques on 4
A nurse is reinforcing teaching about insulin administra on. Which statement indicates
understanding?
A. “I should rotate injec on sites within the same region.”
B. “I can mix glargine with regular insulin.”
C. “I should inject insulin intramuscularly.”
D. “I do not need to monitor for hypoglycemia.”
Correct Answer: A. Rotate injec on sites within the same region
Ra onale:
• A. (Correct): Rota ng within the same region (e.g., abdomen) prevents lipodystrophy
and ensures consistent absorp on.
• B.: Insulin glargine cannot be mixed with other insulins.
• C.: Insulin is given subcutaneously, not IM.
• D.: Hypoglycemia is a major risk and must be monitored.
, lOMoAR cPSD| 69298410
Reference: ATI PN Pharmacology Review Module 11.0, p. 123.
Ques on 5
A client receiving chemotherapy has a WBC count of 2,000/mm³. Which interven on is priority?
A. Encourage oral fluids
B. Ini ate neutropenic precau ons
C. Monitor intake and outputD. Provide high-calorie meals
Correct Answer: B. Ini ate neutropenic precau ons
Ra onale:
• B. (Correct): Severe neutropenia increases risk for infec on; protec ve isola on is
required.
• A.: Fluids are important but not the priority.
• C.: Monitoring I&O is rou ne but not urgent.
• D.: Nutri on ma ers, but preven ng infec on is life-saving.
Reference: ATI PN Fundamentals Review Module 11.1, p. 192.
Ques on 6
A nurse is reinforcing teaching about warfarin therapy. Which food should the client limit?
A. Bananas
B. Spinach
C. Apples
D. Milk
Correct Answer: B. Spinach
Ra onale:
• B. (Correct): Spinach is high in vitamin K, which decreases the effec veness of warfarin.
• A.: Bananas affect potassium, not warfarin.
• C.: Apples have no major interac on.
• D.: Milk contains calcium, not vitamin K.
Reference: ATI PN Pharmacology Review Module 11.0, p. 183.
Ques on 7
, lOMoAR cPSD| 69298410
A client reports burning during urina on and frequency. Which condi on does the nurse
suspect?
A. Cys s
B. Pyelonephri s
C. Renal calculi
D. Glomerulonephri sCorrect Answer: A. Cys s
Ra onale:
• A. (Correct): Classic signs of bladder infec on include dysuria and frequency.
• B.: Pyelonephri s typically presents with fever, flank pain, nausea.
• C.: Renal calculi cause severe flank pain, hematuria.
• D.: Glomerulonephri s causes proteinuria, hematuria, edema.
Reference: ATI PN Adult Medical-Surgical Review Module 11.1, p. 304.
Ques on 8
A nurse is caring for a client receiving morphine IV. Which is the nurse’s priority?
A. Monitor bowel sounds
B. Assess respiratory rate
C. Encourage fluid intake
D. Check blood pressure
Correct Answer: B. Assess respiratory rate
Ra onale:
• B. (Correct): Respiratory depression is the most serious adverse effect of opioids.
• A.: Cons pa on is important but not priority.
• C.: Fluids help cons pa on but are secondary.
• D.: Morphine may lower BP, but respiratory suppression is the immediate risk.
Reference: ATI PN Pharmacology Review Module 11.0, p. 92.
Ques on 9
Which vaccine is contraindicated for a client who is immunocompromised?
A. Influenza (inac vated)
B. Pneumococcal
lVN ATI Exit Exam Ques on 1
A nurse is caring for a client with pulmonary tuberculosis. Which type of isola on precau ons
should be ini ated?
A. Droplet
B. Airborne
C. Contact
D. Standard
Correct Answer: B. Airborne
Ra onale:
• B. Airborne (Correct): Tuberculosis is transmi ed via ny droplet nuclei that remain
suspended in the air. Airborne precau ons, including a nega ve-pressure room and an
N95 respirator, are required.
• A. Droplet: Appropriate for illnesses like influenza or meningi s, where larger
respiratory droplets fall within 3 feet.
• C. Contact: Used for infec ons like C. difficile or MRSA.
• D. Standard: Basic precau ons used for all clients but not sufficient for TB.
Reference: ATI PN Fundamentals Review Module 11.1, p. 40; CDC TB Guidelines.
Ques on 2
A nurse prepares to administer digoxin to a client with heart failure. Which finding indicates the
nurse should withhold the dose?
A. Heart rate 52 bpm
B. Potassium 4.2 mEq/L
C. Respiratory rate 18/min
D. Blood pressure 138/88 mm HgCorrect Answer: A. Heart rate 52 bpm
Ra onale:
• A. (Correct): Withhold digoxin if the apical pulse is below 60 bpm due to risk of
bradycardia and toxicity.
• B.: Potassium within normal limits; hypokalemia increases toxicity risk.
• C.: Respiratory rate is normal and not a contraindica on.
• D.: Blood pressure is slightly elevated but not a reason to hold digoxin.
, lOMoAR cPSD| 69298410
Reference: ATI PN Pharmacology Review Module 11.0, p. 156.
Ques on 3
A client with a new ileostomy reports liquid stool output. Which nursing ac on is appropriate?
A. No fy provider immediately
B. Document as a normal finding
C. Restrict oral fluids
D. Administer an diarrheal medica on
Correct Answer: B. Document as a normal finding
Ra onale:
• B. (Correct): Liquid stool is expected from an ileostomy due to bypassing the large
intes ne.
• A.: No abnormality to report.
• C.: Fluids should not be restricted; clients are at risk for dehydra on.
• D.: An diarrheal use is not rou ne for ileostomies.
Reference: ATI PN Fundamentals Review Module 11.1, p. 231.
Ques on 4
A nurse is reinforcing teaching about insulin administra on. Which statement indicates
understanding?
A. “I should rotate injec on sites within the same region.”
B. “I can mix glargine with regular insulin.”
C. “I should inject insulin intramuscularly.”
D. “I do not need to monitor for hypoglycemia.”
Correct Answer: A. Rotate injec on sites within the same region
Ra onale:
• A. (Correct): Rota ng within the same region (e.g., abdomen) prevents lipodystrophy
and ensures consistent absorp on.
• B.: Insulin glargine cannot be mixed with other insulins.
• C.: Insulin is given subcutaneously, not IM.
• D.: Hypoglycemia is a major risk and must be monitored.
, lOMoAR cPSD| 69298410
Reference: ATI PN Pharmacology Review Module 11.0, p. 123.
Ques on 5
A client receiving chemotherapy has a WBC count of 2,000/mm³. Which interven on is priority?
A. Encourage oral fluids
B. Ini ate neutropenic precau ons
C. Monitor intake and outputD. Provide high-calorie meals
Correct Answer: B. Ini ate neutropenic precau ons
Ra onale:
• B. (Correct): Severe neutropenia increases risk for infec on; protec ve isola on is
required.
• A.: Fluids are important but not the priority.
• C.: Monitoring I&O is rou ne but not urgent.
• D.: Nutri on ma ers, but preven ng infec on is life-saving.
Reference: ATI PN Fundamentals Review Module 11.1, p. 192.
Ques on 6
A nurse is reinforcing teaching about warfarin therapy. Which food should the client limit?
A. Bananas
B. Spinach
C. Apples
D. Milk
Correct Answer: B. Spinach
Ra onale:
• B. (Correct): Spinach is high in vitamin K, which decreases the effec veness of warfarin.
• A.: Bananas affect potassium, not warfarin.
• C.: Apples have no major interac on.
• D.: Milk contains calcium, not vitamin K.
Reference: ATI PN Pharmacology Review Module 11.0, p. 183.
Ques on 7
, lOMoAR cPSD| 69298410
A client reports burning during urina on and frequency. Which condi on does the nurse
suspect?
A. Cys s
B. Pyelonephri s
C. Renal calculi
D. Glomerulonephri sCorrect Answer: A. Cys s
Ra onale:
• A. (Correct): Classic signs of bladder infec on include dysuria and frequency.
• B.: Pyelonephri s typically presents with fever, flank pain, nausea.
• C.: Renal calculi cause severe flank pain, hematuria.
• D.: Glomerulonephri s causes proteinuria, hematuria, edema.
Reference: ATI PN Adult Medical-Surgical Review Module 11.1, p. 304.
Ques on 8
A nurse is caring for a client receiving morphine IV. Which is the nurse’s priority?
A. Monitor bowel sounds
B. Assess respiratory rate
C. Encourage fluid intake
D. Check blood pressure
Correct Answer: B. Assess respiratory rate
Ra onale:
• B. (Correct): Respiratory depression is the most serious adverse effect of opioids.
• A.: Cons pa on is important but not priority.
• C.: Fluids help cons pa on but are secondary.
• D.: Morphine may lower BP, but respiratory suppression is the immediate risk.
Reference: ATI PN Pharmacology Review Module 11.0, p. 92.
Ques on 9
Which vaccine is contraindicated for a client who is immunocompromised?
A. Influenza (inac vated)
B. Pneumococcal
