1
Delight Test Banks
"2024/2025 ATI PN Comprehensive
Exit Exam Test Bank | Top-Ranked
NCLEX PN Prep from Leading Nursing
Programs | 150+ Verified Questions
with Rationales"
By Delight
, 2
Delight Test Banks
1. A nurse from a medical-surgical unit is floating to a postpartum unit.
Which of the following clients is most appropriate to assign to the float
nurse?
a) A client who had a cesarean delivery 12 hours ago with uncontrolled pain
b) A client who delivered vaginally 1 hour ago and is hemorrhaging
c) A client who had a cesarean delivery 24 hours ago and is stable
d) A client with preeclampsia on magnesium sulfate
Rationale: The float nurse should be assigned to stable clients. A 24-hr post-
op cesarean client is stable and appropriate for a non-specialized nurse.
2. A client says his anger outbursts at home are due to being fired from
his job. Which defense mechanism is this?
a) Displacement
b) Rationalization
c) Denial
d) Regression
Rationale: Rationalization involves explaining or justifying behavior to avoid
the true explanation, often by blaming external circumstances.
3. A client at a crisis call center says, “I can’t take it anymore. My life is
over.” What is the nurse’s priority response?
, 3
Delight Test Banks
a) "Tell me more about your day."
b) "Are you thinking of harming yourself?"
c) "Try to think about your family."
d) "Let me refer you to a counselor."
Rationale: Suicide assessment is the priority in crisis scenarios.
4. The daughter of a hospitalized client asks for an update, but the chart
does not permit disclosure. What should the nurse say?
a) "You will need to contact your mother directly about her condition."
b) "She’s stable, but I can’t say more."
c) "Let me check with the doctor."
d) "You can visit her now if you want."
Rationale: HIPAA prohibits disclosing information without consent.
Redirecting to the client protects privacy.
5. Which ethical concept is demonstrated when a nurse truthfully
explains the purpose of a new prescription to a client?
a) Fidelity
b) Autonomy
c) Justice
d) Veracity
, 4
Delight Test Banks
Rationale: Veracity is the ethical principle of truth-telling in client
interactions.
6. A nurse is observing a client having a panic attack. What should the
nurse do first?
a) Administer lorazepam
b) Guide the client in abdominal breathing
c) Notify the physician
d) Take the client’s vital signs
Rationale: First-line intervention for panic is calming breathing to restore
control.
7. A nurse is teaching a family about palliative care. Which statement
reflects effective pain management?
a) “We’ll only give medication when pain is severe.”
b) “We’ll give pain meds at scheduled times.”
c) “We’ll alternate Tylenol and opioids.”
d) “We’ll monitor for addiction.”
Rationale: Palliative care prioritizes consistent pain control, not reactive
treatment.
Delight Test Banks
"2024/2025 ATI PN Comprehensive
Exit Exam Test Bank | Top-Ranked
NCLEX PN Prep from Leading Nursing
Programs | 150+ Verified Questions
with Rationales"
By Delight
, 2
Delight Test Banks
1. A nurse from a medical-surgical unit is floating to a postpartum unit.
Which of the following clients is most appropriate to assign to the float
nurse?
a) A client who had a cesarean delivery 12 hours ago with uncontrolled pain
b) A client who delivered vaginally 1 hour ago and is hemorrhaging
c) A client who had a cesarean delivery 24 hours ago and is stable
d) A client with preeclampsia on magnesium sulfate
Rationale: The float nurse should be assigned to stable clients. A 24-hr post-
op cesarean client is stable and appropriate for a non-specialized nurse.
2. A client says his anger outbursts at home are due to being fired from
his job. Which defense mechanism is this?
a) Displacement
b) Rationalization
c) Denial
d) Regression
Rationale: Rationalization involves explaining or justifying behavior to avoid
the true explanation, often by blaming external circumstances.
3. A client at a crisis call center says, “I can’t take it anymore. My life is
over.” What is the nurse’s priority response?
, 3
Delight Test Banks
a) "Tell me more about your day."
b) "Are you thinking of harming yourself?"
c) "Try to think about your family."
d) "Let me refer you to a counselor."
Rationale: Suicide assessment is the priority in crisis scenarios.
4. The daughter of a hospitalized client asks for an update, but the chart
does not permit disclosure. What should the nurse say?
a) "You will need to contact your mother directly about her condition."
b) "She’s stable, but I can’t say more."
c) "Let me check with the doctor."
d) "You can visit her now if you want."
Rationale: HIPAA prohibits disclosing information without consent.
Redirecting to the client protects privacy.
5. Which ethical concept is demonstrated when a nurse truthfully
explains the purpose of a new prescription to a client?
a) Fidelity
b) Autonomy
c) Justice
d) Veracity
, 4
Delight Test Banks
Rationale: Veracity is the ethical principle of truth-telling in client
interactions.
6. A nurse is observing a client having a panic attack. What should the
nurse do first?
a) Administer lorazepam
b) Guide the client in abdominal breathing
c) Notify the physician
d) Take the client’s vital signs
Rationale: First-line intervention for panic is calming breathing to restore
control.
7. A nurse is teaching a family about palliative care. Which statement
reflects effective pain management?
a) “We’ll only give medication when pain is severe.”
b) “We’ll give pain meds at scheduled times.”
c) “We’ll alternate Tylenol and opioids.”
d) “We’ll monitor for addiction.”
Rationale: Palliative care prioritizes consistent pain control, not reactive
treatment.
