ATI PN Comprehensive Exit Exam –
2024/2025 Edition – Real Exam Questions
and Verified Correct Answers | 100% A+
Graded
ATI PN Practice Questions – Original
1. A nurse is caring for a client receiving a continuous IV infusion of potassium chloride.
Which of the following actions should the nurse take?
A. Administer the IV push over 5 minutes
B. Monitor the client for signs of hyperkalemia
C. Use a peripheral IV site for concentrations >40 mEq/L
D. Hold the infusion if the client’s potassium is 3.5 mEq/L
Answer: B
Rationale: Potassium chloride can cause hyperkalemia if administered too quickly or in excess.
The nurse should monitor for signs such as muscle weakness, arrhythmias, and ECG changes.
IV push of potassium is never safe; concentrations >40 mEq/L require a central line. A
potassium of 3.5 mEq/L is within the normal range.
2. A client with COPD is prescribed albuterol via nebulizer. Which statement by the client
indicates understanding of the medication?
A. “I will take this only when my breathing is normal.”
B. “I should rinse my mouth after using this medication.”
C. “This medicine will prevent my asthma attacks completely.”
D. “I should avoid all physical activity while on this medicine.”
Answer: B
Rationale: Rinsing the mouth prevents irritation and reduces the risk of oral fungal infections.
Albuterol is a rescue inhaler, not preventive, and the client can continue normal activity.
,3. A nurse is preparing to administer an IM injection to an adult client. Which site is
recommended for maximum absorption?
A. Deltoid
B. Ventrogluteal
C. Dorsogluteal
D. Subcutaneous tissue
Answer: B
Rationale: The ventrogluteal site is preferred for IM injections because it has fewer nerves and
blood vessels and allows for deep muscle penetration, reducing complications. The dorsogluteal
site is no longer recommended due to risk of sciatic nerve injury.
4. A nurse is caring for a postpartum client who is 2 hours post-delivery and has a
fundus that is soft and above the umbilicus. What is the priority intervention?
A. Encourage ambulation
B. Massage the fundus
C. Administer pain medication
D. Notify the provider
Answer: B
Rationale: A soft, boggy uterus indicates uterine atony, which increases the risk of postpartum
hemorrhage. Fundal massage helps the uterus contract and reduce bleeding.
5. A nurse is teaching a client about a low-sodium diet. Which food should the client
avoid?
A. Fresh strawberries
B. Canned soup
C. Brown rice
D. Baked chicken
Answer: B
Rationale: Canned soups are high in sodium. Fresh fruits, whole grains, and unseasoned
baked chicken are low-sodium options.
5. A nurse is caring for a client who is receiving a blood transfusion and develops itching
and hives. What is the nurse’s first action?
A. Stop the transfusion immediately
B. Administer epinephrine
, C. Notify the provider after completion
D. Slow the transfusion rate
Answer: A
Rationale: Signs of a transfusion reaction require immediate cessation of the transfusion. The
provider should be notified, and supportive care (antihistamines, epinephrine if severe) given.
6. A client with type 1 diabetes asks how to prevent hypoglycemia while exercising.
Which instruction is correct?
A. “Eat a carbohydrate snack before exercising.”
B. “Skip insulin before exercise.”
C. “Exercise only in the evening.”
D. “Avoid all physical activity.”
Answer: A
Rationale: Eating a carbohydrate snack before exercise helps prevent blood glucose from
dropping. Insulin should not be skipped without provider instruction.
7. A nurse is caring for a client on contact precautions for MRSA. Which action is
appropriate?
A. Place the client in a semi-private room with another MRSA-positive patient
B. Wear a gown and gloves when entering the room
C. Use a surgical mask when providing care
D. Allow visitors to handle the client without hand hygiene
Answer: B
Rationale: Contact precautions require gown and gloves. Masks are not required unless
splashes are possible. Hand hygiene is always necessary.
8. A client is prescribed furosemide 40 mg IV for heart failure. Which lab value should the
nurse monitor closely?
A. Hemoglobin
B. Potassium
C. Glucose
D. Sodium bicarbonate
Answer: B
Rationale: Furosemide is a loop diuretic that can cause hypokalemia, which can lead to
arrhythmias. Potassium levels must be monitored.
2024/2025 Edition – Real Exam Questions
and Verified Correct Answers | 100% A+
Graded
ATI PN Practice Questions – Original
1. A nurse is caring for a client receiving a continuous IV infusion of potassium chloride.
Which of the following actions should the nurse take?
A. Administer the IV push over 5 minutes
B. Monitor the client for signs of hyperkalemia
C. Use a peripheral IV site for concentrations >40 mEq/L
D. Hold the infusion if the client’s potassium is 3.5 mEq/L
Answer: B
Rationale: Potassium chloride can cause hyperkalemia if administered too quickly or in excess.
The nurse should monitor for signs such as muscle weakness, arrhythmias, and ECG changes.
IV push of potassium is never safe; concentrations >40 mEq/L require a central line. A
potassium of 3.5 mEq/L is within the normal range.
2. A client with COPD is prescribed albuterol via nebulizer. Which statement by the client
indicates understanding of the medication?
A. “I will take this only when my breathing is normal.”
B. “I should rinse my mouth after using this medication.”
C. “This medicine will prevent my asthma attacks completely.”
D. “I should avoid all physical activity while on this medicine.”
Answer: B
Rationale: Rinsing the mouth prevents irritation and reduces the risk of oral fungal infections.
Albuterol is a rescue inhaler, not preventive, and the client can continue normal activity.
,3. A nurse is preparing to administer an IM injection to an adult client. Which site is
recommended for maximum absorption?
A. Deltoid
B. Ventrogluteal
C. Dorsogluteal
D. Subcutaneous tissue
Answer: B
Rationale: The ventrogluteal site is preferred for IM injections because it has fewer nerves and
blood vessels and allows for deep muscle penetration, reducing complications. The dorsogluteal
site is no longer recommended due to risk of sciatic nerve injury.
4. A nurse is caring for a postpartum client who is 2 hours post-delivery and has a
fundus that is soft and above the umbilicus. What is the priority intervention?
A. Encourage ambulation
B. Massage the fundus
C. Administer pain medication
D. Notify the provider
Answer: B
Rationale: A soft, boggy uterus indicates uterine atony, which increases the risk of postpartum
hemorrhage. Fundal massage helps the uterus contract and reduce bleeding.
5. A nurse is teaching a client about a low-sodium diet. Which food should the client
avoid?
A. Fresh strawberries
B. Canned soup
C. Brown rice
D. Baked chicken
Answer: B
Rationale: Canned soups are high in sodium. Fresh fruits, whole grains, and unseasoned
baked chicken are low-sodium options.
5. A nurse is caring for a client who is receiving a blood transfusion and develops itching
and hives. What is the nurse’s first action?
A. Stop the transfusion immediately
B. Administer epinephrine
, C. Notify the provider after completion
D. Slow the transfusion rate
Answer: A
Rationale: Signs of a transfusion reaction require immediate cessation of the transfusion. The
provider should be notified, and supportive care (antihistamines, epinephrine if severe) given.
6. A client with type 1 diabetes asks how to prevent hypoglycemia while exercising.
Which instruction is correct?
A. “Eat a carbohydrate snack before exercising.”
B. “Skip insulin before exercise.”
C. “Exercise only in the evening.”
D. “Avoid all physical activity.”
Answer: A
Rationale: Eating a carbohydrate snack before exercise helps prevent blood glucose from
dropping. Insulin should not be skipped without provider instruction.
7. A nurse is caring for a client on contact precautions for MRSA. Which action is
appropriate?
A. Place the client in a semi-private room with another MRSA-positive patient
B. Wear a gown and gloves when entering the room
C. Use a surgical mask when providing care
D. Allow visitors to handle the client without hand hygiene
Answer: B
Rationale: Contact precautions require gown and gloves. Masks are not required unless
splashes are possible. Hand hygiene is always necessary.
8. A client is prescribed furosemide 40 mg IV for heart failure. Which lab value should the
nurse monitor closely?
A. Hemoglobin
B. Potassium
C. Glucose
D. Sodium bicarbonate
Answer: B
Rationale: Furosemide is a loop diuretic that can cause hypokalemia, which can lead to
arrhythmias. Potassium levels must be monitored.
