ATI LPN Exit Exam (2026 Updated Version) – with
Correct Answers and Detailed Rationales
Q001:
Type: NGN - Extended Multiple Response
Scenario: An 82-year-old resident of a long-term care facility has a stage 2 pressure
injury on the sacrum. The wound measures 4 cm × 3 cm × 0.3 cm with red, moist tissue
and no exudate. The LPN is reviewing the care plan during the 07:00 shift.
Question: Which findings must the LPN report to the RN immediately? (Select all that
apply.)
A. Temperature 38.1 °C (100.6 °F)
B. Braden scale score 14
C. Blood glucose 198 mg/dL
D. Serous drainage now present on dressing
E. Resident states, “The area feels numb.”
F. Capillary refill 4 seconds in toes
(Correct: A, D, E)
Rationale:
● Answer: A, D, E
● Why (LPN Scope 2026): Fever (A) suggests systemic infection; new drainage (D)
indicates possible infection or deterioration; numbness (E) may signal advancing
tissue damage or neuropathy—all require RN assessment for possible physician
notification and plan revision.
, ● Errors: Braden 14 (B) is stable risk; glucose 198 (C) is common in elders and not
acute; delayed cap refill (F) is lower-extremity assessment unrelated to sacral
wound.
Q002:
Type: Traditional
Scenario: A 4-year-old child is admitted for observation after a febrile seizure. The LPN
is asked to obtain vitals.
Question: Which route should the LPN use for temperature measurement?
A. Axillary
B. Oral
C. Rectal
D. Temporal artery
(Correct: D)
Rationale:
● Answer: Temporal artery
● Why (LPN Scope 2026): Non-invasive, quick, accurate in pediatrics; LPN may
perform without provider order in most facilities.
● Errors: Oral (B) unreliable post-seizure; rectal (C) invasive and may stimulate
vagus; axillary (A) less accurate.
Q003:
Type: NGN - Bowtie
Scenario: An LPN in a clinic is assisting with a 28-week prenatal visit.
Question: Link the cues that require follow-up by the RN or provider.
Correct Answers and Detailed Rationales
Q001:
Type: NGN - Extended Multiple Response
Scenario: An 82-year-old resident of a long-term care facility has a stage 2 pressure
injury on the sacrum. The wound measures 4 cm × 3 cm × 0.3 cm with red, moist tissue
and no exudate. The LPN is reviewing the care plan during the 07:00 shift.
Question: Which findings must the LPN report to the RN immediately? (Select all that
apply.)
A. Temperature 38.1 °C (100.6 °F)
B. Braden scale score 14
C. Blood glucose 198 mg/dL
D. Serous drainage now present on dressing
E. Resident states, “The area feels numb.”
F. Capillary refill 4 seconds in toes
(Correct: A, D, E)
Rationale:
● Answer: A, D, E
● Why (LPN Scope 2026): Fever (A) suggests systemic infection; new drainage (D)
indicates possible infection or deterioration; numbness (E) may signal advancing
tissue damage or neuropathy—all require RN assessment for possible physician
notification and plan revision.
, ● Errors: Braden 14 (B) is stable risk; glucose 198 (C) is common in elders and not
acute; delayed cap refill (F) is lower-extremity assessment unrelated to sacral
wound.
Q002:
Type: Traditional
Scenario: A 4-year-old child is admitted for observation after a febrile seizure. The LPN
is asked to obtain vitals.
Question: Which route should the LPN use for temperature measurement?
A. Axillary
B. Oral
C. Rectal
D. Temporal artery
(Correct: D)
Rationale:
● Answer: Temporal artery
● Why (LPN Scope 2026): Non-invasive, quick, accurate in pediatrics; LPN may
perform without provider order in most facilities.
● Errors: Oral (B) unreliable post-seizure; rectal (C) invasive and may stimulate
vagus; axillary (A) less accurate.
Q003:
Type: NGN - Bowtie
Scenario: An LPN in a clinic is assisting with a 28-week prenatal visit.
Question: Link the cues that require follow-up by the RN or provider.
