ATI LPN Exit Exam (2026 Updated Version)
– Complete Test Bank with Correct
Answers and Detailed Rationales
ATI LPN Exit Exam – Questions (2026
Updated Version)
1. A patient reports shortness of breath and SpO₂ 86%. First action?
A. Encourage ambulation
B. Apply oxygen and reassess
C. Document only
D. Notify dietary
Answer: B
Rationale: Oxygen and assessment are priority for hypoxia.
2. The nurse prepares to give a patient oral medication. What is the first
step?
A. Verify the patient’s identity
B. Prepare the medication
C. Document administration
D. Encourage fluids
Answer: A
Rationale: Patient safety requires confirming identity before giving any medication.
,3. A patient with a new IV complains of pain and swelling at the site.
Nursing action?
A. Flush IV
B. Remove IV and restart in another site
C. Apply heat
D. Document only
Answer: B
Rationale: Signs of infiltration require IV removal to prevent tissue damage.
4. The nurse is performing hand hygiene. When should soap and water be
used instead of sanitizer?
A. Hands are visibly soiled
B. After contact with patient
C. After removing gloves
D. Before medication administration
Answer: A
Rationale: Soap and water is required when hands are visibly dirty; sanitizer is sufficient
otherwise.
5. When administering a subcutaneous injection, the nurse should:
A. Pinch skin and use a 25–30 gauge needle
B. Inject at 45–90° angle depending on site and patient
C. Rotate injection sites
D. All of the above
Answer: D
6. A patient has a urinary catheter. To prevent infection, the nurse should:
A. Maintain a closed drainage system
B. Disconnect tubing routinely
C. Empty the bag only when full
D. Clean insertion site daily
, Answer: A
7. A patient is experiencing nausea after chemotherapy. Nursing action?
A. Administer prescribed antiemetic
B. Encourage fluids only
C. Document only
D. Notify dietary
Answer: A
8. A patient reports chest pain and shortness of breath post-op. Nursing
priority?
A. Document only
B. Administer analgesic
C. Assess ABCs and apply oxygen
D. Encourage ambulation
Answer: C
9. Lab: Potassium 6.2 mEq/L with peaked T waves on ECG. First action?
A. Encourage high-potassium foods
B. Notify provider and prepare for treatment
C. Recheck labs tomorrow
D. Document only
Answer: B
10. Delegation: Which task can a CNA perform?
A. Administer oral medications
B. Assist with feeding and hygiene
C. Assess IV site
D. Start IV
Answer: B
– Complete Test Bank with Correct
Answers and Detailed Rationales
ATI LPN Exit Exam – Questions (2026
Updated Version)
1. A patient reports shortness of breath and SpO₂ 86%. First action?
A. Encourage ambulation
B. Apply oxygen and reassess
C. Document only
D. Notify dietary
Answer: B
Rationale: Oxygen and assessment are priority for hypoxia.
2. The nurse prepares to give a patient oral medication. What is the first
step?
A. Verify the patient’s identity
B. Prepare the medication
C. Document administration
D. Encourage fluids
Answer: A
Rationale: Patient safety requires confirming identity before giving any medication.
,3. A patient with a new IV complains of pain and swelling at the site.
Nursing action?
A. Flush IV
B. Remove IV and restart in another site
C. Apply heat
D. Document only
Answer: B
Rationale: Signs of infiltration require IV removal to prevent tissue damage.
4. The nurse is performing hand hygiene. When should soap and water be
used instead of sanitizer?
A. Hands are visibly soiled
B. After contact with patient
C. After removing gloves
D. Before medication administration
Answer: A
Rationale: Soap and water is required when hands are visibly dirty; sanitizer is sufficient
otherwise.
5. When administering a subcutaneous injection, the nurse should:
A. Pinch skin and use a 25–30 gauge needle
B. Inject at 45–90° angle depending on site and patient
C. Rotate injection sites
D. All of the above
Answer: D
6. A patient has a urinary catheter. To prevent infection, the nurse should:
A. Maintain a closed drainage system
B. Disconnect tubing routinely
C. Empty the bag only when full
D. Clean insertion site daily
, Answer: A
7. A patient is experiencing nausea after chemotherapy. Nursing action?
A. Administer prescribed antiemetic
B. Encourage fluids only
C. Document only
D. Notify dietary
Answer: A
8. A patient reports chest pain and shortness of breath post-op. Nursing
priority?
A. Document only
B. Administer analgesic
C. Assess ABCs and apply oxygen
D. Encourage ambulation
Answer: C
9. Lab: Potassium 6.2 mEq/L with peaked T waves on ECG. First action?
A. Encourage high-potassium foods
B. Notify provider and prepare for treatment
C. Recheck labs tomorrow
D. Document only
Answer: B
10. Delegation: Which task can a CNA perform?
A. Administer oral medications
B. Assist with feeding and hygiene
C. Assess IV site
D. Start IV
Answer: B
