ATI PN Management 2026

Free preview · Original latest version

Sample questions from ATI PN Management 2026

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.During postoperative rounds, an LPN checks a 67-year-old client on a surgical unit. Refer to the client's chart. Which action should the LPN take first?

   • A.Activate the rapid response system and remain with the client.
   • B.Assist the client to walk to improve circulation.
   • C.Encourage oral fluids and recheck blood pressure in 30 minutes.
   • D.Administer the prescribed oral analgesic.

   Rationale: The falling blood pressure, rising heart rate, new confusion, and rapidly saturating dressing suggest hemorrhage with shock. Activating the rapid response system obtains immediate assistance while the LPN remains with the unstable client. Oral fluids and delayed reassessment are inadequate, and an analgesic does not address impaired perfusion. Ambulation could cause collapse; recognize and escalate acute deterioration before routine postoperative care.

2. 2.At change of shift on a rehabilitation unit, an LPN is offered four assignments by the RN. Which assignment is most appropriate for the LPN?

   • A.A client requiring initial education about a newly diagnosed spinal cord injury.
   • B.A client requiring independent development of a discharge nursing care plan.
   • C.A 45-year-old client with established care needs who requires a scheduled dressing change and oral antibiotics.
   • D.A newly admitted client who needs an initial comprehensive nursing assessment.

   Rationale: Providing an established dressing treatment and prescribed oral medication for a stable client is appropriate within PN scope and facility policy. The initial comprehensive assessment and initial teaching require the RN. Independent creation of the nursing care plan also exceeds the PN role. Match assignments to stability, predictability, and authorized scope rather than diagnosis alone.

3. 3.Before transport to surgery, a 52-year-old client tells the LPN, 'I signed the consent, but I still do not understand why this operation is necessary.' What should the LPN do?

   • A.Tell the client that signing the form means consent cannot be withdrawn.
   • B.Ask a family member to confirm that the client should proceed.
   • C.Explain the surgical risks and ask the client to sign again.
   • D.Pause transport and notify the RN and surgeon that the client needs clarification.

   Rationale: The client's statement indicates an unresolved informed-consent concern, so transport should pause while the RN and surgeon are notified. Explaining the procedure's risks and benefits for informed consent is the procedural provider's responsibility. Consent may be withdrawn, and family agreement does not replace a capable client's decision. Advocate for understanding and voluntary participation before a procedure.

4. 4.In an outpatient clinic, a 38-year-old client requests that a sensitive diagnosis not be discussed with visiting relatives. Which actions should the LPN take to protect confidentiality? Select all that apply.

   • A.Post a de-identified photograph of the client's unusual rash on a personal social media account.
   • B.Confirm the client's permission before discussing care with relatives.
   • C.Give a relative the diagnosis after the relative provides the client's birth date.
   • D.Discuss the diagnosis with the treatment team in a private area.
   • E.Lock the electronic record screen before leaving the workstation.

   Answer and rationale are in the full material.

5. 5.While preparing morning medications in long-term care, an LPN finds two active prescriptions for a 74-year-old resident: warfarin 3 mg daily and warfarin 5 mg daily. The resident has no bleeding. Which action is appropriate?

   • A.Give both doses because both prescriptions are active.
   • B.Withhold the dose temporarily and obtain clarification through the RN or prescribing provider.
   • C.Give 5 mg because it appears later on the medication list.
   • D.Give 3 mg because the lower dose is safer.

   Answer and rationale are in the full material.