LPN 2026 Comprehensive Test Exit Exam ATI

Free preview · Original latest version

Sample questions from LPN 2026 Comprehensive Test Exit Exam ATI

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

1. 1.A nurse is caring for a client with suspected sepsis. Which finding requires the most immediate action?

   • A.Temperature 38.2 C (100.8 F)
   • B.Urine output 15 mL in the past hour
   • C.Heart rate 104/min
   • D.White blood cell count 13,000/mm3

   Rationale: Urine output of 15 mL/hr suggests poor renal perfusion and possible worsening septic shock, so the nurse should promptly assess the client and escalate care. A temperature of 38.2 C is consistent with infection but is not as urgent by itself. Mild tachycardia can occur with fever or infection, and an elevated white blood cell count supports infection but does not indicate perfusion as directly. In suspected sepsis, trends in mental status, blood pressure, lactate, and urine output help identify deterioration.

2. 2.A client with heart failure is receiving furosemide. Which laboratory result should the nurse report promptly?

   • A.Sodium 138 mEq/L
   • B.Potassium 2.9 mEq/L
   • C.Calcium 9.2 mg/dL
   • D.Hemoglobin 12 g/dL

   Rationale: Furosemide can cause potassium loss, and a potassium of 2.9 mEq/L increases the risk for dysrhythmias and requires prompt follow-up. Sodium of 138 mEq/L is within the expected range. Calcium of 9.2 mg/dL and hemoglobin of 12 g/dL do not indicate the urgent medication-related problem shown here. Monitor potassium and cardiac status during loop-diuretic therapy.

3. 3.A nurse is teaching a client with type 1 diabetes about treating mild hypoglycemia. Which statement indicates correct understanding?

   • A.I will take 15 g of fast-acting carbohydrate and recheck my glucose in 15 minutes.
   • B.I will take my usual insulin dose before eating a snack.
   • C.I will exercise to raise my blood glucose.
   • D.I will wait an hour and recheck my glucose if I feel shaky.

   Rationale: The 15-15 approach is to take 15 g of fast-acting carbohydrate and recheck blood glucose in 15 minutes, repeating treatment if it remains low. Taking insulin could worsen hypoglycemia. Exercise can further lower glucose, especially when insulin is active. Waiting an hour delays treatment and can allow symptoms to worsen.

4. 4.A client with chronic obstructive pulmonary disease is receiving oxygen by nasal cannula. Which assessment finding requires immediate follow-up?

   • A.Oxygen saturation of 90% with no distress
   • B.New confusion and difficulty arousing
   • C.Productive cough with clear sputum
   • D.Respiratory rate of 20/min

   Answer and rationale are in the full material.

5. 5.A nurse is caring for a client 2 hours after a thyroidectomy. Which finding is the priority?

   • A.Mild incisional pain
   • B.Hoarse voice
   • C.Stridor
   • D.Small amount of serosanguineous drainage

   Answer and rationale are in the full material.