LPN 2023 Comprehensive ATI Exit Exam

Free preview · Original latest version

Sample questions from LPN 2023 Comprehensive ATI Exit Exam

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

1. 1.A client reports crushing substernal chest pressure radiating to the jaw and is diaphoretic. Which action should the nurse take first?

   • A.Obtain a 12-lead electrocardiogram
   • B.Administer prescribed sublingual nitroglycerin
   • C.Draw blood for cardiac biomarkers
   • D.Ask the client to rate the pain

   Rationale: A 12-lead electrocardiogram should be obtained promptly to identify ischemia and guide time-sensitive treatment. Nitroglycerin may be appropriate but should not delay the initial ECG, and cardiac biomarkers do not replace it. Assessing pain is useful but does not take priority over rapid ECG acquisition in suspected acute coronary syndrome.

2. 2.A conscious client with diabetes is shaky and diaphoretic; the blood glucose is 54 mg/dL. Which action is most appropriate?

   • A.Give 15 g of rapid-acting oral carbohydrate
   • B.Administer the scheduled dose of rapid-acting insulin
   • C.Give glucagon intramuscularly
   • D.Recheck the blood glucose in 1 hour

   Rationale: A conscious client who can swallow should receive 15 g of rapid-acting carbohydrate, followed by a glucose recheck in about 15 minutes. Insulin would worsen the hypoglycemia, while glucagon is generally used when oral treatment is unsafe or unavailable. Waiting an hour to recheck risks prolonged hypoglycemia.

3. 3.A nurse is caring for a client with suspected pulmonary tuberculosis. Which personal protective equipment is required when entering the room?

   • A.A fit-tested N95 respirator
   • B.A surgical mask
   • C.A gown and gloves only
   • D.A face shield and shoe covers

   Rationale: Pulmonary tuberculosis requires airborne precautions, including a fit-tested N95 respirator or higher-level respiratory protection. A surgical mask does not provide adequate airborne protection for staff, and a gown and gloves alone are insufficient. A face shield and shoe covers do not substitute for respiratory protection.

4. 4.The RN is planning assignments for a shift. Which task is appropriate to delegate to an experienced unlicensed assistive personnel (UAP)?

   • A.Measure and record urine output for a stable client
   • B.Assess a newly admitted client with shortness of breath
   • C.Teach a client how to use an incentive spirometer
   • D.Evaluate whether an analgesic relieved a client's pain

   Answer and rationale are in the full material.

5. 5.A client receiving a blood transfusion develops chills, back pain, and dyspnea. What should the nurse do first?

   • A.Stop the transfusion
   • B.Slow the transfusion and reassess in 15 minutes
   • C.Administer an antipyretic
   • D.Discard the blood bag and tubing immediately

   Answer and rationale are in the full material.