PN ATI EXIT REVIEW SUMMER 2026/2027 | Complete
Solutions | Practical Nursing Proctored Exam | Pass
Guaranteed - A+ Graded
Section 1: Fundamentals of Nursing & Basic Care (Questions 1-20)
Question 1
A practical nurse is caring for a client with a history of Clostridioides difficile infection.
Which action by the PN demonstrates correct infection control practice?
A. Apply alcohol-based hand sanitizer before and after client contact
B. Perform hand hygiene using soap and water after removing gloves
C. Wear a surgical mask when entering the client's room
D. Place the client in a negative pressure room with an N95 respirator
Correct Answer: B
Rationale: C. difficile spores are resistant to alcohol-based hand sanitizers; soap and
water is required for hand hygiene. Option A is incorrect because alcohol does not kill C.
diff spores. Option C is incorrect because C. diff requires contact precautions
(gown/gloves), not droplet precautions. Option D is incorrect because negative pressure
and N95 are for airborne precautions (TB, measles), not C. diff. ATI content mastery
principle: Contact precautions + soap and water hand hygiene for C. diff, MRSA, RSV. PN
scope: Implement contact precautions per protocol.
Question 2
A PN is measuring vital signs on a 3-year-old child. Which finding requires immediate
follow-up?
,A. Heart rate 110 beats/minute
B. Respiratory rate 28 breaths/minute
C. Blood pressure 88/52 mmHg
D. Temperature 37.2°C (99.0°F) orally
Correct Answer: B
Rationale: The normal respiratory rate for a 3-year-old (preschooler) is 20-30
breaths/minute; 28 is within normal limits. However, re-reading: all options appear
normal. Wait - let me correct this to have one abnormal finding. A heart rate of 110 is
normal for preschool (80-140). BP 88/52 is normal. Temp 37.2°C is normal. Let me
revise: Respiratory rate 28 is actually normal for preschooler (20-30). I need to make one
clearly abnormal.
Question 2 (Revised)
A PN is measuring vital signs on a 3-year-old child. Which finding requires immediate
follow-up?
A. Heart rate 110 beats/minute
B. Respiratory rate 38 breaths/minute
C. Blood pressure 88/52 mmHg
D. Temperature 37.2°C (99.0°F) orally
Correct Answer: B
Rationale: A respiratory rate of 38 breaths/minute exceeds the normal range for a
preschooler (20-30/minute) and indicates tachypnea requiring further assessment.
Option A is incorrect because 110 bpm is within normal range (80-140) for this age.
Option C is incorrect because 88/52 mmHg is appropriate for a 3-year-old. Option D is
incorrect because 37.2°C is a low-grade temperature within acceptable limits. ATI
content mastery principle: Normal pediatric vital signs vary by age; tachypnea is an early
indicator of respiratory compromise. PN scope: Recognize abnormal vital signs and
report to RN.
,Question 3
A client is receiving oxygen via nasal cannula at 2 L/min. The PN notes the client's SpO2
is 89%. Which action should the PN take first?
A. Increase the oxygen flow rate to 4 L/min
B. Assess the client for signs of respiratory distress
C. Notify the registered nurse immediately
D. Reposition the nasal cannula prongs
Correct Answer: B
Rationale: The PN should first assess the client for signs of respiratory distress (work of
breathing, cyanosis, altered mental status) to determine if this is a true desaturation
versus equipment malfunction. Option A is incorrect because the PN cannot
independently titrate oxygen without an order. Option C is incorrect because
assessment must precede notification to provide accurate data. Option D is incorrect
because while repositioning may help, assessment comes first per the nursing process.
ATI content mastery principle: Assess before acting; ABCs guide prioritization. PN
scope: Collect data and report abnormal findings to RN; cannot independently change
oxygen flow rates.
Question 4
A client with heart failure is instructed to follow a 2-gram sodium diet. Which food
choice by the client indicates understanding of the teaching?
A. Canned chicken noodle soup and crackers
B. Fresh grilled chicken with steamed vegetables
C. Processed cheese slices and deli ham sandwich
D. Frozen TV dinner with seasoned rice
Correct Answer: B
Rationale: Fresh grilled chicken with steamed vegetables is naturally low in sodium and
aligns with a 2-gram sodium restriction. Option A is incorrect because canned soups are
, high in sodium (often >800mg per serving). Option C is incorrect because processed
meats and cheeses are significant sodium sources. Option D is incorrect because
frozen prepared meals typically contain high sodium for preservation. ATI content
mastery principle: HF management requires sodium restriction; fresh, unprocessed
foods are best. PN scope: Reinforce dietary teaching per care plan.
Question 5
A PN is preparing to delegate tasks to an unlicensed assistive personnel (UAP). Which
task is appropriate to delegate?
A. Perform sterile wound dressing change on a postoperative client
B. Teach a newly diagnosed diabetic client about foot care
C. Measure and record intake and output for a stable client
D. Assess lung sounds on a client with pneumonia
Correct Answer: C
Rationale: Measuring and recording I&O is within the UAP scope of practice for a stable
client. Option A is incorrect because sterile procedures cannot be delegated to UAP.
Option B is incorrect because teaching requires nursing licensure. Option D is incorrect
because assessment is an RN/LPN function, not delegable to UAP. ATI content mastery
principle: Right task, right person, right circumstance - UAP can perform basic data
collection and ADL assistance. PN scope: Delegate appropriately per five rights of
delegation.
Question 6
A client has a serum potassium level of 5.8 mEq/L. Which ECG change should the PN
expect to observe?
A. Tall, peaked T waves
B. ST-segment elevation
C. Presence of U waves
Solutions | Practical Nursing Proctored Exam | Pass
Guaranteed - A+ Graded
Section 1: Fundamentals of Nursing & Basic Care (Questions 1-20)
Question 1
A practical nurse is caring for a client with a history of Clostridioides difficile infection.
Which action by the PN demonstrates correct infection control practice?
A. Apply alcohol-based hand sanitizer before and after client contact
B. Perform hand hygiene using soap and water after removing gloves
C. Wear a surgical mask when entering the client's room
D. Place the client in a negative pressure room with an N95 respirator
Correct Answer: B
Rationale: C. difficile spores are resistant to alcohol-based hand sanitizers; soap and
water is required for hand hygiene. Option A is incorrect because alcohol does not kill C.
diff spores. Option C is incorrect because C. diff requires contact precautions
(gown/gloves), not droplet precautions. Option D is incorrect because negative pressure
and N95 are for airborne precautions (TB, measles), not C. diff. ATI content mastery
principle: Contact precautions + soap and water hand hygiene for C. diff, MRSA, RSV. PN
scope: Implement contact precautions per protocol.
Question 2
A PN is measuring vital signs on a 3-year-old child. Which finding requires immediate
follow-up?
,A. Heart rate 110 beats/minute
B. Respiratory rate 28 breaths/minute
C. Blood pressure 88/52 mmHg
D. Temperature 37.2°C (99.0°F) orally
Correct Answer: B
Rationale: The normal respiratory rate for a 3-year-old (preschooler) is 20-30
breaths/minute; 28 is within normal limits. However, re-reading: all options appear
normal. Wait - let me correct this to have one abnormal finding. A heart rate of 110 is
normal for preschool (80-140). BP 88/52 is normal. Temp 37.2°C is normal. Let me
revise: Respiratory rate 28 is actually normal for preschooler (20-30). I need to make one
clearly abnormal.
Question 2 (Revised)
A PN is measuring vital signs on a 3-year-old child. Which finding requires immediate
follow-up?
A. Heart rate 110 beats/minute
B. Respiratory rate 38 breaths/minute
C. Blood pressure 88/52 mmHg
D. Temperature 37.2°C (99.0°F) orally
Correct Answer: B
Rationale: A respiratory rate of 38 breaths/minute exceeds the normal range for a
preschooler (20-30/minute) and indicates tachypnea requiring further assessment.
Option A is incorrect because 110 bpm is within normal range (80-140) for this age.
Option C is incorrect because 88/52 mmHg is appropriate for a 3-year-old. Option D is
incorrect because 37.2°C is a low-grade temperature within acceptable limits. ATI
content mastery principle: Normal pediatric vital signs vary by age; tachypnea is an early
indicator of respiratory compromise. PN scope: Recognize abnormal vital signs and
report to RN.
,Question 3
A client is receiving oxygen via nasal cannula at 2 L/min. The PN notes the client's SpO2
is 89%. Which action should the PN take first?
A. Increase the oxygen flow rate to 4 L/min
B. Assess the client for signs of respiratory distress
C. Notify the registered nurse immediately
D. Reposition the nasal cannula prongs
Correct Answer: B
Rationale: The PN should first assess the client for signs of respiratory distress (work of
breathing, cyanosis, altered mental status) to determine if this is a true desaturation
versus equipment malfunction. Option A is incorrect because the PN cannot
independently titrate oxygen without an order. Option C is incorrect because
assessment must precede notification to provide accurate data. Option D is incorrect
because while repositioning may help, assessment comes first per the nursing process.
ATI content mastery principle: Assess before acting; ABCs guide prioritization. PN
scope: Collect data and report abnormal findings to RN; cannot independently change
oxygen flow rates.
Question 4
A client with heart failure is instructed to follow a 2-gram sodium diet. Which food
choice by the client indicates understanding of the teaching?
A. Canned chicken noodle soup and crackers
B. Fresh grilled chicken with steamed vegetables
C. Processed cheese slices and deli ham sandwich
D. Frozen TV dinner with seasoned rice
Correct Answer: B
Rationale: Fresh grilled chicken with steamed vegetables is naturally low in sodium and
aligns with a 2-gram sodium restriction. Option A is incorrect because canned soups are
, high in sodium (often >800mg per serving). Option C is incorrect because processed
meats and cheeses are significant sodium sources. Option D is incorrect because
frozen prepared meals typically contain high sodium for preservation. ATI content
mastery principle: HF management requires sodium restriction; fresh, unprocessed
foods are best. PN scope: Reinforce dietary teaching per care plan.
Question 5
A PN is preparing to delegate tasks to an unlicensed assistive personnel (UAP). Which
task is appropriate to delegate?
A. Perform sterile wound dressing change on a postoperative client
B. Teach a newly diagnosed diabetic client about foot care
C. Measure and record intake and output for a stable client
D. Assess lung sounds on a client with pneumonia
Correct Answer: C
Rationale: Measuring and recording I&O is within the UAP scope of practice for a stable
client. Option A is incorrect because sterile procedures cannot be delegated to UAP.
Option B is incorrect because teaching requires nursing licensure. Option D is incorrect
because assessment is an RN/LPN function, not delegable to UAP. ATI content mastery
principle: Right task, right person, right circumstance - UAP can perform basic data
collection and ADL assistance. PN scope: Delegate appropriately per five rights of
delegation.
Question 6
A client has a serum potassium level of 5.8 mEq/L. Which ECG change should the PN
expect to observe?
A. Tall, peaked T waves
B. ST-segment elevation
C. Presence of U waves
