2023 ATI COMPREHENSIVE
EXIT EXAM
(NGN-Style Questions & Case Scenario)
High yield Qs & Ans to Pass the Exam
Version 2
This ATI Exit Test Contains:
➢ 180 Qs & Ans
➢ Format Set of Multiple-choice
➢ questions with incorporating Next Generation NCLEX (NGN)
and Case Scenario
➢ Expert-Verified Explanations & Solutions
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,QUESTION 1
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Scenario: A nurse is caring for an adolescent who has a new diagnosis of terminal
cancer. While discussing the prognosis with the parents, the nurse notes specific
coping statements.
Which parental statement best demonstrates the defense mechanism of
“rationalization”?
A. “Our child wouldn’t have this terminal diagnosis if the doctor had diagnosed
the cancer sooner.”
B. “Let’s go on that family vacation we’ve planned. We’ll deal with this when we
return.”
C. “Maybe this is better for our child because we don’t want any suffering through
chemotherapy treatments.”
D. “I’m sure the lab results must be wrong; there’s no way it’s really cancer.”
Correct Answer: C. “Maybe this is better for our child because we don’t want any
suffering through chemotherapy treatments.”
Explanation ( Rationale):
• Rationalization involves justifying an unacceptable situation by creating a more
personally tolerable viewpoint or excuse for the outcome.
Incorrect Answer Rationales:
• A: Blaming the provider’s failure to diagnose earlier is displacement (redirecting
blame or anger to a safer target).
• B: Suggesting a family vacation and dealing with it later is suppression
(consciously putting aside the problem).
• D: Refusing to accept the fact of the diagnosis is denial (rejecting the reality of
the situation).
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QUESTION 2
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Scenario: A nurse is creating a plan of care for a child who has acute lymphoid
leukemia and a severely low absolute neutrophil count (ANC) of 400/mm³
(normal: 2500–8000/mm³).
Which intervention should the nurse include in the plan?
A. Encourage friends and family to visit the child.
B. Withhold administering the varicella vaccine.
C. Collect a daily urine specimen to check for proteinuria.
D. Provide a low-protein diet for the child.
Correct Answer: B. Withhold administering the varicella vaccine.
Explanation ( Rationale):
• Children who have severe immunodeficiency must not receive live vaccines
(such as varicella) due to the risk of contracting the disease from the vaccine.
Incorrect Answer Rationales:
• A: The nurse should actually restrict or limit the child’s contact with visitors,
especially with active infections or exposure to crowds, to reduce infection risk.
• C: Hematuria, not proteinuria, is a more common adverse effect of certain
chemotherapeutic agents; daily urine checks for protein are less relevant than
checking for blood.
• D: The child needs a high-calorie, high-protein diet to promote adequate
immune function and healing.
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QUESTION 3
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Scenario: A nurse is caring for a client who has a deep vein thrombosis (DVT). The
nurse is reviewing essential interventions to prevent complications.
Which of the following actions should the nurse take?
, A. Teach the client to massage the affected extremity.
B. Instruct the client to elevate the affected extremity when sitting.
C. Assess pulses proximal to the affected area.
D. Apply a cold compress to the affected extremity.
Correct Answer: B. Instruct the client to elevate the affected extremity when
sitting.
Explanation ( Rationale):
• Elevating the affected extremity improves venous return and reduces swelling.
This is important in managing DVT and preventing further complications.
• Maintaining elevation when in bed or seated aids in reducing edema and
discomfort.
Incorrect Answer Rationales:
• A (Massage the extremity): Massaging increases the risk of dislodging the clot,
potentially causing a pulmonary embolus.
• C (Assess proximal pulses): The nurse should actually check pulses distal to the
affected area, not proximal, to ensure adequate blood flow.
• D (Apply a cold compress): Warm, moist compresses, not cold compresses, are
preferred to promote vasodilation and circulation.
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QUESTION 4
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Scenario: A nurse in a provider’s office is assessing an adolescent who has been
taking ibuprofen for 6 months to treat juvenile idiopathic arthritis.
Which question should the nurse ask to assess for a common adverse effect of
long-term ibuprofen use?
A. “Have you experienced muscle stiffness?”
B. “Have you had any stomach pain or bloody stools?”
C. “Have you experienced a dry cough?”
EXIT EXAM
(NGN-Style Questions & Case Scenario)
High yield Qs & Ans to Pass the Exam
Version 2
This ATI Exit Test Contains:
➢ 180 Qs & Ans
➢ Format Set of Multiple-choice
➢ questions with incorporating Next Generation NCLEX (NGN)
and Case Scenario
➢ Expert-Verified Explanations & Solutions
────────────────────────────────────────────────────────
,QUESTION 1
────────────────────────────────────────────────────────
Scenario: A nurse is caring for an adolescent who has a new diagnosis of terminal
cancer. While discussing the prognosis with the parents, the nurse notes specific
coping statements.
Which parental statement best demonstrates the defense mechanism of
“rationalization”?
A. “Our child wouldn’t have this terminal diagnosis if the doctor had diagnosed
the cancer sooner.”
B. “Let’s go on that family vacation we’ve planned. We’ll deal with this when we
return.”
C. “Maybe this is better for our child because we don’t want any suffering through
chemotherapy treatments.”
D. “I’m sure the lab results must be wrong; there’s no way it’s really cancer.”
Correct Answer: C. “Maybe this is better for our child because we don’t want any
suffering through chemotherapy treatments.”
Explanation ( Rationale):
• Rationalization involves justifying an unacceptable situation by creating a more
personally tolerable viewpoint or excuse for the outcome.
Incorrect Answer Rationales:
• A: Blaming the provider’s failure to diagnose earlier is displacement (redirecting
blame or anger to a safer target).
• B: Suggesting a family vacation and dealing with it later is suppression
(consciously putting aside the problem).
• D: Refusing to accept the fact of the diagnosis is denial (rejecting the reality of
the situation).
────────────────────────────────────────────────────────
QUESTION 2
,────────────────────────────────────────────────────────
Scenario: A nurse is creating a plan of care for a child who has acute lymphoid
leukemia and a severely low absolute neutrophil count (ANC) of 400/mm³
(normal: 2500–8000/mm³).
Which intervention should the nurse include in the plan?
A. Encourage friends and family to visit the child.
B. Withhold administering the varicella vaccine.
C. Collect a daily urine specimen to check for proteinuria.
D. Provide a low-protein diet for the child.
Correct Answer: B. Withhold administering the varicella vaccine.
Explanation ( Rationale):
• Children who have severe immunodeficiency must not receive live vaccines
(such as varicella) due to the risk of contracting the disease from the vaccine.
Incorrect Answer Rationales:
• A: The nurse should actually restrict or limit the child’s contact with visitors,
especially with active infections or exposure to crowds, to reduce infection risk.
• C: Hematuria, not proteinuria, is a more common adverse effect of certain
chemotherapeutic agents; daily urine checks for protein are less relevant than
checking for blood.
• D: The child needs a high-calorie, high-protein diet to promote adequate
immune function and healing.
────────────────────────────────────────────────────────
QUESTION 3
────────────────────────────────────────────────────────
Scenario: A nurse is caring for a client who has a deep vein thrombosis (DVT). The
nurse is reviewing essential interventions to prevent complications.
Which of the following actions should the nurse take?
, A. Teach the client to massage the affected extremity.
B. Instruct the client to elevate the affected extremity when sitting.
C. Assess pulses proximal to the affected area.
D. Apply a cold compress to the affected extremity.
Correct Answer: B. Instruct the client to elevate the affected extremity when
sitting.
Explanation ( Rationale):
• Elevating the affected extremity improves venous return and reduces swelling.
This is important in managing DVT and preventing further complications.
• Maintaining elevation when in bed or seated aids in reducing edema and
discomfort.
Incorrect Answer Rationales:
• A (Massage the extremity): Massaging increases the risk of dislodging the clot,
potentially causing a pulmonary embolus.
• C (Assess proximal pulses): The nurse should actually check pulses distal to the
affected area, not proximal, to ensure adequate blood flow.
• D (Apply a cold compress): Warm, moist compresses, not cold compresses, are
preferred to promote vasodilation and circulation.
────────────────────────────────────────────────────────
QUESTION 4
────────────────────────────────────────────────────────
Scenario: A nurse in a provider’s office is assessing an adolescent who has been
taking ibuprofen for 6 months to treat juvenile idiopathic arthritis.
Which question should the nurse ask to assess for a common adverse effect of
long-term ibuprofen use?
A. “Have you experienced muscle stiffness?”
B. “Have you had any stomach pain or bloody stools?”
C. “Have you experienced a dry cough?”
