NGN ATI COMPREHENSIVE EXIT EXAM
SEPTEMBER ACTUAL EXAMINATION 2026
QUESTIONS WITH MARKING SCHEME
GRADED A+
⫸ A nurse is preparing to administer lactated ringer's via continuous IV
infusion at 200
ml/hr. The IV tubing has a drop factor of 10 drops/ml. How many
gtt/min should the
nurse set the IV pump to administer?
Round to near whole number.
A. 10
B. 22
C. 33
D. 4 Answer: C. 33 gtt/min
⫸ A nurse is providing discharge teaching to a client who has a new
prescription for
sublingual nitroglycerin. Which of the following client statements
indicates an
understanding of the teaching?
a. I can keep my medications for 1 year before replacing it
b. I should lie down when I take this medication
c. I should discontinue this medication if I develop a headache
,d. I can take up to five tablets in 15 minutes before seeking medical
attention Answer: b. I should lie down when I take this medication
⫸ A nurse is providing discharge teaching to an older adult client
following a left total hip
arthroplasty. Which of the following instructions should the nurse
include in the
teaching?
a. Clean the incision daily with hydrogen peroxide
b. You can cross your legs the ankles when sitting down
c. You should use an incentive spirometer every 8 hours
d. Install a raised toilet seat in your bathroom Answer: d. Install a raised
toilet seat in your bathroom
⫸ A nurse is planning care for a client following a cardiac
catheterization. Which of the
following actions should the nurse take?
a. Keep the client on bed rest for 24 hours
b. Limit the client's fluid intake to 1 l per day
c. Maintain the client's affected extremity in extension
d. Change the client's dressing every 8 hour Answer: c. maintain the
clients affected extremity in extension
⫸ A nurse is caring for a client who has a lower extremity fracture and a
prescription for
,crutches. Which of the following client statements indicates that the
client is adapting to
their role change?
a. I will need to have my partner take over shopping for groceries and
cooking the
meals for us
b. These crutches will make it impossible to care for my child
c. I feel bad that I have to ask my partner to keep the house clean
d. Its going to be difficult to tell my parents I cant take them to their
appointments
anymore Answer: a. I will need to have my partner take over shopping
for groceries and cooking the meals for us
⫸ A nurse is caring for a client who has gastroenteritis. Which of the
following assessment
findings should the nurse recognize as an indication that the client is
experiencing
dehydration?
a. Pitting, dependent edema
b. Distended jugular veins
c. Increased BP
d. Decreased BP Answer: d. Decreased BP
⫸ A nurse is caring for a client who has a contusion of the brainstem
and reports thirst.
, The client's urinary output was 4,000 ml over the past 24 hour. The
nurse should
anticipate a prescription for which of the following IV medication?
a. Desmopressin
b. Epinephrine
c. Furosemide
d. Nitroprusside Answer: a. Desmopressin
⫸ A nurse in a clinic receives a phone call from a client who recently
started therapy with
an ACE inhibitor and reports a nagging dry cough. Which of the
following responses by
the nurse is appropriate?
a. "your cough may require that you stop or change your medication"
b. "Increasing your daily fluid intake may eliminate your cough"
c. "sucking on lozenge may reduce the frequency of your cough"
d. You cough should go away in time" Answer: a. your cough may
require that you stop or change your medication
⫸ A nurse is taking an admission history from a client who reports
Raynaud's disease.
Which of the following assessment findings should the nurse identify as
a potential
trigger for exacerbations
of Raynaud's?
SEPTEMBER ACTUAL EXAMINATION 2026
QUESTIONS WITH MARKING SCHEME
GRADED A+
⫸ A nurse is preparing to administer lactated ringer's via continuous IV
infusion at 200
ml/hr. The IV tubing has a drop factor of 10 drops/ml. How many
gtt/min should the
nurse set the IV pump to administer?
Round to near whole number.
A. 10
B. 22
C. 33
D. 4 Answer: C. 33 gtt/min
⫸ A nurse is providing discharge teaching to a client who has a new
prescription for
sublingual nitroglycerin. Which of the following client statements
indicates an
understanding of the teaching?
a. I can keep my medications for 1 year before replacing it
b. I should lie down when I take this medication
c. I should discontinue this medication if I develop a headache
,d. I can take up to five tablets in 15 minutes before seeking medical
attention Answer: b. I should lie down when I take this medication
⫸ A nurse is providing discharge teaching to an older adult client
following a left total hip
arthroplasty. Which of the following instructions should the nurse
include in the
teaching?
a. Clean the incision daily with hydrogen peroxide
b. You can cross your legs the ankles when sitting down
c. You should use an incentive spirometer every 8 hours
d. Install a raised toilet seat in your bathroom Answer: d. Install a raised
toilet seat in your bathroom
⫸ A nurse is planning care for a client following a cardiac
catheterization. Which of the
following actions should the nurse take?
a. Keep the client on bed rest for 24 hours
b. Limit the client's fluid intake to 1 l per day
c. Maintain the client's affected extremity in extension
d. Change the client's dressing every 8 hour Answer: c. maintain the
clients affected extremity in extension
⫸ A nurse is caring for a client who has a lower extremity fracture and a
prescription for
,crutches. Which of the following client statements indicates that the
client is adapting to
their role change?
a. I will need to have my partner take over shopping for groceries and
cooking the
meals for us
b. These crutches will make it impossible to care for my child
c. I feel bad that I have to ask my partner to keep the house clean
d. Its going to be difficult to tell my parents I cant take them to their
appointments
anymore Answer: a. I will need to have my partner take over shopping
for groceries and cooking the meals for us
⫸ A nurse is caring for a client who has gastroenteritis. Which of the
following assessment
findings should the nurse recognize as an indication that the client is
experiencing
dehydration?
a. Pitting, dependent edema
b. Distended jugular veins
c. Increased BP
d. Decreased BP Answer: d. Decreased BP
⫸ A nurse is caring for a client who has a contusion of the brainstem
and reports thirst.
, The client's urinary output was 4,000 ml over the past 24 hour. The
nurse should
anticipate a prescription for which of the following IV medication?
a. Desmopressin
b. Epinephrine
c. Furosemide
d. Nitroprusside Answer: a. Desmopressin
⫸ A nurse in a clinic receives a phone call from a client who recently
started therapy with
an ACE inhibitor and reports a nagging dry cough. Which of the
following responses by
the nurse is appropriate?
a. "your cough may require that you stop or change your medication"
b. "Increasing your daily fluid intake may eliminate your cough"
c. "sucking on lozenge may reduce the frequency of your cough"
d. You cough should go away in time" Answer: a. your cough may
require that you stop or change your medication
⫸ A nurse is taking an admission history from a client who reports
Raynaud's disease.
Which of the following assessment findings should the nurse identify as
a potential
trigger for exacerbations
of Raynaud's?
