ATI Comprehensive Exit Final Exam 2026–
2027 | Complete 180-Question Practice Test
with Detailed Answer Rationales |
Comprehensive Study Guide
Nurse providing discharge teaching to the client who has schizophrenia and is starting
therapy with clozapine. Which of the following is the highest priority for the client to
report to the provider?
a- constipation
b- blurred vision
c- fever
d- dry mouth - Correct Answer - Fever
A nurse observes an AP providing care to a child who is in skeletal traction. Which of
the following action requires intervention?
a- providing a high protein snack
b- assisting the child to reposition
c- placing weights on a child's bed
d- Massaging pressure points causes skin breakdown - Correct Answer - Placing
weights as a a childs bed
A nurse is planning to delegate an AP the fasting blood glucose testing for a client who
has diabetes mellitus. Which of the following action should the nurse take?
a- Determine if the AP is qualified to perform the test
pg. 1
,b- help the AP performed the blood glucose test
c- assign the ap to ask the client is taking his diabetic medication
today
d- Have the AP check the medical record for prior blood glucose test
redults - Correct Answer - Determine if the AP is qualified to perform
the test
A nurse is assessing a client brought to the hospital psychiatric emergency services by
a law enforcement officer. The client is disorganzied, incoherent speech with loose
associations and religious content. You should recognize the signs and symptoms as
being consistent with which of the following?
a- Alzheimers disease
b- schizophrenia
c- substance intoxication
d- depression - Correct Answer - Schizophrenia
A nurse is caring for a child who has infectious mononucleosis. which of the following
findings are associated with this diagnosis?
a- splenomegaly
b- Koplik spots
c- malaise
d- vertigo
e- sore throat - Correct Answer - Splenomegaly
malaise sore throat
pg. 2
,Nurse is performing dressing change for client was a sacral wound using negative
pressure wound therapy. Which of the following actions should the nurse take first?
a- apply skin preparation to wound
edges
b- normal saline
c- don sterile gloves
d- determine pain level - Correct Answer - Determine pain level
The nurse is caring for a client recovering from an acute myocardial infarction. Which of
the following intervention should the nurse include in the point of care? a- Draw a
troponin level every four hours b- performance EKG every 12 hrs.
c- plant oxygen tent fell over minutes via rebreather mask
d- obtain a cardiac rehabilitation consult - Correct Answer - Obtain cardiac rehabilitation
consult
A nurse is caring for a client who has breast cancer and has been covering receiving
chemotherapy. Which of the following laboratory values should the nurse report to the
provider?
a- WBC 3,000 /mm3 b- Hemoglobin 12 g/dl c- Platelet
250,000/mm3 d- aPTT 30 seconds - Correct Answer -
WBC 3,000/mm3
Home health nurse is carefully planned for Alzheimer’s disease. To the following actions
should the nurse include in the plan of care? a- Place a daily calendar in the kitchen b-
replace the button clothing with zippered items c- replace the carpet with hardwood
floors
pg. 3
, d- create variation in daily routine - Correct Answer - Place a daily calendar in the
kitchen
Nurse is performing change of shift assessment on 4 clients. Which of the following
findings should the nurse report to the providers first?
a- The client was cystic fibrosis and has a thick productive clock and report thirst
b- client who has gastroenteritis and is lethargic and confused c- the client has
diabetes mellitus has morning fasting legal cost of 185 over deal
d- the client was sick of signing and reports pain 15 minutes after receiving oral
analgesic - Correct Answer - Client who has gastroenteritis and is lethargic and
confused
A nurse is caring for a client who was in second trimester of pregnancy and asks how to
treat constipation. Which of the following statements by the nurse is appropriate?
a- Decrease taking vitamins and supplements to every other day
b- Eat 15 g of fiber per day c- consume 48 ounces of water
each day
d- drink hot water with lemon juice each morning when you wake up - Correct Answer -
Drink hot water with Leon juice every morning when you wake up.
A nurse is caring for a client who is preparing his advance directives. Which are the
following statements by the client indicates an understanding of advanced directives?
(select all that apply)
a- I can't change my instructions once a minute b- my doctor will need
to approve my advance directives c- I need an attorney to witness my
signature on the advance directives d- I have the right to refuse
treatment
pg. 4
2027 | Complete 180-Question Practice Test
with Detailed Answer Rationales |
Comprehensive Study Guide
Nurse providing discharge teaching to the client who has schizophrenia and is starting
therapy with clozapine. Which of the following is the highest priority for the client to
report to the provider?
a- constipation
b- blurred vision
c- fever
d- dry mouth - Correct Answer - Fever
A nurse observes an AP providing care to a child who is in skeletal traction. Which of
the following action requires intervention?
a- providing a high protein snack
b- assisting the child to reposition
c- placing weights on a child's bed
d- Massaging pressure points causes skin breakdown - Correct Answer - Placing
weights as a a childs bed
A nurse is planning to delegate an AP the fasting blood glucose testing for a client who
has diabetes mellitus. Which of the following action should the nurse take?
a- Determine if the AP is qualified to perform the test
pg. 1
,b- help the AP performed the blood glucose test
c- assign the ap to ask the client is taking his diabetic medication
today
d- Have the AP check the medical record for prior blood glucose test
redults - Correct Answer - Determine if the AP is qualified to perform
the test
A nurse is assessing a client brought to the hospital psychiatric emergency services by
a law enforcement officer. The client is disorganzied, incoherent speech with loose
associations and religious content. You should recognize the signs and symptoms as
being consistent with which of the following?
a- Alzheimers disease
b- schizophrenia
c- substance intoxication
d- depression - Correct Answer - Schizophrenia
A nurse is caring for a child who has infectious mononucleosis. which of the following
findings are associated with this diagnosis?
a- splenomegaly
b- Koplik spots
c- malaise
d- vertigo
e- sore throat - Correct Answer - Splenomegaly
malaise sore throat
pg. 2
,Nurse is performing dressing change for client was a sacral wound using negative
pressure wound therapy. Which of the following actions should the nurse take first?
a- apply skin preparation to wound
edges
b- normal saline
c- don sterile gloves
d- determine pain level - Correct Answer - Determine pain level
The nurse is caring for a client recovering from an acute myocardial infarction. Which of
the following intervention should the nurse include in the point of care? a- Draw a
troponin level every four hours b- performance EKG every 12 hrs.
c- plant oxygen tent fell over minutes via rebreather mask
d- obtain a cardiac rehabilitation consult - Correct Answer - Obtain cardiac rehabilitation
consult
A nurse is caring for a client who has breast cancer and has been covering receiving
chemotherapy. Which of the following laboratory values should the nurse report to the
provider?
a- WBC 3,000 /mm3 b- Hemoglobin 12 g/dl c- Platelet
250,000/mm3 d- aPTT 30 seconds - Correct Answer -
WBC 3,000/mm3
Home health nurse is carefully planned for Alzheimer’s disease. To the following actions
should the nurse include in the plan of care? a- Place a daily calendar in the kitchen b-
replace the button clothing with zippered items c- replace the carpet with hardwood
floors
pg. 3
, d- create variation in daily routine - Correct Answer - Place a daily calendar in the
kitchen
Nurse is performing change of shift assessment on 4 clients. Which of the following
findings should the nurse report to the providers first?
a- The client was cystic fibrosis and has a thick productive clock and report thirst
b- client who has gastroenteritis and is lethargic and confused c- the client has
diabetes mellitus has morning fasting legal cost of 185 over deal
d- the client was sick of signing and reports pain 15 minutes after receiving oral
analgesic - Correct Answer - Client who has gastroenteritis and is lethargic and
confused
A nurse is caring for a client who was in second trimester of pregnancy and asks how to
treat constipation. Which of the following statements by the nurse is appropriate?
a- Decrease taking vitamins and supplements to every other day
b- Eat 15 g of fiber per day c- consume 48 ounces of water
each day
d- drink hot water with lemon juice each morning when you wake up - Correct Answer -
Drink hot water with Leon juice every morning when you wake up.
A nurse is caring for a client who is preparing his advance directives. Which are the
following statements by the client indicates an understanding of advanced directives?
(select all that apply)
a- I can't change my instructions once a minute b- my doctor will need
to approve my advance directives c- I need an attorney to witness my
signature on the advance directives d- I have the right to refuse
treatment
pg. 4
