2023 ATI COMPREHENSIVE
EXIT EXAM
(NGN-Style Questions & Case Scenario)
High yield Qs & Ans to Pass the Exam
Version 1
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
,───────────────────────────────────────────────
1) DIABETES MELLITUS: FOOT CARE
─────────────────────────────────────────────── Question 1
A nurse is teaching foot care to a client newly diagnosed with diabetes
mellitus. Which of the following instructions should the nurse include?
A. Soak feet twice daily.
B. Round toenail edges when trimming.
C. Use moisturizing lotion between the toes.
D. Wear clean cotton socks every day.
Correct Answer: D. Wear clean cotton socks every day.
Expert Rationale:
• Clean, cotton socks help absorb moisture and protect feet from injury.
• Excessive soaking increases maceration risk.
• Toenails should be trimmed straight across (not rounded).
• Lotion between toes can trap moisture and foster fungal growth.
───────────────────────────────────────────────
2) ASSISTING A CLIENT WITH DYSPHAGIA
─────────────────────────────────────────────── Question 2
A nurse is preparing to feed a newly admitted client who has dysphagia.
Which action should the nurse plan to take?
,A. Instruct the client to lift her chin when swallowing.
B. Talk continuously to the client throughout the feeding.
C. Sit at or below the client’s eye level during feedings.
D. Discourage the client from coughing during feeding.
Correct Answer: C. Sit at or below the client’s eye level during feedings.
Expert Rationale:
• Sitting at or slightly below eye level allows the nurse to closely observe
swallowing and assist if choking occurs.
• A “chin-tuck,” not chin-lift, is typically recommended for safer swallowing.
• Minimizing conversation helps the client focus on swallowing.
• Coughing is not discouraged, as it can help clear the airway.
───────────────────────────────────────────────
3) ACUTE GLOMERULONEPHRITIS
─────────────────────────────────────────────── Question 3
A nurse is caring for a client who has acute glomerulonephritis. Which of
the following findings should the nurse expect?
A. Polyuria
B. Hypotension
C. Weight loss
D. Hematuria
Correct Answer: D. Hematuria
, Expert Rationale:
• Hematuria (cola-colored urine) is a classic hallmark of acute
glomerulonephritis. Clients often have fluid retention with hypertension and
oliguria, not hypotension or polyuria.
───────────────────────────────────────────────
4) LYME DISEASE IN A CHILD
─────────────────────────────────────────────── Question 4
A home health nurse is caring for a child who has Lyme disease. Which of
the following actions should the nurse take?
A. Ensure the state health department has been notified.
B. Administer antitoxin.
C. Educate the family to avoid sharing personal belongings.
D. Assess for skin necrosis.
Correct Answer: A. Ensure the state health department has been notified.
Expert Rationale:
• Lyme disease is typically a notifiable disease, and most state regulations
require reporting confirmed cases.
• Treatment involves antibiotics; there is no antitoxin therapy.
• Avoiding shared personal items is more relevant to lice or scabies.
• Skin necrosis is not a usual hallmark of Lyme disease.
EXIT EXAM
(NGN-Style Questions & Case Scenario)
High yield Qs & Ans to Pass the Exam
Version 1
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
,───────────────────────────────────────────────
1) DIABETES MELLITUS: FOOT CARE
─────────────────────────────────────────────── Question 1
A nurse is teaching foot care to a client newly diagnosed with diabetes
mellitus. Which of the following instructions should the nurse include?
A. Soak feet twice daily.
B. Round toenail edges when trimming.
C. Use moisturizing lotion between the toes.
D. Wear clean cotton socks every day.
Correct Answer: D. Wear clean cotton socks every day.
Expert Rationale:
• Clean, cotton socks help absorb moisture and protect feet from injury.
• Excessive soaking increases maceration risk.
• Toenails should be trimmed straight across (not rounded).
• Lotion between toes can trap moisture and foster fungal growth.
───────────────────────────────────────────────
2) ASSISTING A CLIENT WITH DYSPHAGIA
─────────────────────────────────────────────── Question 2
A nurse is preparing to feed a newly admitted client who has dysphagia.
Which action should the nurse plan to take?
,A. Instruct the client to lift her chin when swallowing.
B. Talk continuously to the client throughout the feeding.
C. Sit at or below the client’s eye level during feedings.
D. Discourage the client from coughing during feeding.
Correct Answer: C. Sit at or below the client’s eye level during feedings.
Expert Rationale:
• Sitting at or slightly below eye level allows the nurse to closely observe
swallowing and assist if choking occurs.
• A “chin-tuck,” not chin-lift, is typically recommended for safer swallowing.
• Minimizing conversation helps the client focus on swallowing.
• Coughing is not discouraged, as it can help clear the airway.
───────────────────────────────────────────────
3) ACUTE GLOMERULONEPHRITIS
─────────────────────────────────────────────── Question 3
A nurse is caring for a client who has acute glomerulonephritis. Which of
the following findings should the nurse expect?
A. Polyuria
B. Hypotension
C. Weight loss
D. Hematuria
Correct Answer: D. Hematuria
, Expert Rationale:
• Hematuria (cola-colored urine) is a classic hallmark of acute
glomerulonephritis. Clients often have fluid retention with hypertension and
oliguria, not hypotension or polyuria.
───────────────────────────────────────────────
4) LYME DISEASE IN A CHILD
─────────────────────────────────────────────── Question 4
A home health nurse is caring for a child who has Lyme disease. Which of
the following actions should the nurse take?
A. Ensure the state health department has been notified.
B. Administer antitoxin.
C. Educate the family to avoid sharing personal belongings.
D. Assess for skin necrosis.
Correct Answer: A. Ensure the state health department has been notified.
Expert Rationale:
• Lyme disease is typically a notifiable disease, and most state regulations
require reporting confirmed cases.
• Treatment involves antibiotics; there is no antitoxin therapy.
• Avoiding shared personal items is more relevant to lice or scabies.
• Skin necrosis is not a usual hallmark of Lyme disease.
