ATI RN Comprehensive Exit Exam (Version 1, 2, 3, 4) – 400 Practice
Questions & Correct Answers (Verified Answers) Plus Rationales 2026
Assessment Technologies Institute (ATI) RN Comprehensive Exit Exam (Version 1, 2, 3, 4) – 400 Practice Questions & Correct Answers (Verified
Answers) Plus Rationales 2026
Questions & Correct Answers (Verified Answers) Plus Rationales 2026 Here is a complete A+ guide with 400 practice questions for the RN ATI
Comprehensive Exit
Here is a complete A+ guide with 400 practice questions for the RN ATI Comprehensive Exit
Exam (2025/2026). Each question includes the correct answer and a detailed rationale. This
guide covers all four "versions" (Version 1, 2, 3, and 4) with NGN-style questions and full
rationales.
DOMAIN 1: Safe and Effective Care Environment (Questions 1–100)
---
Management of Care (Questions 1–40)
1. A nurse manager is reviewing informed consent with staff. Which statement indicates
understanding?
A) "The nurse is responsible for explaining the procedure."
B) "A witness signature confirms the client gave voluntary consent."
C) "Informed consent is only required for surgical procedures."
D) "A family member can sign for any adult client."
Correct Answer: B
Rationale: The witness signature confirms that the client signed voluntarily and appeared
competent to give consent. The provider (not the nurse) is responsible for explaining the
procedure. Informed consent is required for many procedures, not just surgical ones.
---
,2. A charge nurse is assigning clients. Which client should be assigned to a newly licensed RN?
A) Client with chest tube and continuous bubbling
B) Client with new-onset atrial fibrillation on a heparin drip
C) Client with stable pneumonia receiving oral antibiotics
D) Client with a tracheostomy requiring suctioning q2h
Correct Answer: C
Rationale: Newly licensed RNs should care for stable, predictable clients with routine care
needs. Clients with chest tubes, unstable cardiac conditions, or tracheostomies require more
experienced nurses.
---
3. A nurse is assisting with mass casualty triage after an explosion. Which client should be
identified as the priority?
A) Client with massive head trauma
B) Client with full-thickness burns to face and trunk
C) Client with indications of hypovolemic shock
D) Client with an open fracture of the lower extremity
Correct Answer: C
Rationale: In mass casualty triage, clients with potentially survivable but critical conditions (e.g.,
hypovolemic shock) are prioritized over those with non-survivable injuries or stable conditions.
,---
4. A nurse is caring for a client who is in restraints. A verbal prescription was obtained. Which
action should the nurse take?
A) Implement restraints immediately
B) Document the verbal order within 24 hours
C) Request a renewal of the prescription every 8 hours
D) Obtain a written order within 1 hour
Correct Answer: C
Rationale: Restraint orders must be renewed every 8 hours for adults. The nurse should also
obtain a written order as soon as possible.
---
5. A nurse is reviewing incident reports. Which statement by a staff member indicates
understanding of their purpose?
A) "The incident report is used to discipline the staff member involved."
B) "The incident report is used to identify risks and improve safety."
C) "The incident report is placed in the client's medical record."
D) "The incident report is used to assign blame for the incident."
Correct Answer: B
, Rationale: Incident reports are quality improvement tools used to identify risks and improve
safety. They are not placed in the client's medical record and are not used for discipline or
blame.
---
6. A nurse in a mental health facility receives a change-of-shift report on four clients. Which
client should the nurse plan to assess first?
A) A client who is newly admitted and is sleeping
B) A client who is attending a group therapy session
C) A client who was placed in restraints for aggressive behavior earlier in the shift
D) A client who is requesting a PRN medication for anxiety
Correct Answer: C
Rationale: A client who was placed in restraints requires ongoing assessment and monitoring for
safety. This client should be assessed first to ensure the restraint is still appropriate and that the
client is not experiencing any adverse effects.
---
7. A nurse in a County Jail health clinic is leading a group therapy session. A client who was
incarcerated for theft is addressing the group. Which of the following is an example of reaction
formation?
A) The client describes the theft as "no big deal, everyone does it."
B) The client becomes overly helpful and charitable toward others.
C) The client forgets the details of the theft entirely.
D) The client blames the victim for leaving valuables visible.
Questions & Correct Answers (Verified Answers) Plus Rationales 2026
Assessment Technologies Institute (ATI) RN Comprehensive Exit Exam (Version 1, 2, 3, 4) – 400 Practice Questions & Correct Answers (Verified
Answers) Plus Rationales 2026
Questions & Correct Answers (Verified Answers) Plus Rationales 2026 Here is a complete A+ guide with 400 practice questions for the RN ATI
Comprehensive Exit
Here is a complete A+ guide with 400 practice questions for the RN ATI Comprehensive Exit
Exam (2025/2026). Each question includes the correct answer and a detailed rationale. This
guide covers all four "versions" (Version 1, 2, 3, and 4) with NGN-style questions and full
rationales.
DOMAIN 1: Safe and Effective Care Environment (Questions 1–100)
---
Management of Care (Questions 1–40)
1. A nurse manager is reviewing informed consent with staff. Which statement indicates
understanding?
A) "The nurse is responsible for explaining the procedure."
B) "A witness signature confirms the client gave voluntary consent."
C) "Informed consent is only required for surgical procedures."
D) "A family member can sign for any adult client."
Correct Answer: B
Rationale: The witness signature confirms that the client signed voluntarily and appeared
competent to give consent. The provider (not the nurse) is responsible for explaining the
procedure. Informed consent is required for many procedures, not just surgical ones.
---
,2. A charge nurse is assigning clients. Which client should be assigned to a newly licensed RN?
A) Client with chest tube and continuous bubbling
B) Client with new-onset atrial fibrillation on a heparin drip
C) Client with stable pneumonia receiving oral antibiotics
D) Client with a tracheostomy requiring suctioning q2h
Correct Answer: C
Rationale: Newly licensed RNs should care for stable, predictable clients with routine care
needs. Clients with chest tubes, unstable cardiac conditions, or tracheostomies require more
experienced nurses.
---
3. A nurse is assisting with mass casualty triage after an explosion. Which client should be
identified as the priority?
A) Client with massive head trauma
B) Client with full-thickness burns to face and trunk
C) Client with indications of hypovolemic shock
D) Client with an open fracture of the lower extremity
Correct Answer: C
Rationale: In mass casualty triage, clients with potentially survivable but critical conditions (e.g.,
hypovolemic shock) are prioritized over those with non-survivable injuries or stable conditions.
,---
4. A nurse is caring for a client who is in restraints. A verbal prescription was obtained. Which
action should the nurse take?
A) Implement restraints immediately
B) Document the verbal order within 24 hours
C) Request a renewal of the prescription every 8 hours
D) Obtain a written order within 1 hour
Correct Answer: C
Rationale: Restraint orders must be renewed every 8 hours for adults. The nurse should also
obtain a written order as soon as possible.
---
5. A nurse is reviewing incident reports. Which statement by a staff member indicates
understanding of their purpose?
A) "The incident report is used to discipline the staff member involved."
B) "The incident report is used to identify risks and improve safety."
C) "The incident report is placed in the client's medical record."
D) "The incident report is used to assign blame for the incident."
Correct Answer: B
, Rationale: Incident reports are quality improvement tools used to identify risks and improve
safety. They are not placed in the client's medical record and are not used for discipline or
blame.
---
6. A nurse in a mental health facility receives a change-of-shift report on four clients. Which
client should the nurse plan to assess first?
A) A client who is newly admitted and is sleeping
B) A client who is attending a group therapy session
C) A client who was placed in restraints for aggressive behavior earlier in the shift
D) A client who is requesting a PRN medication for anxiety
Correct Answer: C
Rationale: A client who was placed in restraints requires ongoing assessment and monitoring for
safety. This client should be assessed first to ensure the restraint is still appropriate and that the
client is not experiencing any adverse effects.
---
7. A nurse in a County Jail health clinic is leading a group therapy session. A client who was
incarcerated for theft is addressing the group. Which of the following is an example of reaction
formation?
A) The client describes the theft as "no big deal, everyone does it."
B) The client becomes overly helpful and charitable toward others.
C) The client forgets the details of the theft entirely.
D) The client blames the victim for leaving valuables visible.
