ATI Comprehensive Exit Exam Retake Latest Version
| 200 NGN-Aligned Practice Questions with Verified
Answers & Detailed Rationales | Complete Review
for RN Exit Exam & NCLEX-RN Success | Graded A+
NGN Question Formats: This test bank includes extended multiple-choice,
multiple-response (select all that apply), ordered response, matrix/grid, and
clinical judgment case studies typical of the ATI Comprehensive Exit Exam.
SECTION 1: MANAGEMENT OF CARE – DELEGATION, PRIORITIZATION, AND
LEGAL/ETHICAL ISSUES (Questions 1–35)
1. A charge nurse is making client assignments on a medical-surgical unit. Which
client should the charge nurse assign to the RN rather than the LPN?
A. A client with diabetes mellitus requiring a fingerstick glucose check
B. A client with a new tracheostomy requiring initial tracheostomy care teaching
C. A client with an indwelling urinary catheter needing routine perineal care
D. A client with a stable gastrostomy tube requiring a tube feeding
Correct answer: B
Rationale: Initial client teaching and discharge planning are complex nursing
actions that require the RN's scope of practice. LPNs can perform stable, routine
procedures (A, C, D) and reinforce teaching but cannot provide initial teaching or
comprehensive assessment. This question assesses appropriate delegation and
scope of practice.
2. A nurse receives report on a group of clients. Which client should the nurse
attend to FIRST?
,A. A client admitted with angina who reports left arm pain of 4 on a scale of 0 to
10
B. A client admitted with asthma who has an SpO₂ of 92% on 1L oxygen via nasal
cannula
C. A client with type II diabetes mellitus with a blood glucose level of 80 mg/dL
D. A client who had a gastric endoscopy and whose NG tube is draining 30 mL/hr
of green fluid
Correct answer: A
Rationale: Left arm pain in a client with angina may indicate worsening ischemia
or myocardial infarction. Chest pain is a priority symptom requiring immediate
assessment. The asthma client (B) is stable with SpO₂ 92% on oxygen. Blood
glucose of 80 mg/dL (C) is within normal limits. NG drainage of 30 mL/hr (D) is
expected.
3. A charge nurse is reviewing client care assignments. Which delegated task
should be reassigned?
A. An AP is to calculate intake and output every 2 hours for a client in acute renal
failure
B. An AP is to collect vital signs every 30 minutes for a client who had a
cholecystectomy
C. An LPN is to check NG tube placement for a client who had a bowel resection
D. An LPN is to provide the initial feeding for a client who had a cerebrovascular
accident
Correct answer: D
Rationale: Providing the initial feeding for a client who had a CVA requires
assessment of swallowing ability and should be performed by an RN. LPNs can
check NG tube placement (C) and perform routine procedures. APs can calculate
I&O (A) and collect vital signs (B) with appropriate training.
,4. A charge nurse is assigning client care. Which client should be assigned to an
RN rather than an LPN?
A. A client with diabetes mellitus requiring a fingerstick glucose check
B. A client with a new tracheostomy requiring initial tracheostomy care teaching
C. A client with an indwelling urinary catheter needing routine perineal care
D. A client with a stable gastrostomy tube requiring a tube feeding
Correct answer: B
Rationale: Initial client teaching and discharge planning are complex nursing
actions that require the RN's scope of practice. LPNs can perform stable, routine
procedures and reinforce teaching, but not initial teaching or assessment.
5. A nurse is caring for a client who is 1 hour postoperative following a total hip
arthroplasty. Which finding requires immediate intervention?
A. Pain rated 5 on a 0-10 scale
B. Shortening of the affected leg
C. Incisional drainage of 50 mL
D. Mild edema of the operative leg
Correct answer: B
Rationale: Shortening of the affected leg following total hip arthroplasty indicates
possible dislocation of the prosthesis. This is a surgical emergency requiring
immediate provider notification. Pain (A) and drainage (C) are expected
postoperative findings. Mild edema (D) is expected.
6. A nurse is caring for a client who had a myocardial infarction. Which action
should the nurse take FIRST when the client develops chest pain?
A. Administer sublingual nitroglycerin
B. Obtain a 12-lead ECG
, C. Assess the client's pain level
D. Notify the provider
Correct answer: A
Rationale: Chest pain in a client with MI requires immediate intervention.
Sublingual nitroglycerin is the first-line treatment for angina to reduce myocardial
oxygen demand. The priority is to relieve pain and ischemia. While assessment (C)
and ECG (B) are important, they follow the administration of nitroglycerin.
Provider notification (D) should occur after initial intervention.
7. A hospice nurse is consulting with a client and family about receiving home
services. Which statement indicates the family understands home hospice care?
A. "We can expect the hospice nurse to provide support for us after our mother's
death."
B. "Hospice care will cure our mother's terminal illness."
C. "We will not need any support after our mother passes away."
D. "Hospice care is only provided in an inpatient facility."
Correct answer: A
Rationale: Hospice provides bereavement support to families after the client's
death. The focus of hospice is comfort and quality of life, not cure. This statement
indicates understanding of hospice's comprehensive approach.
8. A client with a valid DNR order becomes pulseless and apneic. The client's
family member demands that the nurse "do everything." What should the nurse
do FIRST?
A. Initiate CPR immediately per the family's request
B. Respect the DNR order and provide comfort measures while supporting the
family
| 200 NGN-Aligned Practice Questions with Verified
Answers & Detailed Rationales | Complete Review
for RN Exit Exam & NCLEX-RN Success | Graded A+
NGN Question Formats: This test bank includes extended multiple-choice,
multiple-response (select all that apply), ordered response, matrix/grid, and
clinical judgment case studies typical of the ATI Comprehensive Exit Exam.
SECTION 1: MANAGEMENT OF CARE – DELEGATION, PRIORITIZATION, AND
LEGAL/ETHICAL ISSUES (Questions 1–35)
1. A charge nurse is making client assignments on a medical-surgical unit. Which
client should the charge nurse assign to the RN rather than the LPN?
A. A client with diabetes mellitus requiring a fingerstick glucose check
B. A client with a new tracheostomy requiring initial tracheostomy care teaching
C. A client with an indwelling urinary catheter needing routine perineal care
D. A client with a stable gastrostomy tube requiring a tube feeding
Correct answer: B
Rationale: Initial client teaching and discharge planning are complex nursing
actions that require the RN's scope of practice. LPNs can perform stable, routine
procedures (A, C, D) and reinforce teaching but cannot provide initial teaching or
comprehensive assessment. This question assesses appropriate delegation and
scope of practice.
2. A nurse receives report on a group of clients. Which client should the nurse
attend to FIRST?
,A. A client admitted with angina who reports left arm pain of 4 on a scale of 0 to
10
B. A client admitted with asthma who has an SpO₂ of 92% on 1L oxygen via nasal
cannula
C. A client with type II diabetes mellitus with a blood glucose level of 80 mg/dL
D. A client who had a gastric endoscopy and whose NG tube is draining 30 mL/hr
of green fluid
Correct answer: A
Rationale: Left arm pain in a client with angina may indicate worsening ischemia
or myocardial infarction. Chest pain is a priority symptom requiring immediate
assessment. The asthma client (B) is stable with SpO₂ 92% on oxygen. Blood
glucose of 80 mg/dL (C) is within normal limits. NG drainage of 30 mL/hr (D) is
expected.
3. A charge nurse is reviewing client care assignments. Which delegated task
should be reassigned?
A. An AP is to calculate intake and output every 2 hours for a client in acute renal
failure
B. An AP is to collect vital signs every 30 minutes for a client who had a
cholecystectomy
C. An LPN is to check NG tube placement for a client who had a bowel resection
D. An LPN is to provide the initial feeding for a client who had a cerebrovascular
accident
Correct answer: D
Rationale: Providing the initial feeding for a client who had a CVA requires
assessment of swallowing ability and should be performed by an RN. LPNs can
check NG tube placement (C) and perform routine procedures. APs can calculate
I&O (A) and collect vital signs (B) with appropriate training.
,4. A charge nurse is assigning client care. Which client should be assigned to an
RN rather than an LPN?
A. A client with diabetes mellitus requiring a fingerstick glucose check
B. A client with a new tracheostomy requiring initial tracheostomy care teaching
C. A client with an indwelling urinary catheter needing routine perineal care
D. A client with a stable gastrostomy tube requiring a tube feeding
Correct answer: B
Rationale: Initial client teaching and discharge planning are complex nursing
actions that require the RN's scope of practice. LPNs can perform stable, routine
procedures and reinforce teaching, but not initial teaching or assessment.
5. A nurse is caring for a client who is 1 hour postoperative following a total hip
arthroplasty. Which finding requires immediate intervention?
A. Pain rated 5 on a 0-10 scale
B. Shortening of the affected leg
C. Incisional drainage of 50 mL
D. Mild edema of the operative leg
Correct answer: B
Rationale: Shortening of the affected leg following total hip arthroplasty indicates
possible dislocation of the prosthesis. This is a surgical emergency requiring
immediate provider notification. Pain (A) and drainage (C) are expected
postoperative findings. Mild edema (D) is expected.
6. A nurse is caring for a client who had a myocardial infarction. Which action
should the nurse take FIRST when the client develops chest pain?
A. Administer sublingual nitroglycerin
B. Obtain a 12-lead ECG
, C. Assess the client's pain level
D. Notify the provider
Correct answer: A
Rationale: Chest pain in a client with MI requires immediate intervention.
Sublingual nitroglycerin is the first-line treatment for angina to reduce myocardial
oxygen demand. The priority is to relieve pain and ischemia. While assessment (C)
and ECG (B) are important, they follow the administration of nitroglycerin.
Provider notification (D) should occur after initial intervention.
7. A hospice nurse is consulting with a client and family about receiving home
services. Which statement indicates the family understands home hospice care?
A. "We can expect the hospice nurse to provide support for us after our mother's
death."
B. "Hospice care will cure our mother's terminal illness."
C. "We will not need any support after our mother passes away."
D. "Hospice care is only provided in an inpatient facility."
Correct answer: A
Rationale: Hospice provides bereavement support to families after the client's
death. The focus of hospice is comfort and quality of life, not cure. This statement
indicates understanding of hospice's comprehensive approach.
8. A client with a valid DNR order becomes pulseless and apneic. The client's
family member demands that the nurse "do everything." What should the nurse
do FIRST?
A. Initiate CPR immediately per the family's request
B. Respect the DNR order and provide comfort measures while supporting the
family
