STUDY GUIDE 2026/2027 ACCURATE QUESTIONS
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Title: ATI Comprehensive Exit Exam Retake Practice Questions (2026)
Description: A comprehensive revision set of 100 multiple-choice questions covering
high-yield topics for the ATI Comprehensive Exit Exam Retake, including prioritization,
delegation, maternal-newborn, pediatrics, pharmacology, mental health, and medical-
surgical nursing.
Keywords: ATI Comprehensive Exit Exam, ATI Retake, NCLEX-RN review, nursing
prioritization, delegation, pharmacology, maternal-newborn, pediatrics, medical-
surgical, mental health, 2026 exam prep.
Key Prioritization Frameworks:
ABCs: Airway, Breathing, Circulation
Maslow's Hierarchy: Physiological needs before safety, love, esteem, self-
actualization
Acute vs. Chronic: Acute problems take priority over chronic
Systemic vs. Local: Systemic problems take priority over local
Questions & Answers
Management of Care & Prioritization
,1. A nurse receives report on four clients. Which client should the nurse assess
first?
A) A client with asthma and SpO₂ of 92% on 1 L/min nasal cannula
B) A client with angina reporting left arm pain 4/10
C) A client with type 2 diabetes and blood glucose of 80 mg/dL
D) A client with a gastric endoscopy and nasogastric tube draining 30 mL/hr green fluid
✅ Correct Answer: B — A client with angina reporting left arm pain indicates possible
acute coronary syndrome and requires immediate assessment .
2. A charge nurse is assigning clients. Which client should be assigned to a newly
licensed RN?
A) A client with a chest tube and continuous bubbling
B) A client with new-onset atrial fibrillation on a heparin drip
C) A client with stable pneumonia receiving oral antibiotics
D) A client with a tracheostomy requiring suctioning every 2 hours
✅ Correct Answer: C — Newly licensed RNs should care for stable, predictable clients .
3. A nurse is assisting with mass casualty triage. Which client should be prioritized?
A) A client with massive head trauma
B) A client with full-thickness burns to face and trunk
C) A client with indications of hypovolemic shock
D) A client with an open fracture of the lower extremity
✅ Correct Answer: C — In mass casualty triage, clients with potentially survivable
critical conditions are prioritized .
4. A nurse is caring for a client in restraints. A verbal prescription was obtained.
What should the nurse do?
,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: D — Restraint orders require a written order as soon as possible,
typically within 1 hour .
5. Which statement by a staff member indicates understanding of incident
reports?
A) "They are used to discipline the staff member involved."
B) "They are used to identify risks and improve safety."
C) "They are placed in the client's medical record."
D) "They are used to assign blame for the incident."
✅ Correct Answer: B — Incident reports are quality improvement tools .
6. A nurse in a mental health facility receives report on four clients. Which should
the nurse assess first?
A) A client newly admitted and sleeping
B) A client attending group therapy
C) A client placed in restraints for aggressive behavior
D) A client requesting PRN medication for anxiety
✅ Correct Answer: C — Restrained clients require ongoing safety monitoring .
7. A nurse uses Maslow's hierarchy to prioritize. Which need takes priority?
A) Self-esteem needs
B) Safety needs
C) Physiological needs
D) Love and belonging needs
, ✅ Correct Answer: C — Physiological needs are the foundation of Maslow's hierarchy .
8. The nurse documents: "Patient states pain is 7/10 in right hip." This represents
which SBAR component?
A) Situation
B) Background
C) Assessment
D) Recommendation
✅ Correct Answer: A — The patient's current pain level represents the Situation .
9. A nurse is using clinical judgment for a changing patient condition. Which
action is priority?
A) Document the findings
B) Analyze the situation and determine appropriate interventions
C) Call the provider immediately
D) Wait and reassess in 30 minutes
✅ Correct Answer: B — Clinical judgment requires critical thinking and analysis .
10. When evaluating patient outcomes, the nurse determines goals are partially
met. What should the nurse do?
A) Discharge the patient
B) Reassess and modify the care plan
C) Continue the same plan
D) Notify the provider
✅ Correct Answer: B — When goals are partially met, reassess and modify the plan .
Delegation & Legal/Ethical Issues