RN ATI Comprehensive Exit Exam (Version 2 )
Actual exam With Questions And Revised
Correct Answers & Rationales ()
100% Guaranteed Pass
Item ID: V2-001
Item Type: NGN – Extended Multiple Response
Scenario: A 68-year-old client is 4 hours post–percutaneous coronary intervention (PCI)
via right radial access. Vital signs: BP 118/72 mmHg, HR 89 bpm, RR 18/min, SpO₂ 96 %
on 2 L nasal cannula. Right hand cool, capillary refill 4 s, moderate forearm swelling, and
client reports numbness. Hematology: Hgb 9.8 g/dL (↓ from 12.1 g/dL pre-procedure).
Question: Which assessment findings require immediate notification of the provider?
Options:
A. Right radial pulse weakened compared with left
B. Client reports metallic taste
C. Forearm circumference 2 cm > baseline
D. Hgb drop ≥ 2 g/dL from baseline
E. SpO₂ 94 % after removing nasal cannula
F. Client rating pain 8/10 in forearm
,Correct Choices: A, C, D, F
Rationale (Revised & Verified):
● Correct Answer: A, C, D, F
● Analysis: Acute radial artery occlusion (A), compartment syndrome risk (C,F), and
significant bleeding (D) are reportable complications post-radial PCI. 2025
AHA/ACC guidelines mandate immediate vascular-team activation for these
signs.
● Distractor Breakdown: B—Metallic taste is common after contrast and not urgent.
E—Transient desaturation after O₂ removal is expected and does not indicate
acute compromise.
Item ID: V2-002
Item Type: Traditional MCQ
Scenario: A 22-year-old primigravida at 39 weeks gestation is admitted in active labor.
Cervix 8 cm, 90 % effaced, 0 station. FHR baseline 155 bpm, minimal variability,
recurrent late decelerations. Maternal temperature 37.1 °C, BP 110/68 mmHg.
Question: Which nursing action is most appropriate?
Options:
A. Administer terbutaline 0.25 mg SQ
B. Increase maintenance IV fluid to 125 mL/h of LR
C. Position client in left lateral recumbent position
D. Apply fetal scalp electrode immediately
, Rationale (Revised & Verified):
● Correct Answer: C
● Analysis: Left lateral position relieves aortocaval compression and improves
uteroplacental perfusion, first-line for late decelerations per AWHONN 2025.
● Distractor Breakdown: A—Tocolysis is not indicated for late decels. B—Routine
fluid increase lacks evidence; targeted fluid bolus may help but position change
is priority. D—FSE is appropriate if external tracing inadequate, not the first action
for late decels.
Item ID: V2-003
Item Type: NGN – Matrix
Scenario: A 55-year-old client with cirrhosis and ascites presents for paracentesis.
Platelets 68 000/mm³, INR 1.8, BP 98/56 mmHg, Na 128 mEq/L, serum ammonia 78
µg/dL.
Matrix: Indicate whether each nursing action is Appropriate, Contraindicated, or
Insufficient evidence for this client.
A. Administer 25 % albumin 100 g IV post-procedure
B. Insert 18-gauge needle for paracentesis
C. Give lactulose 30 mL PO now
D. Obtain informed consent
Correct Matrix:
A—Appropriate
Actual exam With Questions And Revised
Correct Answers & Rationales ()
100% Guaranteed Pass
Item ID: V2-001
Item Type: NGN – Extended Multiple Response
Scenario: A 68-year-old client is 4 hours post–percutaneous coronary intervention (PCI)
via right radial access. Vital signs: BP 118/72 mmHg, HR 89 bpm, RR 18/min, SpO₂ 96 %
on 2 L nasal cannula. Right hand cool, capillary refill 4 s, moderate forearm swelling, and
client reports numbness. Hematology: Hgb 9.8 g/dL (↓ from 12.1 g/dL pre-procedure).
Question: Which assessment findings require immediate notification of the provider?
Options:
A. Right radial pulse weakened compared with left
B. Client reports metallic taste
C. Forearm circumference 2 cm > baseline
D. Hgb drop ≥ 2 g/dL from baseline
E. SpO₂ 94 % after removing nasal cannula
F. Client rating pain 8/10 in forearm
,Correct Choices: A, C, D, F
Rationale (Revised & Verified):
● Correct Answer: A, C, D, F
● Analysis: Acute radial artery occlusion (A), compartment syndrome risk (C,F), and
significant bleeding (D) are reportable complications post-radial PCI. 2025
AHA/ACC guidelines mandate immediate vascular-team activation for these
signs.
● Distractor Breakdown: B—Metallic taste is common after contrast and not urgent.
E—Transient desaturation after O₂ removal is expected and does not indicate
acute compromise.
Item ID: V2-002
Item Type: Traditional MCQ
Scenario: A 22-year-old primigravida at 39 weeks gestation is admitted in active labor.
Cervix 8 cm, 90 % effaced, 0 station. FHR baseline 155 bpm, minimal variability,
recurrent late decelerations. Maternal temperature 37.1 °C, BP 110/68 mmHg.
Question: Which nursing action is most appropriate?
Options:
A. Administer terbutaline 0.25 mg SQ
B. Increase maintenance IV fluid to 125 mL/h of LR
C. Position client in left lateral recumbent position
D. Apply fetal scalp electrode immediately
, Rationale (Revised & Verified):
● Correct Answer: C
● Analysis: Left lateral position relieves aortocaval compression and improves
uteroplacental perfusion, first-line for late decelerations per AWHONN 2025.
● Distractor Breakdown: A—Tocolysis is not indicated for late decels. B—Routine
fluid increase lacks evidence; targeted fluid bolus may help but position change
is priority. D—FSE is appropriate if external tracing inadequate, not the first action
for late decels.
Item ID: V2-003
Item Type: NGN – Matrix
Scenario: A 55-year-old client with cirrhosis and ascites presents for paracentesis.
Platelets 68 000/mm³, INR 1.8, BP 98/56 mmHg, Na 128 mEq/L, serum ammonia 78
µg/dL.
Matrix: Indicate whether each nursing action is Appropriate, Contraindicated, or
Insufficient evidence for this client.
A. Administer 25 % albumin 100 g IV post-procedure
B. Insert 18-gauge needle for paracentesis
C. Give lactulose 30 mL PO now
D. Obtain informed consent
Correct Matrix:
A—Appropriate
