ATI COMPREHENSIVE EXIT EXAM 2026 (NGN) ACTUAL
QUESTION AND ANSWERS LATEST 2026-2027 WITH 250
QUESTION AND LATEST ANSWERS .
TOP: Nursing Process: Planning
MSC: NCLEX: Safe and Effective Care Environment
A nurse is assisting with a prenatal examination of a client who is at 8 weeks
gestation. The nurse notes that the client's vagina and vulva are a purplish color.
The nurse should document this finding as which of the following?
A) Chadwick's sign
B) Goodell's sign
C) Hegar's sign
D) Ballottement
Correct Answer: A
Rationale
Chadwick's sign is a bluish-purple discoloration of the vagina and vulva, which is
an early sign of pregnancy. Option B is softening of the cervix; Option C is uterine
changes; Option D is a pregnancy sign later in pregnancy.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Assessment
MSC: NCLEX: Health Promotion and Maintenance
A nurse should recognize that a client's right of confidentiality has been breached
when which of the following occurs?
A) A nurse tells the chaplain that her assigned client has a new diagnosis of cancer
B) A nurse discusses a client's care with another nurse on the unit
C) A nurse documents a client's care in the medical record
D) A nurse gives a report to the oncoming nurse
, Correct Answer: A
Rationale
Telling the chaplain about a client's diagnosis without the client's consent is a
breach of confidentiality. Options B, C, and D are appropriate sharing of
information.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Implementation
MSC: NCLEX: Safe and Effective Care Environment
A nurse in a medical-surgical unit is preparing to assist with the admission of
clients who were injured in a tornado. Which of the following clients should the
nurse recommend for discharge to make room for the new admissions?
A) A client who has had a radial mastectomy 36 hours ago and has a surgical drain
B) A client who had an appendectomy 2 days ago and has no complications
C) A client who has chest pain and is on a cardiac monitor
D) A client who has a fever and is on IV antibiotics
Correct Answer: B
Rationale
A client who had an appendectomy 2 days ago and is stable can be discharged.
Options A, C, and D are not stable for discharge.
DIF: Cognitive Level: Synthesize (Synthesis)
TOP: Nursing Process: Planning
MSC: NCLEX: Safe and Effective Care Environment
A nurse is reviewing laboratory values for a client who is experiencing respiratory
acidosis. Which of the following ABG values should the nurse expect?
A) pH 7.30, PaCO2 50 mm Hg
B) pH 7.50, PaCO2 30 mm Hg
C) pH 7.35, PaCO2 45 mm Hg
D) pH 7.45, PaCO2 40 mm Hg
QUESTION AND ANSWERS LATEST 2026-2027 WITH 250
QUESTION AND LATEST ANSWERS .
TOP: Nursing Process: Planning
MSC: NCLEX: Safe and Effective Care Environment
A nurse is assisting with a prenatal examination of a client who is at 8 weeks
gestation. The nurse notes that the client's vagina and vulva are a purplish color.
The nurse should document this finding as which of the following?
A) Chadwick's sign
B) Goodell's sign
C) Hegar's sign
D) Ballottement
Correct Answer: A
Rationale
Chadwick's sign is a bluish-purple discoloration of the vagina and vulva, which is
an early sign of pregnancy. Option B is softening of the cervix; Option C is uterine
changes; Option D is a pregnancy sign later in pregnancy.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Assessment
MSC: NCLEX: Health Promotion and Maintenance
A nurse should recognize that a client's right of confidentiality has been breached
when which of the following occurs?
A) A nurse tells the chaplain that her assigned client has a new diagnosis of cancer
B) A nurse discusses a client's care with another nurse on the unit
C) A nurse documents a client's care in the medical record
D) A nurse gives a report to the oncoming nurse
, Correct Answer: A
Rationale
Telling the chaplain about a client's diagnosis without the client's consent is a
breach of confidentiality. Options B, C, and D are appropriate sharing of
information.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Implementation
MSC: NCLEX: Safe and Effective Care Environment
A nurse in a medical-surgical unit is preparing to assist with the admission of
clients who were injured in a tornado. Which of the following clients should the
nurse recommend for discharge to make room for the new admissions?
A) A client who has had a radial mastectomy 36 hours ago and has a surgical drain
B) A client who had an appendectomy 2 days ago and has no complications
C) A client who has chest pain and is on a cardiac monitor
D) A client who has a fever and is on IV antibiotics
Correct Answer: B
Rationale
A client who had an appendectomy 2 days ago and is stable can be discharged.
Options A, C, and D are not stable for discharge.
DIF: Cognitive Level: Synthesize (Synthesis)
TOP: Nursing Process: Planning
MSC: NCLEX: Safe and Effective Care Environment
A nurse is reviewing laboratory values for a client who is experiencing respiratory
acidosis. Which of the following ABG values should the nurse expect?
A) pH 7.30, PaCO2 50 mm Hg
B) pH 7.50, PaCO2 30 mm Hg
C) pH 7.35, PaCO2 45 mm Hg
D) pH 7.45, PaCO2 40 mm Hg
