ATI RN Comprehensive Exit Exam 2025/2026: 180
Practice Questions with Detailed Rationales and Correct
Answers for NCLEX Success
Below is a comprehensive breakdown of 180 ATI RN Comprehensive
Exit Exam-style questions with detailed rationales and correct answers.
These questions are categorized by subject area to mirror the actual
exam blueprint and include Next Generation NCLEX (NGN) style items
where applicable.
Table of Contents
1. Management of Care (Questions 1-20)
2. Safety and Infection Control (21-35)
3. Health Promotion and Maintenance (36-50)
4. Psychosocial Integrity (51-65)
5. Basic Care and Comfort (66-80)
6. Pharmacological Therapies (81-100)
7. Reduction of Risk Potential (101-120)
8. Physiological Adaptation (121-140)
9. NGN Case Studies (141-160)
10. Emergency and Prioritization (161-180)
1. MANAGEMENT OF CARE (Q1-20)
,Q1. A charge nurse is making client assignments. Which client should
be assigned to the most experienced RN?
• A) A 45-year-old with pneumonia requiring IV antibiotics every 6
hours
• B) A 60-year-old 2 hours post-lobectomy with a chest tube
• C) A 30-year-old with a fractured femur in Buck's traction
• D) An 80-year-old with dementia needing assistance with ADLs
Correct Answer: B
Rationale: The post-lobectomy client with a chest tube is unstable and
requires expert assessment for complications like tension
pneumothorax. This client needs the most experienced nurse.
Q2. A nurse is delegating tasks to an LPN/LVN. Which task is
appropriate?
• A) Initial admission assessment
• B) Administration of oral medications to a stable client
• C) Creating the plan of care
• D) Teaching a client about insulin self-administration
Correct Answer: B
Rationale: LPNs/LVNs can administer medications to stable clients.
Admission assessments, care planning, and initial teaching require RN
scope of practice.
Q3. A client refuses a life-saving blood transfusion due to religious
beliefs. What is the nurse's priority action?
• A) Explain the consequences of refusal
• B) Notify the healthcare provider
, • C) Contact the hospital ethics committee
• D) Respect the client's decision and document it
Correct Answer: D
Rationale: A competent adult has the right to refuse treatment, even
life-saving measures. The nurse's priority is to respect autonomy and
document the refusal.
Q4. Which of the following situations requires an incident report?
• A) A client's blood pressure is 150/90 mmHg
• B) A client develops a rash after starting antibiotics
• C) An IV pump alarms "occlusion"
• D) A client falls while walking to the bathroom
Correct Answer: D
Rationale: Any client fall requires an incident report for risk
management and quality improvement. The other options are expected
findings or equipment issues.
Q5. A nurse is prioritizing care using Maslow's Hierarchy. Which client
should be seen first?
• A) A client experiencing chest pain
• B) A client with low self-esteem
• C) A client who feels isolated from family
• D) A client needing help with bathing
Correct Answer: A
Rationale: Physiological needs (airway, breathing, circulation) come
first according to Maslow. Chest pain indicates a potential life-
threatening physiological need.
Practice Questions with Detailed Rationales and Correct
Answers for NCLEX Success
Below is a comprehensive breakdown of 180 ATI RN Comprehensive
Exit Exam-style questions with detailed rationales and correct answers.
These questions are categorized by subject area to mirror the actual
exam blueprint and include Next Generation NCLEX (NGN) style items
where applicable.
Table of Contents
1. Management of Care (Questions 1-20)
2. Safety and Infection Control (21-35)
3. Health Promotion and Maintenance (36-50)
4. Psychosocial Integrity (51-65)
5. Basic Care and Comfort (66-80)
6. Pharmacological Therapies (81-100)
7. Reduction of Risk Potential (101-120)
8. Physiological Adaptation (121-140)
9. NGN Case Studies (141-160)
10. Emergency and Prioritization (161-180)
1. MANAGEMENT OF CARE (Q1-20)
,Q1. A charge nurse is making client assignments. Which client should
be assigned to the most experienced RN?
• A) A 45-year-old with pneumonia requiring IV antibiotics every 6
hours
• B) A 60-year-old 2 hours post-lobectomy with a chest tube
• C) A 30-year-old with a fractured femur in Buck's traction
• D) An 80-year-old with dementia needing assistance with ADLs
Correct Answer: B
Rationale: The post-lobectomy client with a chest tube is unstable and
requires expert assessment for complications like tension
pneumothorax. This client needs the most experienced nurse.
Q2. A nurse is delegating tasks to an LPN/LVN. Which task is
appropriate?
• A) Initial admission assessment
• B) Administration of oral medications to a stable client
• C) Creating the plan of care
• D) Teaching a client about insulin self-administration
Correct Answer: B
Rationale: LPNs/LVNs can administer medications to stable clients.
Admission assessments, care planning, and initial teaching require RN
scope of practice.
Q3. A client refuses a life-saving blood transfusion due to religious
beliefs. What is the nurse's priority action?
• A) Explain the consequences of refusal
• B) Notify the healthcare provider
, • C) Contact the hospital ethics committee
• D) Respect the client's decision and document it
Correct Answer: D
Rationale: A competent adult has the right to refuse treatment, even
life-saving measures. The nurse's priority is to respect autonomy and
document the refusal.
Q4. Which of the following situations requires an incident report?
• A) A client's blood pressure is 150/90 mmHg
• B) A client develops a rash after starting antibiotics
• C) An IV pump alarms "occlusion"
• D) A client falls while walking to the bathroom
Correct Answer: D
Rationale: Any client fall requires an incident report for risk
management and quality improvement. The other options are expected
findings or equipment issues.
Q5. A nurse is prioritizing care using Maslow's Hierarchy. Which client
should be seen first?
• A) A client experiencing chest pain
• B) A client with low self-esteem
• C) A client who feels isolated from family
• D) A client needing help with bathing
Correct Answer: A
Rationale: Physiological needs (airway, breathing, circulation) come
first according to Maslow. Chest pain indicates a potential life-
threatening physiological need.
