2026 ATI RN
COMPREHENSIVE EXIT
700+ QUESTIONS BANK
(NGN-STYLE QUESTIONS & CASE SCENARIOS)
Answers with detailed Rationale
What You’ll Get:
• quick review
• Printable, easy-to-study PDF
Not affiliated with ATI, VATI or NCLEX. For study purposes only.
,───────────────────────────────────────────────
1) DIABETES MELLITUS: FOOT CARE
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Question 1
A nurse is teaching foot care to a client newly diagnosed with diabetes mellitus.
Which of the following instructions should the nurse include?
A. Soak feet twice daily.
B. Round toenail edges when trimming.
C. Use moisturizing lotion between the toes.
D. Wear clean cotton socks every day.
Correct Answer: D. Wear clean cotton socks every day.
Expert Rationale:
• Clean, cotton socks help absorb moisture and protect feet from injury.
• Excessive soaking increases maceration risk.
• Toenails should be trimmed straight across (not rounded).
• Lotion between toes can trap moisture and foster fungal growth.
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2) ASSISTING A CLIENT WITH DYSPHAGIA
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Question 2
A nurse is preparing to feed a newly admitted client who has dysphagia. Which
action should the nurse plan to take?
A. Instruct the client to lift her chin when swallowing.
B. Talk continuously to the client throughout the feeding.
C. Sit at or below the client’s eye level during feedings.
D. Discourage the client from coughing during feeding.
Correct Answer: C. Sit at or below the client’s eye level during feedings.
Expert Rationale:
• Sitting at or slightly below eye level allows the nurse to closely observe swallowing and
assist if choking occurs.
• A “chin-tuck,” not chin-lift, is typically recommended for safer swallowing.
• Minimizing conversation helps the client focus on swallowing.
• Coughing is not discouraged, as it can help clear the airway.
,───────────────────────────────────────────────
3) ACUTE GLOMERULONEPHRITIS
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Question 3
A nurse is caring for a client who has acute glomerulonephritis. Which of the
following findings should the nurse expect?
A. Polyuria
B. Hypotension
C. Weight loss
D. Hematuria
Correct Answer: D. Hematuria
Expert Rationale:
• Hematuria (cola-colored urine) is a classic hallmark of acute glomerulonephritis.
Clients often have fluid retention with hypertension and oliguria, not hypotension or
polyuria.
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4) LYME DISEASE IN A CHILD
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Question 4
A home health nurse is caring for a child who has Lyme disease. Which of the
following actions should the nurse take?
A. Ensure the state health department has been notified.
B. Administer antitoxin.
C. Educate the family to avoid sharing personal belongings.
D. Assess for skin necrosis.
Correct Answer: A. Ensure the state health department has been notified.
Expert Rationale:
• Lyme disease is typically a notifiable disease, and most state regulations require
reporting confirmed cases.
• Treatment involves antibiotics; there is no antitoxin therapy.
• Avoiding shared personal items is more relevant to lice or scabies.
• Skin necrosis is not a usual hallmark of Lyme disease.
, ───────────────────────────────────────────────
5) CIRRHOSIS / ALCOHOL USE (NGN-Style Case)
───────────────────────────────────────────────
Exhibit 1 (Assessment)
• 0900: The client reports a 1-month history of poor appetite, shortness of breath,
weakness, abdominal pain, severe itching, and mood changes.
• 10-year history of alcohol use disorder, with periods of uncontrolled drinking.
• Currently alert but disoriented to time. Has notable abdominal distention, palmar
erythema (red palms), excoriations on thorax and shoulders, and jaundiced sclera.
Exhibit 2 (Medications & Vitals)
• 1230: Administered antacids, spironolactone, and colchicine as prescribed.
• 0930 Vitals: T 37.3°C (99.1°F), HR 84/min, RR 20/min, BP 138/88 mm Hg, SpO₂ 93%
RA.
• 1600 Vitals: T 37.0°C (98.6°F), HR 80/min, RR 20/min, BP 130/… (incomplete, but
stable range).
Question 5
Which of the following interventions should the nurse plan to include for this
client? (Select all that apply.)
A. Provide frequent rest periods for the client.
B. Instruct the client to avoid forcefully blowing the nose.
C. Assess the client’s level of orientation.
D. Restrict the client’s sodium intake.
E. Advise the client to avoid the use of soap and alcohol-based lotions.
Correct Answers: A, B, C, D, E
Expert Rationale:
• Frequent rest helps reduce fatigue in cirrhosis.
• Forceful nose blowing could precipitate a nosebleed in a client with potential
coagulopathy.
• Orientation checks are critical for early detection of hepatic encephalopathy.
• Sodium restriction assists in minimizing fluid retention (ascites, edema).
• Avoiding harsh soaps or alcohol-based lotions can reduce skin irritation in a client who
already suffers pruritus.
COMPREHENSIVE EXIT
700+ QUESTIONS BANK
(NGN-STYLE QUESTIONS & CASE SCENARIOS)
Answers with detailed Rationale
What You’ll Get:
• quick review
• Printable, easy-to-study PDF
Not affiliated with ATI, VATI or NCLEX. For study purposes only.
,───────────────────────────────────────────────
1) DIABETES MELLITUS: FOOT CARE
───────────────────────────────────────────────
Question 1
A nurse is teaching foot care to a client newly diagnosed with diabetes mellitus.
Which of the following instructions should the nurse include?
A. Soak feet twice daily.
B. Round toenail edges when trimming.
C. Use moisturizing lotion between the toes.
D. Wear clean cotton socks every day.
Correct Answer: D. Wear clean cotton socks every day.
Expert Rationale:
• Clean, cotton socks help absorb moisture and protect feet from injury.
• Excessive soaking increases maceration risk.
• Toenails should be trimmed straight across (not rounded).
• Lotion between toes can trap moisture and foster fungal growth.
───────────────────────────────────────────────
2) ASSISTING A CLIENT WITH DYSPHAGIA
───────────────────────────────────────────────
Question 2
A nurse is preparing to feed a newly admitted client who has dysphagia. Which
action should the nurse plan to take?
A. Instruct the client to lift her chin when swallowing.
B. Talk continuously to the client throughout the feeding.
C. Sit at or below the client’s eye level during feedings.
D. Discourage the client from coughing during feeding.
Correct Answer: C. Sit at or below the client’s eye level during feedings.
Expert Rationale:
• Sitting at or slightly below eye level allows the nurse to closely observe swallowing and
assist if choking occurs.
• A “chin-tuck,” not chin-lift, is typically recommended for safer swallowing.
• Minimizing conversation helps the client focus on swallowing.
• Coughing is not discouraged, as it can help clear the airway.
,───────────────────────────────────────────────
3) ACUTE GLOMERULONEPHRITIS
───────────────────────────────────────────────
Question 3
A nurse is caring for a client who has acute glomerulonephritis. Which of the
following findings should the nurse expect?
A. Polyuria
B. Hypotension
C. Weight loss
D. Hematuria
Correct Answer: D. Hematuria
Expert Rationale:
• Hematuria (cola-colored urine) is a classic hallmark of acute glomerulonephritis.
Clients often have fluid retention with hypertension and oliguria, not hypotension or
polyuria.
───────────────────────────────────────────────
4) LYME DISEASE IN A CHILD
───────────────────────────────────────────────
Question 4
A home health nurse is caring for a child who has Lyme disease. Which of the
following actions should the nurse take?
A. Ensure the state health department has been notified.
B. Administer antitoxin.
C. Educate the family to avoid sharing personal belongings.
D. Assess for skin necrosis.
Correct Answer: A. Ensure the state health department has been notified.
Expert Rationale:
• Lyme disease is typically a notifiable disease, and most state regulations require
reporting confirmed cases.
• Treatment involves antibiotics; there is no antitoxin therapy.
• Avoiding shared personal items is more relevant to lice or scabies.
• Skin necrosis is not a usual hallmark of Lyme disease.
, ───────────────────────────────────────────────
5) CIRRHOSIS / ALCOHOL USE (NGN-Style Case)
───────────────────────────────────────────────
Exhibit 1 (Assessment)
• 0900: The client reports a 1-month history of poor appetite, shortness of breath,
weakness, abdominal pain, severe itching, and mood changes.
• 10-year history of alcohol use disorder, with periods of uncontrolled drinking.
• Currently alert but disoriented to time. Has notable abdominal distention, palmar
erythema (red palms), excoriations on thorax and shoulders, and jaundiced sclera.
Exhibit 2 (Medications & Vitals)
• 1230: Administered antacids, spironolactone, and colchicine as prescribed.
• 0930 Vitals: T 37.3°C (99.1°F), HR 84/min, RR 20/min, BP 138/88 mm Hg, SpO₂ 93%
RA.
• 1600 Vitals: T 37.0°C (98.6°F), HR 80/min, RR 20/min, BP 130/… (incomplete, but
stable range).
Question 5
Which of the following interventions should the nurse plan to include for this
client? (Select all that apply.)
A. Provide frequent rest periods for the client.
B. Instruct the client to avoid forcefully blowing the nose.
C. Assess the client’s level of orientation.
D. Restrict the client’s sodium intake.
E. Advise the client to avoid the use of soap and alcohol-based lotions.
Correct Answers: A, B, C, D, E
Expert Rationale:
• Frequent rest helps reduce fatigue in cirrhosis.
• Forceful nose blowing could precipitate a nosebleed in a client with potential
coagulopathy.
• Orientation checks are critical for early detection of hepatic encephalopathy.
• Sodium restriction assists in minimizing fluid retention (ascites, edema).
• Avoiding harsh soaps or alcohol-based lotions can reduce skin irritation in a client who
already suffers pruritus.
