ATI RN COMPREHENSIVE EXIT EXAM ACTUAL TEST
BANK 2026/2027 PRACTICE QUESTIONS AND STUDY
GUIDE COMPLETE ACCURATE EXAM REAL QUESTIONS
AND CORRECT VERIFIED ANSWERS WITH DETAILED
RATIONALES (RELIABLE ANSWERS) CURRENTLY
UPDATED VERSION 2026 EDITION |GUARANTEED PASS
A+ |JUST RELEASED
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.
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) to
prevent ingrown toenails. Lotion between toes can trap moisture
and foster fungal growth.
,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.
Rationale: Sitting at or below the client's eye level promotes a chin-
tuck position, which helps protect the airway during swallowing.
Lifting the chin increases aspiration risk. Talking during feeding
distracts the client and increases aspiration risk. Coughing during
feeding is a protective reflex and should not be discouraged.
3. A competent adult client refuses a blood transfusion for religious
reasons. Which actions should the nurse take? (Select all that apply.)
A. Verify the client understands the risks.
B. Document the refusal.
C. Administer the transfusion if Hgb is critical.
D. Notify the provider.
E. Ask the family to override the decision.
,Correct Answer: A, B, D.
Rationale: Competent adults have the right to autonomy and
informed refusal. The nurse must verify understanding, document
the refusal, and notify the provider. Administering the transfusion
against the client's wishes constitutes battery. The family cannot
override a competent adult's decision.
4. Which client should the nurse assess first?
A. Post-op day 2 with pain 6/10.
B. COPD client with O₂ sat 88% on room air.
C. Client waiting for discharge teaching.
D. Stable diabetic requesting a snack.
Correct Answer: B. COPD client with O₂ sat 88% on room air.
Rationale: Airway and oxygenation take priority according to the
ABCs (Airway, Breathing, Circulation). An O₂ saturation of 88%
indicates hypoxemia requiring immediate intervention. Pain,
discharge teaching, and snack requests are lower priority.
5. A nurse is caring for four clients. Which client should be seen first?
, A. Client with COPD and SpO₂ 89% on 2L nasal cannula.
B. Client post-appendectomy day 2 with temperature 38.3°C
(101°F).
C. Client with heart failure and 3+ pitting edema.
D. Client with new onset confusion and bounding pulse.
Correct Answer: D. Client with new onset confusion and bounding
pulse.
Rationale: New onset confusion with bounding pulse suggests
hypercapnia or fluid overload affecting cerebral perfusion. This is
a change in neurological status, which is always the priority.
Option A is expected in COPD; Option B is post-op
inflammation; Option C is a chronic finding.
6. A charge nurse is assigning staff. Which client should be assigned
to the LPN?
A. Client 1 hour post-cardiac catheterization with bleeding.
B. Client with stable diabetes requiring insulin and foot care.
C. Client newly admitted with stroke and altered mental status.
D. Client receiving IV heparin with PTT of 98 seconds.
Correct Answer: B. Client with stable diabetes requiring insulin and
foot care.
BANK 2026/2027 PRACTICE QUESTIONS AND STUDY
GUIDE COMPLETE ACCURATE EXAM REAL QUESTIONS
AND CORRECT VERIFIED ANSWERS WITH DETAILED
RATIONALES (RELIABLE ANSWERS) CURRENTLY
UPDATED VERSION 2026 EDITION |GUARANTEED PASS
A+ |JUST RELEASED
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.
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) to
prevent ingrown toenails. Lotion between toes can trap moisture
and foster fungal growth.
,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.
Rationale: Sitting at or below the client's eye level promotes a chin-
tuck position, which helps protect the airway during swallowing.
Lifting the chin increases aspiration risk. Talking during feeding
distracts the client and increases aspiration risk. Coughing during
feeding is a protective reflex and should not be discouraged.
3. A competent adult client refuses a blood transfusion for religious
reasons. Which actions should the nurse take? (Select all that apply.)
A. Verify the client understands the risks.
B. Document the refusal.
C. Administer the transfusion if Hgb is critical.
D. Notify the provider.
E. Ask the family to override the decision.
,Correct Answer: A, B, D.
Rationale: Competent adults have the right to autonomy and
informed refusal. The nurse must verify understanding, document
the refusal, and notify the provider. Administering the transfusion
against the client's wishes constitutes battery. The family cannot
override a competent adult's decision.
4. Which client should the nurse assess first?
A. Post-op day 2 with pain 6/10.
B. COPD client with O₂ sat 88% on room air.
C. Client waiting for discharge teaching.
D. Stable diabetic requesting a snack.
Correct Answer: B. COPD client with O₂ sat 88% on room air.
Rationale: Airway and oxygenation take priority according to the
ABCs (Airway, Breathing, Circulation). An O₂ saturation of 88%
indicates hypoxemia requiring immediate intervention. Pain,
discharge teaching, and snack requests are lower priority.
5. A nurse is caring for four clients. Which client should be seen first?
, A. Client with COPD and SpO₂ 89% on 2L nasal cannula.
B. Client post-appendectomy day 2 with temperature 38.3°C
(101°F).
C. Client with heart failure and 3+ pitting edema.
D. Client with new onset confusion and bounding pulse.
Correct Answer: D. Client with new onset confusion and bounding
pulse.
Rationale: New onset confusion with bounding pulse suggests
hypercapnia or fluid overload affecting cerebral perfusion. This is
a change in neurological status, which is always the priority.
Option A is expected in COPD; Option B is post-op
inflammation; Option C is a chronic finding.
6. A charge nurse is assigning staff. Which client should be assigned
to the LPN?
A. Client 1 hour post-cardiac catheterization with bleeding.
B. Client with stable diabetes requiring insulin and foot care.
C. Client newly admitted with stroke and altered mental status.
D. Client receiving IV heparin with PTT of 98 seconds.
Correct Answer: B. Client with stable diabetes requiring insulin and
foot care.
