RN ATI COMPREHENSIVE EXIT EXAM (2024) ACTUAL
EXAM 200 QUESTIONS AND DETAILED ANSWERS WITH
RATIONALES |A+ GRADED|
1. A home health nurse is caring for a child who has Lyme disease.
Which of the following is an appropriate action for the nurse to take?
o Answer: Ensure the state health department has been notified.
Rationale: Lyme disease is a reportable condition. Notifying the
health department is critical for public health monitoring and
prevention efforts.
2. A nurse is caring for an infant who has gastroenteritis. Which of the
following assessment findings should the nurse report to the
provider?
o Answer: Sunken fontanels and dry mucous membranes.
Rationale: These findings indicate dehydration, a serious
complication in infants with gastroenteritis that requires prompt
medical intervention.
3. A nurse is caring for a child who has bacterial pneumonia. Which of
the following manifestations should the nurse expect?
o Answer: Malaise.
Rationale: Malaise is a common systemic symptom of bacterial
pneumonia, along with fever, cough, and difficulty breathing.
4. A nurse is caring for a 2-year-old toddler. Which of the following
food choices should the nurse recommend to promote independence
in eating?
o Answer: Banana slices.
Rationale: Banana slices are easy for toddlers to handle,
promoting their ability to eat independently while being safe and
nutritious.
,5. A school nurse is teaching a parent about absence seizures. Which of
the following information should the nurse include?
o Answer: This type of seizure can be mistaken for daydreaming.
Rationale: Absence seizures are brief episodes of altered
consciousness, often characterized by a staring spell, which can
resemble daydreaming.
6. A nurse is caring for a client who has a vented NG tube set to low
intermittent suction and has vomited. Which of the following actions
should the nurse perform first?
o Answer: Evaluate functioning of the suction device.
Rationale: The nurse must first ensure the NG tube suction device
is functioning properly, as it plays a critical role in preventing
vomiting and aspiration.
7. A nurse is caring for a client who has an indwelling urinary catheter.
The nurse notes sediment in the urine. Which of the following actions
should the nurse take to obtain a sterile urine specimen?
o Answer: Obtain the specimen from the retention port.
Rationale: The retention port provides a sterile pathway to collect
a urine specimen, reducing the risk of contamination.
8. A nurse is assessing a client who is taking haloperidol and is
experiencing pseudo-parkinsonism. Which of the following findings
should the nurse document?
o Answer: Shuffling gait.
Rationale: Pseudo-parkinsonism mimics Parkinson’s disease, with
symptoms such as shuffling gait, rigidity, and bradykinesia.
9. A nurse is creating a plan of care for a female client who has
recurrent UTIs. Which of the following interventions should the
nurse include in the plan?
, o Answer: Wear loose-fitting underwear.
Rationale: Loose-fitting underwear promotes airflow and reduces
moisture, decreasing the risk of bacterial growth and UTIs.
10.A nurse is assessing a client who is postoperative following
abdominal surgery and has an indwelling urinary catheter that is
draining dark yellow urine at 25mL/hr. Which of the following
interventions should the nurse anticipate?
o Answer: Obtain a urine specimen for culture and sensitivity.
Rationale: The low output and dark urine may indicate infection
or dehydration; a urine culture helps identify the causative
organism for targeted treatment.
11.A nurse is admitting a client who has schizophrenia. The client states,
"I'm hearing voices." Which of the following responses is the priority
for the nurse to state?
o Answer: What are the voices telling you?
Rationale: Assessing the content of auditory hallucinations is
critical to determine if the client is at risk of harming themselves or
others.
12.A nurse is caring for a client who is experiencing expressive aphasia
and right hemiparesis following a stroke. Which of the following
actions by the nurse best promotes communication among staff
caring for the client?
o Answer: Having interdisciplinary team meetings for the client on a
regular basis.
Rationale: Regular team meetings ensure a comprehensive
approach to communication and care for clients with speech and
mobility impairments.
, 13.A nurse is caring for a client who repeatedly refuses meals. The nurse
overhears an assistive personnel telling the client, "If you don't eat,
I'll put restraints on your wrists and feed you." The nurse should
intervene and explain to the AP that this statement constitutes which
of the following torts?
o Answer: Assault.
Rationale: Threatening to use restraints without justification is
considered assault, a violation of ethical and legal standards.
14.A nurse on a medical-surgical unit is notified that a mass casualty
event has occurred in the community. Which of the following actions
should the nurse plan to take?
o Answer: Determine the medical needs of incoming clients through
the emergency department.
Rationale: Triage is essential during mass casualty events to
prioritize care based on the severity of injuries.
15.A nurse is caring for a client in active labor and notes the FHR
baseline has been 100/min for the past 15 minutes. The nurse should
identify which of the following conditions as a possible cause of fetal
bradycardia?
o Answer: Maternal hypoglycemia.
Rationale: Maternal hypoglycemia can lead to reduced glucose
supply to the fetus, causing bradycardia.
16.A nurse is teaching a client who has a depressive disorder and a new
prescription for amitriptyline. Which of the following statements by
the client indicates an understanding of the teaching?
EXAM 200 QUESTIONS AND DETAILED ANSWERS WITH
RATIONALES |A+ GRADED|
1. A home health nurse is caring for a child who has Lyme disease.
Which of the following is an appropriate action for the nurse to take?
o Answer: Ensure the state health department has been notified.
Rationale: Lyme disease is a reportable condition. Notifying the
health department is critical for public health monitoring and
prevention efforts.
2. A nurse is caring for an infant who has gastroenteritis. Which of the
following assessment findings should the nurse report to the
provider?
o Answer: Sunken fontanels and dry mucous membranes.
Rationale: These findings indicate dehydration, a serious
complication in infants with gastroenteritis that requires prompt
medical intervention.
3. A nurse is caring for a child who has bacterial pneumonia. Which of
the following manifestations should the nurse expect?
o Answer: Malaise.
Rationale: Malaise is a common systemic symptom of bacterial
pneumonia, along with fever, cough, and difficulty breathing.
4. A nurse is caring for a 2-year-old toddler. Which of the following
food choices should the nurse recommend to promote independence
in eating?
o Answer: Banana slices.
Rationale: Banana slices are easy for toddlers to handle,
promoting their ability to eat independently while being safe and
nutritious.
,5. A school nurse is teaching a parent about absence seizures. Which of
the following information should the nurse include?
o Answer: This type of seizure can be mistaken for daydreaming.
Rationale: Absence seizures are brief episodes of altered
consciousness, often characterized by a staring spell, which can
resemble daydreaming.
6. A nurse is caring for a client who has a vented NG tube set to low
intermittent suction and has vomited. Which of the following actions
should the nurse perform first?
o Answer: Evaluate functioning of the suction device.
Rationale: The nurse must first ensure the NG tube suction device
is functioning properly, as it plays a critical role in preventing
vomiting and aspiration.
7. A nurse is caring for a client who has an indwelling urinary catheter.
The nurse notes sediment in the urine. Which of the following actions
should the nurse take to obtain a sterile urine specimen?
o Answer: Obtain the specimen from the retention port.
Rationale: The retention port provides a sterile pathway to collect
a urine specimen, reducing the risk of contamination.
8. A nurse is assessing a client who is taking haloperidol and is
experiencing pseudo-parkinsonism. Which of the following findings
should the nurse document?
o Answer: Shuffling gait.
Rationale: Pseudo-parkinsonism mimics Parkinson’s disease, with
symptoms such as shuffling gait, rigidity, and bradykinesia.
9. A nurse is creating a plan of care for a female client who has
recurrent UTIs. Which of the following interventions should the
nurse include in the plan?
, o Answer: Wear loose-fitting underwear.
Rationale: Loose-fitting underwear promotes airflow and reduces
moisture, decreasing the risk of bacterial growth and UTIs.
10.A nurse is assessing a client who is postoperative following
abdominal surgery and has an indwelling urinary catheter that is
draining dark yellow urine at 25mL/hr. Which of the following
interventions should the nurse anticipate?
o Answer: Obtain a urine specimen for culture and sensitivity.
Rationale: The low output and dark urine may indicate infection
or dehydration; a urine culture helps identify the causative
organism for targeted treatment.
11.A nurse is admitting a client who has schizophrenia. The client states,
"I'm hearing voices." Which of the following responses is the priority
for the nurse to state?
o Answer: What are the voices telling you?
Rationale: Assessing the content of auditory hallucinations is
critical to determine if the client is at risk of harming themselves or
others.
12.A nurse is caring for a client who is experiencing expressive aphasia
and right hemiparesis following a stroke. Which of the following
actions by the nurse best promotes communication among staff
caring for the client?
o Answer: Having interdisciplinary team meetings for the client on a
regular basis.
Rationale: Regular team meetings ensure a comprehensive
approach to communication and care for clients with speech and
mobility impairments.
, 13.A nurse is caring for a client who repeatedly refuses meals. The nurse
overhears an assistive personnel telling the client, "If you don't eat,
I'll put restraints on your wrists and feed you." The nurse should
intervene and explain to the AP that this statement constitutes which
of the following torts?
o Answer: Assault.
Rationale: Threatening to use restraints without justification is
considered assault, a violation of ethical and legal standards.
14.A nurse on a medical-surgical unit is notified that a mass casualty
event has occurred in the community. Which of the following actions
should the nurse plan to take?
o Answer: Determine the medical needs of incoming clients through
the emergency department.
Rationale: Triage is essential during mass casualty events to
prioritize care based on the severity of injuries.
15.A nurse is caring for a client in active labor and notes the FHR
baseline has been 100/min for the past 15 minutes. The nurse should
identify which of the following conditions as a possible cause of fetal
bradycardia?
o Answer: Maternal hypoglycemia.
Rationale: Maternal hypoglycemia can lead to reduced glucose
supply to the fetus, causing bradycardia.
16.A nurse is teaching a client who has a depressive disorder and a new
prescription for amitriptyline. Which of the following statements by
the client indicates an understanding of the teaching?
