ATI COMPREHENSIVE EXIT EXAM RETAKE 2023- 2024 WITH
NGN QUESTIONS (ACTUAL EXAM)
A nurse is preparing to administer a measles, mumps, rubella (MMR) immunization to a
child.
Which of the following is a contraindication for administration?
a. Recent blood transfusion
b. Allergy to penicillin
c. Minor acute illness
d. Low-grade fever - ✔✔ANSWER✔✔>>Recent blood transfusion
A nurse is preparing to administer TPN with added fat supplements to a client who has
malnutrition. Which of the following action should the nurse take ?
a- piggyback 0.9 sodium chloride with TPN solutions
b- check for allergy to eggs
c- Discuss the TPS solution for 12 hours
d- monitor for hypoglycemia - ✔✔ANSWER✔✔>>check for allergey to eggs
A nurse is preparing to feed a newly admitted patient with dysphagia. Which of the
following actions should be taken?
a) instruct the client to lift her chin when swallowing
b) discourage the client from coughing during feedings
c) Sit at or below the clients eye level during feedings.
d) Talk with the client during her feeding. - ✔✔ANSWER✔✔>>Sit at or below the clients
eye level furing feedings
A nurse is preparing to perform a closed intermittent bladder irrigation for a client
following a transurethral resection of the prostate. Which of the following actions is
appropriate by the nurse?
a. Aspirate the irrigation solution from the bladder.
b. Insert the tip of the irrigation syringe into the catheter opening.
c. Apply sterile gloves
d. open the flow clamp to the irrigating fluid infusion tubing. - ✔✔ANSWER✔✔>>Apply
sterile gloves
,A nurse is providing dietary teachings for a client who has hepatic encephalopathy.
Which of the following food selections indicates that client understands teaching?
a) A sandwich and milkshake
b) Rice with black beans
c) Cottage cheese and tuna lettuce
d) Three egg omelette with low-sodium ham - ✔✔ANSWER✔✔>>Rice and black beans
A nurse is providing discharge instructions for a client who has a new prescription for
furosemide.
Which of the following client statements indicates a need for further teaching?
a. "I will take my morning pills with food or milk."
b. "I will weigh myself every day."
c. "I will notify the nurse if I have muscle cramps."
d. "I will limit my intake of fish." - ✔✔ANSWER✔✔>>I will limit my intake of fish
A nurse is providing teaching for a client who has a new prescription for methadone.
Which of the following client statements indicates a need for further teaching?
a) I understand the methadone tends to slow my breathing
b) I understand the methadone may cause me to have difficulty sleeping
c) I will avoid alcohol while I'm taking this medication
d) I'll change positions gradually especially from lying down to standing -
✔✔ANSWER✔✔>>I understand the methadone may cause me to have difficulty
sleeping
A nurse is providing teaching to a client who has esophageal cancer and is scheduled
to start
radiation therapy. Which of the following should the nurse include in the teaching?
a. Remove dye markings after each radiation treatment.
26 of 28
b. Apply a warm compress to the irradiated site.
c. Wear clothing over the area of radiation treatment.
d. Use a washcloth to bathe the treatment area. - ✔✔ANSWER✔✔>>Wear clothing
over the area of radiation treatment
A nurse is receiving report on four clients. Which of the following clients should the
nurse asses first?
A- a client who has illegal conduit and mucus in the pouch
b- Client pleasant arteriovenous additional vibration palpated
c- Client whose chronic kidney disease with cloudy diasylate outflow
D- A client was transurethral resection of the prostate with red tinged urine in the bag -
✔✔ANSWER✔✔>>A client whose chronic kidney disease with cloudy diasylate outflow
,*A nurse is providing preoperative teaching to a client who will use PCA morphine
sulfate
following surgery. Which of the following information should the nurse include?
a. The client should notify the nurse when administering a dose of the medication.
b. The client can administer a dose of medication every 6 to 8 min.
c. The client should be cautious to avoid overmedication (OD).
d. Family members can administer a dose the client. - ✔✔ANSWER✔✔>>A client can
administer a dose of medication every 6 to 8 minutes
175 A nurse receives a change-of-shift report on four clients. Based on the shift report
information,
which of the following clients should the nurse plan to assess
a. A client who had a hip arthroplasty reports pain and erythema in his calf
b. A client who has anorexia and peripheral edema
c. A client who has Addison's disease with a blood glucose level of 75 mg/dL
d. A client who had a barium enema 2 days ago and reports constipation -
✔✔ANSWER✔✔>>A client who had a hip arthroplasty reports pain and erythema in his
calf
A charge nurse is discussing the use of applying ice to a clients injured knee with a
newly licensed nurse. Which of the following should the nurse identify as a benefit (A/)
a) Systemic analgesic effect
b) increase in your metabolism
c) Decreased capillary permeability
d) Vasodilation - ✔✔ANSWER✔✔>>Decreased capillary permeability
A charge nurse is evaluating the time management skills for a new licensed nurse. The
charge nurse should intervene when a newly licensed nurse does which of the
following?
a) Re-Evaluate priorities halfway through the shift
b) Delegate changing sterile dressing for licensed practical nurse
c) Groups activities for the Same client
d) Works on several tasks simultaneously - ✔✔ANSWER✔✔>>Works on several tasks
simutaneously
A charge nurse is providing teaching to a new licensed nurse on how to cleanup
surfaces contaminated with blood. Which of the following agents should the nurse
include in the teaching?
a) Hydrogen peroxide
b) Chlorhexidine
c) Isopropyl alcohol
d) Chlorine bleach - ✔✔ANSWER✔✔>>Chlorine, bleach
, A client at 38 weeks of gestation enters the emergency department. The nurse should
recognize that which of the following indicates that the client is in the latent phase of
labor?
a) The client reports the urge to push
b) The cervix is dilated 2 cm
c) Contractions are 2 to 3 minutes apart
d) The client reports nausea and vomiting - ✔✔ANSWER✔✔>>The cervix is dilated 2
cm
A client is receiving IV moderate sedation with midazolam. The client has a respiratory
rate of 9/min and is not responding to commands. Which of the following is an
appropriate action by the nurse?
a) Placed the client in a prone proposition.
b) Implement Positive pressure ventilation.
c) Perform nasopharyngeal suctioning.
d) administer flumazenil - ✔✔ANSWER✔✔>>Stroke
A client was having suicidal thoughts tells the nurse "it just does not seem worth it
anymore. Why not end my misery?" Which of the following responses for the nurses is
appropriate?
a) Why do you think your life is not worth it anymore?
b) Do you have a plan to end your life?
c) I need to know what you mean my misery
d) You can trust me and tell me what you're thinking - ✔✔ANSWER✔✔>>Do you have
a plan to end your life?
A client who does not speak English arrives at the emergency department accompanied
by a child.
Which of the following actions should the nurse take?
a. Ask the assistive personnel to assist the client in signing consent for treatment
b. Ask the child to interpret for the client.
c. Ascertain what language the client speaks and get an interpreter.
d. Try to find an adult relative to help the client communicate. -
✔✔ANSWER✔✔>>Ascertain what language the client speaks and get an interpreter
A client who is 8 hr postpartum asks the nurse if she will need to receive RH immune
globulin. The client is gravida 2, para 2, and her blood type is AB negative. The
newborns blood type B positive. Which of the following statements is appropriate?
a. You only need to receive Rh immune globulin if you have a positive blood type."
b. You should receive Rh immune globulin within 72 hours of delivery."
c. "Both you and your baby should receive Rh immune globulin at your -week
appointment."
NGN QUESTIONS (ACTUAL EXAM)
A nurse is preparing to administer a measles, mumps, rubella (MMR) immunization to a
child.
Which of the following is a contraindication for administration?
a. Recent blood transfusion
b. Allergy to penicillin
c. Minor acute illness
d. Low-grade fever - ✔✔ANSWER✔✔>>Recent blood transfusion
A nurse is preparing to administer TPN with added fat supplements to a client who has
malnutrition. Which of the following action should the nurse take ?
a- piggyback 0.9 sodium chloride with TPN solutions
b- check for allergy to eggs
c- Discuss the TPS solution for 12 hours
d- monitor for hypoglycemia - ✔✔ANSWER✔✔>>check for allergey to eggs
A nurse is preparing to feed a newly admitted patient with dysphagia. Which of the
following actions should be taken?
a) instruct the client to lift her chin when swallowing
b) discourage the client from coughing during feedings
c) Sit at or below the clients eye level during feedings.
d) Talk with the client during her feeding. - ✔✔ANSWER✔✔>>Sit at or below the clients
eye level furing feedings
A nurse is preparing to perform a closed intermittent bladder irrigation for a client
following a transurethral resection of the prostate. Which of the following actions is
appropriate by the nurse?
a. Aspirate the irrigation solution from the bladder.
b. Insert the tip of the irrigation syringe into the catheter opening.
c. Apply sterile gloves
d. open the flow clamp to the irrigating fluid infusion tubing. - ✔✔ANSWER✔✔>>Apply
sterile gloves
,A nurse is providing dietary teachings for a client who has hepatic encephalopathy.
Which of the following food selections indicates that client understands teaching?
a) A sandwich and milkshake
b) Rice with black beans
c) Cottage cheese and tuna lettuce
d) Three egg omelette with low-sodium ham - ✔✔ANSWER✔✔>>Rice and black beans
A nurse is providing discharge instructions for a client who has a new prescription for
furosemide.
Which of the following client statements indicates a need for further teaching?
a. "I will take my morning pills with food or milk."
b. "I will weigh myself every day."
c. "I will notify the nurse if I have muscle cramps."
d. "I will limit my intake of fish." - ✔✔ANSWER✔✔>>I will limit my intake of fish
A nurse is providing teaching for a client who has a new prescription for methadone.
Which of the following client statements indicates a need for further teaching?
a) I understand the methadone tends to slow my breathing
b) I understand the methadone may cause me to have difficulty sleeping
c) I will avoid alcohol while I'm taking this medication
d) I'll change positions gradually especially from lying down to standing -
✔✔ANSWER✔✔>>I understand the methadone may cause me to have difficulty
sleeping
A nurse is providing teaching to a client who has esophageal cancer and is scheduled
to start
radiation therapy. Which of the following should the nurse include in the teaching?
a. Remove dye markings after each radiation treatment.
26 of 28
b. Apply a warm compress to the irradiated site.
c. Wear clothing over the area of radiation treatment.
d. Use a washcloth to bathe the treatment area. - ✔✔ANSWER✔✔>>Wear clothing
over the area of radiation treatment
A nurse is receiving report on four clients. Which of the following clients should the
nurse asses first?
A- a client who has illegal conduit and mucus in the pouch
b- Client pleasant arteriovenous additional vibration palpated
c- Client whose chronic kidney disease with cloudy diasylate outflow
D- A client was transurethral resection of the prostate with red tinged urine in the bag -
✔✔ANSWER✔✔>>A client whose chronic kidney disease with cloudy diasylate outflow
,*A nurse is providing preoperative teaching to a client who will use PCA morphine
sulfate
following surgery. Which of the following information should the nurse include?
a. The client should notify the nurse when administering a dose of the medication.
b. The client can administer a dose of medication every 6 to 8 min.
c. The client should be cautious to avoid overmedication (OD).
d. Family members can administer a dose the client. - ✔✔ANSWER✔✔>>A client can
administer a dose of medication every 6 to 8 minutes
175 A nurse receives a change-of-shift report on four clients. Based on the shift report
information,
which of the following clients should the nurse plan to assess
a. A client who had a hip arthroplasty reports pain and erythema in his calf
b. A client who has anorexia and peripheral edema
c. A client who has Addison's disease with a blood glucose level of 75 mg/dL
d. A client who had a barium enema 2 days ago and reports constipation -
✔✔ANSWER✔✔>>A client who had a hip arthroplasty reports pain and erythema in his
calf
A charge nurse is discussing the use of applying ice to a clients injured knee with a
newly licensed nurse. Which of the following should the nurse identify as a benefit (A/)
a) Systemic analgesic effect
b) increase in your metabolism
c) Decreased capillary permeability
d) Vasodilation - ✔✔ANSWER✔✔>>Decreased capillary permeability
A charge nurse is evaluating the time management skills for a new licensed nurse. The
charge nurse should intervene when a newly licensed nurse does which of the
following?
a) Re-Evaluate priorities halfway through the shift
b) Delegate changing sterile dressing for licensed practical nurse
c) Groups activities for the Same client
d) Works on several tasks simultaneously - ✔✔ANSWER✔✔>>Works on several tasks
simutaneously
A charge nurse is providing teaching to a new licensed nurse on how to cleanup
surfaces contaminated with blood. Which of the following agents should the nurse
include in the teaching?
a) Hydrogen peroxide
b) Chlorhexidine
c) Isopropyl alcohol
d) Chlorine bleach - ✔✔ANSWER✔✔>>Chlorine, bleach
, A client at 38 weeks of gestation enters the emergency department. The nurse should
recognize that which of the following indicates that the client is in the latent phase of
labor?
a) The client reports the urge to push
b) The cervix is dilated 2 cm
c) Contractions are 2 to 3 minutes apart
d) The client reports nausea and vomiting - ✔✔ANSWER✔✔>>The cervix is dilated 2
cm
A client is receiving IV moderate sedation with midazolam. The client has a respiratory
rate of 9/min and is not responding to commands. Which of the following is an
appropriate action by the nurse?
a) Placed the client in a prone proposition.
b) Implement Positive pressure ventilation.
c) Perform nasopharyngeal suctioning.
d) administer flumazenil - ✔✔ANSWER✔✔>>Stroke
A client was having suicidal thoughts tells the nurse "it just does not seem worth it
anymore. Why not end my misery?" Which of the following responses for the nurses is
appropriate?
a) Why do you think your life is not worth it anymore?
b) Do you have a plan to end your life?
c) I need to know what you mean my misery
d) You can trust me and tell me what you're thinking - ✔✔ANSWER✔✔>>Do you have
a plan to end your life?
A client who does not speak English arrives at the emergency department accompanied
by a child.
Which of the following actions should the nurse take?
a. Ask the assistive personnel to assist the client in signing consent for treatment
b. Ask the child to interpret for the client.
c. Ascertain what language the client speaks and get an interpreter.
d. Try to find an adult relative to help the client communicate. -
✔✔ANSWER✔✔>>Ascertain what language the client speaks and get an interpreter
A client who is 8 hr postpartum asks the nurse if she will need to receive RH immune
globulin. The client is gravida 2, para 2, and her blood type is AB negative. The
newborns blood type B positive. Which of the following statements is appropriate?
a. You only need to receive Rh immune globulin if you have a positive blood type."
b. You should receive Rh immune globulin within 72 hours of delivery."
c. "Both you and your baby should receive Rh immune globulin at your -week
appointment."
