ATI COMPREHENSIVE
EXIT EXAM
(NGN-Style Questions & Case Scenario)
Actual Qs & Ans to Pass the Exam
This ATI Exit test contains:
180 Qs & Ans
passing score Guarantee
Format Set of Multiple-choice
questions with incorporating Next Generation NCLEX (NGN)
and Case Scenario
Expert-Verified Explanations & Solutions
,───────────────────────────────────────────────────────
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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.
───────────────────────────────────────────────────────
─
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
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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.
───────────────────────────────────────────────────────
─
6) ETHICAL PRINCIPLE: BENEFICENCE
───────────────────────────────────────────────────────
─
Question 6
A nurse is caring for a client whose partner recently died. The nurse offers
compassionate presence by sitting with the client. Which ethical principle is
demonstrated?
A. Fidelity
B. Veracity
C. Autonomy
D. Beneficence
Correct Answer: D. Beneficence
,Expert Rationale:
• Beneficence refers to actions intended to benefit the client or promote their
welfare. Providing comfort in grief respects this principle.
───────────────────────────────────────────────────────
─
7) SUSPECTED CHILD ABUSE REPORTING
───────────────────────────────────────────────────────
─
Question 7
A nurse in the emergency department is caring for a child who reports
sexual abuse by a family member. Which of the following actions should the
nurse take?
A. Use leading statements to gather more information.
B. Ensure multiple nurses are present for the physical exam.
C. Explain to the child what will happen when the abuse is reported.
D. Reassure the child that nobody else will be informed.
Correct Answer: C. Explain to the child what will happen when the abuse is
reported.
Expert Rationale:
• It is important to provide honest, age-appropriate information about the
reporting process.
• Leading statements can taint evidence. Only required personnel should be
present for the exam.
,───────────────────────────────────────────────────────
─
8) TERTIARY PREVENTION AT AN HIV CLINIC
───────────────────────────────────────────────────────
─
Question 8
A newly licensed nurse at an HIV clinic is reviewing responsibilities. Which
proposed intervention is an example of tertiary prevention?
A. Using electronic messaging to remind clients to take medications
B. Educating clients about contraindications to specific immunizations
C. Helping clients understand screening tests covered by insurance
D. Providing information about benefits of exercise
Correct Answer: A. Using electronic messaging to remind clients to take
medications
Expert Rationale:
• Tertiary prevention aims to prevent further complications or deterioration
in established disease. Medication adherence reminders help prevent HIV
disease progression.
───────────────────────────────────────────────────────
─
9) INFORMED CONSENT FOR ECT
───────────────────────────────────────────────────────
─
Question 9
,A client signed consent for electroconvulsive therapy (ECT) but states just
before the procedure she might not want to proceed. Which of the following
responses by the nurse is appropriate?
A. “Most people feel better after this procedure.”
B. “Your doctor wouldn’t have ordered this treatment unless it was
necessary.”
C. “It’s normal to feel nervous before this treatment.”
D. “You don’t have to go through with the treatment.”
Correct Answer: D. “You don’t have to go through with the treatment.”
Expert Rationale:
• A client has the right to refuse or withdraw consent at any point, even
immediately before a procedure.
───────────────────────────────────────────────────────
─
10) BREASTFEEDING EDUCATION (2-WEEK-OLD)
───────────────────────────────────────────────────────
─
Question 10
A nurse is teaching a new parent about breastfeeding a 2-week-old infant.
Which statement by the parent indicates understanding?
A. “After 5–10 minutes, I should remove my baby once my breast is empty.”
B. “Manually expressing breast milk will decrease my milk supply.”
C. “My baby should always start feeding on the same breast first.”
D. “The more my baby nurses, the more milk I will produce.”
, Correct Answer: D. “The more my baby nurses, the more milk I will
produce.”
Expert Rationale:
• Breast milk production is supply and demand. Frequent emptying of the
breast encourages greater production.
───────────────────────────────────────────────────────
─
11) REPOSITIONING A CLIENT WITH STROKE
───────────────────────────────────────────────────────
─
Question 11
A nurse is preparing to reposition a client who experienced a stroke. Which
action should the nurse take?
A. Evaluate the client’s ability to assist in repositioning.
B. Move the client without assistive devices.
C. Raise both side rails prior to repositioning.
D. Rely on the client’s chosen schedule for turning.
Correct Answer: A. Evaluate the client’s ability to assist in repositioning.
Expert Rationale:
• Always assess the client’s level of strength and cognitive status to ensure
safe repositioning and minimize injury to both client and caregiver.
───────────────────────────────────────────────────────
─
12) HOME CARE AFTER RETINAL DETACHMENT REPAIR
EXIT EXAM
(NGN-Style Questions & Case Scenario)
Actual Qs & Ans to Pass the Exam
This ATI Exit test contains:
180 Qs & Ans
passing score Guarantee
Format Set of Multiple-choice
questions with incorporating Next Generation NCLEX (NGN)
and Case Scenario
Expert-Verified Explanations & Solutions
,───────────────────────────────────────────────────────
─
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.
───────────────────────────────────────────────────────
─
6) ETHICAL PRINCIPLE: BENEFICENCE
───────────────────────────────────────────────────────
─
Question 6
A nurse is caring for a client whose partner recently died. The nurse offers
compassionate presence by sitting with the client. Which ethical principle is
demonstrated?
A. Fidelity
B. Veracity
C. Autonomy
D. Beneficence
Correct Answer: D. Beneficence
,Expert Rationale:
• Beneficence refers to actions intended to benefit the client or promote their
welfare. Providing comfort in grief respects this principle.
───────────────────────────────────────────────────────
─
7) SUSPECTED CHILD ABUSE REPORTING
───────────────────────────────────────────────────────
─
Question 7
A nurse in the emergency department is caring for a child who reports
sexual abuse by a family member. Which of the following actions should the
nurse take?
A. Use leading statements to gather more information.
B. Ensure multiple nurses are present for the physical exam.
C. Explain to the child what will happen when the abuse is reported.
D. Reassure the child that nobody else will be informed.
Correct Answer: C. Explain to the child what will happen when the abuse is
reported.
Expert Rationale:
• It is important to provide honest, age-appropriate information about the
reporting process.
• Leading statements can taint evidence. Only required personnel should be
present for the exam.
,───────────────────────────────────────────────────────
─
8) TERTIARY PREVENTION AT AN HIV CLINIC
───────────────────────────────────────────────────────
─
Question 8
A newly licensed nurse at an HIV clinic is reviewing responsibilities. Which
proposed intervention is an example of tertiary prevention?
A. Using electronic messaging to remind clients to take medications
B. Educating clients about contraindications to specific immunizations
C. Helping clients understand screening tests covered by insurance
D. Providing information about benefits of exercise
Correct Answer: A. Using electronic messaging to remind clients to take
medications
Expert Rationale:
• Tertiary prevention aims to prevent further complications or deterioration
in established disease. Medication adherence reminders help prevent HIV
disease progression.
───────────────────────────────────────────────────────
─
9) INFORMED CONSENT FOR ECT
───────────────────────────────────────────────────────
─
Question 9
,A client signed consent for electroconvulsive therapy (ECT) but states just
before the procedure she might not want to proceed. Which of the following
responses by the nurse is appropriate?
A. “Most people feel better after this procedure.”
B. “Your doctor wouldn’t have ordered this treatment unless it was
necessary.”
C. “It’s normal to feel nervous before this treatment.”
D. “You don’t have to go through with the treatment.”
Correct Answer: D. “You don’t have to go through with the treatment.”
Expert Rationale:
• A client has the right to refuse or withdraw consent at any point, even
immediately before a procedure.
───────────────────────────────────────────────────────
─
10) BREASTFEEDING EDUCATION (2-WEEK-OLD)
───────────────────────────────────────────────────────
─
Question 10
A nurse is teaching a new parent about breastfeeding a 2-week-old infant.
Which statement by the parent indicates understanding?
A. “After 5–10 minutes, I should remove my baby once my breast is empty.”
B. “Manually expressing breast milk will decrease my milk supply.”
C. “My baby should always start feeding on the same breast first.”
D. “The more my baby nurses, the more milk I will produce.”
, Correct Answer: D. “The more my baby nurses, the more milk I will
produce.”
Expert Rationale:
• Breast milk production is supply and demand. Frequent emptying of the
breast encourages greater production.
───────────────────────────────────────────────────────
─
11) REPOSITIONING A CLIENT WITH STROKE
───────────────────────────────────────────────────────
─
Question 11
A nurse is preparing to reposition a client who experienced a stroke. Which
action should the nurse take?
A. Evaluate the client’s ability to assist in repositioning.
B. Move the client without assistive devices.
C. Raise both side rails prior to repositioning.
D. Rely on the client’s chosen schedule for turning.
Correct Answer: A. Evaluate the client’s ability to assist in repositioning.
Expert Rationale:
• Always assess the client’s level of strength and cognitive status to ensure
safe repositioning and minimize injury to both client and caregiver.
───────────────────────────────────────────────────────
─
12) HOME CARE AFTER RETINAL DETACHMENT REPAIR
