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
,──────────────────────────────────────────────────────────────────
──────
1) SCENARIO (Pediatric Home Care – Au sm Spectrum Disorder)
A nurse is providing teaching to the parents of a child diagnosed with au sm
spectrum disorder (ASD). Which of the following instruc ons should the nurse
include?
A. Maintain a flexible daily schedule for the child.
B. Use a reward system to modify the child’s behavior.
C. Provide a variety of family members to care for the child.
D. Administer alprazolam PRN to reduce the child’s anxiety.
Correct Answer: B. Use a reward system to modify the child’s behavior
Expert Ra onale:
• Children with ASD respond well to structured behavioral strategies such as
reward systems that clearly define expecta ons.
• Maintaining as consistent a rou ne as possible is generally more beneficial than
flexibility.
• Most o4en, selec ve serotonin reuptake inhibitors (SSRIs), rather than
benzodiazepines, can be used to help improve mood or reduce anxiety when
indicated.
──────────────────────────────────────────────────────────────────
──────
2) SCENARIO (Sterile Dressing Change)
A nurse is preparing a sterile field to perform a sterile dressing change. Which of
the following interven ons helps maintain surgical asepsis?
A. Hold hands folded below the waist a4er donning sterile gloves.
B. Pick up and pour solu ons with the palm covering the label on the bo8le.
C. Keep sterile items within a 0.5-inch (1.3 cm) border of the sterile drape.
,D. Maintain sterile objects within the line of vision.
Correct Answer: D. Maintain sterile objects within the line of vision
Expert Ra onale:
• Any sterile item that is out of sight is at increased risk for contamina on.
Keeping supplies in your line of vision upholds sterile technique.
• Sterile objects must be kept at or above waist level, and at least 1 inch (2.5 cm)
away from the drape border.
• Covering the label on the solu on bo8le with the palm helps protect the label
from fluid damage but does not itself maintain the sterility of the field.
──────────────────────────────────────────────────────────────────
──────
3) SCENARIO (Pediatric Lab Review – Hemophilia A)
A nurse is reviewing the lab results of a toddler with hemophilia A. Which of the
following aPTT values should the nurse expect? (Normal aPTT: 30–40 seconds)
A. 11 seconds
B. 22 seconds
C. 30 seconds
D. 45 seconds
Correct Answer: D. 45 seconds
Expert Ra onale:
• Hemophilia A is characterized by a prolonged cloDng me, so an aPTT above
the normal range (≥ 45 seconds) is an cipated.
──────────────────────────────────────────────────────────────────
──────
4) SCENARIO (Long-Term Care Management – Staffing Change)
,A nurse manager in a long-term care facility is having difficulty staffing weekend
shi4s and plans to implement changes to the scheduling procedure. Which of the
following ac ons should the nurse manager take first?
A. Form a commi8ee of staff members to inves gate current staffing issues.
B. Provide support to staff members who are resistant to staffing changes.
C. Schedule a staff mee ng to present different scheduling op ons.
D. Give staff members advance wri8en no ce of scheduling changes.
Correct Answer: A. Form a commi8ee of staff members to inves gate current
staffing issues
Expert Ra onale:
• According to the nursing process and change process theory, the first step is to
assess or gather informa on (the “unfreezing” stage).
• Iden fying the scope of the problem helps in genera ng effec ve and
acceptable solu ons.
──────────────────────────────────────────────────────────────────
──────
5) SCENARIO (Adult Inpa ent – Thrombocytopenia)
A nurse is planning care for a pa ent diagnosed with thrombocytopenia. Which of
the following instruc ons should the nurse include in the plan of care?
A. Avoid venipunctures when possible.
B. Restrict visitors to family members only.
C. Limit oral fluid intake between meals.
D. Prohibit fresh flowers in the pa ent’s room.
Correct Answer: A. Avoid venipunctures when possible
Expert Ra onale:
,• Thrombocytopenia (low platelet count) poses a bleeding risk; minimizing
procedures that could induce bleeding (e.g., venipunctures) is key.
• Neutropenic precau ons (e.g., restric ng visitors or prohibi ng live plants) are
more per nent for low WBC counts, not thrombocytopenia.
──────────────────────────────────────────────────────────────────
──────
6) SCENARIO (Emergency Preparedness Planning)
A nurse manager is on a planning commi8ee to develop an emergency
preparedness plan. Which of the following ac ons should occur first when
implemen ng that plan?
A. Contact the triage officer.
B. Implement the pa ent tracking system.
C. Ask the communica ons officer to release a press statement.
D. No fy the incident commander.
Correct Answer: D. No fy the incident commander
Expert Ra onale:
• Under ICS (Incident Command System) protocols, no fying the incident
commander ini ates the command hierarchy and ensures a coordinated response.
──────────────────────────────────────────────────────────────────
──────
7) NGN SCENARIO (Cys c Fibrosis – 8-Year-Old Child)
A nurse is developing the plan of care for an 8-year-old pa ent with cys c fibrosis
(CF) admi8ed with shortness of breath, wheezing, produc ve cough of thick
sputum, and an O2 satura on of 92%. Sputum culture is posi ve for Burkholderia
cepacia. Which of the following interven ons should be included?
A. Ini ate droplet precau ons.
B. Keep the child NPO for 12 hours.
,C. Maintain the child on strict bedrest for 24 hours.
D. Administer high-dose an bio c therapy.
Correct Answer: D. Administer high-dose an bio c therapy
Expert Ra onale:
• Children with CF metabolize an bio cs more rapidly and o4en need higher
doses to manage aggressive pulmonary infec ons.
• Enhanced contact precau ons, rather than droplet, are indicated for B. cepacia.
• Allowing ac vity is beneficial because exercise encourages airway clearance and
can boost self-esteem.
──────────────────────────────────────────────────────────────────
──────
8) SCENARIO (Pediatric Seizure Management – Valproic Acid)
A nurse is caring for a school-age child taking valproic acid. Which of the following
diagnos c tests should the nurse an cipate?
A. Chest X-ray
B. Serum liver enzyme levels
C. Arterial blood gases (ABGs)
D. Urine culture and sensi vity
Correct Answer: B. Serum liver enzyme levels
Expert Ra onale:
• Valproic acid can cause hepatotoxicity; monitoring liver func on before and
during therapy is cri cal.
──────────────────────────────────────────────────────────────────
──────
9) SCENARIO (Health Informa on Privacy – Pa ent Rights)
,A nurse receives a request from a pa ent who wants to review informa on in his
own medical record. Which of the following responses is appropriate?
A. “There is a protocol for reviewing your record; I can start that process.”
B. “It might be too difficult to interpret because of the medical terminology.”
C. “You should speak with your provider if you have any ques ons.”
D. “Some parts of your record are restricted, but I can show you what you’re
allowed to see.”
Correct Answer: A. “There is a protocol for reviewing your record; I can start that
process.”
Expert Ra onale:
• While the facility owns the record, pa ents have the right to access and request
correc ons. HIPAA requires following facility policy to accommodate this right.
──────────────────────────────────────────────────────────────────
──────
10) SCENARIO (Chronic Kidney Disease – Hemodialysis Follow-Up)
A nurse is reviewing lab results for a pa ent who has end-stage renal disease
(ESRD) and received hemodialysis (HD) 24 hours ago. Which of the following lab
values should the nurse report to the provider?
A. Platelets 268,000/mm³
B. Calcium 9.2 mg/dL
C. WBC 5,200/mm³
D. Sodium 148 mEq/L
Correct Answer: D. Sodium 148 mEq/L
Expert Ra onale:
• Pa ents with ESRD can retain sodium, leading to hypernatremia. A sodium of
148 mEq/L is elevated and necessitates interven on or further evalua on.
,──────────────────────────────────────────────────────────────────
──────
11) SCENARIO (Fourth Stage of Labor – Con nuous Oxytocin)
A nurse is caring for a pa ent in the fourth stage of labor who is receiving
con nuous oxytocin IV. Which of the following assessments is the priority?
A. Amount of vaginal bleeding
B. Amount of urinary output
C. Pain level
D. Fundal height
Correct Answer: A. Amount of vaginal bleeding
Expert Ra onale:
• During the fourth stage of labor, hemorrhage is a primary concern. Assessing
bleeding volume immediately addresses maternal safety.
──────────────────────────────────────────────────────────────────
──────
12) SCENARIO (Acute Inpa ent – Mechanical Restraints)
A charge nurse is planning care for a pa ent in mechanical restraints. Which of the
following interven ons should the nurse include?
A. Remove the restraints while the pa ent is sleeping.
B. Document the pa ent’s status every 60 minutes.
C. Check for a new prescrip on every 6 hours.
D. Provide con nuous supervision for the pa ent.
Correct Answer: D. Provide con nuous supervision for the pa ent
Expert Ra onale:
, • A pa ent in mechanical restraints must be observed con nuously (in-person or
audio-visual) to prevent injury.
• Prescrip ons for restraints must be renewed more frequently than every 6
hours, depending on age.
• The nurse should remove restraints only when the pa ent is calm, coopera ve,
and following commands.
──────────────────────────────────────────────────────────────────
──────
13) SCENARIO (Medica on Error – Incident Repor ng)
A nurse administers an incorrect medica on dose to a pa ent, realizes the error
immediately, and completes an incident report. Which fact should the nurse
document in the pa ent’s medical record?
A. Comple on of the incident report
B. Time the incorrect medica on was administered
C. Reason for the medica on error
D. No fica on of the pharmacist
Correct Answer: B. Time the incorrect medica on was administered
Expert Ra onale:
• In the medical record, the nurse documents factual informa on about the
medica on administra on ( me, drug, dose, route), any pa ent response, and
no fica on of appropriate par es.
• The incident report itself is an internal risk-management tool and should not be
men oned in the pa ent’s chart.
──────────────────────────────────────────────────────────────────
──────
14) SCENARIO (Mental Health – Risperidone for Schizophrenia)
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) SCENARIO (Pediatric Home Care – Au sm Spectrum Disorder)
A nurse is providing teaching to the parents of a child diagnosed with au sm
spectrum disorder (ASD). Which of the following instruc ons should the nurse
include?
A. Maintain a flexible daily schedule for the child.
B. Use a reward system to modify the child’s behavior.
C. Provide a variety of family members to care for the child.
D. Administer alprazolam PRN to reduce the child’s anxiety.
Correct Answer: B. Use a reward system to modify the child’s behavior
Expert Ra onale:
• Children with ASD respond well to structured behavioral strategies such as
reward systems that clearly define expecta ons.
• Maintaining as consistent a rou ne as possible is generally more beneficial than
flexibility.
• Most o4en, selec ve serotonin reuptake inhibitors (SSRIs), rather than
benzodiazepines, can be used to help improve mood or reduce anxiety when
indicated.
──────────────────────────────────────────────────────────────────
──────
2) SCENARIO (Sterile Dressing Change)
A nurse is preparing a sterile field to perform a sterile dressing change. Which of
the following interven ons helps maintain surgical asepsis?
A. Hold hands folded below the waist a4er donning sterile gloves.
B. Pick up and pour solu ons with the palm covering the label on the bo8le.
C. Keep sterile items within a 0.5-inch (1.3 cm) border of the sterile drape.
,D. Maintain sterile objects within the line of vision.
Correct Answer: D. Maintain sterile objects within the line of vision
Expert Ra onale:
• Any sterile item that is out of sight is at increased risk for contamina on.
Keeping supplies in your line of vision upholds sterile technique.
• Sterile objects must be kept at or above waist level, and at least 1 inch (2.5 cm)
away from the drape border.
• Covering the label on the solu on bo8le with the palm helps protect the label
from fluid damage but does not itself maintain the sterility of the field.
──────────────────────────────────────────────────────────────────
──────
3) SCENARIO (Pediatric Lab Review – Hemophilia A)
A nurse is reviewing the lab results of a toddler with hemophilia A. Which of the
following aPTT values should the nurse expect? (Normal aPTT: 30–40 seconds)
A. 11 seconds
B. 22 seconds
C. 30 seconds
D. 45 seconds
Correct Answer: D. 45 seconds
Expert Ra onale:
• Hemophilia A is characterized by a prolonged cloDng me, so an aPTT above
the normal range (≥ 45 seconds) is an cipated.
──────────────────────────────────────────────────────────────────
──────
4) SCENARIO (Long-Term Care Management – Staffing Change)
,A nurse manager in a long-term care facility is having difficulty staffing weekend
shi4s and plans to implement changes to the scheduling procedure. Which of the
following ac ons should the nurse manager take first?
A. Form a commi8ee of staff members to inves gate current staffing issues.
B. Provide support to staff members who are resistant to staffing changes.
C. Schedule a staff mee ng to present different scheduling op ons.
D. Give staff members advance wri8en no ce of scheduling changes.
Correct Answer: A. Form a commi8ee of staff members to inves gate current
staffing issues
Expert Ra onale:
• According to the nursing process and change process theory, the first step is to
assess or gather informa on (the “unfreezing” stage).
• Iden fying the scope of the problem helps in genera ng effec ve and
acceptable solu ons.
──────────────────────────────────────────────────────────────────
──────
5) SCENARIO (Adult Inpa ent – Thrombocytopenia)
A nurse is planning care for a pa ent diagnosed with thrombocytopenia. Which of
the following instruc ons should the nurse include in the plan of care?
A. Avoid venipunctures when possible.
B. Restrict visitors to family members only.
C. Limit oral fluid intake between meals.
D. Prohibit fresh flowers in the pa ent’s room.
Correct Answer: A. Avoid venipunctures when possible
Expert Ra onale:
,• Thrombocytopenia (low platelet count) poses a bleeding risk; minimizing
procedures that could induce bleeding (e.g., venipunctures) is key.
• Neutropenic precau ons (e.g., restric ng visitors or prohibi ng live plants) are
more per nent for low WBC counts, not thrombocytopenia.
──────────────────────────────────────────────────────────────────
──────
6) SCENARIO (Emergency Preparedness Planning)
A nurse manager is on a planning commi8ee to develop an emergency
preparedness plan. Which of the following ac ons should occur first when
implemen ng that plan?
A. Contact the triage officer.
B. Implement the pa ent tracking system.
C. Ask the communica ons officer to release a press statement.
D. No fy the incident commander.
Correct Answer: D. No fy the incident commander
Expert Ra onale:
• Under ICS (Incident Command System) protocols, no fying the incident
commander ini ates the command hierarchy and ensures a coordinated response.
──────────────────────────────────────────────────────────────────
──────
7) NGN SCENARIO (Cys c Fibrosis – 8-Year-Old Child)
A nurse is developing the plan of care for an 8-year-old pa ent with cys c fibrosis
(CF) admi8ed with shortness of breath, wheezing, produc ve cough of thick
sputum, and an O2 satura on of 92%. Sputum culture is posi ve for Burkholderia
cepacia. Which of the following interven ons should be included?
A. Ini ate droplet precau ons.
B. Keep the child NPO for 12 hours.
,C. Maintain the child on strict bedrest for 24 hours.
D. Administer high-dose an bio c therapy.
Correct Answer: D. Administer high-dose an bio c therapy
Expert Ra onale:
• Children with CF metabolize an bio cs more rapidly and o4en need higher
doses to manage aggressive pulmonary infec ons.
• Enhanced contact precau ons, rather than droplet, are indicated for B. cepacia.
• Allowing ac vity is beneficial because exercise encourages airway clearance and
can boost self-esteem.
──────────────────────────────────────────────────────────────────
──────
8) SCENARIO (Pediatric Seizure Management – Valproic Acid)
A nurse is caring for a school-age child taking valproic acid. Which of the following
diagnos c tests should the nurse an cipate?
A. Chest X-ray
B. Serum liver enzyme levels
C. Arterial blood gases (ABGs)
D. Urine culture and sensi vity
Correct Answer: B. Serum liver enzyme levels
Expert Ra onale:
• Valproic acid can cause hepatotoxicity; monitoring liver func on before and
during therapy is cri cal.
──────────────────────────────────────────────────────────────────
──────
9) SCENARIO (Health Informa on Privacy – Pa ent Rights)
,A nurse receives a request from a pa ent who wants to review informa on in his
own medical record. Which of the following responses is appropriate?
A. “There is a protocol for reviewing your record; I can start that process.”
B. “It might be too difficult to interpret because of the medical terminology.”
C. “You should speak with your provider if you have any ques ons.”
D. “Some parts of your record are restricted, but I can show you what you’re
allowed to see.”
Correct Answer: A. “There is a protocol for reviewing your record; I can start that
process.”
Expert Ra onale:
• While the facility owns the record, pa ents have the right to access and request
correc ons. HIPAA requires following facility policy to accommodate this right.
──────────────────────────────────────────────────────────────────
──────
10) SCENARIO (Chronic Kidney Disease – Hemodialysis Follow-Up)
A nurse is reviewing lab results for a pa ent who has end-stage renal disease
(ESRD) and received hemodialysis (HD) 24 hours ago. Which of the following lab
values should the nurse report to the provider?
A. Platelets 268,000/mm³
B. Calcium 9.2 mg/dL
C. WBC 5,200/mm³
D. Sodium 148 mEq/L
Correct Answer: D. Sodium 148 mEq/L
Expert Ra onale:
• Pa ents with ESRD can retain sodium, leading to hypernatremia. A sodium of
148 mEq/L is elevated and necessitates interven on or further evalua on.
,──────────────────────────────────────────────────────────────────
──────
11) SCENARIO (Fourth Stage of Labor – Con nuous Oxytocin)
A nurse is caring for a pa ent in the fourth stage of labor who is receiving
con nuous oxytocin IV. Which of the following assessments is the priority?
A. Amount of vaginal bleeding
B. Amount of urinary output
C. Pain level
D. Fundal height
Correct Answer: A. Amount of vaginal bleeding
Expert Ra onale:
• During the fourth stage of labor, hemorrhage is a primary concern. Assessing
bleeding volume immediately addresses maternal safety.
──────────────────────────────────────────────────────────────────
──────
12) SCENARIO (Acute Inpa ent – Mechanical Restraints)
A charge nurse is planning care for a pa ent in mechanical restraints. Which of the
following interven ons should the nurse include?
A. Remove the restraints while the pa ent is sleeping.
B. Document the pa ent’s status every 60 minutes.
C. Check for a new prescrip on every 6 hours.
D. Provide con nuous supervision for the pa ent.
Correct Answer: D. Provide con nuous supervision for the pa ent
Expert Ra onale:
, • A pa ent in mechanical restraints must be observed con nuously (in-person or
audio-visual) to prevent injury.
• Prescrip ons for restraints must be renewed more frequently than every 6
hours, depending on age.
• The nurse should remove restraints only when the pa ent is calm, coopera ve,
and following commands.
──────────────────────────────────────────────────────────────────
──────
13) SCENARIO (Medica on Error – Incident Repor ng)
A nurse administers an incorrect medica on dose to a pa ent, realizes the error
immediately, and completes an incident report. Which fact should the nurse
document in the pa ent’s medical record?
A. Comple on of the incident report
B. Time the incorrect medica on was administered
C. Reason for the medica on error
D. No fica on of the pharmacist
Correct Answer: B. Time the incorrect medica on was administered
Expert Ra onale:
• In the medical record, the nurse documents factual informa on about the
medica on administra on ( me, drug, dose, route), any pa ent response, and
no fica on of appropriate par es.
• The incident report itself is an internal risk-management tool and should not be
men oned in the pa ent’s chart.
──────────────────────────────────────────────────────────────────
──────
14) SCENARIO (Mental Health – Risperidone for Schizophrenia)
