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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QUESTION 1
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Scenario: A nurse is caring for an adolescent who has a new diagnosis of
terminal cancer. While discussing the prognosis with the parents, the
nurse notes specific coping statements.
Which parental statement best demonstrates the defense mechanism of
“rationalization”?
A. “Our child wouldn’t have this terminal diagnosis if the doctor had
diagnosed the cancer sooner.”
B. “Let’s go on that family vacation we’ve planned. We’ll deal with this when
we return.”
C. “Maybe this is better for our child because we don’t want any suffering
through chemotherapy treatments.”
D. “I’m sure the lab results must be wrong; there’s no way it’s really
cancer.”
Correct Answer: C. “Maybe this is better for our child because we don’t
want any suffering through chemotherapy treatments.”
Explanation (Expert Rationale):
• Rationalization involves justifying an unacceptable situation by creating a
more personally tolerable viewpoint or excuse for the outcome.
Incorrect Answer Rationales:
,• A: Blaming the provider’s failure to diagnose earlier is displacement
(redirecting blame or anger to a safer target).
• B: Suggesting a family vacation and dealing with it later is suppression
(consciously putting aside the problem).
• D: Refusing to accept the fact of the diagnosis is denial (rejecting the
reality of the situation).
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QUESTION 2
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Scenario: A nurse is creating a plan of care for a child who has acute
lymphoid leukemia and a severely low absolute neutrophil count (ANC) of
400/mm³ (normal: 2500+8000/mm³).
Which intervention should the nurse include in the plan?
A. Encourage friends and family to visit the child.
B. Withhold administering the varicella vaccine.
C. Collect a daily urine specimen to check for proteinuria.
D. Provide a low-protein diet for the child.
Correct Answer: B. Withhold administering the varicella vaccine.
Explanation (Expert Rationale):
• Children who have severe immunodeficiency must not receive live
vaccines (such as varicella) due to the risk of contracting the disease from
the vaccine.
Incorrect Answer Rationales:
• A: The nurse should actually restrict or limit the child’s contact with
visitors, especially with active infections or exposure to crowds, to reduce
infection risk.
, • C: Hematuria, not proteinuria, is a more common adverse effect of
certain chemotherapeutic agents; daily urine checks for protein are less
relevant than checking for blood.
• D: The child needs a high-calorie, high-protein diet to promote adequate
immune function and healing.
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QUESTION 3
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Scenario: A nurse is caring for a client who has a deep vein thrombosis
(DVT). The nurse is reviewing essential interventions to prevent
complications.
Which of the following actions should the nurse take?
A. Teach the client to massage the affected extremity.
B. Instruct the client to elevate the affected extremity when sitting.
C. Assess pulses proximal to the affected area.
D. Apply a cold compress to the affected extremity.
Correct Answer: B. Instruct the client to elevate the affected extremity
when sitting.
Explanation (Expert Rationale):
• Elevating the affected extremity improves venous return and reduces
swelling. This is important in managing DVT and preventing further
complications.
• Maintaining elevation when in bed or seated aids in reducing edema and
discomfort.
Incorrect Answer Rationales:
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
───────────────────────────────────────────────
─────────
QUESTION 1
───────────────────────────────────────────────
─────────
Scenario: A nurse is caring for an adolescent who has a new diagnosis of
terminal cancer. While discussing the prognosis with the parents, the
nurse notes specific coping statements.
Which parental statement best demonstrates the defense mechanism of
“rationalization”?
A. “Our child wouldn’t have this terminal diagnosis if the doctor had
diagnosed the cancer sooner.”
B. “Let’s go on that family vacation we’ve planned. We’ll deal with this when
we return.”
C. “Maybe this is better for our child because we don’t want any suffering
through chemotherapy treatments.”
D. “I’m sure the lab results must be wrong; there’s no way it’s really
cancer.”
Correct Answer: C. “Maybe this is better for our child because we don’t
want any suffering through chemotherapy treatments.”
Explanation (Expert Rationale):
• Rationalization involves justifying an unacceptable situation by creating a
more personally tolerable viewpoint or excuse for the outcome.
Incorrect Answer Rationales:
,• A: Blaming the provider’s failure to diagnose earlier is displacement
(redirecting blame or anger to a safer target).
• B: Suggesting a family vacation and dealing with it later is suppression
(consciously putting aside the problem).
• D: Refusing to accept the fact of the diagnosis is denial (rejecting the
reality of the situation).
───────────────────────────────────────────────
─────────
QUESTION 2
───────────────────────────────────────────────
─────────
Scenario: A nurse is creating a plan of care for a child who has acute
lymphoid leukemia and a severely low absolute neutrophil count (ANC) of
400/mm³ (normal: 2500+8000/mm³).
Which intervention should the nurse include in the plan?
A. Encourage friends and family to visit the child.
B. Withhold administering the varicella vaccine.
C. Collect a daily urine specimen to check for proteinuria.
D. Provide a low-protein diet for the child.
Correct Answer: B. Withhold administering the varicella vaccine.
Explanation (Expert Rationale):
• Children who have severe immunodeficiency must not receive live
vaccines (such as varicella) due to the risk of contracting the disease from
the vaccine.
Incorrect Answer Rationales:
• A: The nurse should actually restrict or limit the child’s contact with
visitors, especially with active infections or exposure to crowds, to reduce
infection risk.
, • C: Hematuria, not proteinuria, is a more common adverse effect of
certain chemotherapeutic agents; daily urine checks for protein are less
relevant than checking for blood.
• D: The child needs a high-calorie, high-protein diet to promote adequate
immune function and healing.
───────────────────────────────────────────────
─────────
QUESTION 3
───────────────────────────────────────────────
─────────
Scenario: A nurse is caring for a client who has a deep vein thrombosis
(DVT). The nurse is reviewing essential interventions to prevent
complications.
Which of the following actions should the nurse take?
A. Teach the client to massage the affected extremity.
B. Instruct the client to elevate the affected extremity when sitting.
C. Assess pulses proximal to the affected area.
D. Apply a cold compress to the affected extremity.
Correct Answer: B. Instruct the client to elevate the affected extremity
when sitting.
Explanation (Expert Rationale):
• Elevating the affected extremity improves venous return and reduces
swelling. This is important in managing DVT and preventing further
complications.
• Maintaining elevation when in bed or seated aids in reducing edema and
discomfort.
Incorrect Answer Rationales:
