ATI Exit Exam RN Comprehensive Predictor
2026/2027 Forms A, B, C | Practice Exams,
Retake Exam & NGN Form | Verified Answers
| Graded A+
Question 1
A nurse is providing discharge teaching to a client who has a new diagnosis of type 2
diabetes mellitus. Which of the following statements by the client indicates an
understanding of the teaching?
A. "I will check my blood glucose level once a week."
B. "I should avoid eating carbohydrates completely."
C. "I will rotate my insulin injection sites to prevent tissue damage."
D. "I can stop taking my medication once my blood glucose is normal."
Answer: C
Rationale: Rotating insulin injection sites prevents lipohypertrophy and ensures
consistent absorption. Blood glucose should be checked daily or more frequently,
carbohydrates should be managed not eliminated, and medications should not be
stopped without provider guidance.
Question 2
A nurse is caring for a client who has arteriovenous fistula. Which of the following
findings should the nurse report?
A. Thrill upon palpation
B. Absence of a bruit
C. Distended blood vessels
D. Swishing sound upon auscultation
Answer: B
Rationale: A patent AV fistula should have a palpable thrill and audible bruit (swishing
sound). Absence of a bruit indicates possible occlusion or stenosis and should be
reported immediately.
pg. 1
,Question 3
A nurse is providing discharge teaching for a client who has an implantable cardioverter
defibrillator. Which of the following statements demonstrates understanding of the
teaching?
A. "I will soak in the tub rather than showering"
B. "I will wear loose clothing around my ICD"
C. "I will stop using my microwave oven at home because of my ICD"
D. "I can hold my cellphone on the same side of my body as the ICD"
Answer: B
Rationale: Clients with ICDs should wear loose clothing to prevent irritation over the
device site. Showers are preferred over tub baths, microwave ovens are safe, and
cellphones should be held on the opposite side.
Question 4
A nurse is caring for a client who is at 14 weeks gestation and reports feelings of
ambivalence about being pregnant. Which of the following responses should the nurse
make?
A. "Describe your feelings to me about being pregnant"
B. "You should discuss your feelings about being pregnant with your provider"
C. "Have you discussed these feelings with your partner?"
D. "When did you start having these feelings?"
Answer: A
Rationale: Open-ended questions that allow the client to express feelings are
therapeutic. Ambivalence is common in early pregnancy, and exploring these feelings is
appropriate.
Question 5
A nurse is planning care for a client who has a prescription for a bowel-training program
following a spinal cord injury. Which of the following actions should the nurse include
in the plan of care?
A. Encourage a maximum fluid intake of 1,500 ml per day
B. Increase the amount of refined grains in the client's diet
C. Provide the client with a cold drink prior to defecation
D. Administer a rectal suppository 30 minutes prior to scheduled defecation times
Answer: D
pg. 2
,Rationale: A rectal suppository given 30 minutes before scheduled defecation helps
stimulate bowel movement and establish a routine. Fluid intake should be adequate,
and fiber should be encouraged.
Question 6
A nurse is caring for a client who is in active labor and requests pain management.
Which of the following actions should the nurse take?
A. Administer ondansetron
B. Place the client in a warm shower
C. Apply fundal pressure during contractions
D. Assist the client to a supine position
Answer: B
Rationale: Hydrotherapy (warm shower) is a non-pharmacological pain management
technique for labor. Fundal pressure is contraindicated, and supine position can cause
supine hypotensive syndrome.
Question 7
A nurse in an emergency department is performing triage for multiple clients following
a disaster in the community. To which of the following types of injuries should the nurse
assign the highest priority?
A. Below-the-knee amputation
B. Fractured tibia
C. 95% full-thickness body burn
D. 10cm (4in) laceration to the forearm
Answer: A
Rationale: In disaster triage, life-threatening but potentially survivable injuries (such
as amputations with hemorrhage) receive the highest priority. 95% full-thickness burns
are generally not survivable.
Question 8
A nurse manager is updating protocols for the use of belt restraints. Which of the
following guidelines should the nurse include?
A. Remove the client's restraint every 4hr
B. Document the client's condition every 15 min
C. Attach the restraint to the bed's side rails
D. Request a PRN restraint prescription for clients who are aggressive
pg. 3
, Answer: B
Rationale: When restraints are used, the client's condition must be documented every
15 minutes. Restraints should be removed every 2 hours, not attached to side rails, and
PRN orders are not allowed.
Question 9
A nurse is teaching an in-service about nursing leadership. Which of the following
information should the nurse include about an effective leader?
A. Acts as an advocate for the nursing unit
B. (Unable to read) for the unit
C. Prioritizes staff requests over client needs
D. Provides routine client care and documentation
Answer: A
Rationale: An effective leader acts as an advocate for the nursing unit, supporting staff
and promoting a positive work environment while maintaining client-centered care.
Question 10
A nurse is reviewing the laboratory findings of a client who has diabetes mellitus and
reports that she has been following her care. Which of the following findings indicates a
need to revise the client's plan of care?
A. Serum sodium 144 mEq/L
B. (Unable to read)
C. HgbA1c 10%
D. Random serum glucose 190 mg/dL
Answer: C
Rationale: HgbA1c of 10% indicates poor glycemic control (target <7%). This finding
suggests the current plan of care needs revision.
Question 11
A nurse in a provider's office is reviewing the laboratory results of a group of clients. The
nurse should identify that which of the following sexually transmitted infections is a
nationally notifiable infectious disease that should be reported to the state health
department?
A. Chlamydia
B. Human papillomavirus
pg. 4
2026/2027 Forms A, B, C | Practice Exams,
Retake Exam & NGN Form | Verified Answers
| Graded A+
Question 1
A nurse is providing discharge teaching to a client who has a new diagnosis of type 2
diabetes mellitus. Which of the following statements by the client indicates an
understanding of the teaching?
A. "I will check my blood glucose level once a week."
B. "I should avoid eating carbohydrates completely."
C. "I will rotate my insulin injection sites to prevent tissue damage."
D. "I can stop taking my medication once my blood glucose is normal."
Answer: C
Rationale: Rotating insulin injection sites prevents lipohypertrophy and ensures
consistent absorption. Blood glucose should be checked daily or more frequently,
carbohydrates should be managed not eliminated, and medications should not be
stopped without provider guidance.
Question 2
A nurse is caring for a client who has arteriovenous fistula. Which of the following
findings should the nurse report?
A. Thrill upon palpation
B. Absence of a bruit
C. Distended blood vessels
D. Swishing sound upon auscultation
Answer: B
Rationale: A patent AV fistula should have a palpable thrill and audible bruit (swishing
sound). Absence of a bruit indicates possible occlusion or stenosis and should be
reported immediately.
pg. 1
,Question 3
A nurse is providing discharge teaching for a client who has an implantable cardioverter
defibrillator. Which of the following statements demonstrates understanding of the
teaching?
A. "I will soak in the tub rather than showering"
B. "I will wear loose clothing around my ICD"
C. "I will stop using my microwave oven at home because of my ICD"
D. "I can hold my cellphone on the same side of my body as the ICD"
Answer: B
Rationale: Clients with ICDs should wear loose clothing to prevent irritation over the
device site. Showers are preferred over tub baths, microwave ovens are safe, and
cellphones should be held on the opposite side.
Question 4
A nurse is caring for a client who is at 14 weeks gestation and reports feelings of
ambivalence about being pregnant. Which of the following responses should the nurse
make?
A. "Describe your feelings to me about being pregnant"
B. "You should discuss your feelings about being pregnant with your provider"
C. "Have you discussed these feelings with your partner?"
D. "When did you start having these feelings?"
Answer: A
Rationale: Open-ended questions that allow the client to express feelings are
therapeutic. Ambivalence is common in early pregnancy, and exploring these feelings is
appropriate.
Question 5
A nurse is planning care for a client who has a prescription for a bowel-training program
following a spinal cord injury. Which of the following actions should the nurse include
in the plan of care?
A. Encourage a maximum fluid intake of 1,500 ml per day
B. Increase the amount of refined grains in the client's diet
C. Provide the client with a cold drink prior to defecation
D. Administer a rectal suppository 30 minutes prior to scheduled defecation times
Answer: D
pg. 2
,Rationale: A rectal suppository given 30 minutes before scheduled defecation helps
stimulate bowel movement and establish a routine. Fluid intake should be adequate,
and fiber should be encouraged.
Question 6
A nurse is caring for a client who is in active labor and requests pain management.
Which of the following actions should the nurse take?
A. Administer ondansetron
B. Place the client in a warm shower
C. Apply fundal pressure during contractions
D. Assist the client to a supine position
Answer: B
Rationale: Hydrotherapy (warm shower) is a non-pharmacological pain management
technique for labor. Fundal pressure is contraindicated, and supine position can cause
supine hypotensive syndrome.
Question 7
A nurse in an emergency department is performing triage for multiple clients following
a disaster in the community. To which of the following types of injuries should the nurse
assign the highest priority?
A. Below-the-knee amputation
B. Fractured tibia
C. 95% full-thickness body burn
D. 10cm (4in) laceration to the forearm
Answer: A
Rationale: In disaster triage, life-threatening but potentially survivable injuries (such
as amputations with hemorrhage) receive the highest priority. 95% full-thickness burns
are generally not survivable.
Question 8
A nurse manager is updating protocols for the use of belt restraints. Which of the
following guidelines should the nurse include?
A. Remove the client's restraint every 4hr
B. Document the client's condition every 15 min
C. Attach the restraint to the bed's side rails
D. Request a PRN restraint prescription for clients who are aggressive
pg. 3
, Answer: B
Rationale: When restraints are used, the client's condition must be documented every
15 minutes. Restraints should be removed every 2 hours, not attached to side rails, and
PRN orders are not allowed.
Question 9
A nurse is teaching an in-service about nursing leadership. Which of the following
information should the nurse include about an effective leader?
A. Acts as an advocate for the nursing unit
B. (Unable to read) for the unit
C. Prioritizes staff requests over client needs
D. Provides routine client care and documentation
Answer: A
Rationale: An effective leader acts as an advocate for the nursing unit, supporting staff
and promoting a positive work environment while maintaining client-centered care.
Question 10
A nurse is reviewing the laboratory findings of a client who has diabetes mellitus and
reports that she has been following her care. Which of the following findings indicates a
need to revise the client's plan of care?
A. Serum sodium 144 mEq/L
B. (Unable to read)
C. HgbA1c 10%
D. Random serum glucose 190 mg/dL
Answer: C
Rationale: HgbA1c of 10% indicates poor glycemic control (target <7%). This finding
suggests the current plan of care needs revision.
Question 11
A nurse in a provider's office is reviewing the laboratory results of a group of clients. The
nurse should identify that which of the following sexually transmitted infections is a
nationally notifiable infectious disease that should be reported to the state health
department?
A. Chlamydia
B. Human papillomavirus
pg. 4
