ATI COMPREHENSIVE EXIT EXAM 2026
WITH NGN,RETAKE 2026,RETAKE
,PREDICTOR UPDATED
1. A nurse is caring for a client with heart failure. Which finding should the nurse report
immediately?
A. Weight gain of 1 lb (0.45 kg) in 24 hr
B. Bilateral ankle edema
C. Crackles throughout both lung fields
D. Fatigue with activity
Correct Answer: C. Crackles throughout both lung fields
Rationale: Diffuse crackles may indicate acute pulmonary edema and impaired oxygenation
requiring immediate intervention.
2. A client receiving heparin therapy develops hematuria. Which medication should the
nurse anticipate administering?
A. Vitamin K
B. Protamine sulfate
C. Naloxone
D. Acetylcysteine
Correct Answer: B. Protamine sulfate
Rationale: Protamine sulfate is the antidote for heparin toxicity.
3. Which laboratory value is most concerning for a client receiving chemotherapy?
A. Hemoglobin 12 g/dL
B. Platelets 180,000/mm³
C. WBC 1,500/mm³
D. Potassium 4.2 mEq/L
Correct Answer: C. WBC 1,500/mm³
Rationale: Severe leukopenia places the client at high risk for infection.
, 4. A nurse is teaching a client about insulin administration. Which statement indicates
understanding?
A. "I will inject insulin into the same site each day."
B. "I should rotate injection sites within the same anatomical area."
C. "I will massage the site after injection."
D. "I should aspirate before injecting insulin."
Correct Answer: B. Rotate injection sites within the same anatomical area.
Rationale: Rotation within the same area promotes consistent absorption while preventing
lipodystrophy.
5. Which client should the emergency department nurse assess first?
A. Client with a fractured wrist
B. Client with abdominal pain rated 8/10
C. Client with chest pain and shortness of breath
D. Client with nausea and vomiting
Correct Answer: C. Client with chest pain and shortness of breath
Rationale: Airway, breathing, and circulation take priority.
6. A postpartum client is experiencing excessive vaginal bleeding. Which action should the
nurse take first?
A. Notify the provider
B. Administer oxytocin
C. Massage the uterine fundus
D. Obtain blood specimens
Correct Answer: C. Massage the uterine fundus
Rationale: Uterine atony is a common cause of postpartum hemorrhage; fundal massage is the
priority initial intervention.
7. Which finding is expected in a client with hyperthyroidism?
WITH NGN,RETAKE 2026,RETAKE
,PREDICTOR UPDATED
1. A nurse is caring for a client with heart failure. Which finding should the nurse report
immediately?
A. Weight gain of 1 lb (0.45 kg) in 24 hr
B. Bilateral ankle edema
C. Crackles throughout both lung fields
D. Fatigue with activity
Correct Answer: C. Crackles throughout both lung fields
Rationale: Diffuse crackles may indicate acute pulmonary edema and impaired oxygenation
requiring immediate intervention.
2. A client receiving heparin therapy develops hematuria. Which medication should the
nurse anticipate administering?
A. Vitamin K
B. Protamine sulfate
C. Naloxone
D. Acetylcysteine
Correct Answer: B. Protamine sulfate
Rationale: Protamine sulfate is the antidote for heparin toxicity.
3. Which laboratory value is most concerning for a client receiving chemotherapy?
A. Hemoglobin 12 g/dL
B. Platelets 180,000/mm³
C. WBC 1,500/mm³
D. Potassium 4.2 mEq/L
Correct Answer: C. WBC 1,500/mm³
Rationale: Severe leukopenia places the client at high risk for infection.
, 4. A nurse is teaching a client about insulin administration. Which statement indicates
understanding?
A. "I will inject insulin into the same site each day."
B. "I should rotate injection sites within the same anatomical area."
C. "I will massage the site after injection."
D. "I should aspirate before injecting insulin."
Correct Answer: B. Rotate injection sites within the same anatomical area.
Rationale: Rotation within the same area promotes consistent absorption while preventing
lipodystrophy.
5. Which client should the emergency department nurse assess first?
A. Client with a fractured wrist
B. Client with abdominal pain rated 8/10
C. Client with chest pain and shortness of breath
D. Client with nausea and vomiting
Correct Answer: C. Client with chest pain and shortness of breath
Rationale: Airway, breathing, and circulation take priority.
6. A postpartum client is experiencing excessive vaginal bleeding. Which action should the
nurse take first?
A. Notify the provider
B. Administer oxytocin
C. Massage the uterine fundus
D. Obtain blood specimens
Correct Answer: C. Massage the uterine fundus
Rationale: Uterine atony is a common cause of postpartum hemorrhage; fundal massage is the
priority initial intervention.
7. Which finding is expected in a client with hyperthyroidism?
