ATI COMPREHENSIVE EXIT EXAM
RETAKE 2023 180 VERIFIED QUESTIONS
AND ANSWERS WITH WELL-EXPLAINED
RATIONALES
INSTRUCTIONS
● This comprehensive test bank contains 180 questions for the
ATI Comprehensive Exit Exam Retake 2023
● Questions are formatted as multiple choice and
select-all-that-apply
● Each question includes the correct answer and a detailed
rationale
● Topics include: fundamentals, pharmacology, medical-surgical
nursing, pediatrics, maternal newborn, psychiatric nursing,
leadership, delegation, priority-setting, and community health
SECTION 1: FUNDAMENTALS OF NURSING
Question 1
A nurse is assessing a client who is postoperative and has a history of
opioid use. Which of the following findings should indicate to the
nurse that the client is experiencing withdrawal?
,A) Bradycardia
B) Hyperthermia
C) Hypotension
D) Somnolence
Answer: B) Hyperthermia
Rationale: Opioid withdrawal manifests with fever, tachycardia,
hypertension, diaphoresis, and agitation. Bradycardia and hypotension
are not signs of withdrawal.
Question 2
A nurse is caring for a client who has a new diagnosis of diabetes
mellitus. The client reports being unable to afford the prescribed
insulin. Which of the following actions should the nurse take?
A) Refer the client to a social worker
B) Suggest the client use less insulin
C) Provide the client with samples of insulin
D) Contact the provider to request a different medication
Answer: A) Refer the client to a social worker
Rationale: A social worker can assist with financial resources and
programs. Providing samples may not be sustainable. The provider
should be informed but referral is the priority.
Question 3
,A nurse is caring for a client who has terminal cancer and is receiving
palliative care. The client's family asks the nurse about the purpose of
palliative care. Which of the following responses should the nurse
provide?
A) Palliative care focuses on relieving pain and improving quality of
life
B) Palliative care is provided only to clients who are imminently dying
C) Palliative care is curative treatment for the client's illness
D) Palliative care requires the client to be in a hospice setting
Answer: A) Palliative care focuses on relieving pain and improving
quality of life
Rationale: Palliative care focuses on symptom management and
quality of life across the illness trajectory, not just at end of life. It can
be provided alongside curative treatments.
Question 4
A nurse is preparing to administer a blood transfusion to a client.
Which of the following actions is most important to prevent a
transfusion reaction?
A) Verify the client's identity using two identifiers
B) Check the client's vital signs before the transfusion
C) Obtain a signed consent for the transfusion
D) Prime the IV tubing with normal saline
Answer: A) Verify the client's identity using two identifiers
, Rationale: The most important action to prevent a transfusion reaction
is verifying the client's identity using two identifiers and ensuring the
blood product matches the client's identification.
Question 5
A nurse is caring for a client who has a new prescription for a
low-sodium diet. Which of the following foods should the nurse
remove from the client's meal tray?
A) Canned soup
B) Fresh fruit
C) Rice
D) Pasta
Answer: A) Canned soup
Rationale: Canned soups are high in sodium. Fresh fruit, rice, and
pasta are naturally low in sodium.
Question 6
A nurse is providing teaching to a client who has hypertension about
dietary modifications. Which of the following statements by the client
indicates understanding?
A) "I should limit my sodium intake to 4 grams per day"
B) "I should eat more processed foods"
C) "I should increase my potassium intake"
D) "I should avoid all fats"
RETAKE 2023 180 VERIFIED QUESTIONS
AND ANSWERS WITH WELL-EXPLAINED
RATIONALES
INSTRUCTIONS
● This comprehensive test bank contains 180 questions for the
ATI Comprehensive Exit Exam Retake 2023
● Questions are formatted as multiple choice and
select-all-that-apply
● Each question includes the correct answer and a detailed
rationale
● Topics include: fundamentals, pharmacology, medical-surgical
nursing, pediatrics, maternal newborn, psychiatric nursing,
leadership, delegation, priority-setting, and community health
SECTION 1: FUNDAMENTALS OF NURSING
Question 1
A nurse is assessing a client who is postoperative and has a history of
opioid use. Which of the following findings should indicate to the
nurse that the client is experiencing withdrawal?
,A) Bradycardia
B) Hyperthermia
C) Hypotension
D) Somnolence
Answer: B) Hyperthermia
Rationale: Opioid withdrawal manifests with fever, tachycardia,
hypertension, diaphoresis, and agitation. Bradycardia and hypotension
are not signs of withdrawal.
Question 2
A nurse is caring for a client who has a new diagnosis of diabetes
mellitus. The client reports being unable to afford the prescribed
insulin. Which of the following actions should the nurse take?
A) Refer the client to a social worker
B) Suggest the client use less insulin
C) Provide the client with samples of insulin
D) Contact the provider to request a different medication
Answer: A) Refer the client to a social worker
Rationale: A social worker can assist with financial resources and
programs. Providing samples may not be sustainable. The provider
should be informed but referral is the priority.
Question 3
,A nurse is caring for a client who has terminal cancer and is receiving
palliative care. The client's family asks the nurse about the purpose of
palliative care. Which of the following responses should the nurse
provide?
A) Palliative care focuses on relieving pain and improving quality of
life
B) Palliative care is provided only to clients who are imminently dying
C) Palliative care is curative treatment for the client's illness
D) Palliative care requires the client to be in a hospice setting
Answer: A) Palliative care focuses on relieving pain and improving
quality of life
Rationale: Palliative care focuses on symptom management and
quality of life across the illness trajectory, not just at end of life. It can
be provided alongside curative treatments.
Question 4
A nurse is preparing to administer a blood transfusion to a client.
Which of the following actions is most important to prevent a
transfusion reaction?
A) Verify the client's identity using two identifiers
B) Check the client's vital signs before the transfusion
C) Obtain a signed consent for the transfusion
D) Prime the IV tubing with normal saline
Answer: A) Verify the client's identity using two identifiers
, Rationale: The most important action to prevent a transfusion reaction
is verifying the client's identity using two identifiers and ensuring the
blood product matches the client's identification.
Question 5
A nurse is caring for a client who has a new prescription for a
low-sodium diet. Which of the following foods should the nurse
remove from the client's meal tray?
A) Canned soup
B) Fresh fruit
C) Rice
D) Pasta
Answer: A) Canned soup
Rationale: Canned soups are high in sodium. Fresh fruit, rice, and
pasta are naturally low in sodium.
Question 6
A nurse is providing teaching to a client who has hypertension about
dietary modifications. Which of the following statements by the client
indicates understanding?
A) "I should limit my sodium intake to 4 grams per day"
B) "I should eat more processed foods"
C) "I should increase my potassium intake"
D) "I should avoid all fats"
