ATI Comprehensive Exit Exam - 443
Full Questions and Answers | 2026
Revised Update | 100% Correct.
QUESTION 1
Scenario: A nurse in an emergency department completes an assessment on an
adolescent client with conduct disorder who threatened suicide to a teacher at school.
Question: Which statement should the nurse include in the assessment?
A. "Tell me about your siblings."
B. "Tell me what kind of music you like."
C. "Tell me how often you drink alcohol."
D. "Tell me about your school schedule."
Correct Answer: C. "Tell me how often you drink alcohol?"
Rationale: Assessing for substance use, including alcohol, is critical in adolescents with
conduct disorder and suicidal ideation, as substance misuse can exacerbate mental
health issues and increase suicide risk. Options A, B, and D provide general psychosocial
information but do not directly address a major risk factor for suicidal behavior .
QUESTION 2
,Scenario: A nurse is caring for a client taking levothyroxine.
Question: Which finding indicates the medication is effective?
A. Weight loss
B. Decreased blood pressure
C. Absence of seizures
D. Decreased inflammation
Correct Answer: A. Weight loss
Rationale: Levothyroxine treats hypothyroidism. Effective treatment normalizes
metabolism, which often leads to weight loss. This medication acts as synthetic T4 and
reverses the effects of hypothyroidism .
QUESTION 3
Scenario: A nurse is receiving report on four clients.
Question: Which client should the nurse assess first?
A. A client with an ileal conduit and mucus in the pouch
B. A client with an arteriovenous fistula and a palpable thrill
C. A client with chronic kidney disease with cloudy dialysate outflow
D. A client with transurethral resection of the prostate with red-tinged urine
Correct Answer: C. A client with chronic kidney disease with cloudy dialysate outflow
Rationale: Cloudy dialysate suggests infection (e.g., peritonitis), a life-threatening
complication of peritoneal dialysis requiring immediate assessment. Mucus in an ileal
conduit and palpable thrill in an AV fistula are expected findings. Red-tinged urine post-
TURP is expected .
,QUESTION 4
Scenario: A nurse is caring for a client who just received the first dose of lisinopril.
Question: Which is an appropriate nursing intervention?
A. Place cardiac monitoring
B. Monitor the client's oxygen saturation level
C. Provide standby assist when the client gets out of bed
D. Encourage foods high in potassium
Correct Answer: C. Provide standby assist when the client gets out of bed
Rationale: Lisinopril, an ACE inhibitor, can cause hypotension, especially after the first
dose, increasing fall risk. Standby assistance ensures safety. Potassium should be
monitored but not necessarily increased .
QUESTION 5
Scenario: A nurse is caring for a client in labor receiving electronic fetal monitoring. The
nurse notes early decelerations.
Question: Which should the nurse expect?
A. Fetal hypoxia
B. Abruptio placentae
C. Postmaturity
D. Head compression
Correct Answer: D. Head compression
, Rationale: Early decelerations are typically benign and caused by head compression
during contractions, reflecting vagal response. They are not indicative of hypoxia or
other complications .
QUESTION 6
Scenario: A nurse is caring for a client with chronic kidney disease.
Question: Which laboratory value indicates a need for hemodialysis?
A. Glomerular filtration rate of 14 mL/minute
B. BUN 16 mg/dL
C. Serum magnesium 1.8 mg/dL
D. Serum phosphorus 4.0 mg/dL
Correct Answer: A. Glomerular filtration rate of 14 mL/minute
Rationale: A GFR of 14 mL/min indicates Stage 5 kidney failure, which typically requires
hemodialysis. The other values are within normal ranges .
QUESTION 7
Scenario: A nurse in a county jail health clinic is leading a group therapy session. A
client incarcerated for theft is addressing the group.
Question: Which statement is an example of reaction formation?
A. "I steal because it's the only way I can keep my mind off my bad marriage."
B. "I can't believe I was accused of something I didn't do."
Full Questions and Answers | 2026
Revised Update | 100% Correct.
QUESTION 1
Scenario: A nurse in an emergency department completes an assessment on an
adolescent client with conduct disorder who threatened suicide to a teacher at school.
Question: Which statement should the nurse include in the assessment?
A. "Tell me about your siblings."
B. "Tell me what kind of music you like."
C. "Tell me how often you drink alcohol."
D. "Tell me about your school schedule."
Correct Answer: C. "Tell me how often you drink alcohol?"
Rationale: Assessing for substance use, including alcohol, is critical in adolescents with
conduct disorder and suicidal ideation, as substance misuse can exacerbate mental
health issues and increase suicide risk. Options A, B, and D provide general psychosocial
information but do not directly address a major risk factor for suicidal behavior .
QUESTION 2
,Scenario: A nurse is caring for a client taking levothyroxine.
Question: Which finding indicates the medication is effective?
A. Weight loss
B. Decreased blood pressure
C. Absence of seizures
D. Decreased inflammation
Correct Answer: A. Weight loss
Rationale: Levothyroxine treats hypothyroidism. Effective treatment normalizes
metabolism, which often leads to weight loss. This medication acts as synthetic T4 and
reverses the effects of hypothyroidism .
QUESTION 3
Scenario: A nurse is receiving report on four clients.
Question: Which client should the nurse assess first?
A. A client with an ileal conduit and mucus in the pouch
B. A client with an arteriovenous fistula and a palpable thrill
C. A client with chronic kidney disease with cloudy dialysate outflow
D. A client with transurethral resection of the prostate with red-tinged urine
Correct Answer: C. A client with chronic kidney disease with cloudy dialysate outflow
Rationale: Cloudy dialysate suggests infection (e.g., peritonitis), a life-threatening
complication of peritoneal dialysis requiring immediate assessment. Mucus in an ileal
conduit and palpable thrill in an AV fistula are expected findings. Red-tinged urine post-
TURP is expected .
,QUESTION 4
Scenario: A nurse is caring for a client who just received the first dose of lisinopril.
Question: Which is an appropriate nursing intervention?
A. Place cardiac monitoring
B. Monitor the client's oxygen saturation level
C. Provide standby assist when the client gets out of bed
D. Encourage foods high in potassium
Correct Answer: C. Provide standby assist when the client gets out of bed
Rationale: Lisinopril, an ACE inhibitor, can cause hypotension, especially after the first
dose, increasing fall risk. Standby assistance ensures safety. Potassium should be
monitored but not necessarily increased .
QUESTION 5
Scenario: A nurse is caring for a client in labor receiving electronic fetal monitoring. The
nurse notes early decelerations.
Question: Which should the nurse expect?
A. Fetal hypoxia
B. Abruptio placentae
C. Postmaturity
D. Head compression
Correct Answer: D. Head compression
, Rationale: Early decelerations are typically benign and caused by head compression
during contractions, reflecting vagal response. They are not indicative of hypoxia or
other complications .
QUESTION 6
Scenario: A nurse is caring for a client with chronic kidney disease.
Question: Which laboratory value indicates a need for hemodialysis?
A. Glomerular filtration rate of 14 mL/minute
B. BUN 16 mg/dL
C. Serum magnesium 1.8 mg/dL
D. Serum phosphorus 4.0 mg/dL
Correct Answer: A. Glomerular filtration rate of 14 mL/minute
Rationale: A GFR of 14 mL/min indicates Stage 5 kidney failure, which typically requires
hemodialysis. The other values are within normal ranges .
QUESTION 7
Scenario: A nurse in a county jail health clinic is leading a group therapy session. A
client incarcerated for theft is addressing the group.
Question: Which statement is an example of reaction formation?
A. "I steal because it's the only way I can keep my mind off my bad marriage."
B. "I can't believe I was accused of something I didn't do."
