ATI EXIT EXAM COMPREHESIVE RETAKE WITH NGN ACTUAL
180 QUESTION AND CORRECT DETAILED ANSWERS LATEST
2026-2027.
A nurse is reinforcing teaching with a client who has a new prescription for
digoxin. Which of the following instructions should the nurse include in the
teaching?
A) "Monitor for muscle weakness while taking this medication."
B) "Take your pulse daily and report if it falls below 60 beats per minute."
C) "Take this medication with a high-fat meal to improve absorption."
D) "Discontinue the medication if you experience nausea."
Correct Answer: B
Rationale
Digoxin is a cardiac glycoside with a narrow therapeutic range, and clients should
be instructed to monitor their pulse daily and report a heart rate below 60 beats
per minute (or as prescribed by the provider) to prevent bradycardia and potential
toxicity. Option A is incorrect because muscle weakness is not a specific indicator
of digoxin toxicity; gastrointestinal symptoms such as nausea, vomiting, and
anorexia, along with visual disturbances, are more characteristic. Option C is
incorrect because digoxin absorption is not enhanced by high-fat meals; it should
be taken consistently with or without food. Option D is incorrect because nausea
can be an early sign of digoxin toxicity, and the medication should not be
discontinued without provider consultation; the client should report symptoms for
evaluation.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Cardiac Medication Administration
MSC: Pharmacological and Parenteral Therapies
A charge nurse is discussing confidentiality requirements with a newly licensed
nurse when sharing a client's medical information. Which of the following
,individuals should the charge nurse identify as appropriate with whom to share
client information?
A) A social worker who is assigned to an involuntarily committed school-age client
B) The client's neighbor who frequently visits the client
C) A family member who is not listed as an emergency contact
D) A friend who accompanies the client to appointments
Correct Answer: A
Rationale
A social worker assigned to an involuntarily committed school-age client is a
member of the healthcare team and is authorized to receive client information for
the purpose of coordinating care. This is an appropriate disclosure under HIPAA
regulations. Option B is incorrect because a neighbor who frequently visits is not
part of the healthcare team and does not have a need to know the client's
medical information. Option C is incorrect because a family member not listed as
an emergency contact does not have automatic rights to client information
without the client's consent. Option D is incorrect because a friend who
accompanies the client does not have automatic rights to medical information
without the client's explicit consent.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Confidentiality and HIPAA Compliance
MSC: Safe and Effective Care Environment/Management of Care
A nurse is reviewing laboratory values for a client who is at 34 weeks of gestation.
Which of the following findings should the nurse report to the healthcare
provider?
A) Urine protein 1+
B) Hemoglobin 11.5 g/dL
C) Platelet count 250,000/mm³
D) Serum glucose 95 mg/dL
Correct Answer: A
,Rationale
Urine protein of 1+ at 34 weeks of gestation is an abnormal finding that may
indicate preeclampsia, a serious hypertensive disorder of pregnancy characterized
by proteinuria and hypertension. This finding requires further evaluation and
should be reported to the provider promptly. Option B is incorrect because a
hemoglobin of 11.5 g/dL is within the expected range for pregnancy (normal is
approximately 11-12 g/dL). Option C is incorrect because a platelet count of
250,000/mm³ is within the normal range. Option D is incorrect because a serum
glucose of 95 mg/dL is within the expected range for pregnancy.
DIF: Cognitive Level: Analyze (Analysis)
TOP: Obstetric Laboratory Value Interpretation
MSC: Physiological Integrity/Physiological Adaptation
A nurse is collecting data from a client who is 4 hours postoperative following a
hemicolectomy. Which of the following findings is the nurse's priority, requiring
immediate intervention?
A) Oxygen saturation 89%
B) Temperature 37.8°C (100°F)
C) Heart rate 92 beats per minute
D) Blood pressure 110/70 mmHg
Correct Answer: A
Rationale
An oxygen saturation of 89% indicates hypoxemia, which is a priority finding
requiring immediate intervention. This may indicate postoperative respiratory
complications such as atelectasis, pneumonia, or pulmonary embolism. Option B
is incorrect because a temperature of 37.8°C is a low-grade fever that may be
expected postoperatively but is not the priority. Option C is incorrect because a
heart rate of 92 beats per minute is within normal limits. Option D is incorrect
because a blood pressure of 110/70 mmHg is within normal limits.
DIF: Cognitive Level: Apply (Application)
TOP: Postoperative Assessment and Priority Setting
MSC: Physiological Integrity/Physiological Adaptation
, A nurse in a provider's office is collecting data from a client who has a history of
hypertension during his annual physical examination. Which of the following
findings should the nurse report to the provider immediately?
A) Blurred vision
B) Blood pressure 138/88 mmHg
C) Heart rate 82 beats per minute
D) Mild headache
Correct Answer: A
Rationale
Blurred vision in a client with hypertension is concerning and may indicate
hypertensive retinopathy, accelerated hypertension, or a neurologic emergency
such as stroke. This finding requires immediate provider notification. Option B is
incorrect because a blood pressure of 138/88 mmHg, while elevated, is not an
immediate emergency requiring urgent provider notification. Option C is incorrect
because a heart rate of 82 beats per minute is within normal limits. Option D is
incorrect because a mild headache is a nonspecific symptom that does not require
immediate notification.
DIF: Cognitive Level: Analyze (Analysis)
TOP: Hypertension Complication Assessment
MSC: Physiological Integrity/Physiological Adaptation
A nurse is caring for a client who suddenly develops chest pain and dyspnea.
Which of the following actions should the nurse take first?
A) Elevate the client's head of bed.
B) Administer oxygen at 2 L/min via nasal cannula.
C) Obtain a 12-lead electrocardiogram.
D) Notify the healthcare provider.
Correct Answer: A
180 QUESTION AND CORRECT DETAILED ANSWERS LATEST
2026-2027.
A nurse is reinforcing teaching with a client who has a new prescription for
digoxin. Which of the following instructions should the nurse include in the
teaching?
A) "Monitor for muscle weakness while taking this medication."
B) "Take your pulse daily and report if it falls below 60 beats per minute."
C) "Take this medication with a high-fat meal to improve absorption."
D) "Discontinue the medication if you experience nausea."
Correct Answer: B
Rationale
Digoxin is a cardiac glycoside with a narrow therapeutic range, and clients should
be instructed to monitor their pulse daily and report a heart rate below 60 beats
per minute (or as prescribed by the provider) to prevent bradycardia and potential
toxicity. Option A is incorrect because muscle weakness is not a specific indicator
of digoxin toxicity; gastrointestinal symptoms such as nausea, vomiting, and
anorexia, along with visual disturbances, are more characteristic. Option C is
incorrect because digoxin absorption is not enhanced by high-fat meals; it should
be taken consistently with or without food. Option D is incorrect because nausea
can be an early sign of digoxin toxicity, and the medication should not be
discontinued without provider consultation; the client should report symptoms for
evaluation.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Cardiac Medication Administration
MSC: Pharmacological and Parenteral Therapies
A charge nurse is discussing confidentiality requirements with a newly licensed
nurse when sharing a client's medical information. Which of the following
,individuals should the charge nurse identify as appropriate with whom to share
client information?
A) A social worker who is assigned to an involuntarily committed school-age client
B) The client's neighbor who frequently visits the client
C) A family member who is not listed as an emergency contact
D) A friend who accompanies the client to appointments
Correct Answer: A
Rationale
A social worker assigned to an involuntarily committed school-age client is a
member of the healthcare team and is authorized to receive client information for
the purpose of coordinating care. This is an appropriate disclosure under HIPAA
regulations. Option B is incorrect because a neighbor who frequently visits is not
part of the healthcare team and does not have a need to know the client's
medical information. Option C is incorrect because a family member not listed as
an emergency contact does not have automatic rights to client information
without the client's consent. Option D is incorrect because a friend who
accompanies the client does not have automatic rights to medical information
without the client's explicit consent.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Confidentiality and HIPAA Compliance
MSC: Safe and Effective Care Environment/Management of Care
A nurse is reviewing laboratory values for a client who is at 34 weeks of gestation.
Which of the following findings should the nurse report to the healthcare
provider?
A) Urine protein 1+
B) Hemoglobin 11.5 g/dL
C) Platelet count 250,000/mm³
D) Serum glucose 95 mg/dL
Correct Answer: A
,Rationale
Urine protein of 1+ at 34 weeks of gestation is an abnormal finding that may
indicate preeclampsia, a serious hypertensive disorder of pregnancy characterized
by proteinuria and hypertension. This finding requires further evaluation and
should be reported to the provider promptly. Option B is incorrect because a
hemoglobin of 11.5 g/dL is within the expected range for pregnancy (normal is
approximately 11-12 g/dL). Option C is incorrect because a platelet count of
250,000/mm³ is within the normal range. Option D is incorrect because a serum
glucose of 95 mg/dL is within the expected range for pregnancy.
DIF: Cognitive Level: Analyze (Analysis)
TOP: Obstetric Laboratory Value Interpretation
MSC: Physiological Integrity/Physiological Adaptation
A nurse is collecting data from a client who is 4 hours postoperative following a
hemicolectomy. Which of the following findings is the nurse's priority, requiring
immediate intervention?
A) Oxygen saturation 89%
B) Temperature 37.8°C (100°F)
C) Heart rate 92 beats per minute
D) Blood pressure 110/70 mmHg
Correct Answer: A
Rationale
An oxygen saturation of 89% indicates hypoxemia, which is a priority finding
requiring immediate intervention. This may indicate postoperative respiratory
complications such as atelectasis, pneumonia, or pulmonary embolism. Option B
is incorrect because a temperature of 37.8°C is a low-grade fever that may be
expected postoperatively but is not the priority. Option C is incorrect because a
heart rate of 92 beats per minute is within normal limits. Option D is incorrect
because a blood pressure of 110/70 mmHg is within normal limits.
DIF: Cognitive Level: Apply (Application)
TOP: Postoperative Assessment and Priority Setting
MSC: Physiological Integrity/Physiological Adaptation
, A nurse in a provider's office is collecting data from a client who has a history of
hypertension during his annual physical examination. Which of the following
findings should the nurse report to the provider immediately?
A) Blurred vision
B) Blood pressure 138/88 mmHg
C) Heart rate 82 beats per minute
D) Mild headache
Correct Answer: A
Rationale
Blurred vision in a client with hypertension is concerning and may indicate
hypertensive retinopathy, accelerated hypertension, or a neurologic emergency
such as stroke. This finding requires immediate provider notification. Option B is
incorrect because a blood pressure of 138/88 mmHg, while elevated, is not an
immediate emergency requiring urgent provider notification. Option C is incorrect
because a heart rate of 82 beats per minute is within normal limits. Option D is
incorrect because a mild headache is a nonspecific symptom that does not require
immediate notification.
DIF: Cognitive Level: Analyze (Analysis)
TOP: Hypertension Complication Assessment
MSC: Physiological Integrity/Physiological Adaptation
A nurse is caring for a client who suddenly develops chest pain and dyspnea.
Which of the following actions should the nurse take first?
A) Elevate the client's head of bed.
B) Administer oxygen at 2 L/min via nasal cannula.
C) Obtain a 12-lead electrocardiogram.
D) Notify the healthcare provider.
Correct Answer: A
