RN ATI Comprehensive Exit Exam (Version 1 )
Actual exam With Questions And Revised
Correct Answers & Rationales ()
100% Guaranteed Pass
Item ID: V1-001
Item Type: Traditional MCQ
Scenario: A 68-year-old woman with heart failure (EF 30%) is admitted with 3+ pitting
edema and dyspnea. Current meds: furosemide 40 mg PO daily, lisinopril 10 mg PO
daily. VS: BP 98/62, HR 104, RR 24, O₂ sat 92% on 2 L NC. Labs: Na 132 mEq/L, K 3.1
mEq/L, creatinine 1.4 mg/dL (baseline 1.0), BNP 850 pg/mL.
Question: Which action is most important for the nurse to implement?
1. Increase furosemide to 80 mg IV push now
2. Administer KCl 20 mEq PO now
3. Obtain 12-lead ECG stat
Restrict fluids to 1 L/day
Rationale (Revised & Verified):
The correct answer is 2. Administer KCl 20 mEq PO now.
4. Hypokalemia (K 3.1 mEq/L) increases the risk of digoxin toxicity and ventricular
dysrhythmias in patients on loop diuretics; 2026 KDIGO guidelines recommend
, repletion when K < 3.5 mEq/L. Option 1 is unsafe because the patient is already
hypotensive (SBP < 100 mmHg) and increasing diuresis could precipitate
prerenal injury. Option 3 is unnecessary because the client has no chest pain or
acute coronary syndrome indicators. Option 4 is premature—fluid restriction is
considered only after diuresis and electrolyte status are optimized.
Item ID: V1-002
Item Type: NGN – Bowtie
Scenario: A 54-year-old man with cirrhosis is admitted with hematemesis. VS: BP 82/48,
HR 128, RR 26. Hgb 6.8 g/dL, INR 2.1. Two 18-gauge IVs are in place.
Question: Complete the bowtie by dragging the priority action (left), the expected finding
(center), and the parameter to monitor (right).
Components:
Left (Priority Action): 1. Administer octreotide 50 mcg IV bolus
Center (Expected Finding): 2. BP increases to 100/60 mmHg
Right (Parameter to Monitor): 3. Urine output hourly
Correct Options: 1 → 2 → 3
Rationale (Revised & Verified):
The correct sequence is 1 → 2 → 3. Octreotide causes splanchnic vasoconstriction,
reducing variceal bleeding and improving BP (2026 AASLD guidelines). Monitoring urine
output hourly is the best non-invasive indicator of end-organ perfusion during
resuscitation. Incorrect pairings (e.g., administering lactulose or monitoring ammonia)
do not address acute hypovolemic shock.
Actual exam With Questions And Revised
Correct Answers & Rationales ()
100% Guaranteed Pass
Item ID: V1-001
Item Type: Traditional MCQ
Scenario: A 68-year-old woman with heart failure (EF 30%) is admitted with 3+ pitting
edema and dyspnea. Current meds: furosemide 40 mg PO daily, lisinopril 10 mg PO
daily. VS: BP 98/62, HR 104, RR 24, O₂ sat 92% on 2 L NC. Labs: Na 132 mEq/L, K 3.1
mEq/L, creatinine 1.4 mg/dL (baseline 1.0), BNP 850 pg/mL.
Question: Which action is most important for the nurse to implement?
1. Increase furosemide to 80 mg IV push now
2. Administer KCl 20 mEq PO now
3. Obtain 12-lead ECG stat
Restrict fluids to 1 L/day
Rationale (Revised & Verified):
The correct answer is 2. Administer KCl 20 mEq PO now.
4. Hypokalemia (K 3.1 mEq/L) increases the risk of digoxin toxicity and ventricular
dysrhythmias in patients on loop diuretics; 2026 KDIGO guidelines recommend
, repletion when K < 3.5 mEq/L. Option 1 is unsafe because the patient is already
hypotensive (SBP < 100 mmHg) and increasing diuresis could precipitate
prerenal injury. Option 3 is unnecessary because the client has no chest pain or
acute coronary syndrome indicators. Option 4 is premature—fluid restriction is
considered only after diuresis and electrolyte status are optimized.
Item ID: V1-002
Item Type: NGN – Bowtie
Scenario: A 54-year-old man with cirrhosis is admitted with hematemesis. VS: BP 82/48,
HR 128, RR 26. Hgb 6.8 g/dL, INR 2.1. Two 18-gauge IVs are in place.
Question: Complete the bowtie by dragging the priority action (left), the expected finding
(center), and the parameter to monitor (right).
Components:
Left (Priority Action): 1. Administer octreotide 50 mcg IV bolus
Center (Expected Finding): 2. BP increases to 100/60 mmHg
Right (Parameter to Monitor): 3. Urine output hourly
Correct Options: 1 → 2 → 3
Rationale (Revised & Verified):
The correct sequence is 1 → 2 → 3. Octreotide causes splanchnic vasoconstriction,
reducing variceal bleeding and improving BP (2026 AASLD guidelines). Monitoring urine
output hourly is the best non-invasive indicator of end-organ perfusion during
resuscitation. Incorrect pairings (e.g., administering lactulose or monitoring ammonia)
do not address acute hypovolemic shock.
