ATI Comprehensive Exit Exam – Questions & Answers |
Latest Update 2026 | 100% Pass Guarantee | Exam Prep
1. A nurse has made a mistake in administering a medication to a patient. The
patient experiences an adverse reaction as a result. Which ethical principle is
most relevant in this scenario?
Advocacy
Responsibility
Confidentiality
Accountability
2. Nurse is caring for a client who has congestive heart failure. Which of the
following prescriptions from the provider should the nurse anticipate?
Give the client 500 mL IV bolus 0.9% NaCl over 1 hr
Call the provider if the client's pulse is less than 80/min
Call the provider for RR 18/min
Give the client enalapril 2.5 mg PO twice daily
3. The nurse assesses assigned clients after receiving handoff communication.
For which assessment finding for a client with GERD should the nurse provide
immediate intervention?
A client who vomits gastric acid after an evening snack
A client who complains of increasing heartburn while laying down
A client who complains of chest pain
A client who complains of a sore throat
,4. What is the first action a nurse should take when caring for a newborn
immediately after birth?
Check the Apgar score
Weigh the newborn
Dry the newborn
Administer vitamin K
5. The nurse who administered a medication to a patient realizes the wrong
dosage was given. Which action by the nurse demonstrates integrity?
Monitoring the patient for adverse effects
Dismissing the error if no adverse effects occur
Reporting the medication error
Administering the correct medication
6. What is the primary nursing action when caring for a newborn under
phototherapy?
Change the newborn's diaper frequently
Ensure eyeshield is covering the eyes
Administer vitamin K
Monitor the newborn's temperature
7. In a mental health facility, which client should be prioritized for assessment
based on aggressive behavior?
Client exhibiting mild anxiety
Client recovering from a recent depressive episode
, Client preparing for discharge
Client placed in restraints due to aggressive behavior
8. A client with heart failure has distended neck veins, dependent edema, and
respiratory crackles on assessment. Which prescription should the nurse
anticipate being prescribed for this client?
Continuous EKG monitoring
Intravenous Lasix 20 mg now
Infuse 1000 mL of normal saline
Chest x-ray
9. If a nurse observes that weights are improperly placed at the child's bed in
skeletal traction, what is the most appropriate first action to take?
Reassess the child's pain level.
Document the observation in the patient's chart.
Correct the placement of the weights according to the protocol.
Notify the physician immediately.
10. Describe how the application of ice can affect the healing process of an
injured knee.
Ice only provides temporary relief without any long-term benefits.
Ice has no effect on the healing process of an injured knee.
Ice increases blood flow to the area, speeding up recovery.
Ice application reduces swelling and numbs the area, which can
alleviate pain and promote healing.
, 11. If a client at 38 weeks of gestation presents with a cervical dilation of 2 cm,
what nursing interventions should be prioritized during the latent phase of
labor?
Monitoring the client's contractions and providing comfort
measures.
Conducting a cesarean section.
Preparing the client for immediate delivery.
Administering pain medication.
12. What medication is indicated as the highest priority for a client with severe
pain due to end stage osteoporosis?
Acetaminophen
Ibuprofen
Morphine
Hydromorphone
13. Why is it critical for the nurse to assess a client who is experiencing coffee
ground emesis?
Coffee ground emesis is usually associated with dehydration.
Coffee ground emesis is a common symptom that does not require
urgent care.
Coffee ground emesis indicates a need for increased fluid intake.
Coffee ground emesis may indicate gastrointestinal bleeding,
which requires immediate attention.
14. A nurse on a medical-surgical unit has received change-of-shift report and
has been assigned to care for four clients. Which of the following client's
Latest Update 2026 | 100% Pass Guarantee | Exam Prep
1. A nurse has made a mistake in administering a medication to a patient. The
patient experiences an adverse reaction as a result. Which ethical principle is
most relevant in this scenario?
Advocacy
Responsibility
Confidentiality
Accountability
2. Nurse is caring for a client who has congestive heart failure. Which of the
following prescriptions from the provider should the nurse anticipate?
Give the client 500 mL IV bolus 0.9% NaCl over 1 hr
Call the provider if the client's pulse is less than 80/min
Call the provider for RR 18/min
Give the client enalapril 2.5 mg PO twice daily
3. The nurse assesses assigned clients after receiving handoff communication.
For which assessment finding for a client with GERD should the nurse provide
immediate intervention?
A client who vomits gastric acid after an evening snack
A client who complains of increasing heartburn while laying down
A client who complains of chest pain
A client who complains of a sore throat
,4. What is the first action a nurse should take when caring for a newborn
immediately after birth?
Check the Apgar score
Weigh the newborn
Dry the newborn
Administer vitamin K
5. The nurse who administered a medication to a patient realizes the wrong
dosage was given. Which action by the nurse demonstrates integrity?
Monitoring the patient for adverse effects
Dismissing the error if no adverse effects occur
Reporting the medication error
Administering the correct medication
6. What is the primary nursing action when caring for a newborn under
phototherapy?
Change the newborn's diaper frequently
Ensure eyeshield is covering the eyes
Administer vitamin K
Monitor the newborn's temperature
7. In a mental health facility, which client should be prioritized for assessment
based on aggressive behavior?
Client exhibiting mild anxiety
Client recovering from a recent depressive episode
, Client preparing for discharge
Client placed in restraints due to aggressive behavior
8. A client with heart failure has distended neck veins, dependent edema, and
respiratory crackles on assessment. Which prescription should the nurse
anticipate being prescribed for this client?
Continuous EKG monitoring
Intravenous Lasix 20 mg now
Infuse 1000 mL of normal saline
Chest x-ray
9. If a nurse observes that weights are improperly placed at the child's bed in
skeletal traction, what is the most appropriate first action to take?
Reassess the child's pain level.
Document the observation in the patient's chart.
Correct the placement of the weights according to the protocol.
Notify the physician immediately.
10. Describe how the application of ice can affect the healing process of an
injured knee.
Ice only provides temporary relief without any long-term benefits.
Ice has no effect on the healing process of an injured knee.
Ice increases blood flow to the area, speeding up recovery.
Ice application reduces swelling and numbs the area, which can
alleviate pain and promote healing.
, 11. If a client at 38 weeks of gestation presents with a cervical dilation of 2 cm,
what nursing interventions should be prioritized during the latent phase of
labor?
Monitoring the client's contractions and providing comfort
measures.
Conducting a cesarean section.
Preparing the client for immediate delivery.
Administering pain medication.
12. What medication is indicated as the highest priority for a client with severe
pain due to end stage osteoporosis?
Acetaminophen
Ibuprofen
Morphine
Hydromorphone
13. Why is it critical for the nurse to assess a client who is experiencing coffee
ground emesis?
Coffee ground emesis is usually associated with dehydration.
Coffee ground emesis is a common symptom that does not require
urgent care.
Coffee ground emesis indicates a need for increased fluid intake.
Coffee ground emesis may indicate gastrointestinal bleeding,
which requires immediate attention.
14. A nurse on a medical-surgical unit has received change-of-shift report and
has been assigned to care for four clients. Which of the following client's
