RN ATI Comprehensive Exit EXAM STUDY
GUIDE 2026/2027 ACCURATE QUESTIONS
WITH CORRECT DETAILED SOLUTIONS ||
100% GUARANTEED PASS
<NEWEST VERSION>
1. Electromyogram (EMG) - Reduction in number of functioning motor units
of peripheral nerves - ANSWER ✔ Muscle biopsy - Reduction in number
of motor units of peripheral nerves and atrophic muscle fibers
2. ALS - Medication :
Riluzole (Rilutek) is a glutamate antagonist that can slow the deterioration of
motor neurons by
decreasing the release of glutamic acid - ANSWER ✔ Baclofen (Lioresal),
dantrolene sodium (Dantrium), diazepam (Valium)
■
Antispasmodics are used to decrease spasticity.
3. Nursing Considerations: - ANSWER ✔ Monitor liver function tests -
hepatotoxic risk.
Assess for dizziness, vertigo, and somnolence.
4. Complications: ALS:
Pneumonia can be caused by respiratory muscle weakness and paralysis
contributing to ineffective
airway exchange. - ANSWER ✔ Nursing Actions - Assess respiratory
status routinely and administer antimicrobial therapy
as indicated.
5. Complications: ALS:
Respiratory failure may necessitate mechanical ventilation. - ANSWER ✔
Nursing Actions - Assess respiratory status and be prepared to provide
ventilatory support as
, needed per the client's advance directives.
6. Myasthenia gravis (MG) is a progressive autoimmune disease that produces
severe muscular weakness. - ANSWER ✔ It is characterized by periods of
exacerbation and remission. Muscle weakness improves with rest and
worsens with increased activity.
7. Myasthenia gravis (MG) - ANSWER ✔ It is caused by antibodies that
interfere with the transmission of acetylcholine at the
neuromuscular junction
8. Assessment: Myasthenia gravis
Risk factors associated with rheumatoid arthritis, scleroderma, and systemic
lupus erythematosus - ANSWER ✔ Subjective Data:
Progressive muscle weakness;
Diplopia;
Difficulty chewing and swallowing;
Respiratory dysfunction;
Bowel and bladder dysfunction;
Poor posture;
Fatigue after exertion
9. Objective Data:
Physical Assessment Findings;
Impaired respiratory status (difficulty managing secretions, decreased
respiratory effort);
Decreased swallowing ability - ANSWER ✔ Decreased muscle strength,
especially of the face, eyes, and proximal portion of major muscle groups
Incontinence
Drooping eyelids - unilateral or bilateral
Tensilon testing:
Baseline assessment of the cranial muscle strength is done.
10.Edrophonium (Tensilon) is administered - ANSWER ✔ Medication
inhibits the breakdown of acetylcholine, making it available for use at
the neuromuscular junction.
,11.MG - Atropine - ANSWER ✔ Have atropine available, which is the
antidote for edrophonium (bradycardia, sweating,
and abdominal cramps).
12.Therapeutic Procedures
Plasmapheresis removes circulating antibodies from the plasma. - ANSWER
✔ This is usually done several times
over a period of days and may continue on a regular basis for some clients.
13.Monitor for the possible complications of hypovolemia, hypokalemia, and
hypocalcemia. - ANSWER ✔ ■ Client Education - Instruct the client that
the procedure will typically last 2 to 5 hr.
14.Electromyography
Shows the neuromuscular transmission characteristics of MG.
Decrease in amplitude of the muscle is demonstrated over a series of
consecutive
muscle contractions - ANSWER ✔ Surgical Interventions Thymectomy -
removal of the thymus gland is done to attain better control or complete
remission.
May take months to years to see results due to the life of the circulating T
cells.
15.After an amniocentesis, which complication should the nurse monitor for in
a client at 33 weeks gestation? - ANSWER ✔ Contractions.
16.What should a nurse do for a client in active labor with ruptured
membranes? - ANSWER ✔ Apply fetal heart rate monitor.
17.What is the correct sequence of steps for a home health nurse during an
initial visit? - ANSWER ✔ E C A B D (Clarify referral, Contact family,
Identify needs, Record visit, Discuss future visits).
18.What indicates that a 5-month-old infant needs IV fluid therapy? -
ANSWER ✔ Not producing any tears.
, 19.What condition places a client at risk for aspiration during intermittent tube
feeding? - ANSWER ✔ History of gastroesophageal reflux disease.
20.What instruction should a nurse give to a client with chronic kidney disease
receiving hemodialysis? - ANSWER ✔ Eat 1g/kg of protein per day.
21.What does a PR interval of 0.24 seconds indicate in a client on telemetry? -
ANSWER ✔ First degree AV block.
22.What should a nurse do after observing a client cough after each bite during
feeding? - ANSWER ✔ Ask a speech therapist to evaluate the client's
ability to swallow.
23.What action should a nurse include in the care plan for a client with
schizophrenia experiencing auditory hallucinations? - ANSWER ✔ Ask
the client directly what he is hearing.
24.Which statement indicates a client understands genetic disease teaching? -
ANSWER ✔ My family has genetic risk for breast cancer, so I am
considering a total mastectomy.
25.What instruction should a nurse provide regarding cord care for a newborn?
- ANSWER ✔ Keep the cord stump dry until it falls off.
26.What indicates understanding of glucocorticoid therapy teaching? -
ANSWER ✔ I take a calcium vitamin supplement daily.
27.What indicates a newly licensed nurse understands ergonomic principles? -
ANSWER ✔ Uses a mechanical lift to move client from bed to chair.
28.What does a nitrazine test determine? - ANSWER ✔ If there is leaking
amniotic fluid.
29.What complication might indicate a client receiving IV fluid therapy for
hyponatremia is developing issues? - ANSWER ✔ Peripheral edema
30.What should a nurse do first when observing welts on a child's legs during a
home visit? - ANSWER ✔ Document clinical findings.
GUIDE 2026/2027 ACCURATE QUESTIONS
WITH CORRECT DETAILED SOLUTIONS ||
100% GUARANTEED PASS
<NEWEST VERSION>
1. Electromyogram (EMG) - Reduction in number of functioning motor units
of peripheral nerves - ANSWER ✔ Muscle biopsy - Reduction in number
of motor units of peripheral nerves and atrophic muscle fibers
2. ALS - Medication :
Riluzole (Rilutek) is a glutamate antagonist that can slow the deterioration of
motor neurons by
decreasing the release of glutamic acid - ANSWER ✔ Baclofen (Lioresal),
dantrolene sodium (Dantrium), diazepam (Valium)
■
Antispasmodics are used to decrease spasticity.
3. Nursing Considerations: - ANSWER ✔ Monitor liver function tests -
hepatotoxic risk.
Assess for dizziness, vertigo, and somnolence.
4. Complications: ALS:
Pneumonia can be caused by respiratory muscle weakness and paralysis
contributing to ineffective
airway exchange. - ANSWER ✔ Nursing Actions - Assess respiratory
status routinely and administer antimicrobial therapy
as indicated.
5. Complications: ALS:
Respiratory failure may necessitate mechanical ventilation. - ANSWER ✔
Nursing Actions - Assess respiratory status and be prepared to provide
ventilatory support as
, needed per the client's advance directives.
6. Myasthenia gravis (MG) is a progressive autoimmune disease that produces
severe muscular weakness. - ANSWER ✔ It is characterized by periods of
exacerbation and remission. Muscle weakness improves with rest and
worsens with increased activity.
7. Myasthenia gravis (MG) - ANSWER ✔ It is caused by antibodies that
interfere with the transmission of acetylcholine at the
neuromuscular junction
8. Assessment: Myasthenia gravis
Risk factors associated with rheumatoid arthritis, scleroderma, and systemic
lupus erythematosus - ANSWER ✔ Subjective Data:
Progressive muscle weakness;
Diplopia;
Difficulty chewing and swallowing;
Respiratory dysfunction;
Bowel and bladder dysfunction;
Poor posture;
Fatigue after exertion
9. Objective Data:
Physical Assessment Findings;
Impaired respiratory status (difficulty managing secretions, decreased
respiratory effort);
Decreased swallowing ability - ANSWER ✔ Decreased muscle strength,
especially of the face, eyes, and proximal portion of major muscle groups
Incontinence
Drooping eyelids - unilateral or bilateral
Tensilon testing:
Baseline assessment of the cranial muscle strength is done.
10.Edrophonium (Tensilon) is administered - ANSWER ✔ Medication
inhibits the breakdown of acetylcholine, making it available for use at
the neuromuscular junction.
,11.MG - Atropine - ANSWER ✔ Have atropine available, which is the
antidote for edrophonium (bradycardia, sweating,
and abdominal cramps).
12.Therapeutic Procedures
Plasmapheresis removes circulating antibodies from the plasma. - ANSWER
✔ This is usually done several times
over a period of days and may continue on a regular basis for some clients.
13.Monitor for the possible complications of hypovolemia, hypokalemia, and
hypocalcemia. - ANSWER ✔ ■ Client Education - Instruct the client that
the procedure will typically last 2 to 5 hr.
14.Electromyography
Shows the neuromuscular transmission characteristics of MG.
Decrease in amplitude of the muscle is demonstrated over a series of
consecutive
muscle contractions - ANSWER ✔ Surgical Interventions Thymectomy -
removal of the thymus gland is done to attain better control or complete
remission.
May take months to years to see results due to the life of the circulating T
cells.
15.After an amniocentesis, which complication should the nurse monitor for in
a client at 33 weeks gestation? - ANSWER ✔ Contractions.
16.What should a nurse do for a client in active labor with ruptured
membranes? - ANSWER ✔ Apply fetal heart rate monitor.
17.What is the correct sequence of steps for a home health nurse during an
initial visit? - ANSWER ✔ E C A B D (Clarify referral, Contact family,
Identify needs, Record visit, Discuss future visits).
18.What indicates that a 5-month-old infant needs IV fluid therapy? -
ANSWER ✔ Not producing any tears.
, 19.What condition places a client at risk for aspiration during intermittent tube
feeding? - ANSWER ✔ History of gastroesophageal reflux disease.
20.What instruction should a nurse give to a client with chronic kidney disease
receiving hemodialysis? - ANSWER ✔ Eat 1g/kg of protein per day.
21.What does a PR interval of 0.24 seconds indicate in a client on telemetry? -
ANSWER ✔ First degree AV block.
22.What should a nurse do after observing a client cough after each bite during
feeding? - ANSWER ✔ Ask a speech therapist to evaluate the client's
ability to swallow.
23.What action should a nurse include in the care plan for a client with
schizophrenia experiencing auditory hallucinations? - ANSWER ✔ Ask
the client directly what he is hearing.
24.Which statement indicates a client understands genetic disease teaching? -
ANSWER ✔ My family has genetic risk for breast cancer, so I am
considering a total mastectomy.
25.What instruction should a nurse provide regarding cord care for a newborn?
- ANSWER ✔ Keep the cord stump dry until it falls off.
26.What indicates understanding of glucocorticoid therapy teaching? -
ANSWER ✔ I take a calcium vitamin supplement daily.
27.What indicates a newly licensed nurse understands ergonomic principles? -
ANSWER ✔ Uses a mechanical lift to move client from bed to chair.
28.What does a nitrazine test determine? - ANSWER ✔ If there is leaking
amniotic fluid.
29.What complication might indicate a client receiving IV fluid therapy for
hyponatremia is developing issues? - ANSWER ✔ Peripheral edema
30.What should a nurse do first when observing welts on a child's legs during a
home visit? - ANSWER ✔ Document clinical findings.
