ATI RN COMPREHENSIVE EXIT EXAM 180
NGN QUESTIONS AND VERIFIED
ANSWERS WELL GRADED, BEST ATI
COMPREHENSIVE (NEW
UPDATE) QUESTIONS WITH VERIFIED
ANSWERS |100% CORRECT | A+ GRADE.
,
,
, SECTION 1: Medical-Surgical Nursing (Questions 1-20)
Q1. A client with heart failure has crackles in both lung bases, +3 pitting edema, and weight gain of 4
kg in 3 days. Which medication should the nurse expect to administer first?
A) Metoprolol
B) Furosemide IV
C) Digoxin
D) Spironolactone
Correct Answer: B
Rationale: Furosemide IV is a loop diuretic that acts quickly to remove excess fluid in acute heart failure
exacerbation. Metoprolol is a long-term beta-blocker, digoxin manages symptoms but does not remove
fluid, and spironolactone is an adjunctive potassium-sparing diuretic.
Q2. A nurse is assessing a client who is 2 hours post-total hip arthroplasty. Which finding requires
immediate intervention?
A) Reports pain 4/10
B) Oxygen saturation 92% on room air
C) Urine output 40 mL in 2 hours
D) Bilateral pedal pulses +2
Correct Answer: B
Rationale: Oxygen saturation 92% is below normal (expected ≥95% on room air). Airway and breathing
are always the priority. Pain 4/10 is expected post-op, urine output 40 mL/2 hr is adequate, and pedal
pulses +2 are normal.
Q3. A client with COPD has an SpO2 of 86% on 2 L oxygen via nasal cannula. Which action should the
nurse take first?
A) Increase oxygen to 3 L
B) Place client in high-Fowler's position
C) Encourage deep breathing and coughing
D) Auscultate lung sounds
Correct Answer: B
Rationale: High-Fowler's position uses gravity to improve diaphragmatic excursion and lung expansion,
immediately improving oxygenation. Increasing oxygen too much in COPD can decrease respiratory
drive. Assess after positioning.
NGN QUESTIONS AND VERIFIED
ANSWERS WELL GRADED, BEST ATI
COMPREHENSIVE (NEW
UPDATE) QUESTIONS WITH VERIFIED
ANSWERS |100% CORRECT | A+ GRADE.
,
,
, SECTION 1: Medical-Surgical Nursing (Questions 1-20)
Q1. A client with heart failure has crackles in both lung bases, +3 pitting edema, and weight gain of 4
kg in 3 days. Which medication should the nurse expect to administer first?
A) Metoprolol
B) Furosemide IV
C) Digoxin
D) Spironolactone
Correct Answer: B
Rationale: Furosemide IV is a loop diuretic that acts quickly to remove excess fluid in acute heart failure
exacerbation. Metoprolol is a long-term beta-blocker, digoxin manages symptoms but does not remove
fluid, and spironolactone is an adjunctive potassium-sparing diuretic.
Q2. A nurse is assessing a client who is 2 hours post-total hip arthroplasty. Which finding requires
immediate intervention?
A) Reports pain 4/10
B) Oxygen saturation 92% on room air
C) Urine output 40 mL in 2 hours
D) Bilateral pedal pulses +2
Correct Answer: B
Rationale: Oxygen saturation 92% is below normal (expected ≥95% on room air). Airway and breathing
are always the priority. Pain 4/10 is expected post-op, urine output 40 mL/2 hr is adequate, and pedal
pulses +2 are normal.
Q3. A client with COPD has an SpO2 of 86% on 2 L oxygen via nasal cannula. Which action should the
nurse take first?
A) Increase oxygen to 3 L
B) Place client in high-Fowler's position
C) Encourage deep breathing and coughing
D) Auscultate lung sounds
Correct Answer: B
Rationale: High-Fowler's position uses gravity to improve diaphragmatic excursion and lung expansion,
immediately improving oxygenation. Increasing oxygen too much in COPD can decrease respiratory
drive. Assess after positioning.
