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ATI-STYLE RN COMPREHENSIVE EXIT MOCK
EXAM 2026 COMPLETE (110) CURRENT
TESTING QUESTIONS AND CORRECT
ANSWERS WITH DETAILED RATIONALES.
ATI
Prepare for the ATI-Style RN Comprehensive Exit Mock Exam with practice
questions covering management of care, fundamentals of nursing,
pharmacology, medical-surgical nursing, maternal-newborn care,
pediatric nursing, mental health, and leadership concepts. This study
guide reinforces essential nursing knowledge, strengthens clinical
judgment, and builds confidence for exit exam success. Suitable for RN
students preparing for comprehensive exit examinations and NCLEX-
style.
MULTIPLE CHOICE.
Section 1: Management of Care – Delegation, Prioritization,
Client Rights (Questions 1–15)
1. A charge nurse is assigning client care for a medical-surgical
unit. Which client should be assigned to an RN rather than a
licensed practical nurse (LPN)?
A. A client 1 day post-operative from an appendectomy with
stable vital signs
B. A client with a new diagnosis of diabetes requiring initial
teaching on insulin administration
C. A client with a urinary tract infection receiving IV antibiotics
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every 8 hours
D. A client with a chronic pressure injury needing a sterile
dressing change
Correct answer: B. A client with a new diagnosis of diabetes
requiring initial teaching on insulin administration
Rationale: Initial patient teaching for a new diagnosis
(diabetes) requires RN level assessment and education.
LPNs can reinforce teaching but not provide initial
comprehensive education. Stable post-op, IV antibiotics,
and wound care are within LPN scope with RN supervision.
2. A nurse is caring for four clients. Which client should the nurse
assess first?
A. A client with heart failure who has a weight gain of 2 kg (4.4
lb) in 24 hours
B. A client with COPD who has an oxygen saturation of 89% on
2 L/min nasal cannula
C. A client with diabetes who has a blood glucose of 70 mg/dL
and is alert and oriented
D. A client post-operative day 2 who has not had a bowel
movement
Correct answer: A. A client with heart failure who has a
weight gain of 2 kg (4.4 lb) in 24 hours
Rationale: Rapid weight gain in heart failure indicates
worsening fluid overload and possible acute
decompensation. This client requires immediate
assessment for pulmonary edema. COPD with SpO2 89% is
stable on oxygen; hypoglycemia at 70 mg/dL with alert
mental status is not emergent; constipation is not urgent.
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3. A nurse is preparing a client for a procedure requiring informed
consent. The client says, “I don’t understand what the doctor
said.” Which action should the nurse take?
A. Explain the procedure in simpler terms and ask the client to
sign
B. Notify the provider to explain the procedure again
C. Ask the family member to explain the procedure
D. Proceed with the procedure because consent is implied
Correct answer: B. Notify the provider to explain the
procedure again
Rationale: Informed consent is the responsibility of the
provider performing the procedure. The nurse can witness
the signature but cannot provide the explanation of risks,
benefits, and alternatives. The provider must clarify any
misunderstanding.
4. A nurse is delegating tasks to an unlicensed assistive
personnel (UAP). Which task is appropriate to delegate?
A. Ambulating a client who is 2 hours post-cardiac
catheterization with a femoral closure device
B. Feeding a client with dysphagia who requires thickened
liquids
C. Measuring intake and output for a client with heart failure
D. Assessing the skin of a client who is at risk for pressure
injury
Correct answer: C. Measuring intake and output for a client
with dysphagia who requires thickened liquids
Rationale: I&O measurement is within UAP scope after
training. Ambulation post-cardiac cath requires nursing
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assessment first. Feeding a dysphagia client carries
aspiration risk and is not delegable. Skin assessment is
nursing assessment.
5. A client with terminal cancer has a living will that states “no
CPR.” The client goes into cardiac arrest. The family demands
that the code team be called. What should the nurse do?
A. Begin CPR because the family requested it
B. Respect the living will and do not initiate CPR
C. Call the code team but instruct them not to start CPR
D. Ask the hospital ethics committee for a decision
Correct answer: B. Respect the living will and do not initiate
CPR
Rationale: A valid advance directive (living will) is legally
binding. The nurse must honor the client’s autonomous
decision. Provide comfort care and support the family, then
notify the provider to speak with the family.
6. A nurse is supervising a newly licensed nurse. Which action by
the new nurse requires immediate intervention?
A. The new nurse administers a subcutaneous injection
without aspirating
B. The new nurse places a client with C. difficile in a room with
a client with pneumonia
C. The new nurse documents a pain score of 8 out of 10 after
administering analgesia
D. The new nurse uses alcohol-based hand rub after removing
gloves
Correct answer: B. The new nurse places a client with C.
difficile in a room with a client with pneumonia
ATI-STYLE RN COMPREHENSIVE EXIT MOCK
EXAM 2026 COMPLETE (110) CURRENT
TESTING QUESTIONS AND CORRECT
ANSWERS WITH DETAILED RATIONALES.
ATI
Prepare for the ATI-Style RN Comprehensive Exit Mock Exam with practice
questions covering management of care, fundamentals of nursing,
pharmacology, medical-surgical nursing, maternal-newborn care,
pediatric nursing, mental health, and leadership concepts. This study
guide reinforces essential nursing knowledge, strengthens clinical
judgment, and builds confidence for exit exam success. Suitable for RN
students preparing for comprehensive exit examinations and NCLEX-
style.
MULTIPLE CHOICE.
Section 1: Management of Care – Delegation, Prioritization,
Client Rights (Questions 1–15)
1. A charge nurse is assigning client care for a medical-surgical
unit. Which client should be assigned to an RN rather than a
licensed practical nurse (LPN)?
A. A client 1 day post-operative from an appendectomy with
stable vital signs
B. A client with a new diagnosis of diabetes requiring initial
teaching on insulin administration
C. A client with a urinary tract infection receiving IV antibiotics
, Page 2 of 52
every 8 hours
D. A client with a chronic pressure injury needing a sterile
dressing change
Correct answer: B. A client with a new diagnosis of diabetes
requiring initial teaching on insulin administration
Rationale: Initial patient teaching for a new diagnosis
(diabetes) requires RN level assessment and education.
LPNs can reinforce teaching but not provide initial
comprehensive education. Stable post-op, IV antibiotics,
and wound care are within LPN scope with RN supervision.
2. A nurse is caring for four clients. Which client should the nurse
assess first?
A. A client with heart failure who has a weight gain of 2 kg (4.4
lb) in 24 hours
B. A client with COPD who has an oxygen saturation of 89% on
2 L/min nasal cannula
C. A client with diabetes who has a blood glucose of 70 mg/dL
and is alert and oriented
D. A client post-operative day 2 who has not had a bowel
movement
Correct answer: A. A client with heart failure who has a
weight gain of 2 kg (4.4 lb) in 24 hours
Rationale: Rapid weight gain in heart failure indicates
worsening fluid overload and possible acute
decompensation. This client requires immediate
assessment for pulmonary edema. COPD with SpO2 89% is
stable on oxygen; hypoglycemia at 70 mg/dL with alert
mental status is not emergent; constipation is not urgent.
, Page 3 of 52
3. A nurse is preparing a client for a procedure requiring informed
consent. The client says, “I don’t understand what the doctor
said.” Which action should the nurse take?
A. Explain the procedure in simpler terms and ask the client to
sign
B. Notify the provider to explain the procedure again
C. Ask the family member to explain the procedure
D. Proceed with the procedure because consent is implied
Correct answer: B. Notify the provider to explain the
procedure again
Rationale: Informed consent is the responsibility of the
provider performing the procedure. The nurse can witness
the signature but cannot provide the explanation of risks,
benefits, and alternatives. The provider must clarify any
misunderstanding.
4. A nurse is delegating tasks to an unlicensed assistive
personnel (UAP). Which task is appropriate to delegate?
A. Ambulating a client who is 2 hours post-cardiac
catheterization with a femoral closure device
B. Feeding a client with dysphagia who requires thickened
liquids
C. Measuring intake and output for a client with heart failure
D. Assessing the skin of a client who is at risk for pressure
injury
Correct answer: C. Measuring intake and output for a client
with dysphagia who requires thickened liquids
Rationale: I&O measurement is within UAP scope after
training. Ambulation post-cardiac cath requires nursing
, Page 4 of 52
assessment first. Feeding a dysphagia client carries
aspiration risk and is not delegable. Skin assessment is
nursing assessment.
5. A client with terminal cancer has a living will that states “no
CPR.” The client goes into cardiac arrest. The family demands
that the code team be called. What should the nurse do?
A. Begin CPR because the family requested it
B. Respect the living will and do not initiate CPR
C. Call the code team but instruct them not to start CPR
D. Ask the hospital ethics committee for a decision
Correct answer: B. Respect the living will and do not initiate
CPR
Rationale: A valid advance directive (living will) is legally
binding. The nurse must honor the client’s autonomous
decision. Provide comfort care and support the family, then
notify the provider to speak with the family.
6. A nurse is supervising a newly licensed nurse. Which action by
the new nurse requires immediate intervention?
A. The new nurse administers a subcutaneous injection
without aspirating
B. The new nurse places a client with C. difficile in a room with
a client with pneumonia
C. The new nurse documents a pain score of 8 out of 10 after
administering analgesia
D. The new nurse uses alcohol-based hand rub after removing
gloves
Correct answer: B. The new nurse places a client with C.
difficile in a room with a client with pneumonia
