1 | Page
ATI RN COMPREHENSIVE EXIT EXAM 180 NGN QUESTIONS AND
VERIFIED ANSWERS, BEST ATI COMPREHENSIVE
QUESTIONS WITH VERIFIED ANSWERS |100% CORRECT |ALREADY
GRADED A+ GRADE.
Question 1
A nurse is reinforcing discharge teaching with a client who has heart failure and a
new prescription for furosemide. Which statement by the client indicates a need
for further teaching?
A. “I will weigh myself every morning before breakfast.”
B. “I will eat foods high in potassium such as bananas.”
C. “I will take my medication at bedtime so it works overnight.”
D. “I will notify my provider if I experience muscle weakness.”
Correct Answer: C
Rationale: Furosemide is a loop diuretic. It should be taken in the morning to
prevent nocturia. All other statements reflect correct understanding (daily weights,
potassium intake, monitoring for hypokalemia).
Question 2
,2 | Page
A nurse is caring for a client scheduled for surgery who states, “I signed the
consent but I don’t really understand what they are going to do.” Which action
should the nurse take?
A. Provide additional teaching about the surgery.
B. Notify the provider immediately.
C. Have the client sign another consent form.
D. Document the client’s statement and continue preparing.
Correct Answer: B
Rationale: Informed consent is the provider’s responsibility. The nurse should
notify the surgeon so they can explain the procedure. The nurse may reinforce
teaching but cannot obtain consent.
Question 3
A nurse is providing teaching about insulin administration to a client newly
diagnosed with type 1 diabetes. Which instruction should the nurse include?
A. “Store unopened vials of insulin in the freezer.”
B. “Draw up regular insulin before NPH insulin when mixing.”
C. “Shake the insulin vial before drawing up the dose.”
D. “Inject insulin in the same site every day for consistency.”
,3 | Page
Correct Answer: B
Rationale: When mixing insulin, regular (clear) is drawn before NPH (cloudy).
Insulin is refrigerated, not frozen. Vials are rolled, not shaken. Injection sites
should be rotated.
Question 4
A client with COPD is receiving oxygen at 2 L/min via nasal cannula. Which
finding indicates a therapeutic effect of the oxygen therapy?
A. SaO₂ 94%
B. Respiratory rate of 10/min
C. PaCO₂ 30 mmHg
D. Presence of crackles in lung bases
Correct Answer: A
Rationale: Target SaO₂ for COPD patients is 88–92%. A reading of 94% indicates
improved oxygenation. Low RR may indicate hypoventilation. Low PaCO₂
suggests hyperventilation. Crackles are abnormal.
Question 5
A nurse is reviewing laboratory values for a client receiving warfarin. Which
finding should the nurse report to the provider?
, 4 | Page
A. INR 3.5
B. PT 18 seconds
C. Hematocrit 42%
D. Platelets 220,000/mm³
Correct Answer: A
Rationale: Therapeutic INR for warfarin is 2–3. An INR of 3.5 increases bleeding
risk. PT, hematocrit, and platelets are within normal range.
Question 6
A nurse is caring for a client receiving total parenteral nutrition (TPN). Which
finding requires immediate intervention?
A. Weight gain of 0.5 kg in 24 hr
B. Blood glucose 280 mg/dL
C. Serum potassium 3.8 mEq/L
D. Mild edema in ankles
Correct Answer: B
Rationale: Hyperglycemia is a serious complication of TPN. Glucose levels
should be monitored frequently. Small weight gain and mild edema may be
expected. Potassium level is normal.
ATI RN COMPREHENSIVE EXIT EXAM 180 NGN QUESTIONS AND
VERIFIED ANSWERS, BEST ATI COMPREHENSIVE
QUESTIONS WITH VERIFIED ANSWERS |100% CORRECT |ALREADY
GRADED A+ GRADE.
Question 1
A nurse is reinforcing discharge teaching with a client who has heart failure and a
new prescription for furosemide. Which statement by the client indicates a need
for further teaching?
A. “I will weigh myself every morning before breakfast.”
B. “I will eat foods high in potassium such as bananas.”
C. “I will take my medication at bedtime so it works overnight.”
D. “I will notify my provider if I experience muscle weakness.”
Correct Answer: C
Rationale: Furosemide is a loop diuretic. It should be taken in the morning to
prevent nocturia. All other statements reflect correct understanding (daily weights,
potassium intake, monitoring for hypokalemia).
Question 2
,2 | Page
A nurse is caring for a client scheduled for surgery who states, “I signed the
consent but I don’t really understand what they are going to do.” Which action
should the nurse take?
A. Provide additional teaching about the surgery.
B. Notify the provider immediately.
C. Have the client sign another consent form.
D. Document the client’s statement and continue preparing.
Correct Answer: B
Rationale: Informed consent is the provider’s responsibility. The nurse should
notify the surgeon so they can explain the procedure. The nurse may reinforce
teaching but cannot obtain consent.
Question 3
A nurse is providing teaching about insulin administration to a client newly
diagnosed with type 1 diabetes. Which instruction should the nurse include?
A. “Store unopened vials of insulin in the freezer.”
B. “Draw up regular insulin before NPH insulin when mixing.”
C. “Shake the insulin vial before drawing up the dose.”
D. “Inject insulin in the same site every day for consistency.”
,3 | Page
Correct Answer: B
Rationale: When mixing insulin, regular (clear) is drawn before NPH (cloudy).
Insulin is refrigerated, not frozen. Vials are rolled, not shaken. Injection sites
should be rotated.
Question 4
A client with COPD is receiving oxygen at 2 L/min via nasal cannula. Which
finding indicates a therapeutic effect of the oxygen therapy?
A. SaO₂ 94%
B. Respiratory rate of 10/min
C. PaCO₂ 30 mmHg
D. Presence of crackles in lung bases
Correct Answer: A
Rationale: Target SaO₂ for COPD patients is 88–92%. A reading of 94% indicates
improved oxygenation. Low RR may indicate hypoventilation. Low PaCO₂
suggests hyperventilation. Crackles are abnormal.
Question 5
A nurse is reviewing laboratory values for a client receiving warfarin. Which
finding should the nurse report to the provider?
, 4 | Page
A. INR 3.5
B. PT 18 seconds
C. Hematocrit 42%
D. Platelets 220,000/mm³
Correct Answer: A
Rationale: Therapeutic INR for warfarin is 2–3. An INR of 3.5 increases bleeding
risk. PT, hematocrit, and platelets are within normal range.
Question 6
A nurse is caring for a client receiving total parenteral nutrition (TPN). Which
finding requires immediate intervention?
A. Weight gain of 0.5 kg in 24 hr
B. Blood glucose 280 mg/dL
C. Serum potassium 3.8 mEq/L
D. Mild edema in ankles
Correct Answer: B
Rationale: Hyperglycemia is a serious complication of TPN. Glucose levels
should be monitored frequently. Small weight gain and mild edema may be
expected. Potassium level is normal.
