Page 1 of 65
“ATI COMPREHENSIVE EXIT EXAM 1“ TEST BANK NEWEST 2025 ACTUAL EXAM
UPDATED 2025 – 2026 SOLVED QUESTIONS , ANSWERS VERIFIED 100% GRADED A+
(LATEST VERSION)
A nurse is caring for a client who has an implanted venous access port. Which
of the following should the nurse use to access the port?
A. JA 25-gauge needle
B. A noncoring needle
C. A butterfly needle
D. An angiocatheter
B. A noncoring needle:
A noncoring (Huber) needle is specifically designed for accessing implanted ports.
Its design prevents damage to the port's septum and allows for repeated, safe
access without compromising integrity.
A nurse is assessing a client who is receiving continuous bladder irrigation
following a transurethral resection of the prostate 4 hr ago. The nurse notes
pink-tinged urine in the drainage bag. Which of the following actions should
the nurse take?
A. Warm the irrigation solution.
B. Perform the Credés maneuver.
C. Replace the indwelling urinary catheter
D. Maintain the irrigation solution rate.
D. Maintain the irrigation solution rate:
Pink-tinged urine is expected within the first few hours following TURP as a result of
minor bleeding. Continuing irrigation at the current rate helps prevent clot formation
and maintains catheter patency.
A nurse is caring for a client who is in labor and has received an epidural.
Which of the following actions should the nurse take?
A. Reposition the client sideways each hour.
B. Have protamine sulfate available at the bedside.
C. Monitor the client for hypertension. D. Decrease the maintenance infusion
rate of IV fluid.
A. Reposition the client sideways each hour:
Repositioning helps prevent pressure injuries, promotes even distribution of the
anesthetic, and reduces the risk of unilateral block or venous stasis, which is
especially important after epidural placement.
A home health nurse is planning care for a client who has Alzheimer's disease.
Which of the following actions should the nurse include in the plan of care?
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A. Place locks at the tops of exterior doors.
B. Wear clothing with zippers instead of buttons.
C. Encourage physical activity prior to bedtime.
D. Replace the carpet with hardwood floors.
A. Place locks at the tops of exterior doors:
Clients with Alzheimer's disease are at high risk for wandering. Installing locks out of
the client's line of sight, such as at the tops of doors, enhances safety by reducing
the chance of unsupervised exit.
A nurse is caring for a client who has hearing loss. While communicating with
the client which of the following actions should the nurse take?
A. Sit next to the client when speaking to them.
B. Lower the tone of voice at the end of each sentence.
C. Emphasize vowel sounds when speaking.
D. Decrease background noise when talking with the client.
D. Decrease background noise when talking with the client:
Reducing background noise enhances the client's ability to hear and understand by
minimizing auditory distractions, making this the most helpful communication
strategy.
A nurse is caring for a client who has a fractured leg and rates their pain as 7
on a scale of 0 to 10. Which of the following medications should the nurse
expect to administer?
A. Fentany!
B. Hydrocodone
C. Aspirin
D. Acetaminophen
A. Fentanyl:
This is a potent opioid analgesic used for severe pain, such as a pain level of 7 or
higher. It is appropriate for managing acute, intense pain following injuries like
fractures.
A nurse is caring for a child who reports migraine headaches for the past 4
months. Which of the following actions should the nurse take first?
A. Review the child's electronic pain diary.
B. Request a change in medication from the provider,
C. Set up an appointment with the school nurse.
D. Refer the family to a chronic pain support group.
A. Review the child's electronic pain diary:
This should be the first action as it provides valuable information about the
frequency, triggers, duration, and severity of the headaches. It helps the nurse and
provider make informed decisions about treatment and next steps.
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A burse is assessing a client who is 3 days postoperative and has a
nonmechanical obstruction of the small bowel. Which the following findings
should the nurse expect?
A. Metabolic acidosis
B. Hyperactive bowel sounds
C. Distended abdomen
D. Passing flatus
C. Distended abdomen:
Abdominal distention is a classic sign of bowel obstruction, resulting from gas and
fluid accumulation above the site of obstruction. It is expected in both mechanical
and nonmechanical types.
A nurse is preparing to insert an IV catheter for a client. Which of the following
actions should the nurse plan to take?
A. Apply a tourniquet below the venipuncture site.
B. Choose a vein that is palpable and straight.
C. Elevate the client's arm prior to insertion.
D. Select a site on the client's dominant arm.
B. Choose a vein that is palpable and straight:
A vein that is palpable, straight, and firm provides the best chance of successful IV
insertion and reduces the risk of complications like infiltration or phlebitis.
A nurse is assessing a client who is receiving magnesium sulfate for
preeclampsia. Which of the following findings is the
nurse's priority?
A. 2+ deep-tendon reflexes
B. Respiratory rate 10/min
C. Urinary output 35 mL/hr
D. Pedal edema
Respiratory rate 10/min:
A respiratory rate below 12/min suggests respiratory depression, which is a serious
adverse effect of magnesium sulfate toxicity. This is the priority finding requiring
immediate intervention.
A nurse is providing prenatal teaching about iron to a client who follows a
vegetarian diet. The nurse should recommend the client consume which of the
following foods to enhance the absorption Of nonheme iron?
A. Orange slices
B. Cheddar cheese
C. Boiled eggs
D. Mixed nuts
A. Orange slices:
Vitamin C-rich foods like oranges significantly enhance the absorption of nonheme
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iron found in plant- based diets. This makes them an ideal recommendation for
vegetarians needing increased iron intake.
A nurse is planning to teach a group of newly licensed nurses about
hypernatremia. Which of the following manifestations
should the nurse include in the teaching?
A. Seizure
B. Elevated hematocrit
C. Bradypnea
D. Personality change
D. Personality change:
Hypernatremia causes cellular dehydration, particularly in brain cells, leading to
neurological symptoms such as confusion, agitation, irritability, and personality
changes.
A nurse enters a client's room and sees a small fire in the client's bathroom.
Identify the sequence of steps the nurse should take. (Move the steps into the
box on the right, placing them in the order of performance. Use all the steps)
A: Transport the client to another area of the nursing unit.
B: Activate the facility's fire alarm system.
C: Use the unit's fire extinguisher to attempt to put out the fire.
D: Close all nearby windows and doors.
A: Transport the client to another area of the nursing unit.
B: Activate the facility's fire alarm system.
D: Close all nearby windows and doors.
C: Use the unit's fire extinguisher to attempt to put out the fire.
A nurse is caring for a newborn who is experiencing neonatal abstinence
syndrome. Which of the following actions should
the nurse take?
A. Encourage frequent eye contact with the newborn during feedings.
B. Provide frequent stimulation for the newborn.
C. Wrap the newborn loosely in a blanket.
D. Decrease the lighting levels in the nursery.
D. Decrease the lighting levels in the nursery:
Lowering lights creates a more calming environment and reduces sensory overload.
This helps lessen irritability, promotes sleep, and is a standard comfort measure for
neonates with withdrawal symptoms.
A nurse is assessing a child who is being treated for bacterial pneumonia. The
nurse notes an increase in the child's blood
glucose. The nurse should identify this finding as an adverse effect of which of
the following medication?
A. Methy|prednisolone
B. Ondansetron
“ATI COMPREHENSIVE EXIT EXAM 1“ TEST BANK NEWEST 2025 ACTUAL EXAM
UPDATED 2025 – 2026 SOLVED QUESTIONS , ANSWERS VERIFIED 100% GRADED A+
(LATEST VERSION)
A nurse is caring for a client who has an implanted venous access port. Which
of the following should the nurse use to access the port?
A. JA 25-gauge needle
B. A noncoring needle
C. A butterfly needle
D. An angiocatheter
B. A noncoring needle:
A noncoring (Huber) needle is specifically designed for accessing implanted ports.
Its design prevents damage to the port's septum and allows for repeated, safe
access without compromising integrity.
A nurse is assessing a client who is receiving continuous bladder irrigation
following a transurethral resection of the prostate 4 hr ago. The nurse notes
pink-tinged urine in the drainage bag. Which of the following actions should
the nurse take?
A. Warm the irrigation solution.
B. Perform the Credés maneuver.
C. Replace the indwelling urinary catheter
D. Maintain the irrigation solution rate.
D. Maintain the irrigation solution rate:
Pink-tinged urine is expected within the first few hours following TURP as a result of
minor bleeding. Continuing irrigation at the current rate helps prevent clot formation
and maintains catheter patency.
A nurse is caring for a client who is in labor and has received an epidural.
Which of the following actions should the nurse take?
A. Reposition the client sideways each hour.
B. Have protamine sulfate available at the bedside.
C. Monitor the client for hypertension. D. Decrease the maintenance infusion
rate of IV fluid.
A. Reposition the client sideways each hour:
Repositioning helps prevent pressure injuries, promotes even distribution of the
anesthetic, and reduces the risk of unilateral block or venous stasis, which is
especially important after epidural placement.
A home health nurse is planning care for a client who has Alzheimer's disease.
Which of the following actions should the nurse include in the plan of care?
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A. Place locks at the tops of exterior doors.
B. Wear clothing with zippers instead of buttons.
C. Encourage physical activity prior to bedtime.
D. Replace the carpet with hardwood floors.
A. Place locks at the tops of exterior doors:
Clients with Alzheimer's disease are at high risk for wandering. Installing locks out of
the client's line of sight, such as at the tops of doors, enhances safety by reducing
the chance of unsupervised exit.
A nurse is caring for a client who has hearing loss. While communicating with
the client which of the following actions should the nurse take?
A. Sit next to the client when speaking to them.
B. Lower the tone of voice at the end of each sentence.
C. Emphasize vowel sounds when speaking.
D. Decrease background noise when talking with the client.
D. Decrease background noise when talking with the client:
Reducing background noise enhances the client's ability to hear and understand by
minimizing auditory distractions, making this the most helpful communication
strategy.
A nurse is caring for a client who has a fractured leg and rates their pain as 7
on a scale of 0 to 10. Which of the following medications should the nurse
expect to administer?
A. Fentany!
B. Hydrocodone
C. Aspirin
D. Acetaminophen
A. Fentanyl:
This is a potent opioid analgesic used for severe pain, such as a pain level of 7 or
higher. It is appropriate for managing acute, intense pain following injuries like
fractures.
A nurse is caring for a child who reports migraine headaches for the past 4
months. Which of the following actions should the nurse take first?
A. Review the child's electronic pain diary.
B. Request a change in medication from the provider,
C. Set up an appointment with the school nurse.
D. Refer the family to a chronic pain support group.
A. Review the child's electronic pain diary:
This should be the first action as it provides valuable information about the
frequency, triggers, duration, and severity of the headaches. It helps the nurse and
provider make informed decisions about treatment and next steps.
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A burse is assessing a client who is 3 days postoperative and has a
nonmechanical obstruction of the small bowel. Which the following findings
should the nurse expect?
A. Metabolic acidosis
B. Hyperactive bowel sounds
C. Distended abdomen
D. Passing flatus
C. Distended abdomen:
Abdominal distention is a classic sign of bowel obstruction, resulting from gas and
fluid accumulation above the site of obstruction. It is expected in both mechanical
and nonmechanical types.
A nurse is preparing to insert an IV catheter for a client. Which of the following
actions should the nurse plan to take?
A. Apply a tourniquet below the venipuncture site.
B. Choose a vein that is palpable and straight.
C. Elevate the client's arm prior to insertion.
D. Select a site on the client's dominant arm.
B. Choose a vein that is palpable and straight:
A vein that is palpable, straight, and firm provides the best chance of successful IV
insertion and reduces the risk of complications like infiltration or phlebitis.
A nurse is assessing a client who is receiving magnesium sulfate for
preeclampsia. Which of the following findings is the
nurse's priority?
A. 2+ deep-tendon reflexes
B. Respiratory rate 10/min
C. Urinary output 35 mL/hr
D. Pedal edema
Respiratory rate 10/min:
A respiratory rate below 12/min suggests respiratory depression, which is a serious
adverse effect of magnesium sulfate toxicity. This is the priority finding requiring
immediate intervention.
A nurse is providing prenatal teaching about iron to a client who follows a
vegetarian diet. The nurse should recommend the client consume which of the
following foods to enhance the absorption Of nonheme iron?
A. Orange slices
B. Cheddar cheese
C. Boiled eggs
D. Mixed nuts
A. Orange slices:
Vitamin C-rich foods like oranges significantly enhance the absorption of nonheme
, Page 4 of 65
iron found in plant- based diets. This makes them an ideal recommendation for
vegetarians needing increased iron intake.
A nurse is planning to teach a group of newly licensed nurses about
hypernatremia. Which of the following manifestations
should the nurse include in the teaching?
A. Seizure
B. Elevated hematocrit
C. Bradypnea
D. Personality change
D. Personality change:
Hypernatremia causes cellular dehydration, particularly in brain cells, leading to
neurological symptoms such as confusion, agitation, irritability, and personality
changes.
A nurse enters a client's room and sees a small fire in the client's bathroom.
Identify the sequence of steps the nurse should take. (Move the steps into the
box on the right, placing them in the order of performance. Use all the steps)
A: Transport the client to another area of the nursing unit.
B: Activate the facility's fire alarm system.
C: Use the unit's fire extinguisher to attempt to put out the fire.
D: Close all nearby windows and doors.
A: Transport the client to another area of the nursing unit.
B: Activate the facility's fire alarm system.
D: Close all nearby windows and doors.
C: Use the unit's fire extinguisher to attempt to put out the fire.
A nurse is caring for a newborn who is experiencing neonatal abstinence
syndrome. Which of the following actions should
the nurse take?
A. Encourage frequent eye contact with the newborn during feedings.
B. Provide frequent stimulation for the newborn.
C. Wrap the newborn loosely in a blanket.
D. Decrease the lighting levels in the nursery.
D. Decrease the lighting levels in the nursery:
Lowering lights creates a more calming environment and reduces sensory overload.
This helps lessen irritability, promotes sleep, and is a standard comfort measure for
neonates with withdrawal symptoms.
A nurse is assessing a child who is being treated for bacterial pneumonia. The
nurse notes an increase in the child's blood
glucose. The nurse should identify this finding as an adverse effect of which of
the following medication?
A. Methy|prednisolone
B. Ondansetron
