ATI Comprehensive Exit REAL RETAKE
Exam 2026/2027 All sub topics Fully
Covered/ A+ Tested and Verified
1. A nurse is caring for a client with heart failure who reports shortness of breath.
Which action should the nurse take first?
A. Obtain the client’s weight.
B. Administer prescribed diuretic.
C. Raise the head of the bed.
D. Notify the provider.
Rationale: Elevating the head of the bed immediately improves ventilation and decreases
dyspnea before other interventions.
2. A nurse is teaching a client about warfarin therapy. Which statement by the client
indicates understanding?
A. “I will eat more green leafy vegetables.”
B. I will have my blood tested regularly for clotting times.
C. “I can take aspirin for headaches.”
D. “I’ll double my dose if I miss one.”
Rationale: INR testing monitors warfarin’s effectiveness and safety. Aspirin and diet
changes can affect warfarin’s action.
3. A client receiving IV potassium reports burning at the IV site. What should the nurse
do?
A. Stop the infusion and assess the site.
B. Apply a warm compress.
C. Dilute the solution further.
D. Increase the IV rate.
Rationale: Burning suggests infiltration or irritation — stop the infusion immediately to
prevent tissue damage.
,4. A nurse prepares to administer insulin lispro. When should the nurse give it?
C. Within 15 minutes of a meal.
A. At bedtime.
B. 30 minutes before a meal.
D. Two hours after eating.
Rationale: Insulin lispro is rapid-acting and must be given when food is available to
prevent hypoglycemia.
5. Which finding requires immediate intervention in a post-op client?
A. Pain level 7/10
B. Saturated abdominal dressing with fresh blood.
C. Urine output 40 mL/hr
D. Mild nausea
Rationale: Fresh bleeding indicates possible hemorrhage — a life-threatening
complication.
6. A nurse is teaching a parent about liquid iron supplements. Which statement
indicates understanding?
A. “I’ll give it with milk.”
B. “It may cause diarrhea.”
C. I’ll give it with orange juice.
D. “I’ll brush his teeth after taking it.”
Rationale: Vitamin C (orange juice) increases iron absorption. Milk decreases it.
7. A nurse cares for a client with schizophrenia who hears voices. What is the best
response?
D. I understand that the voices are real to you, but I do not hear them.
A. “You should ignore the voices.”
B. “What are the voices saying?”
C. “The voices aren’t real.”
Rationale: This therapeutic response acknowledges the client’s feelings without
reinforcing the hallucination.
, 8. A pregnant client reports morning nausea. Which instruction should the nurse give?
B. Eat dry crackers before getting out of bed.
A. Drink fluids with meals.
C. Skip breakfast.
D. Eat large meals twice a day.
Rationale: Small, bland foods like crackers before rising reduce nausea.
9. Which finding should the nurse report immediately for a child receiving digoxin?
A. Vomiting once
C. Heart rate 60 bpm.
B. Mild fatigue
D. Poor appetite
Rationale: Bradycardia is a sign of digoxin toxicity — requires immediate provider
notification.
10. A nurse provides discharge teaching for a client on furosemide. Which food should
the nurse recommend?
A. White rice
B. Bananas
C. Cheese
D. Bread
Rationale: Furosemide causes potassium loss; bananas replace potassium to prevent
hypokalemia.
11. A nurse is reinforcing teaching for a client starting nitroglycerin. Which statement
shows understanding?
A. “I’ll swallow the tablet whole.”
B. I should place the tablet under my tongue at the first sign of chest pain.
C. “I’ll take it with a full glass of water.”
D. “If I still have pain after one tablet, I’ll wait an hour before taking another.”
Rationale:
Sublingual nitroglycerin works rapidly to relieve angina. It should be placed under the
tongue, and another tablet may be taken every 5 minutes (up to 3 total) if pain persists.
Exam 2026/2027 All sub topics Fully
Covered/ A+ Tested and Verified
1. A nurse is caring for a client with heart failure who reports shortness of breath.
Which action should the nurse take first?
A. Obtain the client’s weight.
B. Administer prescribed diuretic.
C. Raise the head of the bed.
D. Notify the provider.
Rationale: Elevating the head of the bed immediately improves ventilation and decreases
dyspnea before other interventions.
2. A nurse is teaching a client about warfarin therapy. Which statement by the client
indicates understanding?
A. “I will eat more green leafy vegetables.”
B. I will have my blood tested regularly for clotting times.
C. “I can take aspirin for headaches.”
D. “I’ll double my dose if I miss one.”
Rationale: INR testing monitors warfarin’s effectiveness and safety. Aspirin and diet
changes can affect warfarin’s action.
3. A client receiving IV potassium reports burning at the IV site. What should the nurse
do?
A. Stop the infusion and assess the site.
B. Apply a warm compress.
C. Dilute the solution further.
D. Increase the IV rate.
Rationale: Burning suggests infiltration or irritation — stop the infusion immediately to
prevent tissue damage.
,4. A nurse prepares to administer insulin lispro. When should the nurse give it?
C. Within 15 minutes of a meal.
A. At bedtime.
B. 30 minutes before a meal.
D. Two hours after eating.
Rationale: Insulin lispro is rapid-acting and must be given when food is available to
prevent hypoglycemia.
5. Which finding requires immediate intervention in a post-op client?
A. Pain level 7/10
B. Saturated abdominal dressing with fresh blood.
C. Urine output 40 mL/hr
D. Mild nausea
Rationale: Fresh bleeding indicates possible hemorrhage — a life-threatening
complication.
6. A nurse is teaching a parent about liquid iron supplements. Which statement
indicates understanding?
A. “I’ll give it with milk.”
B. “It may cause diarrhea.”
C. I’ll give it with orange juice.
D. “I’ll brush his teeth after taking it.”
Rationale: Vitamin C (orange juice) increases iron absorption. Milk decreases it.
7. A nurse cares for a client with schizophrenia who hears voices. What is the best
response?
D. I understand that the voices are real to you, but I do not hear them.
A. “You should ignore the voices.”
B. “What are the voices saying?”
C. “The voices aren’t real.”
Rationale: This therapeutic response acknowledges the client’s feelings without
reinforcing the hallucination.
, 8. A pregnant client reports morning nausea. Which instruction should the nurse give?
B. Eat dry crackers before getting out of bed.
A. Drink fluids with meals.
C. Skip breakfast.
D. Eat large meals twice a day.
Rationale: Small, bland foods like crackers before rising reduce nausea.
9. Which finding should the nurse report immediately for a child receiving digoxin?
A. Vomiting once
C. Heart rate 60 bpm.
B. Mild fatigue
D. Poor appetite
Rationale: Bradycardia is a sign of digoxin toxicity — requires immediate provider
notification.
10. A nurse provides discharge teaching for a client on furosemide. Which food should
the nurse recommend?
A. White rice
B. Bananas
C. Cheese
D. Bread
Rationale: Furosemide causes potassium loss; bananas replace potassium to prevent
hypokalemia.
11. A nurse is reinforcing teaching for a client starting nitroglycerin. Which statement
shows understanding?
A. “I’ll swallow the tablet whole.”
B. I should place the tablet under my tongue at the first sign of chest pain.
C. “I’ll take it with a full glass of water.”
D. “If I still have pain after one tablet, I’ll wait an hour before taking another.”
Rationale:
Sublingual nitroglycerin works rapidly to relieve angina. It should be placed under the
tongue, and another tablet may be taken every 5 minutes (up to 3 total) if pain persists.
