ATI RN Comprehensive Exit Exam 2026: 1004
Practice Questions & Detailed Answers for
Nursing Students | GRADED A+ | 100 %
GUARANTEED | 2025 – 2026 | BRANDNEW !!!
Diet for Chronic Renal Failure
Which dietary modifications are recommended for a patient with chronic renal failure?
A.) High protein and low potassium
B.) Low protein and low potassium
C.) High protein and high potassium
D.) Low protein and high potassium
Answer: B.) Low protein and low potassium
Rationale: Limiting protein reduces kidney workload, while controlling potassium prevents
hyperkalemia, which can be life-threatening.
Diabetes Mellitus Patient Teaching
Which of the following should a patient with diabetes do daily?
A.) Change shoes and wash feet with soap and water
B.) Apply lotion between toes
C.) Only inspect feet weekly
D.) Soak feet daily in hot water
Answer: A.) Change shoes and wash feet with soap and water
Rationale: Daily foot care prevents infection and ulceration due to neuropathy or poor
circulation.
Pulse Pressure Calculation
How do you calculate pulse pressure?
A.) Add systolic and diastolic values
B.) Multiply systolic by diastolic values
C.) Subtract systolic from diastolic value
D.) Subtract diastolic from systolic value
,Answer: D.) Subtract diastolic from systolic value
Rationale: Pulse pressure = systolic − diastolic; it reflects the force the heart generates with
each contraction.
Insulin: Lantus
Which statement about Lantus insulin is correct?
A.) Can be mixed with other insulins
B.) Short-acting, given at mealtime
C.) Never mix, long-acting, no peak
D.) Rapid-acting with a peak at 2 hours
Answer: C.) Never mix, long-acting, no peak
Rationale: Lantus (insulin glargine) provides a steady basal insulin level without a peak;
mixing can alter absorption.
Rhogam Administration
When is Rhogam indicated?
A.) 28 weeks gestation and within 72 hours post-delivery if mom is Rh-negative and baby is
Rh-positive
B.) Only at delivery
C.) Only during pregnancy
D.) For all mothers regardless of Rh status
Answer: A.) 28 weeks gestation and within 72 hours post-delivery if mom is Rh-negative and
baby is Rh-positive
Rationale: Prevents maternal sensitization to Rh-positive blood, reducing risk in future
pregnancies.
Indication of Improving Baby Hydration
Which sign indicates a baby’s dehydration is improving?
A.) Sunken fontanel
B.) Smooth fontanel
C.) Dry lips
D.) Decreased urine output
Answer: B.) Smooth fontanel
Rationale: A soft, flat fontanel indicates adequate hydration; sunken fontanel signals
dehydration.
,Patient with Orthostatic Hypotension
Where should a patient with orthostatic hypotension be placed?
A.) Near nursing station
B.) In a private room far from nurses
C.) In the hallway
D.) Near the bathroom
Answer: A.) Near nursing station
Rationale: Close monitoring ensures prompt response to dizziness or falls.
Wound Cleaning
What is the correct technique when cleaning a wound?
A.) Dirty to clean
B.) Clean to dirty
C.) Random order
D.) Use sterile gloves only
Answer: B.) Clean to dirty
Rationale: Cleaning from least contaminated to most contaminated prevents infection.
Peripheral Arterial Disease Symptom
Which symptom is associated with peripheral arterial disease (PAD)?
A.) Leg cramp while walking (intermittent claudication)
B.) Continuous leg pain at rest
C.) Numbness in fingers
D.) Upper back pain
Answer: A.) Leg cramp while walking
Rationale: Intermittent claudication is caused by decreased blood flow during activity.
Seizure Precautions
Which is the recommended patient position for seizure precautions?
A.) Supine position
B.) Prone position
C.) Sitting upright
D.) Trendelenburg
Answer: A.) Supine position
Rationale: Reduces risk of injury and allows airway management.
, Urinary Frequency at 20 Weeks Gestation
Which tests are appropriate for a 20-week pregnant patient experiencing urinary frequency?
A.) Urinalysis and culture & sensitivity
B.) Blood glucose only
C.) Ultrasound only
D.) No tests required
Answer: A.) Urinalysis and culture & sensitivity
Rationale: Detects infection early, which is important in pregnancy.
Reporting at Shift Change
Which patient should be reported to the new nurse at shift change?
A.) Patient at X-ray
B.) Patient sleeping in bed
C.) Patient ambulatory with family
D.) Patient discharged
Answer: A.) Patient at X-ray
Rationale: The nurse must communicate current location and status to maintain continuity
of care.
Hemolytic Blood Transfusion Reaction
Which sign is indicative of a hemolytic reaction?
A.) Flank pain
B.) Rash only
C.) Mild headache
D.) Sneezing
Answer: A.) Flank pain
Rationale: Flank pain, fever, and hemoglobinuria are classic signs of hemolytic transfusion
reaction.
ER Rape Victim Priority
What is the first priority for an ER rape victim?
A.) Assess anxiety
B.) Assess physical injury only
C.) Notify law enforcement immediately
D.) Contact family
Practice Questions & Detailed Answers for
Nursing Students | GRADED A+ | 100 %
GUARANTEED | 2025 – 2026 | BRANDNEW !!!
Diet for Chronic Renal Failure
Which dietary modifications are recommended for a patient with chronic renal failure?
A.) High protein and low potassium
B.) Low protein and low potassium
C.) High protein and high potassium
D.) Low protein and high potassium
Answer: B.) Low protein and low potassium
Rationale: Limiting protein reduces kidney workload, while controlling potassium prevents
hyperkalemia, which can be life-threatening.
Diabetes Mellitus Patient Teaching
Which of the following should a patient with diabetes do daily?
A.) Change shoes and wash feet with soap and water
B.) Apply lotion between toes
C.) Only inspect feet weekly
D.) Soak feet daily in hot water
Answer: A.) Change shoes and wash feet with soap and water
Rationale: Daily foot care prevents infection and ulceration due to neuropathy or poor
circulation.
Pulse Pressure Calculation
How do you calculate pulse pressure?
A.) Add systolic and diastolic values
B.) Multiply systolic by diastolic values
C.) Subtract systolic from diastolic value
D.) Subtract diastolic from systolic value
,Answer: D.) Subtract diastolic from systolic value
Rationale: Pulse pressure = systolic − diastolic; it reflects the force the heart generates with
each contraction.
Insulin: Lantus
Which statement about Lantus insulin is correct?
A.) Can be mixed with other insulins
B.) Short-acting, given at mealtime
C.) Never mix, long-acting, no peak
D.) Rapid-acting with a peak at 2 hours
Answer: C.) Never mix, long-acting, no peak
Rationale: Lantus (insulin glargine) provides a steady basal insulin level without a peak;
mixing can alter absorption.
Rhogam Administration
When is Rhogam indicated?
A.) 28 weeks gestation and within 72 hours post-delivery if mom is Rh-negative and baby is
Rh-positive
B.) Only at delivery
C.) Only during pregnancy
D.) For all mothers regardless of Rh status
Answer: A.) 28 weeks gestation and within 72 hours post-delivery if mom is Rh-negative and
baby is Rh-positive
Rationale: Prevents maternal sensitization to Rh-positive blood, reducing risk in future
pregnancies.
Indication of Improving Baby Hydration
Which sign indicates a baby’s dehydration is improving?
A.) Sunken fontanel
B.) Smooth fontanel
C.) Dry lips
D.) Decreased urine output
Answer: B.) Smooth fontanel
Rationale: A soft, flat fontanel indicates adequate hydration; sunken fontanel signals
dehydration.
,Patient with Orthostatic Hypotension
Where should a patient with orthostatic hypotension be placed?
A.) Near nursing station
B.) In a private room far from nurses
C.) In the hallway
D.) Near the bathroom
Answer: A.) Near nursing station
Rationale: Close monitoring ensures prompt response to dizziness or falls.
Wound Cleaning
What is the correct technique when cleaning a wound?
A.) Dirty to clean
B.) Clean to dirty
C.) Random order
D.) Use sterile gloves only
Answer: B.) Clean to dirty
Rationale: Cleaning from least contaminated to most contaminated prevents infection.
Peripheral Arterial Disease Symptom
Which symptom is associated with peripheral arterial disease (PAD)?
A.) Leg cramp while walking (intermittent claudication)
B.) Continuous leg pain at rest
C.) Numbness in fingers
D.) Upper back pain
Answer: A.) Leg cramp while walking
Rationale: Intermittent claudication is caused by decreased blood flow during activity.
Seizure Precautions
Which is the recommended patient position for seizure precautions?
A.) Supine position
B.) Prone position
C.) Sitting upright
D.) Trendelenburg
Answer: A.) Supine position
Rationale: Reduces risk of injury and allows airway management.
, Urinary Frequency at 20 Weeks Gestation
Which tests are appropriate for a 20-week pregnant patient experiencing urinary frequency?
A.) Urinalysis and culture & sensitivity
B.) Blood glucose only
C.) Ultrasound only
D.) No tests required
Answer: A.) Urinalysis and culture & sensitivity
Rationale: Detects infection early, which is important in pregnancy.
Reporting at Shift Change
Which patient should be reported to the new nurse at shift change?
A.) Patient at X-ray
B.) Patient sleeping in bed
C.) Patient ambulatory with family
D.) Patient discharged
Answer: A.) Patient at X-ray
Rationale: The nurse must communicate current location and status to maintain continuity
of care.
Hemolytic Blood Transfusion Reaction
Which sign is indicative of a hemolytic reaction?
A.) Flank pain
B.) Rash only
C.) Mild headache
D.) Sneezing
Answer: A.) Flank pain
Rationale: Flank pain, fever, and hemoglobinuria are classic signs of hemolytic transfusion
reaction.
ER Rape Victim Priority
What is the first priority for an ER rape victim?
A.) Assess anxiety
B.) Assess physical injury only
C.) Notify law enforcement immediately
D.) Contact family
