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A.T.I Comprehensive Exit Exam 2025 Prep Guide: Updated Practice Questions, Detailed Answer, Exams of Nursing

Emory UniversityNursing

A.T.I Comprehensive Exit Exam 2025 Prep Guide: Updated Practice Questions, Detailed Answer Rationales, and Proven Strategies to Pass Your Nursing Final with Confidence

Typology: Exams

2024/2025

Available from 07/16/2025

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ATI Comprehensive Exit Exam 2025 Prep Guide:
Updated Practice Questions, Detailed Answer
Rationales, and Proven Strategies to Pass Your
Nursing Final with Confidence
1) A nurse in an emergency department completes an assessment on an
adolescent client that has conduct disorder. The client threatened suicide to
teacher at school. Which of the following statements should the nurse include in
the assessment?
a) Tell me about your siblings
b) Tell me what kind of music you like
**c) Tell me how often do you drink alcohol**
d) Tell me about your school schedule
Rationale: When assessing an adolescent with conduct disorder who has threatened
suicide, the nurse's priority is to identify immediate risk factors. Substance abuse,
including alcohol use, significantly increases impulsivity and the risk of suicidal
behavior. Therefore, assessing alcohol consumption is a critical and direct intervention
to evaluate the client's safety. While other options provide general background
information, they do not address the acute safety concern as directly as inquiring about
substance use.
2) A nurse is observing bonding to the client her newborn. Which of following
actions by the client requires the nurse to intervene?
a) Holding the newborn in an en face position
b) Asking the father to change the newborn's diaper
c) Requesting the nurse take the newborn nursery so she can rest
**d) Viewing the newborn's actions to be uncooperative**
Rationale: Viewing the newborn's normal, involuntary actions as "uncooperative"
suggests a potential misunderstanding of infant behavior and can be a red flag for
impaired parent-infant bonding. This perception indicates a lack of empathy or realistic
expectations for the newborn, which may hinder the development of a healthy
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Download A.T.I Comprehensive Exit Exam 2025 Prep Guide: Updated Practice Questions, Detailed Answer and more Exams Nursing in PDF only on Docsity!

ATI Comprehensive Exit Exam 2025 Prep Guide:

Updated Practice Questions, Detailed Answer

Rationales, and Proven Strategies to Pass Your

Nursing Final with Confidence

1) A nurse in an emergency department completes an assessment on an adolescent client that has conduct disorder. The client threatened suicide to teacher at school. Which of the following statements should the nurse include in the assessment? a) Tell me about your siblings b) Tell me what kind of music you like c) Tell me how often do you drink alcohol d) Tell me about your school schedule Rationale: When assessing an adolescent with conduct disorder who has threatened suicide, the nurse's priority is to identify immediate risk factors. Substance abuse, including alcohol use, significantly increases impulsivity and the risk of suicidal behavior. Therefore, assessing alcohol consumption is a critical and direct intervention to evaluate the client's safety. While other options provide general background information, they do not address the acute safety concern as directly as inquiring about substance use. 2) A nurse is observing bonding to the client her newborn. Which of following actions by the client requires the nurse to intervene? a) Holding the newborn in an en face position b) Asking the father to change the newborn's diaper c) Requesting the nurse take the newborn nursery so she can rest d) Viewing the newborn's actions to be uncooperative Rationale: Viewing the newborn's normal, involuntary actions as "uncooperative" suggests a potential misunderstanding of infant behavior and can be a red flag for impaired parent-infant bonding. This perception indicates a lack of empathy or realistic expectations for the newborn, which may hinder the development of a healthy

attachment. The other options are positive or normal behaviors that indicate healthy bonding or appropriate self-care. 3) A nurse is caring for client who is taking levothyroxin. Which of the following findings should indicate that the medication is effective? a) Weight loss b) Decreased blood pressure c) Absence of seizures d) Decrease inflammation Rationale: Levothyroxine is a synthetic thyroid hormone used to treat hypothyroidism. Hypothyroidism often leads to a slowed metabolism, which can cause symptoms like weight gain, fatigue, and cold intolerance. When levothyroxine is effective, it normalizes the metabolic rate, leading to a reversal of these symptoms, including a return to a healthy weight or weight loss if weight gain was a symptom of the hypothyroidism. The drug does not primarily affect blood pressure in this manner, treat seizures, or decrease inflammation. 4) A nurse is planning discharge teaching for cord care for the parent of a newborn. Which instructions would you include in the teaching?^1 a) Contact provider if the cord still turns black b) Clean the base of the cord with hydrogen peroxide daily c) Keep the cord dry until it falls off d) The cord stump will fall off in five days Rationale: The primary instruction for umbilical cord care is to keep it clean and dry. This promotes drying and natural detachment, minimizing the risk of infection. It is normal for the cord to turn black as it dries, so this is not a cause for concern. Hydrogen peroxide is generally not recommended as it can irritate the skin and delay healing. The cord stump typically falls off between 10 to 14 days, not usually as early as five days. 5) A nurse is assessing a client in the PACU. Which of the following findings indicates decreased cardiac output? a) Shivering b) Oliguria c) Bradypnea d) Constricted pupils

a) Place's cardiac monitoring b) Monitor the clients oxygen saturation level c) Provide standby assist with the client from bed d) Encourage foods high in potassium Rationale: Lisinopril, an ACE inhibitor, can cause orthostatic hypotension, especially with the first dose. This can lead to dizziness and an increased risk of falls when the client changes position. Providing standby assist is a crucial safety intervention to prevent injury. Cardiac monitoring and oxygen saturation monitoring are not routine for a first dose of lisinopril unless other conditions warrant them. Encouraging foods high in potassium is contraindicated, as ACE inhibitors can cause hyperkalemia (elevated potassium). 9) A nurse is caring for a client who is in labor and is receiving electronic fetal monitoring. The nurse is reviewing the monitor tracing and notes early decelerations. Which^2 the following should the nurse expect? a) Fetal hypoxia b) Abruptio placentae c) Post maturity d) Head Compression Rationale: Early decelerations are a common and benign finding in fetal heart rate monitoring, typically occurring during active labor. They are characterized by a gradual decrease in fetal heart rate that mirrors the contraction (nadir of deceleration coincides with the peak of the contraction) and are caused by compression of the fetal head during uterine contractions. They do not indicate fetal distress or hypoxia, unlike late or variable decelerations.

  1. A nurse is caring for a client who has chronic kidney disease. The nurse should identify which of the following laboratory values as in an indication for hemodialysis? a) glomerular filtration rate of 14 mL/ minute b) BUN 16 mg/DL c) serum magnesium 1.8 mg mg/dl d) Serum phosphorus 4.0 mg/dL - - correct ans- - a) glomerular filtration rate of 14 mL/ minute
  1. A nurse is caring for an infant who has a prescription for continuous pulse oximetry. The following is an appropriate action for the nurse to take? a) Placed infant under radiant warmer b) Move the probe site every 3 hours c) Heat the skin one minute prior to placing the program d) Placed a sensor on the index finger - - correct ans- - c) Heat the skin one minute prior to placing the program
  2. A nurse in a mental health facility receives a change of shift report on for clients. Which of the following clients should the nurse plan to assess first? a) Client placed in restraints to the aggressive behavior b) A new limited client pleasures history of 4.5 kg weight loss in the past two months c) Client is receiving a PRN dose of health heard all two hours ago for increased anxiety d) Applied he'll be receiving his first ECT treatment today - - correct ans- - a) Client placed in restraints to the aggressive behavior
  3. A nurse working at the clinic is teaching a group of clients who are pregnant on the use of nonpharmacological pain management. Which of the following statements by the nurse is an appropriate description of the use of hypnosis during labor? a) Hypnosis focuses on the biofeedback as a relaxation technique b) Hypnosis promotes increased control of her pain perception during contractions c) Hypnosis uses therapeutic touch to reduce anxiety during labor d) Hypnosis provides instruction to minimize pain - - correct ans- - b) Hypnosis promotes increased control of her pain perception during contractions
  1. A Nurses caring for client who has breast cancer and has been covering receiving chemotherapy. Which of the following laboratory values should nurse report to provider? a) WBC 3,000/mm b) Hemoglobin 14 g/dl c) Platelet 250,000/mm d) aPTT 30 seconds - - correct ans- - a) WBC 3,000/mm
  2. Home health nurse is carefully planned for Alzheimer's disease. To the following action should the nurse include in the plan of care a) Place a daily calendar in the kitchen b) Replace button clothing with zippered items c) Replace the carpet with hardwood floors d) Create variation in daily routine - - correct ans- - a) Place a daily calendar in the kitchen
  3. Nurse is performing change of shift assessments on 4 clients. Which of the following findings should the nurse report to provider first? a) The client was cystic fibrosis and has a thick productive clock and reports thirst b) Client who has gastroenteritis and is lethargic and confused c) The Client has diabetes mellitus has morning fasting Legal cost of 185 mg over deal d) The client was sick of signing it reports pain 15 minutes after receiving oral analgesic -
  • correct ans- - b) Client who has gastroenteritis and is lethargic and confused
  1. A nurse is caring for a client was in the second trimester of pregnancy and asks how to treat constipation. Which of the following statements by the nurse is appropriate? a) Decrease taking vitamins and supplements to every other day

b) Eat 15 g of fiber per day c) Consume 48 ounces of water each day (need at least 64 oz) d) Drink hot water with lemon juice each morning when you wake up - - correct ans- - d) Drink hot water with lemon juice each morning when you wake up 22)? - - correct ans- -

  1. A nurse is caring for a client who is preparing his advance directives. Which is the following statements by the client indicates an understanding of advanced directives? select all that apply a) I can't change my instructions once a minute b) My doctor will need to approve my advance directives c) I need an attorney to witness my signature on the advance directives d) I have the right to refuse treatment e) My health care proxy can make medical decisions for me - - correct ans- - d, e
  2. A nurse is caring for a client who is at 32 weeks gestation and has a history of cardiac disease. Which of the following positions should the nurse place the client to best promote optimal cardiac output? a) The chest b) Standing c) Supine d) Left lateral - - correct ans- - d) Left lateral
  3. A nurse is caring for a group of clients. Which of the following clients should the nurse assign to an AP? a) Client who has chronic obstructive pulmonary disease and needs guidance on incentive spirometry b) Client who has awoken following a bronchoscopy and requests a drink

d) Have AP check the medical record for prior blood glucose test results - - correct ans-

  • a) Determine if the AP is qualified to perform the test.
  1. A nurse is assessing client brought to the hospital psychiatric emergency services by a law enforcement officer. The client has disorganized, incoherent speech with loose associations and religious content. You should recognize the signs and symptoms as being consistent with which of the following? a) Alzheimer's disease b) Schizophrenia c) Substance intoxication d) Depression - - correct ans- - b) Schizophrenia
  2. A nurse is caring for a child who has infectious mononucleosis.. Which of the following findings are associated with this diagnosis? Select all that apply a) splenomegaly b) Koplik spots (this is associated with measles) c) Malaise d) Vertigo e) Sore throat - - correct ans- - a, c, e
  3. Nurse is performing dressing change for client was a sacral wound using negative pressure wound therapy. Which The following actions should the nurse take first? a) Apply skin preparation to wound edges. b) Normal saline c) Don sterile gloves d) Determine pain level - - correct ans- - d) Determine pain level
  1. A nurses caring for client recovery from the bowel surgery who has nasogastric tube connected to low intermittent suction. Which the following assessment findings should indicate to the nurse that the NG tube may not be functioning properly? a) Drainage fluid is greenish-yellow b) aspirate pH of 3 c) Abdominal rigidity d) air bubbles noted in the NG tube - - correct ans- - c) Abdominal rigidity
  2. A nurse is preparing to administer TPN with added fat supplements to a client who has malnutrition. Which of the following action should the nurse take? a) Piggyback 0.9 sodium chloride with TPN solution b) Check for an allergy to eggs c) Discuss the TPS solution for 12 hours d) Monitor for hypoglycemia - - correct ans- - b) Check for an allergy to eggs
  3. A charge nurse is discussing the use of applying ice to a client's injured knee with a newly licensed nurse. Which of the following should the nurse identify as a benefit? (A/C?) a) Systemic analgesic effect b) increase in your metabolism c) Decreased capillary permeability d) Vasodilation - - correct ans- - c) Decreased capillary permeability
  4. Nurse is developing discharge care plans for client has osteoporosis. To prevent injury the nurse should instruct the client to a) Perform weight bearing exercises
  1. A nurse has been caring for a female client who has bruises on her arms that she explains are a result of physical abuse by her husband. The client states, "I don't know how much longer I can take this, but I'm afraid he'll really hurt me if I leave. "Which of the following is an appropriate nursing intervention?" a) Offer to speak to the client's husband regarding his abuse behavior. b) Help the client to recognize the signs of escalation of abuse behavior c) Assist the client to identify personal behaviors that trigger abusive behavior d) Assist the client to Reports abusive behavior to the proper authority - - correct ans- - b) Help the client to recognize the signs of escalation of abuse behavior
  2. A client was having suicidal thoughts tells the nurse "It just does not seem worth it anymore. Why not end my misery?" Which of the following responses for the nurses appropriate? a) Why do you think your life is not worth it anymore? b) Do you have a plan to end your life? c) I need to know what you mean my misery d) You can trust me and tell me what you're thinking - - correct ans- - b) Do you have a plan to end your life?
  3. A nurse is caring for a client who has schizophrenia. Which of the following assessment findings should the nurse expect? a) Decreased level consciousness b) Unable to identify common objects c) Poor problem solving ability d) Preoccupation was somatic disturbances - - correct ans- - c) Poor problem solving ability
  1. A nurse is caring for a client who has deep vein thrombosis of the left lower extremity. Which of the following action should nurse take? There are 3 tabs that contain separate categories of data. a) Position the client with the affected extremity lower than the heart b) Administration of acetaminophen c) Massage the affected extremity every 4 hrs. d) Withhold heparin IV infusion - - correct ans- - d) Withhold heparin IV infusion
  2. Is caring for clients was a new prescription for enoxaparin for the prevention of DVT. Which of the following is an appropriate action by the nurse? a) Expel air bubble at the top of the prefilled syringe b) Massage the injection site to evenly distribute the medication c) Inject the medication the lateral abdominal wall d) Administer an NSAID for injection site discomfort - - correct ans- - c) Inject the medication the lateral abdominal wall
  3. Nurses caring for four clients. Which of the following client data should the nurse report to the provider? a) A client who has a pleurisy and reports pain of 6 on a scale of 0 to 10 when coughing b) Client was a total of 110 mL of serosanguineous fluid from the Jackson Pratt drain within the first 24 hour following surgery c) Client who is 4 hrs postoperative and has a heart rate of 98 per minute d) The client was a prescription for chemotherapy and an absolute neutrophil count of 75/mm3 - - correct ans- - d) The client was a prescription for chemotherapy and an absolute neutrophil count of 75/mm

appropriate for the nurse to ask the client? a) Have your membranes ruptured? b) How far apart are your contractions? c) Do you have any active lesions? d) Are you positive for beta strap? - - correct ans- - c) Do you have any active lesions?

  1. Nurse is providing teaching for child prescribed ferrous sulfate. Which of the following instructions should the nurse include? a) Take with meals b) Take at bedtime c) Take with a glass of milk d) Take with a glass of orange juice - - correct ans- - d) Take with a glass of orange juice
  2. Four clients present to the emergency department. The nurse should plan to see which of the following clients first? a) A 6-year-old client whose left shoulder is dislocated b) A 26 year old client for sickle cell disease and a severe joint pain c) A 76 year old client was confused, febrile and has foul-smelling urine - uti d) A 50- year old client who has slurred speech, is disoriented and reports a headache - stroke - - correct ans- - d) A 50- year old client who has slurred speech, is disoriented, and reports a headache - stroke
  3. A nurse is completing a dietary assessment for client who is Jewish and observes kosher dietary practices. Which of the following behaviors should the nurse expect to find? a) Leavened bread maybe eaten during Passover. b) Shellfish is commonly consumed in the diet.

c) Meat and dairy products are eaten separately. d) Fasting from meat occurs during Hanukkah. - - correct ans- - c) Meat and dairy products are eaten separately. 52)? - - correct ans- -

  1. A nurse is in an ER caring for client of multiple wounds due to a motor vehicle crash. Which of the following interventions are appropriate? Select all that apply a) Apply direct pressure to bleeding wounds b) Clean rest last rations and abrasions with hydrogen peroxide c) Cover wounds with a sterile dressing d) Administer 650 mg aspirin PO as needed for pain e) Determine date of last tetanus toxoid vaccination. - - correct ans- - a, c, e
  2. The nurses reviewing clients admission laboratory results. Which of the findings required further evaluation? a) Sodium 138 b) Creatinine 1. c) Hemoglobin 15 d) Potassium 4.2 - - correct ans- - b) Creatinine 1.
  3. A nurse is providing teaching for a client has a new prescription for methadone. Which of the phone following client statements indicates need for further teaching? a) I understand the methadone tends to slow my breathing b) I understand the methadone may cause me to have difficulty sleeping c) I will avoid alcohol while I'm taking this medication
  1. The nurses assessing client with posttraumatic stress disorder. Which of the following findings to the nurse expect to find? a) Dependence on family and friends b) Loss of interest in usual activities c) Ritualistic behavior d) Passive aggressive behavior - - correct ans- - b) Loss of interest in usual activities
  2. A nurse working in a long-term care facility is caring for an older adult client has dementia. The clients often agitated and frequently wanders the halls. Which of the following intervention should the nurse include in the plan of care? a) Give the client several choices when scheduling activities. b) Confront the client regarding unacceptable behavior c) Maintain Nutritional requirements by offering finger foods d) Stimulate the client by leaving the television on throughout the day - - correct ans- - c) Maintain Nutritional requirements by offering finger foods
  3. A nurse on a mental health unit receives report on four clients. Which of the following client should the nurse attend to first? a) A client who has begun to demonstrate catatonic behavior b) The client was compulsive behavior and is frequently drinking from the water fountain c) Client was having auditory hallucinations is becoming agitated d) A client was making sexual comments to clients of the opposite sex - - correct ans- - c) Client was having auditory hallucinations is becoming agitated
  4. A nurse is caring for the full term newborn immediately following birth. Which of the following actions

should the nurse take first? a) Instill erythromycin ophthalmic ointment and the newborn's eyes. b) Place identification bracelets on the newborn. c) Weigh the newborn. d) Dry the newborn - - correct ans- - d) dry the newborn

  1. A nurse receives report on a group of clients. Which of the following client should the nurse attend to first? a) A client who was admitted with asthma and has an SaO2 of 92% long receiving oxygen at 1 L per minute via nasal cannula b) A client was admitted with angina and reports left arm pain of 4 on a scale of 0 to 10 c) The client was type II diabetes mellitus in his blood with glucose level is at 80 mg/dL d) A client who had a gastric endoscopy and whose nasogastric tube is draining 30 mL per hour of green fluid - - correct ans- - b) A client was admitted with angina and reports left arm pain of 4 on a scale of 0 to 10
  2. A client at 38 weeks of gestation enters the emergency department. The nurse should recognize that which of the following indicates that the client is in the latent phase of labor? a) The client reports the urge to push b) The cervix is dilated 2 cm c) Contractions are 2 to 3 minutes apart d) The client reports nausea and vomiting - - correct ans- - b) The cervix is dilated 2 cm
  3. The charge nurse for medical surgical units discovers client care assignments that should be reassigned. Which of the following delegated tasks should be reassigned?