ATI RN EXIT EXAM QUESTIONS AND ANSWERS
2024/25 UPDATE
1. What can prevent MI, stroke, or death in high-risk patients?
A. Enalapril
B. Ramipril
C. Captopril
D. Quinapril
Answer: B. Ramipril
2. When does discharge planning begin?
A. At Bedside
B. At Discharge
C. At Admission
D. In The Preadmission Testing
Answer: C. At Admission
3. What are normal hematocrit levels in females?
A. 37-48%
B. 12-16 g/dL
C. 4500-11,000 / uL
D. 1.5-2.5 mEq/L
Answer: A. 37-48%
4. When providing family education for Alzheimer's disease, which
suggestion is most relevant?
A. Allow the client to go to bed four to five times during the day.
B. Test the cognitive functioning of the client several times a day.
C. Provide reality orientation even if the memory loss is severe.
D. Maintain consistency in environment, routine, and caregivers.
Answer: D. Maintain consistency in environment, routine, and caregivers.
5. A client is being discharged with sublingual nitroglycerin
(Nitrostat). The client should be cautioned to:
A. Avoid red meat and shellfish.
B. Cough and deep breathe.
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C. Agitation and assaultiveness.
D. Avoid abrupt changes in posture.
Answer: D. Avoid abrupt changes in posture.
6. When irrigating an NG tube, what should be used to maintain fluid
and electrolyte balance?
A. Tap water
B. Sterile water
C. 0.9% sodium chloride
D. 0.45% sodium chloride
Answer: C. 0.9% sodium chloride
7. A nurse caring for a client with dementia should use which
intervention to minimize the risk of injury?
A. Use a bed exit alarm system.
B. Raise 4 side rails while the client is in bed.
C. Apply one soft wrist restraint.
D. Dim the lights in the client’s room.
Answer: A. Use a bed exit alarm system.
8. Which of the following is true about using oxygen safely at home?
(Select all that apply)
A. Family members who smoke must be at least 10 ft from the client when
oxygen is in use.
B. Nail polish should not be used near a client who is receiving oxygen.
C. A "No Smoking" sign should be placed on the front door.
D. Cotton bedding and clothing should be replaced with items made from wool.
E. A fire extinguisher should be readily available in the home.
Answer: B, C, E
9. What does a newborn's stool typically look like if exclusively
breastfed?
A. Dark brown, solid stools regardless of diet.
B. Yellow or slightly green with a mushy or creamy consistency.
C. Clear, watery stools that are odorless.
D. Newborns should not poop for the first week after birth.
Answer: B. Yellow or slightly green with a mushy or creamy consistency.
10. What are good sources of folic acid?
A. Oranges, strawberries, kiwi, and bell peppers.
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B. Chicken, beef, fish, eggs, and cheese.
C. Romaine lettuce, spinach, asparagus, turnip greens, broccoli, and lentils.
D. Bread, pasta, rice, and sugar.
Answer: C. Romaine lettuce, spinach, asparagus, turnip greens, broccoli, and
lentils.
11. A nurse is caring for a young adult admitted with a severe head
injury. The nurse should position the patient:
A. Sitting upright in a chair with no neck support.
B. Turned to the side with the head of the bed lowered.
C. Lying flat on his back with no elevation.
D. With his neck in a midline position and the head of the bed elevated 30°.
Answer: D. With his neck in a midline position and the head of the bed
elevated 30°.
12. What is the therapeutic effect of protamine?
A. Reduction of blood pressure and management of hypertension.
B. Antidote to severe heparin overdose + reversal of heparin during
procedures.
C. Stimulation of platelet production and increased coagulation time.
D. Enhancement of blood clotting and prevention of bleeding.
Answer: B. Antidote to severe heparin overdose + reversal of heparin during
procedures.
13. A nurse is caring for a client after abdominal surgery with a
nasogastric tube attached to low suction. The client becomes
nauseated, and gastric secretions decrease. The most appropriate
nursing intervention is:
A. Irrigate the nasogastric tube with distilled water.
B. Aspirate the gastric contents with a syringe.
C. Administer an antiemetic medication.
D. Insert a new nasogastric tube.
Answer: B. Aspirate the gastric contents with a syringe.
14. After a bronchoscopy, the nurse should position an 8-year-old
client:
A. In semi-Fowler's position.
B. Prone, with the head turned to the side.
C. With the head of the bed elevated 45° and the neck extended.
D. Supine, with the head in the midline position.
Answer: A. In semi-Fowler's position.
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15. A nurse is teaching a client prescribed diazepam for anxiety.
Which statement indicates understanding?
A. "I can share my medication with friends if they feel anxious."
B. "I should take extra doses if I feel anxious."
C. "I will tell my doctor before I stop taking the medication."
D. "I should avoid food or drink while taking this medication."
Answer: C. "I will tell my doctor before I stop taking the medication."
16. Which nursing intervention is most relevant for Alzheimer's
disease patients to minimize stress?
A. Allow the client to nap multiple times a day.
B. Test cognitive function multiple times a day.
C. Provide reality orientation, even if memory loss is severe.
D. Maintain consistency in the client’s environment and routine.
Answer: D. Maintain consistency in the client’s environment and routine.
17. What is a common manifestation of alcohol withdrawal?
A. Hyperpigmentation and hair loss.
B. Tachycardia and hypertension.
C. Excessive sleepiness and confusion.
D. Elevated white blood cell count.
Answer: B. Tachycardia and hypertension.
18. A patient recovering from colostomy surgery is experiencing
constipation. Which intervention should a nurse suggest?
A. Record food intake.
B. Avoid prune or apple juice.
C. Suggest fluid intake of at least 2 L per day.
D. Minimize food intake to reduce stool production.
Answer: C. Suggest fluid intake of at least 2 L per day.
19. What is the priority when caring for a patient with vancomycin-
resistant enterococcus (VRE)?
A. Use antibiotics as the primary prevention method.
B. Follow standard precautions, including handwashing and gloving.
C. No precautions are necessary as the infection is not contagious.
D. Only wear gloves without handwashing.
Answer: B. Follow standard precautions, including handwashing and gloving.
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