ATI QUESTIONS TO REVIEW BEFORE EXIT & NCLEX:
310Questions and Answers (Latest Update
2024/2025)GRADED A+
A nurse is caring for a client with severe peripheral arterial disease of the right
lower extremity. Which intervention is appropriate?
A.) Apply cold compresses to the affected extremity
B.) Apply warm compresses to the affected extremity
C.) Keep the affected extremity above the level of the heart
D.) Keep the affected extremity below the level of the heart - CORRECT ANSWERS
ANSWER--->D.) Keep the affected extremity below the level of the heart
RATIONALE: The nurse should NEVER apply direct heat to the limb. Sensitivity is
decreased in the affected limb & burns may result
A nurse is providing care for a client with a Jackson-Pratt drain. Which of the
following nursing interventions has the highest priority?
A.) Securing the tube and drainage bulb to the pt
B.) Keeping the drainage bulb depressed to manual suction
C.) "Milking" the tubing before emptying the drain
D.) Cleansing the insertion site of the tube w/betadine - CORRECT ANSWERS
ANSWER-->B.) Keeping the drainage bulb depressed to manual suction
RATIONALE: Securing the tubing helps to keep tension from being placed on the
tubing & bulb. While this is helpful, maintaining the bulb to suction is the highest
priority nursing intervention
A client is scheduled for surgery. Which of the following findings should the nurse
report to the provider prior to surgery?
A.) Serum potassium of 3.8 mEq/L
B.) A missing identification band
C.) Increased anxiety level
ATI QUESTIONS TO REVIEW BEFORE EXIT & NCLEX: 310Questions and Answers (Latest Update
2024/2025)GRADED A+
,ATI QUESTIONS TO REVIEW BEFORE EXIT & NCLEX:
310Questions and Answers (Latest Update
2024/2025)GRADED A+
D.) A decrease in BP - CORRECT ANSWERS ANSWER-->D.) A decrease in BP
RATIONALE: If a missing ID band is noted the nurse can recreate the band prior
to proceeding to the operating room. The ID band is a method of properly
identifying a pt & necessary for care
A client is undergoing cystoscopy. Which of the following interventions should the
nurse include in the client's plan of care?
A.) Provide education on home urinary catheter care
B.) Monitor for infection for 48-72 hours following procedure
C.) Increase oral fluid intake to flush contrast dye from system
D) Educate pt on the need for anticoagulant therapy - CORRECT ANSWERS
ANSWER--->B) Monitor for infection for 48-72 hours following procedure
RATIONALE: Cystoscopy does not require administration of contrast dye
A nurse is caring for a post-operative client who underwent thoracic surgery 7 hours
prior, and now has in place a chest tube for drainage. What finding would require
the nurse to contact the provider immediately?
A.) Chest tube & tubing become disconnected during pt transfer
B) Pt complains of left-sided chest pain of 7 on pain scale when performing
incentivespirometry
C) Chest tube drainage measures 80 mLs/hr of red blood
D) Diminished breath sounds auscultated in left lower lobe - CORRECT ANSWERS
ANSWER-->C) Chest tube drainage measures 80mL/hr of red blood
RATIONALE: If the tubing separates the RN will ask the pt to exhale as much air as
they can to remove air from the pleural space & the nurse would cleanse the tips &
reconnect the tubing
A nurse is reinforcing teaching with a client who has been recently diagnosed with
osteoporosis. Which of the following should be included?
ATI QUESTIONS TO REVIEW BEFORE EXIT & NCLEX: 310Questions and Answers (Latest Update
2024/2025)GRADED A+
,ATI QUESTIONS TO REVIEW BEFORE EXIT & NCLEX:
310Questions and Answers (Latest Update
2024/2025)GRADED A+
A.) Increase intake of dietary calcium
b. Walking for one to two hours daily is recommended.
c. Eliminate safety hazards in the home
d. Long-term estrogen replacement therapy will be required. - CORRECT
ANSWERS ANSWER-->C.) Eliminate safety hazards in the home
RATIONALE: Intake of calcium alone is not a treatment for osteoporosis, but calcium
is an important part of a prevention program to promote bone health. Most people
do not get enough calcium in their diet, and therefore calcium supplements are
needed.
A nurse is evaluating placement of a nasogastric (NG) tube. Which of the following
is the least reliable method to determine correct NG tube placement?
a. Aspirate to collect gastric content.
b. Test pH of gastric contents
c. Ask the client to talk.
d. Inject air into tube and listen over abdomen. - CORRECT ANSWERS
ANSWER-->D.) Inject air into tube and listen over abdomen
RATIONALE: Other than X-ray, aspiration of gastric contents with pH testing is the
most reliable method to determine correct NG tube placement. A pH of 4 or less is
expected.
A nurse is caring for a client with heart failure. Which of the following interventions
should the nurse take if the client is experiencing dyspnea?
a. Place client in high Fowler's position.
b. Place client in the reverse trendelenberg position
c. Perform coughing and deep breathing exercises every 8 hours.
d. Obtain serial ABGs every 8 hours. - CORRECT ANSWERS ANSWER-->A) Place
pt in high fowler's position
ATI QUESTIONS TO REVIEW BEFORE EXIT & NCLEX: 310Questions and Answers (Latest Update
2024/2025)GRADED A+
, ATI QUESTIONS TO REVIEW BEFORE EXIT & NCLEX:
310Questions and Answers (Latest Update
2024/2025)GRADED A+
RATIONALE: Placing the client in reverse trendelenberg would not promote lung
expansion and improve oxygenation as well as high Fowler's position.
A nurse is providing education to a client with coronary artery disease. Which of the
following cholesterol values should the nurse identify as a goal for this client?
a. HDL-C level 60 mg/dL
b. HDL-C level 20 mg/dL
c. LDL-C level 98 mg/dL
d. LDL-C level 120 mg/dL - CORRECT ANSWERS ANSWER-->A) HDL-C level 60
mg/dL
RATIONALE: While a value of <130 mg/dL is an accepted normal value, this client
has coronary artery disease and a value below 70 mg/dL is desirable for clients
diagnosed with CVD or who are diabetic.
A client is recovering from acute respiratory distress syndrome (ARDS). Which
clinical manifestation requires immediate attention by the nurse?
a. Increase in pulse rate
b. A decrease in temperature
c. A decrease in blood pressure
d. Increased oxygen saturation - CORRECT ANSWERS ANSWER-->C) A
decrease in BP
RATIONALE:An increase in a client's pulse rate is a finding that needs additional data
collection because it may be indicative of an autonomic response to pain, anxiety,
and other
A nurse is caring for a client with a new onset bowel obstruction. What assessment
finding would be anticipated when completing an abdominal assessment?
ATI QUESTIONS TO REVIEW BEFORE EXIT & NCLEX: 310Questions and Answers (Latest Update
2024/2025)GRADED A+
310Questions and Answers (Latest Update
2024/2025)GRADED A+
A nurse is caring for a client with severe peripheral arterial disease of the right
lower extremity. Which intervention is appropriate?
A.) Apply cold compresses to the affected extremity
B.) Apply warm compresses to the affected extremity
C.) Keep the affected extremity above the level of the heart
D.) Keep the affected extremity below the level of the heart - CORRECT ANSWERS
ANSWER--->D.) Keep the affected extremity below the level of the heart
RATIONALE: The nurse should NEVER apply direct heat to the limb. Sensitivity is
decreased in the affected limb & burns may result
A nurse is providing care for a client with a Jackson-Pratt drain. Which of the
following nursing interventions has the highest priority?
A.) Securing the tube and drainage bulb to the pt
B.) Keeping the drainage bulb depressed to manual suction
C.) "Milking" the tubing before emptying the drain
D.) Cleansing the insertion site of the tube w/betadine - CORRECT ANSWERS
ANSWER-->B.) Keeping the drainage bulb depressed to manual suction
RATIONALE: Securing the tubing helps to keep tension from being placed on the
tubing & bulb. While this is helpful, maintaining the bulb to suction is the highest
priority nursing intervention
A client is scheduled for surgery. Which of the following findings should the nurse
report to the provider prior to surgery?
A.) Serum potassium of 3.8 mEq/L
B.) A missing identification band
C.) Increased anxiety level
ATI QUESTIONS TO REVIEW BEFORE EXIT & NCLEX: 310Questions and Answers (Latest Update
2024/2025)GRADED A+
,ATI QUESTIONS TO REVIEW BEFORE EXIT & NCLEX:
310Questions and Answers (Latest Update
2024/2025)GRADED A+
D.) A decrease in BP - CORRECT ANSWERS ANSWER-->D.) A decrease in BP
RATIONALE: If a missing ID band is noted the nurse can recreate the band prior
to proceeding to the operating room. The ID band is a method of properly
identifying a pt & necessary for care
A client is undergoing cystoscopy. Which of the following interventions should the
nurse include in the client's plan of care?
A.) Provide education on home urinary catheter care
B.) Monitor for infection for 48-72 hours following procedure
C.) Increase oral fluid intake to flush contrast dye from system
D) Educate pt on the need for anticoagulant therapy - CORRECT ANSWERS
ANSWER--->B) Monitor for infection for 48-72 hours following procedure
RATIONALE: Cystoscopy does not require administration of contrast dye
A nurse is caring for a post-operative client who underwent thoracic surgery 7 hours
prior, and now has in place a chest tube for drainage. What finding would require
the nurse to contact the provider immediately?
A.) Chest tube & tubing become disconnected during pt transfer
B) Pt complains of left-sided chest pain of 7 on pain scale when performing
incentivespirometry
C) Chest tube drainage measures 80 mLs/hr of red blood
D) Diminished breath sounds auscultated in left lower lobe - CORRECT ANSWERS
ANSWER-->C) Chest tube drainage measures 80mL/hr of red blood
RATIONALE: If the tubing separates the RN will ask the pt to exhale as much air as
they can to remove air from the pleural space & the nurse would cleanse the tips &
reconnect the tubing
A nurse is reinforcing teaching with a client who has been recently diagnosed with
osteoporosis. Which of the following should be included?
ATI QUESTIONS TO REVIEW BEFORE EXIT & NCLEX: 310Questions and Answers (Latest Update
2024/2025)GRADED A+
,ATI QUESTIONS TO REVIEW BEFORE EXIT & NCLEX:
310Questions and Answers (Latest Update
2024/2025)GRADED A+
A.) Increase intake of dietary calcium
b. Walking for one to two hours daily is recommended.
c. Eliminate safety hazards in the home
d. Long-term estrogen replacement therapy will be required. - CORRECT
ANSWERS ANSWER-->C.) Eliminate safety hazards in the home
RATIONALE: Intake of calcium alone is not a treatment for osteoporosis, but calcium
is an important part of a prevention program to promote bone health. Most people
do not get enough calcium in their diet, and therefore calcium supplements are
needed.
A nurse is evaluating placement of a nasogastric (NG) tube. Which of the following
is the least reliable method to determine correct NG tube placement?
a. Aspirate to collect gastric content.
b. Test pH of gastric contents
c. Ask the client to talk.
d. Inject air into tube and listen over abdomen. - CORRECT ANSWERS
ANSWER-->D.) Inject air into tube and listen over abdomen
RATIONALE: Other than X-ray, aspiration of gastric contents with pH testing is the
most reliable method to determine correct NG tube placement. A pH of 4 or less is
expected.
A nurse is caring for a client with heart failure. Which of the following interventions
should the nurse take if the client is experiencing dyspnea?
a. Place client in high Fowler's position.
b. Place client in the reverse trendelenberg position
c. Perform coughing and deep breathing exercises every 8 hours.
d. Obtain serial ABGs every 8 hours. - CORRECT ANSWERS ANSWER-->A) Place
pt in high fowler's position
ATI QUESTIONS TO REVIEW BEFORE EXIT & NCLEX: 310Questions and Answers (Latest Update
2024/2025)GRADED A+
, ATI QUESTIONS TO REVIEW BEFORE EXIT & NCLEX:
310Questions and Answers (Latest Update
2024/2025)GRADED A+
RATIONALE: Placing the client in reverse trendelenberg would not promote lung
expansion and improve oxygenation as well as high Fowler's position.
A nurse is providing education to a client with coronary artery disease. Which of the
following cholesterol values should the nurse identify as a goal for this client?
a. HDL-C level 60 mg/dL
b. HDL-C level 20 mg/dL
c. LDL-C level 98 mg/dL
d. LDL-C level 120 mg/dL - CORRECT ANSWERS ANSWER-->A) HDL-C level 60
mg/dL
RATIONALE: While a value of <130 mg/dL is an accepted normal value, this client
has coronary artery disease and a value below 70 mg/dL is desirable for clients
diagnosed with CVD or who are diabetic.
A client is recovering from acute respiratory distress syndrome (ARDS). Which
clinical manifestation requires immediate attention by the nurse?
a. Increase in pulse rate
b. A decrease in temperature
c. A decrease in blood pressure
d. Increased oxygen saturation - CORRECT ANSWERS ANSWER-->C) A
decrease in BP
RATIONALE:An increase in a client's pulse rate is a finding that needs additional data
collection because it may be indicative of an autonomic response to pain, anxiety,
and other
A nurse is caring for a client with a new onset bowel obstruction. What assessment
finding would be anticipated when completing an abdominal assessment?
ATI QUESTIONS TO REVIEW BEFORE EXIT & NCLEX: 310Questions and Answers (Latest Update
2024/2025)GRADED A+
