ATI NCLEX Review Questions and
Answers with Rationales|2025 Update
List the pertinent information that should be included in a transfer report. -
....ANSWER ...-Medical diagnosis, care providers, demographic information,
overview of health status, plan of care, recent progress, alterations in health status
that cause immediate concern, notifications of assessments or care within the next
few hours, recent vitals and medications (scheduled and PRN), allergies, diet and
activity orders, specific equipment or adaptive devices, advance directives,
emergency code status, family involvement in healthcare, and healthcare proxy if
applicable.
What are three (3) of the provider's responsibility for obtaining an informed
consent? - ....ANSWER ...-The provider must make sure that the patient
understands the reason for the treatment or procedure, how the treatment or
procedure will benefit the patient, and the risks involved if the patient chooses not
to receive the treatment or procedure. The physician should also discuss
alternatives to care if they chose to not have the procedure done.
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 1
,Identify three (3) priority teaching points to include when educating a client to use
a cane. - ....ANSWER ...-Maintain two points of support on the ground at all
times, keep the cane on the stronger side of the body, move the cane forward
about 6-10 inches and then move the weaker leg toward the cane before advancing
the stronger leg past the cane.
The nurse is teaching a new parent appropriate finger foods to introduce around
nine (9) months. Identify five (5) finger foods that would be appropriate to
introduce at nine (9) months. - ....ANSWER ...-Ripe bananas, graham
crackers, noodles, pears, peaches
How should the nurse respond when the client requests information about
meditation? - ....ANSWER ...-Meditation uses rhythmic breathing to calm
the mind and the body.
A client is at risk for a deep vein thrombosis. What is the priority assessment for
this client? Describe the procedure to use when applying elastic stockings (TEDS).
- ....ANSWER ...-Perform hand hygiene. Assess skin, circulation, leg edema.
Measure calf/thigh circumference and the length of the leg to select correct TEDS
size. Turn the stockings inside to the heel, place on the foot, pull the remainder of
the stocking over the heel and on the leg, smoothing any creases or wrinkles.
Remove every 8H to assess for redness, warmth, tenderness. Keep clean/dry.
Document presence of TEDS.
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 2
, A client has been prescribed a mechanical soft diet. What are three (3) indications
for this therapeutic diet? - ....ANSWER ...-Mechanical soft diet includes clear
and full liquids plus diced and ground foods, indicated by trouble
chewing/swallowing, difficulty moving or loss of feeling in areas of the mouth, or
surgery in the mouth.
The nurse has been assigned to a post-abdominal surgery client who has also been
diagnosed with dementia. The family is concerned about pain control for the client
because the client is confused. What should the nurse include in their teaching to
the family about the pain control plan for this client? - ....ANSWER ...-Vital
signs are indicative of pain, therefore assessed frequently. Explain behavioral
changes due to the dementia which may indicate pain. Pre-medicate the patient
prior to activities and before pain is expected. It is important for the family to
understand that there are pain scales that can be used to help determine if pain
medication is needed.
A client reports difficulty falling asleep. What are nursing interventions to promote
sleep? - ....ANSWER ...-Promote a bedtime routine, exercise at least 2H
before bedtime, personal hygiene needs to promote comfort, muscle relaxation if
anxious/stressed
A nurse is conducting an admission assessment for an older adult client with a
hearing impairment. What are some strategies the nurse can use to improve
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 3
Answers with Rationales|2025 Update
List the pertinent information that should be included in a transfer report. -
....ANSWER ...-Medical diagnosis, care providers, demographic information,
overview of health status, plan of care, recent progress, alterations in health status
that cause immediate concern, notifications of assessments or care within the next
few hours, recent vitals and medications (scheduled and PRN), allergies, diet and
activity orders, specific equipment or adaptive devices, advance directives,
emergency code status, family involvement in healthcare, and healthcare proxy if
applicable.
What are three (3) of the provider's responsibility for obtaining an informed
consent? - ....ANSWER ...-The provider must make sure that the patient
understands the reason for the treatment or procedure, how the treatment or
procedure will benefit the patient, and the risks involved if the patient chooses not
to receive the treatment or procedure. The physician should also discuss
alternatives to care if they chose to not have the procedure done.
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 1
,Identify three (3) priority teaching points to include when educating a client to use
a cane. - ....ANSWER ...-Maintain two points of support on the ground at all
times, keep the cane on the stronger side of the body, move the cane forward
about 6-10 inches and then move the weaker leg toward the cane before advancing
the stronger leg past the cane.
The nurse is teaching a new parent appropriate finger foods to introduce around
nine (9) months. Identify five (5) finger foods that would be appropriate to
introduce at nine (9) months. - ....ANSWER ...-Ripe bananas, graham
crackers, noodles, pears, peaches
How should the nurse respond when the client requests information about
meditation? - ....ANSWER ...-Meditation uses rhythmic breathing to calm
the mind and the body.
A client is at risk for a deep vein thrombosis. What is the priority assessment for
this client? Describe the procedure to use when applying elastic stockings (TEDS).
- ....ANSWER ...-Perform hand hygiene. Assess skin, circulation, leg edema.
Measure calf/thigh circumference and the length of the leg to select correct TEDS
size. Turn the stockings inside to the heel, place on the foot, pull the remainder of
the stocking over the heel and on the leg, smoothing any creases or wrinkles.
Remove every 8H to assess for redness, warmth, tenderness. Keep clean/dry.
Document presence of TEDS.
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 2
, A client has been prescribed a mechanical soft diet. What are three (3) indications
for this therapeutic diet? - ....ANSWER ...-Mechanical soft diet includes clear
and full liquids plus diced and ground foods, indicated by trouble
chewing/swallowing, difficulty moving or loss of feeling in areas of the mouth, or
surgery in the mouth.
The nurse has been assigned to a post-abdominal surgery client who has also been
diagnosed with dementia. The family is concerned about pain control for the client
because the client is confused. What should the nurse include in their teaching to
the family about the pain control plan for this client? - ....ANSWER ...-Vital
signs are indicative of pain, therefore assessed frequently. Explain behavioral
changes due to the dementia which may indicate pain. Pre-medicate the patient
prior to activities and before pain is expected. It is important for the family to
understand that there are pain scales that can be used to help determine if pain
medication is needed.
A client reports difficulty falling asleep. What are nursing interventions to promote
sleep? - ....ANSWER ...-Promote a bedtime routine, exercise at least 2H
before bedtime, personal hygiene needs to promote comfort, muscle relaxation if
anxious/stressed
A nurse is conducting an admission assessment for an older adult client with a
hearing impairment. What are some strategies the nurse can use to improve
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 3
